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INSRECi ON NOTICE
City of Tigard Building Depam
rtnt
it r
13125 SBell Blvd. Tigard. Oregon 97223 a
Inspection Line ((RBOC'-O-Phone): 639-4175 Suainess Phone! 639-4171 �
Inspections L �s'I� ��
Footinq Plblj Dnderslab Mach. Rough-in Appr/Sdwlk j
Found. Plbg. Top Out Gas Line FINAL: ,
Post/Bram struct. San. Sewer Preening -Bldg.
Post/Ream Hoch. Rain Drain Insuldtlon -Plumb.
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Plbg. Underfloor Water Line Gyp. Rd. -Mach.
Dat^ Remiented1 / l l ( Time: —AH PH
Address: Permit
Builders—!^ ( : ✓ --
THE FOLLOWING CORRECTIONS ARE AFQUIRF.D:
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Inspector: Dat
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%x-- moAPPROVED DISAPPROVED ( ' APPROVRD SUBJSC^. TO ABOVE
Call For Reinep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
t 13126 8W Hall Blvd.Tigard,Oregon MOWN (503)630-4171 C:E;PT I F I CAT'E OF"'
OCCUPANCY
PERMIT #. . . . . . . a MS1 'i4 -90 )
639-4171. DATE: ISSUED: 09/01/94
i
PARCE:I—x 20 104C:A--03400 ■
.:'ITE ADDRESS. . . : 13x48 SW LAUREN LN
1 :SUBD I V 18 1 Oi.. . . . a M I L L.aN I RE Z ON I NO a R- 7 17!6rr
BLOCK. . . . . . , . . , a LOT. . . . . . . . . . . . . :034
CLASS OF WORK■ a NEW
TYPE OF USE. . . :9F
0CCUV'ANCY GRP. a R?
OCCUPOWY LOAD c 223 14
T•C:NANT NAME:. . .
DQ
Remarkse PATH I
Ownerc __ ._._ __....._..._._ _.._.._.._.__. ..._ ..-._ .....__..
PARROTT MOUNTAIN CONSTRUC.',TION
t6;26111 3W BELL RD
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I31AC:RW XID OR 97140
t'h1:11'1E` 6P x...6963 I
PARROTT MOUNTAIN, INC;.
i L 6 60 SW SELL- ROAL''
UI-WRWOOD OR 97140
Phone 0 : 625-6963
Reg #. ,, a 87666
Occupancy of the above refwr"enced bu.i .tdir% is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes fare the group,
Occupancy, and use onder~ which the referenced permit was issued.
LD I I NUPE L:I UR
B Lel I Ci
FF I C I At..
POST IN CONSPICUOUS PLACE
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INSPECTION NOTICE ,
City or Tigard Building Department
13125 Bit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-?hone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in App-r//Sdwlk
Pound. Piby. Top O.,L Can Line FINA JLs - �
Post/Boam Struct. San. Sewer Framing -Bldg
Post/Ream Mach. Rain Drain Insulation -Plus
a �
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requlenteds! r�v^_l I `q n 1 Time: __AM rM
Address: ` tp `-L o ( j f^-��J ! Permit is
Builder:
THE eOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. __— �-- Date:
/ APPROVED DISAPPROVED -- APPROVED SUBJECT TO ABOVE
I _Call For Rvinap.
I
INSPECTION NOTICE
City of Tigard Building Depart—t
13:25 SW Ball Blvd. Tigard, Orogon 97223
inspection Line (pec-0-Phone): 639-4175 Business Phone: 639-4171
Inspections -— _ -- — -- - - -- - ----- ---
Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. :up Out Gas Line �rrNAZii
Poet/Bean struct. San. Sewer Framing
Post/Ream Meet. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
�/i( Times AM
Data RequeaY.edt ...�
Address: Permit Is ._
Builder: C L! l�'' '7 -----
THE FOLLOWING OORRRCTIONS ARE REQUIRED:
17tj
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Inspector: _ Datet
APPROVED DISAPPROVED APPROVED SDBiltrT To ABOVE
\--) - —Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 sw Hall B'.vd. Tigard, a.:egon 97223
Insperction Line (Rec-O-Phone): 639-4175 Bu6tnese Phone: 639-4171
Irepectlon:
Footing Plbg. Underelab Mech. rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINIiLY�
Poet/Ream Struct. San. Sawe:r Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation
K'
Plbq. Underfloor Water Line Gyp. Bd. -Meeh.
p�
Date Requested: TLaet AM -� d
Address: -C�' Permit: #1
guilder:
THE FOL!AMING CORRECPIONS ARE REQUIRED:
I
Inspect o ` 1---_-_�� Date:��
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
J `_Call For Reinsp,
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INSPECTION NOTICE
City of Tigard Building Departneot
13125 SR Ball Blvd. Tigard, Oregon 57223
Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 639-4171
?nepectlon:------_�—_�---
Footing Plbg. Underelab Mech. Rough-in ..ppr/Sdwlk
Found. P1bg. Top Out Cas Line ( �
Post/Beam Struct. San. Sewer Framing -.Bldg.
Poet/Beam Mech. Rain Dr.aln
Ineulatlon (p----
Plbg. Underfloor Water Line Gyp. Bd. -Hoch Y�-C fi
Date Requested: Time= P!i
Hddroeas,L1L — IV-I — .�.-- Permit 1:
Builder.:_ ,L
TFIE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:��J✓—' i�
Data:
APPROVED
�MISAPPRovgD "PROVED 9UBJ8CT TO ABOVE "
__L —Ca II For Reinep.
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NCTION N07'ICE_ �J a
^Ttr IAI 4fr l.lij—_SPE —__—� I
City of Tigard Buildiir7 pepartaent
���';y� �� 1,�' ¢�Y h 3 13125 SY Ball Blvd. T19a A� Oregon 97223
tv"iv �f a; , Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6.19-4171
Inspection:
Footing Plbg. Underslab Mech� r Appr/Sdwlk
Found. Plbq. Top Out Gas Lino
's
Poet/Ream Strucr• San. Sewer Frsml,ng ld
Post/Naim Mach. Rain Drain Innulat.ion -Plumb.
Pl . Underfloor Water Line Gyp. Bd )�`✓ �
Data Requested:_- 3
Time: �QAM .--PM
Addrass:_J _ u. Permit
Builder: ------- --- ------
THE FOLLOWING CG^�.CTIONS ARE REQUIRED:
46,
&Iso
Inspector- Date: 14a-4-
APPROVED
a-4-APPROVED —DISAPPROVED APPItOVF.D SUBJECT TO ABOVE
Cell For Relnsp.
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. CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard.Gnpon 97223.9199 (503)639-4171 PLUMBING PERMIT
PERMIT #. . . . . . . . PLM94--0185
6 9-.._p /i. DATE ISSUED: 08/25/94
PARCEL: r S 1.04CA--03400
SITE CaDORF=aS. . . : 1:364C! SW LAUREN LN
SUBDIVISION. . . . . HIL.LSHIRE ZONING: R-7 PD +1�
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..034
CLASS OF WORK. . :NEW GARBAGE: DISPOSALS— : MULA I LE HOME SPACES. : �
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVN`I-RS. . : 1
OCCUPANCYl:RF1. . :R:3 FLOOR DRAINS. . .. TRAPS. . . . . . . . . .
STORIES. . + WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . �
F I X L_AUNURY TRAYS. . . . . . : .3F= RP I N DRAINS. . . . . ,
SINKS. . . . . . . . . . . URINALS. . . . . . . . . GREASE "TRAPS. . . . . . . .
l_AVATORIE S. . . . . : OTHER FIXTURES. . . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSE=TS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN
Remarks : BALK FLOW
Uwner: __._.___._________.___-._.._.___.__._.._._.-..__._._.________._...___.______...-------- FEES
PARROTT MOUNTAIN C.:ONSTRUC•TION typp amol.rnt by date r^ecpt.
16c'60 SW BELL RD PRMT $ 15. 00 JF 08/25/94 -
5PC,T $ 0. 75 JF 08/25/94 -
(SHCRWO1.)D OR 97140
F.11-ion e #.- 625--6963
y L.'r Tit Tact at,
:1 I D F R I EDMAN LANDSCAF'I NV fa
31909 NE_ CORRAL CREEK RD
NF::WBF RG OR 9?13c
f='i-r n n e #: 538-6785 5 4 15. 75 TOTAL
f1P.g #. . ar.ac,23
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__._..-. REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/)Backflow Pr•ev
Tigard Municipal Code, State of Che. Specialty Codes and all other Final Inspection
applicable laws. All work wi;J bi done in accordance with
approved plans, this permit will expire if work is not started _,___�_�__-• _____ __
within 180 days of issuance, or ii work is suspended for more
than 180 days,
F-;1 e r m i t t e e S i.g n a t t.r r e:
Is=t_red By :
Call fc+r inspection - 6313-41'75
1
City of Tigard PLUMBING PERMIT APPLICATION, Planck/Rec. #
13125 SW Hall Blvd. Permit ft � I
Tigard, OR 97223 i
(503) 6139-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Np «r New Single Family Residences Only
0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job , L.(� `��� �.
0 3 BATH HOUSE$225.00
Address c wsks zw Fee includes all plumbing futures In the dwelling and the first 100 feet
'T-t 1 2 � of water service, sanitary sewer and storm sewer. See fees below. �
Nr^•rQ^•""Nwi FIXTURES QTY PRICE AMT
_j 06j Sink 9.00
M.Mq.aa.., ^•^• Lavatory 9.00 ,
caner Tub or Tub/Shower Comb. 9.00
awwa n Shower Only 9.00
2 (C_) Water Closet 9.00
I Nw ,«n«"..0 b.nr, Dishwasher 9.00
Garbage Disposal 9.00
Occupant Meft Mn... Washing Machine 9.00
Floor Drain 9.00
�+*•�• A^ Water Heater 9.00
Laundry Room Tray 9.00
cam. Urinal 9.00
Other Fixtures (Specify) 9.00
own 9.00
Contractur _
9.00
• 9.00
Sewer 1st 100' 30.00
Sift R"."ft.N• r'+'"" T.N• Sewer-ea. Addit. 100' 2b.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 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 c',Rain Drain 1st 100' 30.00
1 am registered with the Constructioc Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is corre-t. (If exempt from State registration, please
give reason below.) i lobile Horne Space 25.00
Back Flow Prevention
Device+ or Anti-Pollution Device 9.00
51pn.nv.�ow,r ar o.ml ��• Any ";'rap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition 0 alteration Q repair Q Calch Basin 9.00
to be done residential Q non-residential O Insp. of Exist. Plumbing 40.001hr
- Specially Requested Inspections 40.00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
- '(Except residential backflow
prevention devfces)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION I
AUTHORIZED IS NOT COMMENCFD WITHIN 180 DAYS, OR IF 5% SURCHARGE // h
CONS(RUCTION OR WORK IS SUSPENDE'i OR ABANDONED
FOR A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS
COMMENCED, PLAN REVIEW 25% OF SUBTOTAL.
TOTAL
Special Conditions -"'-
_- Date Issued _-by
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INSPECTION OTTCE
city of Tigard Building Departwwnt
13125 Bit Bali Blvd, Tigard, Oregon 97223
Inspection Line (Rev-O-Phine)t 639-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Underslab Mech. Rough-in Appr./Sdwlk
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Pound. Plbg. Top Out Gas Line FINAL:
t'
Poet/Beam Struct. inn. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Pl.:mb. ,
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
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Date Requested: (1` _J / Times AM PM
/
Address:/��Co �C-C-f-C- L C r J L/`t Pe rm it f
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Builder:
T11E FOLLOWING CORRECTIONS ARE REQUIRED:
I S" L� n isG I,tJf
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Inspectors_ Lh�IY�l� .............. bates
_APPROVED DISAPPROVED APPROVlD AgBJECT �3'XBo+IE
Call
For Reinsp.
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INSPECTION NOTICE 1'
City of Tigard Building Departannt
13125 RW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
i.
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out 4'Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb. -
Plbg. Underfloor Water Li a (o�p_8d. -Mesh.
Date Requested: / �TimetT �} AltC�_�__aPM
Address: �.; y0 LQ a /�Ph C ,7. pe 1t �t / /C� 2 /
THE FOLLOWING CORRECTI/ONS ARE REQUIRED:
• _Lt�"�L�S� � his-���46��
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Inspector Dater J L1f_
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_APPROVED DISSAPPROVED -__ APPROVED SUBJECT TO ABOVE
{/ Call For Reinsp.
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1116PECTION NOTICE
ra r Kat City of Tigard 8uilditg07223
bd� n h,� 13]25 BN 8x11 Blod. Tig erdr Oregon e+
14r `� rs!t` Inspection Line (Rec-O-Phones 639-417L Business Phones 639-4171
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Inrpeotiont i �..r J,Y� f aii���•�,.:
Ixu�x� J ar
ttnderelab Mech. Rough-in Appr/Sdwlk
pl
rooting bg
' ) round. Plbg. Top Out Ou Line FINALS
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Post/Beam Strutt. San. Sewer Framing -Bldg.
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Poet/seam Hoch. Rain Drain Insulation -Plumb.
Plhg. Underfloor (later Line h•
PM { 5
Date Requested: Timet _ L AM
Ile? r(°�'1 �L2 Permit
Addreset��
Builders
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THE FOLLONIlM OORRECTIONS ARE REQUIRED:
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Inspector Dates-1 -M.- —
_ APPROVED DISAPPROVED APPROVED SU&TECr TO ABOVE
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INSPECTION NOTICE ( I
city of Tigard Building Department
13125 gX Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phonet 639-4171
Inspection! --
looting Plug. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line lINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Vnderlloor Nater Line Gyp. Bd. -Hoch.
Date Requested: .�'� / 7 _ Timet —X-1AM - PM a
Address �lAgg (!_{L/� /7 [_/t P/ermS 1t 97
Builders � y ��r ��5 =�( n 3 —
THE FOLLOWING CORRECTIONS ARA REQUIRED:
10
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Inspector: Dates-5-a. :7--.k
APPROVED / DISAPIROVED APPROVED SUBJP.cT TO ABOVE
_J/call For Reinep.
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INSPECTION NOTICB
city of Tigard Building Departasent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phones 639•-4171 a xarir} 11 '
Irspections —�
rooting Plbq. Underslab U Mech. Rough-in Appr/Sdwlk
)bund. Plbq. Top Outs as Line' FINAL:
l •at/Beam g ct� 8an. war Framing > -Bldg.
Post/Beam Hoch. ) Rain Drain Isswilation -Plumb. '
Plbg. Underfloor Witer Line' [ Oyp. Bd. -Hoch. (�
Data Requested: /1 CIS _Timet AM V PH S
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Address t 9v 9 2_
C C�.-Z i % ` / Permit f: 9—
B_Llder:
_ Cly ' ,. _,
THIS k"TAO►,TNO CORRECTIONS ARE REQUIREDt
CA
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Inspectors Dates
APPROVED — V DISAPPROVED APPROVED SUBJECT TO ABOVE
V „ -
1� \j Call For Reinap.
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j'ISPECTION NOTICE
city of -ugard Building Departaent
13125 BW KIM Blvd. Tigard, Oregon 97223
Inspection Line (Rec .O•Phone)s 639-4175 Business Phone: 639-4171
Inspections___
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Stroct. San. Sewergaming -Bldg.
Post/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line C� Gyp. Bd. -Hoch.
Date Requestedt J- /� ! L� Timet AH
Address: f�7 L!� �/ p / IGJ / �Q y? L'L P t f: 9
Builder a P-Li,'Z L� f / (-)N • jt-, -�✓ (C G —
THE FOLLOWING CORRECTIONS ARP 2EQUTAEDs
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Inspector: Date: L�� —_
______APPROVED V DISAPPROVED APPROVED SUBJECT TO ABOVR
._Call For Reinap.
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INSP$CTION NOTI(,� �
city of Tigard Building Depsr-eent
13125 B11 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
1
Found. Plbg. Top Out Gas Line FINAL=
Post/Beam Struct. San. Sewer Framing .-Bldg.
Post/Beam Mech. Rain Drain Insulation -Ply. �
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
a
Data Aequestede „- II 9¢ T+met AM —PM
rn��---
Address:_ Permit
`70 9'9
Builder= �_—L.ff�ail r (02 _ 9
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector. Date: /,
_-�APPROVED DISAP OVED APPROVED SUBJECT TO ABOVE
_ all For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Businars Phone: 639-4171
G
Inspections
4
0, A
footing P1bq. Underelab e�Ro�ugh-id�-... Appr/gdwlk
Tound. Plbq. Top Out OaTINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain •
Ineuletion _ply,
Plbq. Underfloor Water Line Gyp. Bd. _Meeh.
Date Requested: �� L, `� _Timesi
/(. Q AM PM
Address: 1 �s O �( t _ Permit 1: -1
Builder: J d O
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspectors Date,_ 1_��
APPROVED _j/ISAPPROVED APPROVED SUBJECT TO ABOVE
�\ :5� call For Peinsp.
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INSPECTION NOTICE
City of Tigard Building Departannt
13125 811 Hall Blvd. Tigard, Orwwjon 97223
Inspection Line (ReC-O-Phone)s 639-4175 Business Phone: 639-4171
Inepectionr
Footing �nl Nach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: 1
Post/Beam Struct. San. Sewer Framing -Bldg.
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Post/Beam Mach. Rain Drain Insulati3n - Iumb, ,
1 Plbg. Underfloor Water Line Gyp. Bd. _Mach,
Date Requested: ,_Timer AN PN
AddressiZ26
Perm1C it
Builder:- off/ P2 T
THE FOI.I.OWING CORRECTIONS ARE REQUIRED: # �—
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Inspector: '`S
---- -- Date: _
_ -APPROVED DISAPPROVED --iVV1/ APPROV4.D SUBJECT TO A.30YE
----.Call For---.Reaiinap.
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INsprcTION NOTICE
City of Tigard Building Department
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13125 BN' Ball Blvd- Tigard,ig . Ormgon 97223
Inspection Line (ROC-O-Phone)s 639-4175 Business Phones 639-4171
Inspectiont
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Framing -Bldg.
Post Beam Mseh. Rain Drain Insulation -Plumb.
I Plbg- Underfloor Nater Line Gyp. Bd.
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Date Requeetede— j At: B
Addreu: rJ L d l Permit t,
Builders J L
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TBE FOLLOWING OORRECTIONS ARE REQUIRED: -
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Inspec tor:� � Z
Date: 4 2
APPROVED DISAPPROVED _ --APPROVED SURJECT TO ABC"
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INSPECTICN NOTICE
City of Tigard Building Departinnt
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections `�- ly' 4 i1 1 �-jr
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FIN.�L:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line f Gyp. Bd. -Hoch.
Date Requesteds CJ/ �I _Time: '74 Times PM
Address:_1,7 Q k_L`� Petmik f
Builders_)L_k rC'� U v' CL,
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspector: - - Date:
_APPROVED ° DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp. `
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INSPECTION NOTICE � L i 4
i City of Tigard 80.14ing Department
13125 SA Hall Blvd. Tigard, Oregon 97223
.nspection Line (Rec-O-Phone): 639-4175 Business rnone: 639-4171
3 1 Inspection:_
Rooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk '
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Post/Beam Strurt. San. Sewer. Framing -Bldg. 1
Post/Bean Kech., Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater )Line] Gyp. Bd. -Koch.
Date Requested: /I )I l 1f� Timer - AA PM B
Addresel:_� �J�Pb �_l�Ll.lrC_V`' IL�4/1 .QPermlt f t t ell
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3uilder: &^
THE FOLLOWING CORRECTIONS AAE REQUIRED: J
Inspector:
----- Date: 7�
�PPROVED DISAPPROVED -_ APPROVED S
----- UBJSt`I' TO ABOVE
1 Call For Reinsp.
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INSPECTION NOTICE
i City of Tigard Building Department
1! 13125 BW Ball Bled. Tigard. Oregon 97323
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
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Inspections —
looting Plbg. Onderslab Mach. Rough-in Appr/sdwlk ,
round. Plbg. Top Out Gas Line TLN71Ls
Poet/Beam stzuct. San. eerier Framing -Bldg.
/Po-t/edam Mich. Rain Drain Insulation -Plumb. w
Clbg.�Dnderflcor Nater Line Gyp. Ed. -Mach
Data Reques:e/ds Times �- AN ggPNCI
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Address 1�JlF ��t� ��•ll�l� LVr-�R -
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Builder,
THE FOLLOWING CORRECTIONS ARE REQDIRED2 r
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Inspecto: Date-
APPROVED __ DISAPPROVED APPROVED SUBJECT TO ABOVE
—_Call For Reinsp.
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INSPECTION NOTICE �-
city or Tigard Building Department
13125 Bw Ball Blvd. Tigard, Oregon 97223
i
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. Ban. 8ewer ,) Framing -Bldg.
Past/Beam Mech. Rain Dra j) Insulation -Plumb.
Plbg. Underfloor <Nater-Llr� Gyp. Bd. _Hoch.
Date Requesteds �� 1 (� Tim.. AN PN r
Address s
Permit
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors _ Date:
✓`/�/— "PR)VED _V DISAPPROVED APPROVED SUPONCT TO A
Call For Reinap.
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INSPECTION NOTIC
City of Tigard Building Departneot
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
looting Plbg. Underelah Mach. Rough-in Appr/Sdwlk
(rwnd. Plbg. Top Out Gas Lina FINALS ■
Post/Swam Struct. San. Sewer Framing -Bldg. I
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requestods Z �" / Times "lV(- PH
Addreses "A-1.(J) 1 A l l( Permit #ty)l
Builders �_ Y �[� � \ �Q. lti � �/ 6�//�
THE FOLLOWINR CORRECTIONS ARE REQUIREDs
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,�/�1''��1--.✓�.R__P�N� �-vim. ( � (�.�. s4✓r�_ �
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_APPROVED DISAPPROVED V APPROVED SUBJECT TO ABOVE
`_Call For Reinap.
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o City of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
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Inspection Line (Roc-O-Phone)i 639-4175 Business Phones 639-4171
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Inspections _
fooling )� Plbg. Underslab Mach. Rough-in Appr/Sdwlk
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F000.1. Plbg. Top Olst Gas Line FINALS
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Post/Beam Struct. San. Bowen Framing -Bldg.
` Post/Beam Mech. Rain Drain Insulation -Plumb. .
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Plbg. Underfloor Nater Line Gyp. Ed. -Mach.
Datesated s `> 1. " ��
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Address ( ' �� l �nr'1,�_�_Y(�b` ((1_ Lt. Permit 1s
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Builder: �"tVYC1'J_ ( r�I 'l,"`1�"f�
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AIM FOLLOWING CORRECTIONS ARE REQUIREDs
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Inepectcrs Date: `
`_APPROVED DISAPPROVED _,,APPROVED SUBJECT TO ABOVE
CCall For Relnap.
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CITY OF TIGARD
MASTER PERMIT
PERMIT #. . . . „ . . : MST94 9099
COMMUNITY DEVELOPMENT D,7A �qIT DATE ISSUED: 0.?,/10/94
13125 8W Hall dlvd.Tipud,Oregon 97223.91 ( 03)6 �4 71
PARCEL: 2S 104CA•-03400
yl T'E ADDRESS. . . 1.:s(a48 SW LAUREN LN
SUBDIVISION. . . . : HiLLSHIRE ZONING: R-7 PID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :034 r 1
BUILDING
ITE*I SSUE:: DWELLING UNITS- 1 BASEMENT. . . . . . . . :530 s f
CLASS OF WORK. :NEW BEDRM5:3 BAT•HS:3 GARAGE. . . . . . . . . . :725 of
TYPE OF USE.. . . :SF- V L 0 0 R PIRE(1S-__.__._--_-.._._ REQUIRED SETBACKS--------------- 0
TYPE OF LC)NbT . :bN FIRST. . . . :22198 sf L.EFT. . :a ft RIGHT. ,a 'Ft
OCCUPANCY GRI :R3 SECOND. . . 1Z sf F-"RUN'T. :c0 ft REAR. . : 17 ft
STORIES. . . . . . . :c.' THIRD. . . . :0 sf REQUIRED- _--.---____ ________
-, SMOKE DETECTCIRS. :Y
HE:1911-T. . . . . . . . :�_.:, f t "C'UT"(-TL....._.._.....___:c l�'l:3 'a f
FLOOR LOND. . . . :40 psf VALUE. . . . . $ : 138538 PARKING SPACES. . : 1
Remarks'. PATIA I
PLUMOIN(i
SINK4.. . . . . . . .. . . . 1 FLUOR DRF,1NS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . * I TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . .4_I
WATER CLO1,1ETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : i. W(lT-F:R LINE (ft ) . : 1.00 OTHER FIXTURES. . . . .
± GARBAGE UISF='. . . : 1 RAIN DRA`N (ft ) . :0
WASHING MACH. . . : 1 SF FRA I N DR(I I NS. . : 1
MECHANILAL -_._.____.______._.__________---•--_-__..____._ SEE=S
FUEL TYPES - -- -- - - UNIT HTRS. . :0 type Y e e amut.tnt b date r ec t
P
/GAS/ / / VENTS . . . . . :0 •TIF $ 1520. 00 JH 0.3/10/94 -
MAX INPUT-,0 BTU VENT F (INS. . :4 BPR'T $ 5::30. 50 JH 11713/ 1.0/94 - a
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 344. 83 JL_H 03/02/94 94-249523
FURN ) =1,001-'\ . . : 1 WOODSTOVES. -10 1351.)C $ 26. 153 JI1 03/ 10/94 -
FLOOR FURN. . . :Qt CLO DRYERS. : 1 SSDC ¢ 280. 00 JH 03/10/94 -
d BOIL./CMP ( 31-iP:0 OTHER UNIT-5-1 PARK $ 511.10. 00 JH 03/ 10/94 -
F GAS OUTLET S: 1 MPRT $ 45. 00 JH 03/10/94
Owner-: _..._.__.__._.__.___.._._.._.--.---___.___._ ._._..____..__- t4F'LC $ 11. 25 J11 03/10/94 -
PARRO'TT MOUNTAIN CUNSTRUC:TIUN M5PC $ 2. 25 JH 03/10/94 -
i.6I='60 SW BELL RD PPRT $ 1.47-. 50 JH 03/ 10/94 --
( P5PC $ 7. 38 JH 03/10/94
t SHERWOOD OR 97140
'
Phone #: 625-•6963
PARROTT MOUNTF,Iht, INC.
16260 SW BELL ROAD
SHERWOOD OR 97140
Phone #: 625-0963
Reg #. . : 0966E+
$ 3415). '24 TOTAL I
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECT ION
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/for.tnd rnsp Fireplace Insp
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applicable laws. All work will be done in accordance with approved F'os;f: /B-am Strl.tct Vas Line Insp
plans. This permit will expire if work is not started within 180 Flo-it;/Beam Meehan Inst-dation Tnsp
dayi of issuance, at, if work is
sus or Bore_..h..a.Ald
... > idslab Insp Gyp Board Insp
der,floot- Rain dr,Ain Ins
p
at ePermittee Signat ical Insp W t,
Line Insp
F111_tmb Top Ot-tt: Appy^/Sdwlk Insp I
is•;1_ted By: ____•_ _ J.___ F t-Aming Insp Mechanical Final
Call for inspection - 639--41.77)
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CITY OF T SEWER CONNECTION
F>E RM IT
COMMUNITY DEVELOPMENTD �p T F'FRMIT #. . . . . . . : SWR94 0103
`F[3p'"!'� DATE ISSUED: 03/10/94
13126 8W H�II Blvd.Tigard,Oregon sa7223•818Y5030.471
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F'ARCE:L: 2q-104CA— .3400
SITE ADDRESS. . . : 13648 SW LAUREN LN
5UEIDIVISIUN. . . . : HILLSHIRE. ZONING: R--7 F'D `
BLOCK. . . . . . LOT. . . . . . . . . . . . . :034 1
TENANT NAME. . . . . ;
" USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNIT'S. . : 1
TYPE OF USE. . . . . :SF NO. OF NU I L.D I NGS: 'l
INSTALL TYF'F_. . . . :BUSWR IMPERV `:SURFACE:. . : : sf
Remarks : FIATH 1 4
jOwner,: ____.._..__..._______------..__----------------•---__.___.__--•--__—__.._ FEES
PARROTT- MOUNTAIN CONSTRUCTION type amol_int by date recpt
16 60 SW BELL RD F'RM7 $ 2200. 00 JH 03/10/94 —
IN F, $ 35. 00 JH 03/10/94 —
SHE RWOOD OR 97140
Phoiie #: 625-- 63
Contractor
CONTRACTO NOT ON FILE
pi-lone #: $ 2235. 00 TOTAL
Reg #. . .
__.....___._ REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires IN days fromthe date issued. Ttie total amount paid will be forfeited if the _
permit expires. The Agency ones not guarantee the accuracy of the
"?r 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 in.-,taller shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Permittee Signatl_ir�e :
I s s u e d B y
Call for inspection — 639-4175 1
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Office Use Cnly
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Subdivision: � �_ f-.L_-��11 ��� Lot#
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Planck/Rec#
Valuation:
Owner: P � Reissue of
I Address: Map& TL # X15 i
9 U _ SU is 9p d pp
Phone: Approvals Required
Planning
Contractor: ' '^ t 1 W\, �r�li J -E:� j I Engineering
Address: _ L'7 c _ Other
Phone: [�,`_ ` E.� c(
Items Required
' Contractor's License # Subcontractors _
(attach copy of current Oregon license) Truss Details
Subcontractors Other
Plumbing:
Mechanical:_ Rt-.�-C }--\ ra L,
(attach copy of current OR Contractor's License)
Archltect/En (neer:
Address:
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Phone: ,7j _ LI
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COMMENTS:
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Applicant Signature a Phone number
Received by:, date Received. 7 '�
.,.. A .,..:-....•...........A4Nsi..^`Tir.'IMW'.MM.Yrwelgs+rMTynm......,. ... ..._... ., __... ...........n..
Permit tt Account Description Amount Amt. Pd. Bal. Due
rA.5NV 9utj� Bldg. Permit (BUILD) 0.�y _ �U
Plumb. Permit (PLUMB) -7,)V
Mech. Permit (MECH)
State Tax (TAX) 3_
Bldg: ,7 _S3_
1
Plumb:
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Mech: ,� Z. i
Plan Check (PLANCK) S�. v /' " ! v 6 `'
Bldg:
Plumb:
Mech: L
sw�t4d-v I
02 Sewer Connection (SWUSA) CPAy
Sewer Inspection (SWINSP) 3 )r -5 >�
Parks Dev Charge (PKSDC) �� v
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) /—U /
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
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Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WOUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS:
1472,
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CITY OF TIGARD - RECEIPT OF PAYMENT RECESPT NO. :94-250039
CHECK AMOUNT `540(11. 24
AMI:; : PARROTT MOUNTAIN CASH AMOUNT : 0. 00
PAYhENT 1.)Al K 511::3/14/94 �
DURESS SUBTiLVISJ:17N �(
F
URPOSF OF PAYMENT AMUUNT PALL) PURPOSE OP PAYMENT AMOUNT PAID
BUILDING PERM M5T94-9Q199 5::30. 59) PLUMBING PERM 147. 59)
EC:HANICAL PE: 45. 00 ST. HULLO PER 146. 16
'I..AN CHECK FF; 106. 0113 SEWER USA 2:100. 00 �
;EWER I NSPF:GT 39. 00 PARKS SDC 500. 00
;TORM DRAIN SDO 2801. 00 RESIDENTIAL. TRAFI-*'TC FEES 1.410. 010
A'-:-; TRANSIT TTI: FEER 1.10. 001
f,
1.3646 SW LAUREN LANE, H'CL.LSHI.RE, LOT 34 1
AMnUNT PAID — - _ —A `x400. e:4 �f
I
1.1:'F Y FlF OF F 114YIWIF=.N1 f6'.(- I P T NO. w 94-•2 49*5'
IiI AMOU00
NT
IJAMF a PARROT MTN C:t:1h :i T RLJC;'I t I:1N 1 lASH AMOUNT : GC1. 17t►ll
�IpC1F7EIc7Ia >s PIAYMF:N1 DAIF. a N fOr_''/►?�+
91.11iD I W 181 LIN v
I.IFIF4AF. OF PAYMENT AMOUN T Fp 10 PURP1.Sf-! 01" PHYME N'T NMOLIN'r PAI D t
LAN C,NEC:K
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:;646 514 I_AlJRF:N i_N
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