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CITY OF TIGARr BUIL C'ING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: � �Y
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
■
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
Po,i Beam Mech. Sari. Sewer Gas Line
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Lina Insulation -Mech. ,
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested
q 1 ime:� AM PM WNW I
Address:_
Builder: s
_ — Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectq�:
Date:
_APPROVFD __DISAPPROVED _APPROVED SUBJECT TO ABOVE
.,Call For Reinsp.
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GV �1111 i OCCUPANCY
I CITY OF TIGARD DATEIISSUEDI. Ou/14/9F,4-01?1
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COMMUNITY DEVELOPMENT DEPARTMENT
13126 M Hall Blvd.Tigerd,Oregon 97223.9199 (.503)639-4171 PARCEL : 2E3104CA-•02300
=ITC. %aGDRGS5. . . . 1,.i6
'1UBDIVISION. . . . I HILLSHIRE ZONING:R•-7 RD
11L.00K. . . . . . . . . . I L07.. . . . . . . . . . . . . 1023
CLASS OF WORI . a NEW
1 YPE OF MME. . . :SF p
OCCUPANCY GRP. I4M h3 �
OCCUPANCY LOAD12
li e m a r k Ia : PA'T I-1 1,
jiiiJSl' 1N HOMEa._..._._._.,_._..,_,...____..__.,-.__._...._._,.__.....__.._.
1.5629 SW 149TH Fit..
1. IGARD OR 97224
t='hone #: 590-0658,
Contractor I _-...__.__.__.._._._... . .__...__. _____._..__....._....._
f OUST I N HOMES
15629 5W 149TH PL i
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r:C:ARD nR 59It+_ 0ti5E
hone #a :5090--0656
fieq 0. . a 77489
(his Certificate grants occuparncy of the above r-eforenred building or portion F
t:heroof and confirms that the building has i---leen inlspel:tad ,,for- compliant* with
the 5-;tate of Oregon Specialty Coclhy for the group occupaW , arna use under
'.vhich the referenced permit was i s'SlAed.
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BUILltl INSPECT0R BUILDING OrF'IC l_ W
POST .11\1 COW', 'I CUOUa V,LACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171
s.. i Inspection. v�
Footing Susp. Ceiling prink. Rough-in Appr/Sdwlk ' !
4:_
Foundation Plbg. Underslab Moch. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-ir, FINAL: ti I
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb,
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
/ 4 �iyir. 4y "
Date Requested: (a `"J- �� Time: AM PM
Address: 1342-5
Builder: 1 a Permit Is:� �
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins actor: Date:_J���/�
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Slvd.Tigard,Oregon 07223•8100 (603)630-4171 P,L.L1MB I NG PE RIn I i
rrtiMiT #. .. . . . . . . ►'LM'�� �;�'. tf.
G3`3 41 T 1 DATE ISSLICI}t
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PARCEL, 0-C10417A.Qle-,"30121
' O I TE ADDRE.7',. . , ; 13 SW LAURr-N LN
SUPIlIVISION. - . - z HILLS)HT 7E ZONTNG— R-7 r'1'r
BLOlat.. . . . . . . . . . a LOT. . . . . . . . . .. .
. . . :
M.—ASIS 01r" WORK. . zADr`, GAPBAGE D101710 'ALS. . . MOnTLE: HOME 07:10CEES. z
"Yr,L: OF USE. Y q . :Sr, WASHING MACH. , . • b . • BACKPLOW PREVhITRS. . z 1
nCC[Jr ANCY GRP,. . :R;:, rLOOR I Rnihis. . . . . . . . TR0r, , » . . . . . . . . , c
JOP 1 CS. . . . . . . . : WATER HEATIE RV.. . . . . • . CATCH BAS T NW'. . . . . . . z
TXTIJ'�1=:; . .._ ,.•_., ...._.. 1--A'7 11)QY TRAY'*',. Sr' RAIN rMAINS. . . . .
" NI<S. . . . , „ . . . . . t.1F"aldAl•fi. . . . . . . . . . . , GREASE TRAPS. . . . . . . z
` 1CVA"5RIC a. . . . . . "TI ICF, C IXTLJRE,'.
Tt�.�!,;FIOWE:Ru. . . . : SEWER L INE l ft) . , . ..
i,,'ATCR Ctb.Cl;":1,ET S. s kIA't'f? LIhdC (f+ . . . ., .,
D ISN WASHERS. . . . RAIN DRAM (ft ) b
t ' R:�mar^kssa INcTtILL Rr" IfiINT'IAL I`(�CI',i'LC,W I7EVar";C. is
DA'JID `,'nr2 notJCFi tpp amoI-mt Inv date rec,pt
^ '.. :,62ra"'r SW LAUREN LANF r:RMT $ 13, 00 aW 915130 '9r
4 r, FW,C.T It 0. 7S i^W 0!�
I ' IGAr4b3 OR 1.7223
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Reg #. . a 000010
REOU T RED I NS PE'[;:T I MS
Thi1, perelit is issued subject to the reoulations contained in the Rx{fBerc kf'lnw Plr^ev
'ipird Mtnicipal Cade, State of De, �;2er.islty Codes and alW, other• ri11A] Tn5p ptt ion
d;11311caals laws, All wri_ will dose in accordance w&.
approve: c1an;. This peymit x;11 -vire if work is ;got started
within 11' day; of issuanc:n, ;� '. i,arF, is wspended for eerN
than 160 days.
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F'ar ill r-pectiar - 6,80 .4j.75
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Permit #: f4 N
Address: _��
Issued by: Date:
Statement: Information (Notice to Property Owners '
Abort Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who erre not registered with the Construction Contractors Board to .sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxEa 1 and 2, and either box 3A or 313:
C
1. ► own, reside in, or will reside in the completed structure. �
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with .he Construction Contractors Board.
OR
3B. I will be my own general contractor.
If I hire subcontractors, I will nire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issr:ing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction esponsibilities on the reverse side of this form.
(Sign ure o ermit applic t (Date)
(White copy to issuing agency permitJile,
pink copy to applicant)
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P -.
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Information Notice to Property Owners
About Construction Responsibilities
Note, This Information Notice to Property Owners about Construr6on Responsibilities
i
was developed by the Construction Contractors Board in accordance with ORS 701.055(5). ■
if you are acting as your own contractor to construct a new borne or make a substantial improvement to an existing structure,
you can prevent many problems by being aware of the following responsibilities and areas of concern. ■
EMPLOYER RESPONSIBILITIES:
■
If you hire persons not registered with the Construction Cuntnictors Board to do labor in constructing or assisting in the
construction or improvement of a residential structure,you will, in most instances, be ruled to be an employer and the people
you hire will be employees. As the employer,you must comply with the following:
Oregon's withholding tax Lw, As an employer,you must withhold ince ne taxes from employee wages at the time employees
are paid. You will he liable for the tax payments even if you don't actually withhold the tax from your employees. For more
information,call the Oregon Dept.of Rr•.,enue at 945-8(.)91.
Unemployment insurance tax: A,: in employer,you are required to pay a tax for unemployment insw ance purposes on the
wages of all employees. For more info[,nation,call the Oregon Employment Division at the Department of Human Resources
at 378-3524.
Workers'compensation insurance: As an employer.you are subject to the Oregon Workers'Compensation Law,and must
obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation insurance,you may
be subject to penalties and will he liable for all Maim costs if one of yoi i•employee:,is injured on the job. For more information,
call the Workers'Compensation Division at the Department of Consumer and Business Services at 945-7888•
U.S.Internal Revenue Service: As an employer,you must withhold feder2J income tax from employees'wages. You will be
liable for the tax payment even if you didn't actually withhold the tax. For more information,call the Internal Revenue Service
.; at 1-800-829-1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this project,you are responsible for resolving any failure to meet code tequirements
that may be brought to your attention through inspections.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools,paint overspray,water damage from pipe punctures, fire,or work that must be
re-done.
'Time to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure y t have the expertise to act as your own general contractor,to coordinate the work of rough-in and finish
trades,and to notify building officials at the appropriate times so they can perform the required inspections.
If you have additional questions,write or call the Construction Contractors Board(PC)Box 14140,Salem,OR 97309••5052,
503/378-4621), The Board is located at 7W Summer F'. NE Suite 300, in Salem.
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1/94
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City of Tigard PLU�,IBING PERMIT APPLICATION Planck/Rec. # ,
13125 SW Hall Blvd. Permit #Y 1 AI -Y
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE
..raa....CA..r Nov SInyLle FamiNResidences Only
XLi S.
C-ril I k,.-, 7u�"k'(Cj� I
A.... 0❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job 1 ❑ 3 BATH HOUSE$225.00
Address retract ar Fee Includes all plumbing futures In the dwelling and the first 100 feet
C Z '2- of water service, sanitary sewer and storm sewer. See fees below.
ter• w FIXTURES CITY PRICE AMT
Sink 9.00
MOM Ara. New Lavatory 9.00
I
Owner Tub ur Tub/Shower Comb. 9.00
o,+w.. Shower Only 3.00
Water Closet 9.00•�•A•»•��� Dishwasher 9.00
Garbage Disposal 9.00
Occupant me"„w� � Washing Machine 9.00
Floor Drain 9.00
a, Water Heater 9.00
Laundry Room Tray - 9.00
�.. Urinal 9.00
Other Pictures (Specify) 9.00
M."A"- 9.00
Contractor -
9.00 I
armsno 9.00
Sewer 1st 100' 30.00
S.i.nCAY s-T.Na Sewer-ea. Addit. 100' � 15.00 �
Water Service int 100' 30.00
1 hereby acknowledge that 1 have read this application, that the Wate,Service ea Addtt 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Constnicfion Contractor's Board, that the Storm 3 Rain Drain Addit. 100' 25.00
number given is correct. (If exempt fiom State registration, please ---
give reason below.) Mobile Home Space 25.00
1TA -�� Back Flow Prevention
L.jC NIN •. } ll r Device or Anti-Pollution Devica 9.00
a�...,.a.W"W / or. Any Trap or Waste Not
Connected to a Fixture 900
i -
Describe work new ) addition alteration (D repair O Catch Basin 900
to be done residential Q non-residential O Insp. of Exist Plumbing 40.001hr
Specially Requested Inspections 40.00thr
Existing use of Rain Drain, single family dwelling 30.00
building or property _ �- Residential backflow prevention -
devices 15.00
Proposed use of ---•--------__..__._._.._.___�_.._._.�... _._ .___._
building or property -�_- -- - -- -----
*(Except residential backflow
Prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL.
PERMITS 9ECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 1130 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ---FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK.IS
COMMENCED, PUAN P2VIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
--- - - - Date issued _ a-�-by
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CITY or 'rlc+Apl) F2r:(,F.IP*I' OF P)PYMF:NT RECE:IPI NO- `i`.',--P6!51)a 8
CHECK AMOUNT 15. 15 �
tVAME:. n YARBROUGiH, DAVID ;. CASH AMOUNT �'• ��
�lV4.4 VENT DATE
(741 )PERS b aW 1._AUR N LAW
Gt_IAD'tVISICJIV
T r GARD, 014
PURPOSE (.IF' PAYMENTF•li4f.YI.AV"r r''AIr) PURPOSE EW PAYMENT AMCJLIIVT PAID
0. 715.
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a CITY MJF TIGARD '
TEMPORARY CERTIFICATE
COMMUNITY DEVELOPMENT DFPARTMEN'i OF OCCUPANCY
13125 SW Hall Blvd.Tigard,Orpon 97223/6199 (503)639. 171
xXxx PERMIT #. . . . . . . t MST94-01
4 17 1 DATE ISSUEDs 1o` /&G/jq
PARCEL z PS 104CA--02"4nG)
!ITE ADDRES6. . . : 13625 W LAURE'.N L.N ■
hl)BDIV151ON. . . . c HIU.SHIRl'� ZONING: R--7 PD
HLCICK. LOT. . . . . . .
. . . . . . . . . .
CLAf3, OF WAitK. s NF:'W ■
TYPE OF USE. . . i ;F
!_OCCUPANCY GRP. ;R3
OCCUPANCY LOAD z j'c.'8 4
TENANT- NAME. --z
Remarkso T'EMP(]L4)RY OLLUPANGY F-(Jk I)faYci FROM L*)'m cm
PATia I
Owner,z ..__...-_... ._......_..,..-__...__...-....__._.._.._....._._......._.... .. .. ...___........._
AUSTIN 1-TOMES
i 15629 SW 149TH Pl-
TIGARD OR 972e*'-:4
Phone #- !V)0--4.658
Gontr•atwtor y •_..__._...___.,..__._..-.___._..._... ..._._......W_._.__..__
AUSTIN HOMES
15629 SW 149TH PL.
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TIC3ARD OR 590--0$:A55
Ph'ane #1 590-•0658
t.,ey #. . : 774(39
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pccupanry of the above r^efet^enrerJ bs.lilsiing a Fte►^eby yiuPn, and r..er^tifieR
the t;ompl -' alnce with the State Of O►-egon Spic_ialty Codes For^ the group,
oe:cupanc:y, and use under, which tho r^efer'Fnc•ed per•I9it wars i%Si_(ed.
5
BUIL . G INS,RECT(.JR
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POST IN CONSP I CI.IOUS Pl.ACE:
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Y1�1,; �:' (��t 1��1✓ INSPECTION NOTICE
City of Tigard Building Departmmt
tot 1 (tl �1� 13125 BW Ball Blvd. Tigard, oreyon 97223 ,
Inspection Line (Rec-o-Phone): 639-4175 Business Phony: 6 9-4171
Inspections _ -- --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
i
Found. P11y. Top Out Gas Line
Poet/Beam Struct. San. Sewer Framing r.--aidgr)
Post/Beam Hoch. Rain Drain Insulation -Plumb
Plbg. Underfloor Water Line Gyp. Rd.
Date Recr ested:la/ /, / -Time: --AM PM
Addreee:_� 12�~ /�A 071— A- Permit 1=-1
Builder:_� 4 _—
THE FOLLOWING CORRJ?CTI'- 'S ARE REQUIRED:
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I Ty (e i_�— c c�craria �Z ��� u�S —
T�� 1_ o1V__rL ► 014 o� A-)UT'" -iZ7 N
C�CL' P A u C Tyr ITIS --
TlS�Grlc�,�j,Grr_ __ Civ cT"
r,T" F SAL l7AlJr tilt �L 17�i fir': �C�1Z_.
--k_ Q L:iss — xyAr [.K7Za✓ALL' _ —
Inspectors
_APPROVED DISAPPROVED 4::�'-7aTfioVkD SURJE^T TO ABOVE
__Call For Reinsp.
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INSPECTION NOTICE ,
city of Tigard Building DepartAeent
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_____ -----
Rooting P:bg. Underslab Mech. Rough-in Appr/Sdwlk
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Pound. Plbg. Top Out aae Line TN
Poet/Beam struct. San. Sewer Framing -Bldg.
� �`, 4
Post/Roam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line 4yp. Bd. -Nech.
Date .requested:— J'- � � __Times AH pN
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Addreea:1 ��.� c- �tit ��l Permit I:_��__
Builder: -
ti
THE FOLLOWING CORRECTIONS ARE REQUIRED-
A.
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Inspector: _ --- Date:
APPkC:VED DT_^-APPROVRD APPROVED SUR.IFm TO ABOVE
Call For Reinsp.
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INSPECTION—IM—)TICE
City of Tigard Building Depart—t
13125 SM 8.111 Blvd. Tigard, Oregon 97223
7
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:------- —------ ---- -
plbq. Underslab Mach. Rough-in 1�fppr Sdwlk
Footing ) .
Pound.
p1bg. Tole Out Gas Line FINAL=
Poet/Bea.n St nict, Sen. Sewer
Framing -Bldg.
Poet/Roam Mach, Pain Drain
Insulation -Plumb.
Water Lina Gyp. Bd. -Neck).
Plbq. UndoCiLOOr
T __PM
Date Requeetedt �J
ci_Aen d"7'1 -- Permit
Address•__
Bul.lder
_ TL_ S"
TRE FOLLOWING CORRECTIONS ARE REQUIRM
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7-
Inspector: .� Dates��__,�
. ---- -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABO'
call For Reinsp.
INSPF,C'TION NOTICE
city or Tigard Building Department
13125 GW Ball Blvd. Tigard, Oregon 97223
Inspection Llrne (Rec-O-Phone): 639-4175 BUsinesa Phone: 634-4171
Inspect ton:
--- — --- --- — ------
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line �11lAi.f/ k,} �i,;,r ;;;,•,
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Post/Beam Struct. San. Sewer Framing -Bldg. _
Post/Beam Mech. Rein Drain Insulation -PL
Plbg. Underfloor Water Lino Gyp. Bd. -Hoch.
Date Requnstedt Timet _AM PM
/ -z�/n c
Address:_•�Y — Permit
��v�owa
Builder:
SW
5
TAE FOTAA)WING CORRECTIONS ARE REQOIREDt
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Inspector:— -JE _.�__�_� — - ---- Date:
__ APPROVED _�— DISAPPROVED APPROVED SUBJECT TO ABOVE
./---Call For Reinsp.
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INSPECTION NOTICE '-hl
city of Tigard Building Departmmt
13125 g1A Ball Blvd. Tigard, Oregon 97223
13spection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection+ �)
Rooting Plbg. Underalab Hech. Rough-in C' r/Sdwlk
4'
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bl.dg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
�+ } x -Hoch.
Plbg. Underfloor water Lina Gyp. Bd. ^s. ,
/ c 1
t a ��•�� Data Requested: (�� Time: _ _ PM
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Addrese: `� {L J. ` Permit
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Builder: — "
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ Date:
APPRtlVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinnp.
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INSPECTION NOTICE l-
City of Tigard Building Department 0P
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
I I
Inspection:
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALE
Post/Beam Struct. San. Sewer Framing -Bldg.
i.
ost/Beam Mach. Rain Drain insulation -Plumb,
Plbg. Underfloor Nater Line Oyp. Bd. -Nech,
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j Date Roquostedt �t r / Z-- 1 ��/f Time: AM PN .
�7
Addresu: �� � �--__L• ,G�' Permit
Builder: `J c �-5
Th-S FOL:,ONINC OORRECTIONS ARE REQUIRED:
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Inspectors_
Date: ��-
APPROVED ,SAPPROVED APPROVID SUBJECT TO ABOVE
Iz777 Call For Reinsp.
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INSPECTION NOTICE ���✓ j
City of Tigard Building Departasnt
13125 BW Ball Blvd. Tigard. Oregon 97223
Inspection Lir.. (Rec-O-Phons): 639-4175 Business Phones 639-4171
I
Inspections -
1
Footing P1,bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Structs Ban. Sewer Framing -Bldg.
I
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor ._ sE L '. Gyp. Bd. -Hoch.
Date Requested: �" Times AM PM
Address•. LPermit fs UL-
i !Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector-i — � Date-
PROVED — DISAPPROVP.D APPROVED SUBJECT TO ABOVE
.--.—Call For Reinap.
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INBPlCPION NOTICE
Cit? Of Tigard Building Dept
13125 all Ball Blvd. Tigard, Oregon 97223
Inspection Line (Aec-u phones 639-4175 Business Phones 639-4 ✓rt�ct
Inspections
��
Footing PL Underslab Mach. Rough-in Appr/Sdwlk 1'
Found. Plbg. Top Out Gas Line FINALS •
Post/Beam Struct. San. Sewer Framing -Bld
4•
Post/Beam Mech. Rain Drain Insulation -Ply.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date RegL ested s Times _ AM PM
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Addrasas��(�-`�L—� Permit �s��C� ■
Builders_ -3 l - G 1
THE FOLLOWING CORRECTIONS AAE REQUIREDt
✓moi KIS"
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Inspectors _ J--'" 1 Date:
APPROVED DISAPPROVED _
_ APPROVED SUBJB('f TO ABOVE
^> Call For Roinsp.
t,
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" INSPECTION NOTICE
City of Tigard Building Departient
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL: y
Post/Beam Struct. San. Sewer Framing -Bldg. .
Post/Beam Hoch. Rain Drain Insulation -Pluml .
Plbg. Underfloor Water Line
j. Bmd -Hoch. i.
Date Requested: ( Times AN -
PM
& ■
Address: ')
Permit
Builders
THL FOLLOWING CORRECTIONS ARE REQUIRED:
I
P /—
Inspector: Dat0:Z<
APPROVEp —� DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Retnsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Bali slid. Tigard. Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas L PIN11L: ,
f��
Post/Beam Struct. Sen. Sewer Framinr -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested: /�) -1
Address: Permit z M
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Jq
Inspector. % 4' ' - -- /--, j./
_-- Date:_
—APPROVED DISAPPROVED
--- APPROVED SUBJECT TO ABOVE
For Reinap.
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i
INSPECTION NOTICE u ,
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 639-4175 Business Phone: 639-4171 `
Inepectiont
4• Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk ,
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer eminq,�/ -Bldg.
Post/Beam Hoch. Rain Drain Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Time
Lr - G t AM
Data Requeetede_ PM .
Addcaaa- J Permit Ir c2 4 - t •3
j P•uilder:
V THE FJLLOMING CORRECTIONS ARE REQUIRED:
Inspecto.'--- �-�/ �'�--=--/--- Date:
—APPRUVED - -- DISAPPROVED -l✓ APPROVED SUBJECT
.�To AOBOVE
Call For Reiasp.
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f _
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.IN .pF�rxoN•NOTIce ;
City of Tigard Building Department
13125 BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspection: _
Footing Plbg. Underelab Mach. Rough-ie� Appr/Sdwlk
Found. 'P Top Out Gas Line FIKkLt
Post/Beam Struc IsSan. Sewer ramie -Bldg.
-- i
Post/Beam Mech. Rain Drain ,isuletion - -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Meeh.
r
Data Request7edt U/ Y Time. —AM _ PM
Address e -7
J 4 a- C e_'Lx_ _ Permit f:
Builders
i
THE FOLLOWING CORRECTIONS ARE REQUIREDs 1
FIT,
-71
AA
< < l - _,off .-.-� _�-`..,.J► (,!� -
� �.G.�_ � `L _/� �-� U }-'.� � r ��1 �--.�►nom ,� X 1,��, -
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Inspectors VI / " —'' Dates
i'.
_ `APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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iNSlECTIOn Nance
' City of Tigard Building Depsrtesat
13125 811 Hall Blvd. Tigard, Oregon 97223 �
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
r
i Inspectionr—
t rooting Plbg. Underslab ech. Rough-i; //Appr/Sdwlk
{ round. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer ` P_r�am.�i-ng�+Y�[e:J/ -Bldg. '
Post/Beam Mach. Rain Drain � nsuT lotion -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: ( ( 7 Times _ l�AM PM
Address: l Permit
�
Builder: � � / ��� �- U-S
THE FOLLOWING CORRECTIONS ARE REQUIRED: � r-
C6-
-C2 ( ,: `
C n le J
C4-
Inspector-__ Date- - � 4
� y ` ,
_ APPROVED
DISAPPROVED APPROVE7 SUBJECT TO ABOVE
Cal l For Reinap. T->C� 1V l ?
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� INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-)-Phones 639-4175 Bujineas Phone: 639-4171
Inspections____
rooting Plbg. Underelab Mech. Rough-in Appr/sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
N�I
Post/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
� Plbq. Underfloor Water Lin Gyp. dd. -Mach.
t
Ga,_e Request-ads_ L �TLmes AM _ PM
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Address: Permit
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Builder:_ C.�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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pt �"'t�L"�n.•S � � "VLA--� �. c�y ��
_ `tom/ ' 1i. Y•--'L`.9.r--f_ c �c - \
Inspectors Dates
APPROVED DISAPPROVED "PROVEDD gUBJECT TO ABOVE
e,-- call For Reinsp. s ��
i -�
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j �NS'PECTIOIF NOTICE
City of Tigard Building Department �..
13125 SW B&-11 Blvd. TigarJ, Oregon 97223
Inspection Line (Rec-0-Phune): 639-4175 Business Phone: 639-4171
Inspections_ _
Footing Plbg. Underslah 1ft- Rough-in Appr/Sdwtk
Pound. Plbq. Top Out Gas Line FINALS
out/Beam Struct. San. Sewer `!i -Bldg.
(- et/Beam Mec Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Asch.
i
Date Requeated:_ // � ,/( / AN _ PM
T -
Address: ! Parmit :
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Builder.: 35
THE FOLLOWING CORRECTIONS ARE REQUIRED:
z-
Ali
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6T-
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Inspector: `"-- Date:-C, �;
-P^PROVED - ---,"DISAPPROVED _ — APPROVED SUBJECT TO ABOVE
\ 1 1 Call For Reinap.
i 1
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* �1Ik*ECPIOM NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona)e 639-4175 Business Phone: 639-4171
---
Inrpaction:
Tooting Plbg. Underelab Mach. Rough-lu Appr/Sdwlk
I
Pound. Plbg. Top Out Gas Line PINnLe
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain naulation -Plumt,
Plbg. Underfloor Nater Line Gyp. Rd. -Koch. /
Date Requested: Time: -__AM PK
Address:-+-_ — Permit f:1¢ W73
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
_ I
\ i s 'r In 1 �f Uily `t
1
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Inspector:__ _ Date• (✓� _ S� �7
APPROVED _ --DISAPPAOVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
:7'
INSPECTION NOTICE
city of Tigard Building Departam+t
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ ----
± Foot-Ing ; Plbg. Underelab Hoch. Rough-in Appr/Sdwlk -
Found. / Plbg. Top Out Lias Line FINAL:
poet/Beam Struct. San. Sewer amin -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb. -
Plbg. underfloor Water Line Gyp. Bd. -Hoch.
Dote Regueated: z _Time: AM PH —
�y�' , , / C' I../-
Addreee: _s � � �YI — Permit
Builder:_.
THE FOLLOWING OORRECTIONS ARE REQUIRED:
He
G� ._11"vltilL4��
//nom__✓_+j_'(.._ .�__�." Z A
f Inspector:,_ — -- Y Date:
i APPROV7D ` DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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'v INSPE(.'TION NOTICR
City of Tigard Building Delpartsmt
13125 BE Ball Blvd- Tigard, Oregon 97223
Inspection Line (Roc-O-Phons): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found, Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. S
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
d� Date Requestods Time: AN PN
? Address: !3 �.�j" Permit #e 1i 3
Builder.: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A-
s "tone
t
-T—
Inspectnr: %, _ Date:
APPROVED � DISAPPROVED APPROVED SUBJECT TO ABOVE
� 1. Call For Reins
p.1
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1
NSPECTION NOTICE
City of Tigard Building Departaent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing P1'jg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Oyu Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plwnb. 1
~ lbq. Underfloor Nater Line Gyp. Bd. -Mach.
C' 4,
Date Requested:_. 7 Time: AM PN ,
Address: !211 / , Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7F1__�
Inspe.-car= 7 fl
i -- —_— Date:.��
- APORO`:EL DISAPPROVRD —_ APPROVED SUBJECT To ABOVE
___ -Call For Reinnp.
1 i _
INSPECTION NOTICE
malty of T.iga:-d Building Depart—nt.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:-- — ------ --�----
looting Plbg. Underslab Nech. Rough-in Appr/Sdwlk ,
Pound. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. % San. S(mer Framing -Bldg.
l
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water line Gyp. Bd. Nech.
Date Requested: J (7' / el Time= —y .AN _ PM
am- t%_[Y�S�.L�2�
Addreee: i 1 �'`'7 �l,Ar� Permit "
Builder:. L!•.)J / �. �11'L.Q. 7 _`.�J� 47v���J -- il
THE FOLLOWING CORRECTIONS ARE REQUIREM
r
Inspector• — -- Date:
APPROVED — — DISAPPROVED APPROVED SUBJECT TO ABOVE
-- Call For Reinsp.
I
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INSPUCTION NOTICE L/ -`
city of Tigard Building Depsrtsent
•
13.125 SW Ball Blvd. Tigard, Oregon 97223
IJ Inspection Line (Roc-O•Phhone): 639-4175 Business Phones 639-4171
jInspect ions
Footin
j g Plbg. Underslab Mach. Raa"h-in Appr/Sdwlk t
, nd ) Plbg. T,,p Out Can Line FINALS
Post/Beam etrvct. San. Sewer Framing -Bldg. ■
Post/Beam Hoch. Rain Drain Insulation -plump.
i Plbg. Underfloor Nater Line Gyp. Ed.
-Hoch.
� / ■
Date Requested: itn
r�M
T e s PM
Address:
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date:
APPROVED -_, DISAPPROVED APPROVED SUR.7ECT To •BoVg
Call For Reinsp.
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):NSPlCPION NOTICE VVV
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
.nspection Line (Rec-O-Phone)t 639-4175 Business Phones 639-4171
Inspections `oo_a.
Footing Fl,hy. Undarslab Hoch. Rough-in Appr/Sdwlk
Found. P1bq. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Poet/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Bd. -Meeh.
Data Requestedt `� /�� Timet AN _1Lk/1_PN
/ /
Address: Z,7: 7 (� 2// `> L//GZ-t C l..f i 7 (//L PeP1P157-rmit f e
Builder: Le �
I'1
TM FOLI,ONING CORRECTIONS ARE REQUIRED:
r
Inspectors_ Data J 14J
APPROVED N/ DISAPPROVED APPROVED SUBJECT To ABOVI!
Call For Reinep.
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aa!! t�r B'��r �y9�a.�1 � 1 ><n 1 } y A I r, t J ib ti ,�a ^�'� �k� 1 n • r
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INSPECTION NOTICE. \ �f
City of Tigard Building Departaent ^�
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4111
Inspection:
ooti=� � Plbg. Underslab Mech. Rough-in Appr/Sdwlk ,
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Hoch.
Date Requested:` , J / Times h( PN
Addrees:� _s.�—�C C CC �Z fP N1 L/J Permit M:
Builders (�S/// 1 ! ��t1' -6:20 0,
THE FOLLOWING CORRECTIONS ARE RPQUIRED.
CL
JL .
— -,ma �_) L-Q_
Inspector:_— 4 Date: c -54
T
__—-APPR1JVED —�„ DISAPPROVE[) _ V APPROVED SUBJECT TO ABOVE
C � —call For Reinnp.
L
- -,.r:?�+a.Ana,:utiN�fl �kw,�; 4Dk34!x'li:'k1st7�it:'�dtrlk�'
. _ _ _ii-_r W.✓+-�Yu,,.L.r :.YF _ro2t.o- rs.e..,.,....+1i�YsrS,iylWi •�- •.:".�.�..— "'Ytrb.. ,
• PLUMBING
j PERMIM5T94-01.31DAMIIS. . . . . . .
CI Y OF TIGARD ATEISSUED:
SUED: V4/19/94
1
+ COMMUNITY DEVELOPMENT DEPARTMENT
13128 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-4171 PARCEL- ''S 104CA-••02300
SITE ADDRESS. . . : 13625 SW LAUREN LN •
SUBDIVISION. . . . : HIL_L-SHIRE ZONING: R-7 r'1)
BLOCK. . . . . . . LO'T. . . . . . . . . . . . . :023 I.
CLASS LJF�W(JRK. . :NF_W------.._—GARBFaGC.�DIE;F'UrAL..S. , : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . .. 1 BACKFLOW PREVNTRS-- :0
OC[;UF'AIJL;Y GRP. R,-,,' FLOOR DRFaTNS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :N
STORIES. . . . . . . . :2 WATER HEATE.IS. . . . . . : 1 CATCH NASINS. . . . . , , :0 4
F I XT LJRES---_•---_-_--_--_._ LAUNDRY TRAYS. . . .. . . : 1 SF RATIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
L_AVATORIIc. . . . . . ..4 OTHER F I XTURES. . . . . :0
TUB/SHOWERS. . . . SEWER LINE (ft ) . . . . :0
WA L-.R CL_OSETS. . :3 WATER LINES (ft ) - , . . : 100
1.)T SHWASHE RS. . . . : 1 RAIN DRAIN ( ft ) . . . . :0
i
Remarks . MATH I
UWNFR: ___.___._____.__.._.__.____...__._______.._-_.._ .__._----__.___._..__._..__.___F=EES.__.__..---••---_—____
AUSTIN HOMES TIF $ 1520. 00 SW 04/19/94
J5629 SW 149TH PL BPRT 'b 538. 00 SW 04/19/94 —
BF'LC $ 349. .'0 JLH 03/ 16/`)4 94--2'501.57
TIGARD OR 97C-24 B5P1 $ 26. 9'' SW 0.1/19/94 --
Phone #: 590-0656 SSDC $ 280. 00 SW 04/19/94 —
FIARK $ 500. 00 SW 04/19/94
nl. _rmbirly (�ontr�ctar;__._._......_---.----____ ._� E+IF'RT $ 45. 00 SW 04/ 19/94 -
0C f� ba-dou-4-
IYIPL.0 $ 11. 25 SW 04/19/94Name : ! W 1 � . .._ M ,F'L", ;� 5W 04/19/94 -
Address: ( `� _ `�_� 8J-10 ��1..__.. r_ PPPT $ 155. 00 SW 04/19/94
Cit _b State : 2 F'5PC" I. 7 W 04/1')/94 _
Y ' �_�_._.___._..... _~ _� 0—C _ _._._._
/.ip:`�"7�?O�Z.. _Phone#: µsl-st9�L
Reg #:
_______._..-• REQUIRED INSPEC;TICNS
TI•iis permit is issued subject to the reg._.
�_rlatinns contained in the Tigard Municipal Foot /found Insp Rain drain Insp
odet<_kte of Ore. Specialty Codes and all Post/Beam Str 1_rct Water Line Insp
other applicable laws. All work will be done F,ost/Bearn Mechan Appr•/Sdwll< Insp
in accordance with approved plani_. This F'lm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Under•,fIaor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
s .tspended for mor! than 180 days. Plumb Top Out Erosion Control.
Fram i nr) Insp Crawl. Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp, Ro:jr•c nsp
• r
Ai.tt' a i zed PlUmbir _ Cont:r^actor—Signature
Call for inspection - 639•-4175
L.;o ri t i,actor Notes -.. AA
.4 ►
CITY OF TliGARD
MASTER PERM I T 1
PERMIT #•. . . . . . . : MST9 4-0 131
COMMUNITY DEVELOPMENT DFPA�T4NT DATE ISSUED: 04/19/94
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)639.4171
F,ARCEL._: 2S104CA-02 300
SITE ADDRE"S S. . . . 13025 SW LAUREN LN I
-) -ADIVISION. . . . : 1•i1LLSHIRE ZONING: R-7 FID '
FLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . :0 2,3
BUILDING
RE I SSUE: DWELLING UN I T5: 1 BASEMENT. . . . . . . . : 104; s f
CLASS OF WORK. :NEW BEDRMS:3 PATHS:3 GARAGE. . . . . . . . . . .507 5f
1-YFIE OF USE:. . . :SF FLOOR AREAS _ - --- - -- REU l I RED
1-YFIE: OF CONN. :5N F I R'.� I . . . . : 1556 s f LEFT. . :5 ft R I GHT. : 16 ft
ULLUPANCY GRVI. :R3 SF-(;OND. . . .9513 sf FRONT. ft REAR. . :43 ft
S"TOR.�LS. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-
HEIGHT. . . . . . . . :28 ft TOTAL.__... --_......,2514 5f SMOKE DL=TECTC96. :Y ■
FLOOR LOAD. . . . :40 psf VALUE.... . . . . $ : 14123,4 f=,ARKING SF.,ACES. . : 1
ITemarks : F'ATI.1 I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 E;ACKI- I_(2W PRE-VNTRS. . :0
LAVA'T UR I ES. . . . . :4 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0
TUD/SHOWERS. . . . .3 Lf:)IJN1)RY TRAYS. . . : 1. CATCH BASINS. . . . . . . .0
j WATER CLOSETS. . :3 SEWER I_.INE (ft ) . :0 GREASE TRAVIS. . . . . . . :0
DIS;HWASHFRS. . . . : .1 WATER I....INE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN ( ft ) . -0
WASHING MACH. . . : I SF RAIN DRAINS. . : 1
MECHANICAL _..-____._.____.__.-._._.___.___.__-----..._____._.._._.._ .. FEES
FUEL TYPES-~ ---- - -- - U1\11 T HTR5. . :0 type amoi.int by date rer-pt
/GAS/ / / VEN'T'S . . . . . .0 TIF III 152Q- 00 SW 04/i9/94 -
MAX INPUT:0 DTU 'DENT FANS:i. . :4 BPI RT $ 538.. I?i0 5W 04/19/94 -
FURN ( 100K . . .-0 HOODS. . . . . . : 1 BFIL_C $ 349. 70 JL_H 03/16/94 94-250157
FURN ) =10011 . . : 1 WOODSTOVES. :0 D",IIIC. $ 26. 90 (3W 04/1.9/94 -
F='L.00R FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 SW 04/19/94
E;OIL/CMF' ( -2)HF':0 OTHER UNITS: 1 F='ARK 9 500. 00 SW 04/19/94
GAS QUTLETS: 1 MPRT $ 45. 00 SW 04/19/94 -
Owner: __._____._.___.__.__._.__.____.__._.__.______.-_Mf-'L.0 b 11. 25 SW 04/19/94 -
AUSTIN HOMES M5F-,'C $ 2. 25 SW 04/19/94 -
15629 SW 149TH PI_ FIF-,R1 t 155. 00 SW 04/19/9ii -
P,5r.,C $ 7. 75 SW 04/19/94 -
Tl GARD 0R 97'::124
f•Ihone #: 590-0658
Contractor:
AUSTIN HOMES
156,29 SW 149TH FIL
11CARD OR 590--0658
Phone #: 590-0658
Reg #. . : 77489
$ 34 ,5. B5 TOTAL.
This permit is Issued subject to the regulations contained in the -- ---- REOUI RF_.D INSVIECTIONS - _--- -
Tigard Municipal Code, State -if lire. Specialty Codes and all other Foot/fol.ind Insp Fir-eplace Insp
applicable laws. All work will be done in accor with approved Post/Hearn Strl.ict Gas Lirre Insp
plans. This permit will expire if work is not d wi in Post/Beam iylechan Insr_rlrition Insp
dais of issuance, oo if work is sus oen r m .e yha1 da F'Im/i_rndslab Insp Gyp Board Insp
F'Llvl/(Jnder^f'.00v- Pain drain Ir1%p
Permittee Signati_ir•e : ch,anii:al Insp Water- Line Insp
l PIll.imb Top Ur.it Appr/Sdwlk Insp
1551_ied FAY : T r•aming Insp Mechanical FinI,-kI
Er31 for inspection - 639--4175
►
}4 1 c
1 SEWER
WER CONNECTION
PERMITCITY OF TIGARD FF2MIT #. . . . . . .
: SWR94-0136
COMMUNITY DEVELOPMENT DOARTFAF-NT DATE ISSUED: 04/19/94
i
13125 8W Hall Blvd.Tigard,Organ 07223.8199 (503)839-4171
PARCEL: L :i 1 @4CA-123@@
l-iI T'E ADDRESS. . . : 1.3625 SW LAUREN LN r
SUBDIVISION. . . . - HILLSHIRE ZONING: R-7 PI)
BLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . :@23
------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE- UNIT'Sc._.....
CLASS OF WORK. . . :NEW DWELLING UN1TS. . : 1 ■
i TYPE: OF USE. . . . . :SF NO. OF BUILDINGS: ]
INSTALL TYPE,. . . . :BLISWR IMPE_RV SURFACE=. . : sf
Remarks : PATH .1 ■
Owner-: ______---_.____.__.__-- ----------_________.------________ FEES __.______._--•__--
AUSTIN FIOMES type amu .int by date reupt
15629 SW 1.49TH PL PRMT $ 2200. 00 SW 04/19/94 -
INGP $ 35. 00 SW 04/19/94 --
T IGARD OR 97224
Phone #: 590•-0656
C:untra,ctor^:
CONTRACTOR NOT ON FILE
ti
Phone #: E 2235. @@ 'TOTAL
Reg #. .
------- REQUIRED INSPECTIONS -- ---_—
This Applicant agrees to comply with all the rules rend regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires tab days from
the date issue The total amount paid will tie forfeited if the
permit expiry Agency does not guarantee the accuracy of the
side sewer lat. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in ail rec ions from w _
the distance given. If not so located, the 'nst ler sh 11 u hose �`�
a "Tap and Side Sewer" Permit and the A ^ncy li inst 1 a feral.
Per-mittee tai gnatr.ire� :
1'ssi_ied Fly ; .
Call frJr ins;pcct: ion — 639-4175
WJ :,
__,
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Residential Building Permit ApPlicati0n I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(50.3) 619-4171 I.2
Jobsite Address:
� Otflce Use Only
`�subdlvislon: +�i I h11 t v�_ E Lot # Z73 - w •� ..�7
Valuation: / '-/� Z�`/ i
Permit # Aiy
I �
Owner:, }U�v>L� Reissue of
�G I Map &TL # ;Q A' 256 C)�/C/� U -
Address:���'��� �"�`� �� � �'" ' _
Phone:
� �rovals Required
�� `'�:� 1 �'�' � �� _ �
Planning
Contractor: iG,�� m Engineering
n
Address: _ "1/�CVy1v As- ��G' Other _
Items Required
Phone:
Subcontractors
Contractor's License # �
(attach copy of current Oregon license) Truss Details
Subcont,•actors• � �� � x �. w Other _
V Plumbing: L_ ti�k 1✓t-�.VI'Mechanical:
(attach copy of cun'ent OR Contractor's License)
Arch ltect/EngInPer:
I
Address:
Phone:
COMMENTS: _
Applicant Signature & Phone number
Received by: — Date Received:_=?
1
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Permit # Account Description Amount Amt. Pd. Bal. Due
f/!75 yv
Bldg. Permit (BUILD) S✓f `� �'
�
Plumb. Permit (PLUMB) 15-5-
Mech.
5-Mech. Permit (MECH)
State Tax (TAX) 3 ` �' .,�� _� "� �• �C) ✓"
Bldg: ;� �U ✓
1
Plumb: i� T
Mech.-
Plan
ech:Plan Check (PLANCK) ��7�c `� y ✓ C•? `I>✓i
Bldg:',
Plumb:
Mech: �� ?
4w *U 1 3�' Sewer Connection (SWUSA) LIV
Sewer Inspection (SWINSP) -y> 3�
has
Parks Dev Charge (PKSDC) 5o
Stomp Drainage Chg (SDSDC) °"�
Residential TIF (TIF-R) .
.
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
In<-titutional TIF (TIF-IS) —
Off ic? TIF (TIF-0)
' Water Qual;ty (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
�J
TOTALS: >� l U -S �,/i f sC ,2 6 �,S
i
' I li, - � CY��. C' �f rt�'��}+1 �il�y'71+ 5 �i..•I`.� i 44 � Zy}'d
}Aye's h't'��"��s2 � w J''�s�ir>:sl _ 1 tj#�a�, i .h�t��r? R. fir., i�•s. tl�. � .¢.� e (��•skt kY F�f��;s�3 V"d,6'�;. �'%,'
,,i r`•.I �y�,H� � �'':� u a� r`� : s t t nd�,i�i r, a �:� ',*'�,'� '.'l* "�� e � ��)�y`:!'fir S � +�`l r � ##
i� ftta a kYlx , i<,;
;�f �Y j;_�4�����i��' � 1�'.� 'u�.. �s i r •' t� t'r�d' �r'4�J� b � t.��• t trir l,� •d � �� ���'t�;1��i .,,.til 1 ! ,
J I
I
I w I:I'T'Y CIF' T' fC3Ahll - IAF:C:E. fF'T OF F'AYhIFNT F;FCE:Tf''1 NO. r'44-T?;tii.4kl;5
CJ*:.GK AMOUNT a ".54e.'N.135 I
f ' 6MV a AUSTIN HOMES CASH AMOONT a ta.WH
�l1)DRE'(3f a 1"i6P 3 SW 1.49T H PL_ F''AYMF N T I)AT F: r Flo/19/94
11GIAR0, OR (SlYl1)1.VCS 11,014 a �
9?224
41W.09F. OF PAYMEAT AMOUNT PAID PUFiF'CISE OF F'AYh'IF NT AMOUNT PRID
D
..................... .........
._...._.._._....».._._,_....�. ._..,.. __.._.�....._.
cUI:l-.I)YNr3 3'F:AM Mi3r94•411 :3:1. '''i;3ft. 0N F'I...I.1rWYNC1 V'F:h'M IIIIJ 5. 00
FEC H0N1GAl_, PE: 4"i.(10 53T. I:IIJ.C1...1) PC; ..36. 9(d
LAN (,VIF'C;K VE 1.1.(n. 95 £3F.WER, USA SWf<94--0J, 3f-'-- c'Y'..OW. FIV1 �
FF•Wl-k T•NSPEC;T ;35.Wo PAF?I's S 9 D C :`.9(!1G).0
3T0l hi DRAIN £;I)C; 91?80.00 i*,s:fl)E.N*TTAI. TRAF-VIL; I' E'l3 x41.N. P)W
WiSi 1 f?ANi3: T 1.1:1" FFiF:fi 1 0.00
>a
I
1.13625 L.AURE:A l I...ANE
I
TOTAL. AMOUNT PAID w. _ . > 54i:'.(3. 14
a
1
1
w"'"PI) 10:CE:: 1."T (:IF' PO Yh1f-N-1 PNCE I P'T NO,, a 1.34- P11411.K'i 7
CHF.C;Y, (MOUNT A ii'"5(1) . (aW :
IAVIF: tt A1.03'1.1:14 14 lip.s; BASH AMOUNT' a 01. 00.
I)1)PF"fiS u PAY14V,N'T I)A TF: n 03,116/94
r
'l)1;I'r143r OF: 1'WYMf m All(PA T V40.D I1-IRF''O$4. C)F L!AYW.`NI AMOONT I.44 l:1)
............_.w__..�_........ .........._...._..._. .........,....... .......,..,.. ...............
F K P50.00
;j
I
:3663 ; SW L_AURFN I._N
MAL AMC)UN'T PAID I''501 00
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