10466 SW LADY MARION DRIVE-1 1''1 ii w
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July 21, 1995
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Homeowner
10456 Svc Lady Marion Dr
Tigard OR
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Dear Homeowner: '
'Phis is to inform you that:. the sidewalk and approach at the above
address was not inspected prior to pour. Inasmuch as the future
maintenance of these sidewalks and approaches are the
responsibility of the adjoining property owners, any problems
within on% year of the Ce,_tifi.cate of Occupancy should be referred
back to the homE, builder.
According to The City of Tigard, Engineer_' ng Dep-rtment, "the
construction appears satisfactory by observation ;--.id no further
work .ij recommended at this time "
Sincc rely•,
Jeanne Flaig
Building Department:
Encl : Certificate of Occupancy
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MrMORANDUb!
CITY OF TIGARD
TO: David Scott July 10, 1995
FROM: Michael Anderson
SUBJECT: Sidewalk Inspectionrs
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Letha has : n�:rmed me that the sidewalks and approaches at the addresses
for the att,.ched files were not inspected prior to pour . Inasmuch as the a
future maintenance of these sidewalks and approaches are the
responsibility of the adjoining property owner, it :is our recommendation
that the Buildina Department notify the property owner that no inspection
for this item was done and that any problems within one year of the ("r
Certificate of Occupancy should be referred 'lack to their builder. The
construction appears satisfa--tory by observation and no furthe irk is
recommended at this time.
Also, we would recommend that a copy of this memo be placed into each of
the appropriate building files.
.41
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OCCUPANC
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DATE ISSUED, MIT(a
.S.-0417. . .0iTY OF TIGARD4/94
COMMUNITY DEVELOPMENT DtPARtENT
'mow' �■
13125 SW Hall Blvd.Tigard,Orajon 97223.8199 (503)839.4171 PARCEL a �2S 1 j 1 CB- 04400
'JITE NrJI)ftk:.SS. L+W LfW Y MW:1101N! Wq
')USDlvl!ICIN. . . . a I+APION Ir-sTATE:
ZUNI NG. R- a., 5
CLASS Or WORK. aNEW
TYKE OF USE . . . a GF'
OCCUPONC;Y GR!'). a R3
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OCCUPANCY I. UAD:2 3kb 4
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T E.NANT NAME.. . . e A
Re'mar^Eca x PATH I
Owner a
WL'a'TSIL)E CONSTRUCTION INL r
V' 0 BOX 19054
=IORTLANTi OR 97280
Phone 44; '777--8085
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Conti-oc^tera _._..._.__....___..__......_...._..___.._...._ .. ._._..
WE STSIDEt CONSTRUCT ION INC"
1' O BOX 19054
PORTLAND OR 97280
Phone 0: 771--8085
occup^ncy of th- at)nve r-efevenced tmi .l d ing i s l-iev,eby given, and c'e)-t i f i e"
the compliance rai.th the State Of l::lrpgoci i'Jpec'i.alt;y c:ucJe± � 1`nr the gr•u�.p
Occupancy, and tise under which the r-efF�rRyl od pet-mit waq i 4sued.
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1. 01 I N:','PECTOR
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'Cl�i' � 'rrICIAL
POST fA CONSPICUOUS PLACE'
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INSPECTION NOTICE
City of Tigard Building Departaeet
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ren-O-t'hone)s 639-4175 Bueineae Phone: 639-43.71
Inspection: ._ _ ---� 21 1 _
Footing Plbg. Underelab Nech. Rough-in Appppr/sdwlk
Found. ?lbg. Top Out Gas Lina ChFIlm, /
-eldq.
Poet/Beam Strucc. pan. Sewer Framing
Post/Beam Hoch. Rain Drain Insulation -Plumb.
p!.bg. Underfl.00x Water Line Gyp. Bd. -Kwh. 0
Date Requestede__--/ I �� Time: - PM
Addreee:1D�� Mak i ��C = 1 10i Permit +� 3 I-/
Builder:�f;
TBE FOI.L,OWING CORRECTIONS ARE REQUIRED:
G,� garJ� e_c� _f i I _
Inspector:- / --- - __ L'+te: L.-r.��
_ _APPROVED DISAPPROVED APPROVED 1;UBJECT TO ABOVE
VCall For Relnsp.
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INSPECTION NOTICE
City of Tigard Building Departs—t
13125 RN Ball Blvd-
Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): ;;401
75 Business Phone: 639-4171
Inspection
y'til • ���' ��J�l L
Mech. Rough-in Appr/Sdwlk
Footing Plbg. Underelab
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Fraw!ng -81d
7y�
Post/Beam Mech. Rain Drain Insulation -Plumb.,
Plbg. Underfloor Water Line/ Gyp. Bd. -Mech.
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Date Requested:__—./ Timet AM PN
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Address: I O�'t LQ �f CZ (A 1 I y�Gl.1.I�l�Pe>?mi1N.c�._.
Builder: l l-l-� — 4 1�C'j� �:'`� �Cf� I r —_ •
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t:!E FOLLOWING W I. AR REQUIRED:
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Inspector: ---- --- - ----- Date: i1
APPROVED DISAPPROVED __ APPROVED SUB.IEOT TO ABOVE
For Aeinsp.
INSPECTION NOTICE.
k city of. Tigard Building De{art—t / •
- 13125 Sw gall Blvd. Tigard, Oregon 9722 f/
Inspecution Line (Re, O-Phone): 639-4175 Business PI 39-4171 j
Inspection:_ --
Tooting PlIN. Underalab Mach. Rough--in Appr/Sdwlk
Found. Plbg. Top Out oas Line FINAL:
Pont/Beam struct. San. Sewer Framing -(Bldg.
past/Beam Macb. Rain Drain Insulation -Plumb.
PIN). Underfloor water Line oyp. ad. --MecO. •
oats Requestfids_— 1 q /'y/� TiIM! G AM PM
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. �/lol� � `.> , Permit
ddress: f l L'3�d`iL7 11
Builder:
TRi• FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ Date: G
(` A�XieoVED DISAPPROVED —_ ,fvPP.:OVXD SUBJECT TO ABOVE
Call For Reineip.
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.INSPECTION NOTICE
city or Tigard Building Departmmm.t
131125 SR !Pall Blvd. Tigard, clregon 97223
Inspection Line (Rec shone): 639-4175 Business Phone: 639-4171
Inspection:_ ALw f�y v �! (_ l'
Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/seam ;tech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Lineoy��. Bd. -Mech. r
Date Requested:!-20-q I( Time:
Address: (lhc ll' LCI _ &t Permit 1:M51 "13--oV 7
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THE VOLLOWINO CORRECTIONS ARE REQUIRED-
Dotter I
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Inspector: _` —
�— Date:
APPROVEDi
DISAPPROVED APPROVED 6UBJECP TO ABOVE
`—Call ?or Rei:,p.
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IN§Px TIGN NOTICE I r
City of Tigard Building Departaent t 1- n,�F
13125 611 Ball Blvd. Tigard, Oregon 97223')
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone, 639-4171
Inspection: (-'4t_
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALi
9 .
Post/Benm Struct. San. Bower Framing -Bldg.
Post/Seam Hecto. Rain Drain Inaulation -Plumb.
Plbg. Underfloor /Water Line Gyp. Rd. _Hoch.
Date Requestods I Tim) Am
vuoadd N v►n
Addreae: �
� Permit is j�J e)ql
Builders 'J Ir ��I,c low,
THE FOLLOWING 0ORRECTION6 ,\RE REQUIRED,
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APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
-Call For Reinsp.
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NI SPEcgzoN No'rzcE
City of Tigard Building DOPartmr2J2
.13125 SonN Ball Blvd. Tigard, OregInspection Litre psc-O-Phone)t 639-4175 Rusine 9- 1
Inwpectiout _
rooting Plbg. Underslab Mech. Rough-in Appr/Sdwli,
Found. Plbc. Top Out Gas Line FINALt
Poet/Beam St.ruct. awl. Sewer Framing -Bldg. �
Post/t.eam Mech. Rain Drain lnsulation -Plumb.
Plbg. Underfloor Water Line �Oyp. !4� Mech.
Date Requested:_ l 1 / 1 J TIMI 2 AM PN
Addror
ess! � Mo M. l �r k,CTlr`T ��Permit
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Builkiert
TBE FOLLOWING OORRECTIOMS ARE REQUIRED:
Inepectors _
VI APPROVED DMAPPROVED APPROVED 811BJRCT TO ABOVE
call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Department r l
13125 SA Hall Blvd. Tigard, Oregon 97:123f
Inspection Lina (Ree-O-Phone)o 639-4175 Business Pho�e:
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Inspections
Footing Plbg. Underrlab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINALS
Post/Beam Struct. San. Se-,!rer Framing
-Bldg.
Post/Beam Koch. Rain Drain (in_sulatLot /L -Plumb.
Plbg. Underfloor water Line Gyp, Bd. -Koch. ■
Date Requested: 1 I �� "�
Timer AN PN
AddreunsI 17 Ink,
� -� Permit �:
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Buildmrr
L�,,�`�_Q
THE FOLLOWING CORRECTIONS ARE REQUIRED: 7
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Inspector•
ate:
APPROVED DISAPPROVED �- APPROVED SUDJECT TO ABOVE
Call Fo- Reinsp.
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INSPECTION NOTICE
City of Tigr-d Building Departaent ��a
13125 611 Ball mi-d. Tigard, nregon 97243
Inspection Line (Rec--C-Phone)s 639-4175 Business Phone:- 3 -4171
Indpactiont
rooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
"ound. Plbg. Top Out Z(;. Line rINAL:
Post/Beam Struct. San. Sover ,ilrminy_ � -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb,
Plbv. Underfloor Nater Line Gyp. Bd. �/_�h.
Date Requostedi j I L(j�/�`� Times `�� ) pl{
Addresa:� ("� /,.I "f t 1" V��( I(_'�y1 ��� Permit tt � v /
Builder:_
T-13 P'OLUMING CORRECTIONS ARE REQUIRED:
,Roo," -
inspector: �_- Date._
_,_-APPROVED _ _ DISAPPROVED APPROVED SUBJECT TO ABOVE
`_ Call
for Reinep.
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INSPECTION NOTICE
City of Tigard Building Departwant
13175 SW Hall Blvd. Tigard, Oregou 9722
Inspection Lino (Rec-O-Phone): 635-4175 Business Ph s 639-4171
Inspection:_
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sawr Framing -Bldg.
Post/Beam M4mh. Rain Drain inaulation --Plumb.
Plbg. Underfloor Naha. LLIne Gyp. Ed. --Koch.
Date f4mrvasted: 7, l Tiaai _ AM PN
Acdrese: I L'`I(��C� I ekzGivu-y(CV` bt Permit t:�
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspector: Date: c --�
_ — - --- - _
L"- APPROVED --_ _ DISAPPROVED APPROVED SU&INCT TO ABCNE
Call For Reinsp.
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INSPECTIONNOTTICE
City of Tigard Building Department
1312-, M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phfrns,).Ja�639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Por:/Beam Struct. San. Bawer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb. -
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Data Requestede f )` 1 Tinct AK PK
Address= / Permit #I c -
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRIEM._
Inspectors
PROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE
—Call Por Rei.nap.
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INBPECTION NOTIQE
City of Tigard Building Department
1.3125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)s 639-4175 Business Pho V
Inspo.7t ion e_
Footing Plbg. Dnderslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALe
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Post/own itt ruct4 San. Bower Framing -Bldg.
Post/Beam Nosh..,, Rain Drain Insulation -Plumb.
4DaP Nater Line Gyp. Ed. -Koch. .
Times AN PK
'( , Permit 1 s 1�
Builders
THE FOLLOWING CORRECTIONS ARE RBWIREDs
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Inspectors Datas�
APPROVED DISAPPROVED APPROVED suB.TECT TO ABOVE
Call For Reinsp.
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jNSPECTION NOTICE ,r
Cita of Tigard Building Department
13125 aw Ball Blvd. Tigard, Oregon 97221
Inspection Line (Rec-O-Phone), 639.4175 •Ines Phones 639-4171
Inspection,
Tooting Plbq. Underslab loch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL,
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Ra Ln Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
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Date Requers�tled/, / t� / _.I Times AM PK
Ad&ess, �`,'f(k l Z A-4 1"/6-r Qrn /Permit #,'T3
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Builder:
TRB FOLLOWING CORRECTIONS ARE REpUIREDt
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Inspect = � _ Date:l%
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
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City of Tigard Building Department
13125 alf Ball Blvd. Tigard, Oregon 97223 ',,
Inspaation Line (Rae-O-Phona)s 639-4175 Business Phone: 639-4.171 y ;�
Inspection:
Footing Plbg. Undernlab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. k'!jeR Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor ,_,_Nater Lille Gyp. Rd. -Mach.
Data Requestedr 1 Tlroel -L-AM PN
Addi east (.{ �l' ( �( r,l V Permit f i
Builders
THE FOLLIMIM CMRSCTIOMR AM REQUIRED:
IZ
Inspectors / _ Date:
APPROVED _ _ DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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INSPECTION NOTICE I
City Of Tigard Buildiaq Departmaot
13125 BE Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)t 639-4175 Sun-was Phonet 639-4171
IAspaotlons
Fo4� n�� Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINALt
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. tain Drain Insulation --Plumb. r
Plbg. Underfloor Nater Line Gyp. Ed. -Mach.
Date Requesteds �' -� Timet _AM �7Q PK
Address ,I Permit it /
Builders I k-W`AeG C(Iy\`
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspectors-4G Dates — O
-_iAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Rsinap.
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-C1TYOF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639-4171
E'L_LJM6ING r'ER1y1I'T
PERMIT #. . . . . . . : 11ST93•-041.7
DATE ISSUED: 09/03/9:
PARCEL-,
SITE (ADDRESS. . . : 10466 SW LADY MARION I]R
SURD I V I 151 ON. . . . : MARION ESTATES ZONING: R-3. 5
CAL._OCIi. . , . . ,. .. . . , L_01.. . . . . . . . . . . . . .017 ■
_.__. _.._.._._____...____._._....___..._. ._.__.._,_..__..._...._.__._..._._......_.. ____._.__..__...__.__-_.......--_-___-__-._--_-__._._._._...._____
(IF WORK. . :NEW GARBAGE DISPOSALS. . : I
I'YPE= OF L.ISF:... , . . :SF" WASHING MACH. . . . . . . : 1. HACKF•L.UW RREVNTRS. . :0
OCCIJE'ONCY GRP. . :R3 FLOOR DRAINS. . . . . ., . :0 TRAPS. . . . . . . . . . . . . . .0 ■
STORIE=D. . , . . . . . :c WATER HEATERS. . . . , . r t CATCH BnSINS. . . . . . . :0
r I LAUNDRY TRAYS. . . . ,• .. : i SF RAIN DRAINS. . . . . . I.
SINKS. . . . .. . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVAT(313I EG. . . . . :;=; OTI-iER FIXTURES. . . . . ..0
7UD/SHOWk:RS. . , . : SEWER LINE (ft ) . . . . :0
WATER CLOSE:TS. . : .. WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . 30
Remarks : PATH I
OWNER:
____________________________._ .--__-----___-_.___._FEES_._.._.._______.-__...__...._..
WESTSIDE CONSTRUCTION INC TI17 $ 1520. 00 JH 09/03/93 _
P 0 BOX 19054 BPRT $ 528. 00 JF 09/03/93
RPLC $ 343. 20 JLH 07/22/93 93 -242532
PORTLAND OR 97x:80 B5FC $ x'6. 40 JH 09/03/93
Phone #: 777--F085 SSDC $ 280. 00 JH 09/03/93
PARK $ 500. 00 JI-1 09/03/93 -
Plumbing Ii1PRT $ 45. 00 JH 09/03/93 -
MPLC $ 11. 25 JH 09/03/9,3
Name : �._ 1 .. ...__.__._ 1') __... MPC $ •' 25 JH 09/03/93
Address 3_ 1t,��. PPRP' $ 162. 50 JH 09/03/93 _
Cit State : E'5PC $ 8. 13 JH 09/03/93 Zip: . §.1_%.____C'h o n e#:_�.6SL�'.�►1L_`____ _.
Reg #:......
--_---- REDU I RED INSPECTIONS
- --This permit is issued subject to the reg--
1-dations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all. Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in lac-c_ordance with approved plans. 'This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/LJnder^floor 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 Dra.:n
Fireplace Insp
Gas Line Insp
Insulation Insp
.__L._.h,, _ _ _ Gyp Board Insp
Authorized 1= lumbinrl Contractor Signature
Call fur inspection - 639-4175
Contractor- Notes
. .ate;sew.awmu,aa.wzmiu¢�•Y.w+,e.= •ns,.a; Nn,+:w ';-y;A�'.CtYj l4+�1'i"1P?€SNL '.
. 'nF4srtat.<JaeA.rrc,-,uw,An.,.,r.x'•wwrwtt.a.,
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fill 00,
:
CITY OF TIGARDMASTER F'E:RMIT
COMMUNITY DEVELOPMENTDprPARTI�AE PERMIT #. . . . . . . : MST93--0417
T DODOTEISSUED: 1719/03/93
13125 BW Holl Blvd.Tlpvl,Oropon 97223.81 ','903j 830-471
.
SITE ADDRESS. . . : 10466 GW LODY MAf ION DR F'Af3CE�L.: 4.:.ra1 ] I.CB•-ME:017
SUBI'.1VISION. . . , : MARION E 51'ATU':3 ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . ., . . .
BL I LD I NC;
RE ISSUE: DWI=I_1_I NG LIN I:T S: 1 BASEMENT'. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE.. . . . . . . . . . :7120 s f
'TYPE OF USE. . . .sr FLOOR AREAS- --__..__.__.._._.. REQUIRED SETBACKS—-----
TYPE OF CONST. :51\1 F I FIST. . . „ : 1308 s f LEFT. . :5 ft RIGHT. :7 ft
OCCUPANCY GRP. - R3 SECOND. . , : 1407 sf FRONT" :20 ft REAR. . .7 5 ft e
STURIE5. . . . . . . .2 THIRD. . . . :0 S RE:CIIUIRE=D----
-
HE I GHT'. . . . . . . . ..30 f t T 0TAL.__.......--:2 715 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . . .. 137800 PARKING SPACES. . : i
Rema,r,l<s : PATH I
PLUMDI NG - - ....._.....____.._.__..__._._..._-.----.-_..__._
S1NKS3. . . . . . . . . . : 1 FLOOR DRAINS. . . „ :0 BACKFLOW PREVNTR`;. . :0
LAVATORIES. . . . . .5 WATER HEAJLRS. . . : 1 TRAP;3. . . . . . . . .. . . . . . :0
TU1:'/SHOW1-:.RS. . . , LAUNDRY TRAYS;. . , : 1 CATCH DASII\1S. . . . . . . :0
WATER CL-OE3ETS. . .3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
I)I HWASH R5. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE D I SP. . . : 1 RAIN DRA I Iv (ft ) . :0
W!?SH I NG MACH. . . : 1 5F RAIN DRAINS. . : 1
MECHANICAL __.__._.______.._.._._. __.__ _______.___._.__.._.._ FEES
FULL TYPE.G-----_--..-. ....--__._..._ UNIT HTRS. . :0 type amoi.rnt 1.)y date rec-,pt-
/GAS/ / / VENTS . . . . . :0 TIF $ .1520. 00 .IH 09/03/9:, -
MAX 11\11='l_IT :1Z1 ITU VENT FAN5. . :4 91_1RT $ 528- 00 JH 09/03,/9;•x'
F,URN ( 100K . . :0 HOODS. . . . . . : 1 BPLC: $ 343. 20 JLH 07/22/93 93-242T53�'
FURN ) =117.10K . . : I WOODSTOVES. :0 BSPC $ 26. 40 Jli 09/03/93 --
FLOOR FURN. . . . -0 CLO DRYERS. - 1 SCIDC $ 280. 00 .JH 09/03/93
L;OIL/CMF'' IN 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 Jli 09/03/93
GAS OUTLETS: 1 MPRT 4 47). 00 JH 17.19/03/93
Clwner,: __.._.___..__.____.______._.____.___._._._.._..__..____._.._._-MPL_C $ 11. 25 JH 09/03/93
WE'STFIDE CONSTRUCTION INC M 5 P C $ 2. 25 JH 09/03/93
P 0 BOX 1')054 1'I='Ctr $ 1E-x"'. 50 JII 09/121:3/93
PORTLAND OR 97 :80 -
PSPC $ 8. 13 JH 09/03/93
F-"hone #: '777-8085
Contr•ac,tor:
WEST„IDE CONSTRUCTION INC.
P 0 BOX 19054
PORTLAND OR 97L'80
J Phone #: 777--8085
Reg #. , 58`31
>; 3426. 73 TOTAL
This persit is issued subject to the regulations contained in the ------- REQUIREI) INSPECTIONS --------
Tigard Municipal Code, State of pre. Specialty Codes and all other Foot/foLtnd Insp Fireplace Insp
applicable laws, All work will be done in accordance with approved Post/Bei-im 5tr1_tct Cas Line lnsp
plans. This permit will expire if work is not started within 180 Post/Beam Mechan Insulat ion In<;p
days of issuance, or if work is suspended for sore than 180 days. Plm/r_Inds.lab Insp Gyp Board Insp
---- �. F't_.M/Underfloar- Rain drain Ins pi
Mechanical Insp Water Line Inch
F'll.imb Tap Out Appr•/Sdwlk Inspi
' ! 11 Framing Insp Mechanical Final
11
Call for inspection - 639-4175
{
SEWER CONNECTION
TIGARD
CITY OF
PERMIT
COMMUNITY DEVELOPMENT D P R T PERMIT #• • • • • • •+ : 5WR93 -0 X53,
, . �� � DATE ISSU�_D: 09/03/93 �
13126 SW Mall Blvd.Tigard,Oregon 07223.61 ( 03) 71
PARCEL. S 1 1 1 CB--ME 0l 7
:LITE ADDRESS. . , : 10406 SW LADY MARION DR
j SUBDIVISION. . . . : MARION ESTATES ;'OIUING: R 3.
IL�LO'a<. . . . . . . . . . L.O'T. . . . . . . . . . . . . :01'7
TENANT NAMr:. . . . .
USA 1\10. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF W013K. . . :'JLId DWEI._L..I NG UN I TS. . : I
TYPE OF USE. . . . . :51.:- NO. OF BU I LD I NGS: 1
INSTALL TYPIC:. . . . :9USWP IMPERV !3URF0CL'. . : sf �
Remarks : PATH I
Owner.: _._....._.....-___.._.__..__._..__..._...._.__.-_._.__.___-.___._.___-...___.....__.._._...._._-..__._....---._.._.__. FEE:; ._..___._....____......_..._...__._..... ■
WESTSIUG CONSTRUCTION INC type aino1.1nt Icy date I-ec:::1_rt
F, O BOX 19054 f'FiI+IT 4 2200. 00 .JH 09/03/93 _
1.Nf:,P 4 35). 00 J1'4 0'3/17.1
POR'T'LAND OR 97280
Phone #e 777••-8085
a
Contractor:
CONTRACTOR NOT OI•d F IL_F
i
I
Phone .it: 12.235. 00 TOTAL
FR g #.• .
REQUIRED INSPECTIONS
._.._.__._......._
This Applicant agrees to comply with all the rules and regulations Sewer, inspection
of the Unified Sewage Agency. The permit expires 180 days from
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 not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase _
a "Tap and Eide Sewer" permit and the Agcncy will 4.nstall a lateral.
.--:��
• I='c��r•m a.t t e e Ci x g n a t�_r r e : �--- ==---'' �" T-�'
11_>S i.lecf Ply :
Call for, inspection - is+31-'7--'1175
7.
R
Y
V
Y a+
►r
1)175SwIl,ublvd. PLNCK/RECT #
CITY or TIG.ARD PERMIT # q�-v�{i•7
COMMUNITY DEVELOPMENT DEPARTMENT
�' �``�r9
(S03)6'¢"" DAIL ISSUED
JOB ADDRESS: 1•r1 ?ejj L i 17,(�_TAX MAP/LOT 2 S I I I C,13 M 01
SUB: i ) f 7,,-7�c-_ r LOT: '7 LAND USE:
VALUATION: /3-7r 50, _
OWNER SPECIAL NOTES
NAME: ,44/r-.-s `7Lsr b � L-.�t �S�• REISSUE OF:
j ADDRESS: e ,7 x' /' � LAST REISSUE: _
I ✓� 2 7�2.Pf) FLOOD PLAIN/
PHONE: -777 -- �D (���_ SENSITIVE LAND:
CONTRACTOR APPROVALS RE UQ IRED 5c�3�r-onorJ
NAME: C- '" �- – – PLANNING: SG1� r>/�o4thP u�C
ADDRESS. _ ENGINEERING:
FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOLD #: �'-�..Z : �!- EXP DATE:
1 � ITEMS REQUIRED
SUBCONTRACTORS: P lr; ii i(�, _ LIST/SUBCONTRACTORS: _
M � !� I fe t►-f _ BUS TAX: –
ARCH ENGINEER CALCULATIONS:
NAME: ,i��� S(°. 1/."' TRUSS DETAILS:
ADDRESS: _/a S"` J t-J %' OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: s
0011 rniLl hA, I +-
APPLTtANfi SIGNATOR
I Received By: _ -- Date Received: Z Z-
/2 3
Ni .N.
J
PERMIT k ACCT # DESCRIPTION AMOUNT OUNT PD. BAL. DUE I
/ns '..e)gj7 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees LCI
10-431 01 Mechanical Permit Fees /
10-230 01 State Building Tax (5%)
Building 2, y V
Plumbing , 13 y i
Mechanical .2-
10-433
10-433 00 Plans Check Fee
■
Building 3��
Plumbing
Mechanical
10-230 06 Fire -
54„ 1•03Sj 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 35
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 6,-
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) 500 —
31-450 00 Storm Drainage Syst Dev Chrg
r
(ssoc) _2Y0 � -
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
....
TOTAL_ �SfvG L-7.3 ,7.3
nm/3587P.WPF
e
dr r'4y r— ca
t> .t'u.,..
W. rk a S r
- AMtiIM •. N+l'V'7�14"n..f'"„tww rr•-.w dli
f
1
CITY OF TIGARD - RE'- :E: IF'T OF PAYMENT RECEIPT NO. ,9?, "43869
CHECK AMOUNT s 5411. 73
t'NAME WF_STS I DE CONSTRUCT I ON CASH AMOUNT t 0. 00
'ADDRE>~S _ PAYMENT DATE t 09/03/93 2
SUBDIVISION a
l
fi t
I'URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAIL)
BUILDING PERM 528. 00 PLUMBING PERM 162. 50 �
MECHAN 1 CAL F'E 45. 00 ST, BUILD PER 36. 78
I-'LAN CHECK FE
1.04. 45 SEWER USA 22,00. 00
,EWER INSPECT 35. 00 PARKS SDC 500. 00 `
( STORM DRAIN SAC
260. 00 RESIDENTIAL TRAFFIC FEES 141.171. 00 �
MASS TRANSIT TIF FEES 110. 00
I
10466 SW LADY MARION DR
I...OT 17 MARION ESTATES
v
TOTAL AMOUNT PAID - -') 5411. 73
i y }
CITY OF T I[ ARD •- RECEIPT OF P,AYMF:NT RECEIPT NO. t 93-2421532
C14ECK AMOUNT : 250. 00
(NAME WESTSIDE CONSTRUCT [ON INC C ISH AMOUNT 0. 00
,iDDRESS r'O BOX 19054 PAYMENT [)A,mE a 07/22/93
P(.IRTLAND, OR SUBDIV (BION �
,'URPOSE OF PAYMENT AMOUNT FIA ID PURPOSE: OF F'AYMENT C1MOLJ'+T PAIL)
I._AN C HF..CK FE
7-61R e:5o. 00
i
i
. r
,
Y
10466 SW [-_ADY MARION DRIVE
' IARION ESTATES, LOT 17
OTAL AMOUNT PATO - -> 250. 00
V
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