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�1N1PECTION NOTICE �7 -
City of Tigard Building Department
33125 BW Ball Bled. Tigard, Oregon 97223
' Inspection Line (Rec-O-Phone)t 639-4175 Busineoi. Phones 639-4171 I
Inspections-_ L'v- 1 Y u
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk •
Found. Plbg. Top Out Gas Line FINAL, I
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/-saw Medi. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Rd. -Hoch.
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Date Requesteds v 3 ; Times AH PH
Addreas e �'f7 1 I L Ll l� /1 �.Gu,•F tPermit
Builder,
THE FOLLOWIaG CORRECTIONS ARE REQUIRED,
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Inspectors
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APPROVED DISAPPROVED APPROVED SURM:CT TO ABOVE
_ _Call For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 97223.8100 (503)639-4171
PLUMBING PERMIT
PERMIT #. . . . . . . : PLM94--0019
639-4171 DATE ISSUED: 01/27/94
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PARCEL: `S 104CA--0c000
5I TE ADDRES"i. . . : 1;:3711 SW LAUREN LN
SUBDIVISION. . . . : HIL1_SHIRE ZONING. R--'7 PID
NLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :020
CLASS OF WORK. . :ADD GAR'{AGE D I SPOSAI-S. . : MOBILE HOME SPACES.
TYPE OF USE. . . . :SF WAIHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . : R.3 FLOOR DKOINS. . . . . . . . TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASI.NS. . . . . . . ..
FIXT'LJRES-----------. ---- LAUNDRY TRAYS. . . . . . : aF RAIN DRAINS. . . . . _ Ilk
SI NK,S. . . . . . . . . . e URINALS. . . . . . . . . . . . . GREASE 'r RAPS. . . . . . . .
LAVA T'OR I ES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : SPRINKLER PERMIT
Owner: ---._.___________.---._______________-- FEES ----------__..__._
BRUCE THOMPSON type amount by date r,ecpt
13711 SW LAUREN L-.I\I PRMT $ 15. 00 JH 01/27/94 -
5PCT $ 0. 75 JH 01/27/94 -
TIGARD OR 9,7223
F='hone #: 579-7519
Contractor:
TRIPLE T LANDSCAPE
13210 SW BULL MTN RD
1
l IGARD OR 97223 ____._.__._.--•---------...____----•--- --------__-_-•
11hone #: 639-4493 $ 15. 75 TOTAL
Reg #. . : E092
REQUIRED INSPECTIONr3
This prrsit 1s is!ued subiect to the regulations contained in the RP/Backflow Pr-ev
Tigard Municipal C1de, State of Ore. Specialty Codes and all other Final Inspection --
applicable laws. 9,11 work will be done in accordance with
approved plans. This permit will expire if wnrk is not started
within 188 days of issuance, or if work is suspended for sore
than 188 days, -----_• ---- •-�_._.____
F'ermittew Signature:
Issi.ted By :
Call for inspection - 6:39-4175
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71GARD, OR 97'223-- �
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CI1Y OF TIGARD
' COMMUNITY DEVELOPMENT DEPARTMENT GERTIFiCATE OF
13125 SW H-4 blvd.Tigard,G,aeon 97223.8199 (503)839.4171 OCCUPANCY
1. PERMIT #. . . . . . . l M!TT93•--034
639---4111 DATE: I SLUED e 12/23/93 I
PARCEL..a r'a 104CA--•02000
'3 I 1 E AUDFiE6'Lv_ . . 1:37 i I SW I_PUREN I_(l
OUBDIVISION. . . ., F•IILLSHIRE ZONINbwR 7 PD
AL.00K. . . . . . . . . . a LOT. . . . . „ . . . . . . „ e 0210 I
? CL.6i[3S OF WORK. a NF.W
("T: OF USE. . . e SF
:n.X1.JPANC;Y GRP. a R3
r C1CC;UPPINC'.Y LOAD 1127 4 ■
_I L.I i 1N i NAME::. . . e
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Remarks r PATH I
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Owl)at-,e _.., _._.. ...... ._...._.._ _.._..
MICHAEL 111.JMPlHREY
12'385 SW 12 A ST AVE
T I GARD OR 97223
F-'hnnF *1 390--•9737
1M HUMPHREY ROSE' -00�DE VF._.OPMENT CO
t2385 SW 121ST A14-7
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I 1 UJi RD OR 97223
Phone Or 664-•9737
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rit_vi,tL►ancy of the above referenced building is hereby given, Arid certifiers
th,? compliance with the State Of Oregon '3por. ialty C'oiles for the group,
} ur_cL1Pmncy, and use 1.1nreltr which the r•e+ferencpd permit 000.s issi.led.
F IRE DEPARTMENT
tl;y.�u IN CTUR
13UIt_L?1Ki[3 t7t'I" f—Ai .. ._._...�.._�._
IDUST IN CONSPICUOUS PLACE
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INSPECTION NOTICE
City of TigauM Building DopartwInt
13125 BA Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone)t 639-4175 Busineus Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Bdw�lk
Found. Plbg. Top Out Cas Line `` alNky�
Post/Beam Struct. Sen. Sewer Framing
Post/Bear Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water L1ne peP. Bd. ( -b�e"
Date Reyuestedt C Z--j - [3 �i
T ime f 11M P!t
Address: >� ( LI Ila(F 1 A .��. Permit t 1��
Builder:
THE POLIA�LW_rNoo ODRRECTIONA ARE REQUIRED: bC lG /cO
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Innrmctort
Dates
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APPROVED _ DISAPPROVED __ APPROWD SUBJECT To ASM
--Cal! For Rninap.
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NOTICE
City of Tigard Building Departmmt
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roe-O-Phones 639-4175 Buainos■ Phone: 639-•4171
—� (���
Inspactione_ � --- —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
For•.nd.. Plbg. Top Out Gas Line P11"1 )
Poet/Beam Struct. San. Sewer Framing -Bldg.
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post/Beam Mach. (: Raln Drain insulation
Plumb.- ■
Plbq. Underfloor Nater Line Gyp. Rd. -MeOh.
" 1_d_!j �)
Date Requutedl —,---T L.I PM
Address, !'�'j 1 IILI�UV1 L.LL4/ - -- Permit ie
Builder t L
THE FOLLOWING V1RRRrTIONS ARE REQUIRED:
qy� h t U!P{ trY
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APPROVED DISAPPROVED APPROVED SUMCCT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE �J
C:.tT of Tigard Building Department -'
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection, Lind (Rec-O-Phone)s 639-4175 Business Phonet 639-4171
1
Inspectiont —
Footing Plbq. Underelab Mown. Rough-in Appr/Sdwlk I
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Found.�ffp_�t� Plbg. Top Out Gas Lina �_lINAL
��oit/Beam struat. i San. Sewer Framing C
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Undac':loor Meter Line Gyp--Bd. Nph�
Date Roquentedt_- ? ~� �� Timmt AM PM
�t 2
Address:—1�1 C'�titer'? 1 r 1 Permit #t 1 - w�4 1.- ■
Builder=
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7.54 QJ-ZI.)Wit_
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Inspeaterrt ��� 7ili ��1�� Dates 42- 7 -4-3
APPROVED D15&PPROVRD APPROVED SUBJECT TO ABOVE
Call For Rei.nsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW [call Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bld .
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Poet/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water 'Line Gyp. Bd. -Mach.
Date Requeeted:� � � r �� \ I-__._Ti., AM PM ■
Address: ' i- 1.GA),A,'rA�1 1.h l Permit E:� U 2=-
Builder:__
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THE FOLLOWING CORAECfIONS ARE REQUIRED:
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Inelector: ��C "�-----•- Date:
APPROVED _ 1 DISAPPROVED - APPROVED STIR-'RCT TO ABOVE
C� V Call For Reinep.
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INSPECTION-NOTA
city or Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phons)e 639-4175 Business Phone: 639-4171
Inspection:_
Tooting Plbg. Uaderslab Neth. Rough.-in Appr/Sdalk
Found. Plbg. Top Out Gas Line FINAL:
Post/Bnam Struct. Sen. 8en:er Franing -Bldg.
Toot/Beam Hoch. Rain Dral.n Inrulation -Plumb.
■
Plbg. Underfloor Nater Line) Gyp. Bd. -Hoch.
Date Requested: _Times AH PH
Address-�-J W (-0--0-164N LA*,LI Permit 1:
Builder: CXY'.JCIA.ta. 1
THE FOLLOWING CORRRRECCTTIIONNS ARE REQU
IRED:: /eM �c
Inapoctor:_�/
—`APPROVED DI&APPROVED APPROVED SUBJECT TO ABOVE
emt
dp4 � call For Rain4D.
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jNSPP,CTION NOTTCF nL
city of Tigard Building Departowit tT�
13125 SN Mall Bled. Tigard, Oregon 97221
Inspection Line (Rec-O-Phone): 639-4175 Busineed Phone: 639-4171
Inspection: _
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Pl:unb. a
Plbg. Underfloor Nater Line ("Gyp. / -Hach.
L)... - 3 1
Date Requestedt ' Times AH –_—PN
Address: 1� _ 7 ^^ •
Permit 1: '
:� ) lJ 7 4
Builders
THE FOLLOWING CORR�.CTIONS ARE PROMPPr s
Inspector:
AFPMMD DISAPPROVED APPROVED SUBJECT To ABOVE
Cal` For Reinap.
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INSPECTION NOT19B /
City of Tigard Building Departaent /
13125 SW Hall. Blvd. Tigard, Oregon 97223
Inmpection Line (Rec-O-Phone): 639-4175 Business Phone 39-4171
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Inspection:_ Q ,
-ooting Plbg. Underalab Mach. Rough-in Appr/Sdwlk
7ound. Plbg. Top Out Oaa Lind \ FINALs ,
Poet/Beam Struct. San. Sewer _Framing ; -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Lina gyp. Dd. -Mach.
Date Requeetedt to C� - —Times AM PM
Address: ?71 ( ( � .�x�..y` �'6 Permit it LL
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Builder:�� -iUC � .� V � �
TBI FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Y A Date:�f l/ ,
FRONS DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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T�gPZON NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 57223 ' S:
Inspection Line (Roc-O-Phones 639-4175 Business Pho�e:6 9-4171 q.
Inspections.
Footing Plbg. Undernlu: Neirh. Rough-in Appr/Sdwl.k
Found. Plbg. Twp Out Gas Line FINALS
Posy./Ream struct. San. Bower Framing -nldg.
Post/Beam Koch. Rain Drain `In ulation) -Plumb.
Plbg. Underfloor Nater Line gyp. Rd. -Koch.
Date Requesteds Is✓ .Times __+AK XPM
Addresas �,J,1�� ' ��\X/t ^Permit 1s
Buildersvg tt'omt •t''� y
TBE FOLLOWING CORRECTTONS ARE REQUIRED:
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Inspectors / j �if Dates----��f
_—APPROVED DISAPPROVED -_ APPROVED SURJECT TO ABOVE
Call For Reinsp.
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p3PECTION NOTICE
City at T.'_gard Building Department
,3125 811 Ball Blvd. Tigard, Orugnn 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection: _ 1
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(footing Plbg. Underslab h. Rough-in Appr/Sdwlk �
Fonud. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer (Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Hach.
Date Reguestedt ( I i � Time: AH PH
Address: �_ 4wit ey-, 1/(tiy Permit I t ,
Builder: l\(-r.l l,ti� Iy r✓11 �F� -;`)n X17 '7
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TRE// FOLLOWING CORRECTIONS ARE REQUIREDt j
Inspector: �,1f ,---
Data?
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
d Call. For Reinnp.
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• INSPECTION NOTIC=
City of Tigard Building Department
j 13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 '
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Inspection$_ I
rooting Plbq. D eralab lNoh. Rough-\i�
Appr/Sdwlk
bund. ( 'Gas Line FINAL s
-
�,��,,�" Post/Beam struct. Ban. Sewer _ sg Ding � -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
1 P).bq. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: Tom: AN PM
/' ,tis �
Address: i 1( �' - i(.l� f l•" ci t'\ Pecmit M$ N�� ( `"r a`�yL
Builders
THE FOLLOWING CORRECTIONS ARE REQDIRED: 1 Cry
AIL
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C, /�.,�.� fin/'C OL - --
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Inspector: Dates-
APPROVED L�ISAPPROVED APPROVED SUBJECT TO ABOVE
For Reinep.
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City of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
!ns^9ction Lina (Roo-O-phone): 639-4175 Business Phone: 639-4171
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Inspections — —— _- - —
Foating Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out �O�—Ing
FINAL:
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Poet/Beam Struct. San. Sewer -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LineOpp. Bd. -Much.
Date Requested: 7 L
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Addreee: /_ ( 3 7// Permit
Builder: 1
TOO POLLOW[NO CORRECTIONS ARE REQUIRED: �-
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Inspector:
APPROVRD DISAPPROVYD APPROVED F"BJRCT TO ABOVE
,/ � ✓
Call For Reinsp. �
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NSPECTION NOTICE
Zity of Tigard Building Departaant
1.912'; 811 Ball Bled. Tigard, Oregon 97223 w
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 '
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr./Bdwik
Found. ��bg. Top out> Gas Line FINAL:
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mach, Rain Drain Insulation _Plumb,
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fPlbg. Underfloor Water Line Gyp. Bd. -Merh.
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Date Roqueeted:
Time: AM Pv
Address: _�/ /7 Pero'.t i s y d 3y-Z
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Builder:
THE FOLLOWING CORRECTION. ARE REQUIRED:
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Inspector:
[:ate: _
--.APPROVED DISAPPROVED APPROVED 9UBJECT TO ABOVE
g
C811 For Reinap.
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"' INBPT•CTION NOTICE
City or Tigard Building Department
13125 SA Ball Blvd. Tigard, Orerm 97223
ti inspection Line (Rec-O-Phone), 639-4175 ,Business Phone: 639-4171
Inspection:
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
I
! ..', Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Gr Plbg. Underfloor Water Line' z Gyp. Sd. -Meeh.
5` Dat. Reluested,_ f -Z 7J r 1 J rine: — AN �� pN
Address, ` -•�l�Yer. VLQ_ Pwrmit f:_ -1'3
5' Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspectors_ Date _C�
_APPROVED DISAPPROVED - APPROVED SUBJECT To ABOVE --
` Call For Rainsp.
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INSPECTION NOTICE
fx i' City of Tigard Building Departa`,wt
1.312S Bq Ball Blvd. Tigard, Oregon .`7223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 i
Inspection:
Footing Plbg. Onderalab Mach. Rough-in Appr/Sdwlk .
Found. Plbg. Top Out au Line FINAL:
Post/Beam Struct. San. Sew�r Framing -Bldg.
"4r Post/Beam Hoch. Rain Drain Insulation -Plumh.
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Plbg. Underfloor Nater Line rJ Gyp. Bd. -Koch.
Data Roquestedt AN Ali PH
IP Addregat i3' ( J11 �-l�u.fi��/`. LI�.I�u� Permit
Builder:
THE FOLLOWING CORRECTION8 ARE REQDIREDt
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Dates 40 30�1i
_APPROVED DIS4PPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinap.
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reatrterrt'ION NOTICE �
city of Tigard Building 97223
13125 ON Ball Blvd. Tiqard, Oregon
Inspection Line (Re -O-Phone)t 639-4175 Business Phone: 639-4171 '
Inepectiont
ror Sdwlk
looting plbg. Underelab Neth. Rough-in APP
Found. Plbg. Top Out Gas Line FINAL s
-Bldg.
Post/Beam etrua�✓
Ban. Sewer Framing
�'— -`�--- -olumb.
Boat/Beam Much.
1 Rein Drain Insulation
_ -Neck.
Plbg. Underfloor Nater Line Gyp. Bd.
Timet AM PN
Date Requenteds�l ` 1L
� - -
Address:
Permit
Builder:
THE FOLLOWING CORRSCTIONB AF3 REQUIRED:
AF
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Date:
Inspector:
APPROVED DISAPPROVED V— APPROVED SUBJECT TO ABOVE
7
✓ Call For Reinep.
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INSPECTION NOTICE
gni . city of Tigard Building Department
13125 BO Ball Blvd. Tigard, Oregon 97223
,' Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
/f -
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
et/Beam Struct. San. Sewer Framing -Bldg. ■
�crr a
fy}T lost/Beam Hoch._ Ra1n Drain Insulation -Plumb.
a6�4 ' Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
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✓y'4 aj ''r' �- i
6 �hf Date Requested: Time: AM PN
Address: 1 7 1 1 \ -ct, �. �S7—✓�- I.IJ PermitL--
"� J Builder: v l c , VJ�J�J U� \�� k-0
THE FOLLOWING CORRECfION3 AAE REQUIRED:
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I.:spector: Date:-'J I r
APPROVED DISALPPROVED _V APPROVED SUBJECT TO ABOVE
V/
Ca11 For Reinsp.
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INSPECTION NOTICE INRy9
City of Tigard Building Department
1.3135 BW Hall Flvd. Tigard, Oregon 97223 1
Inspection Lina (Rea-O-Phone)i 639-4175 Toinesso Phones 639-4171
Inspections ��
Plbg. Dnderal.b Hach. Rough.-in Appr/Sdwlk ■
Plbg. Top out Gas Line dINALe
Post/Beam struct. San. sewer
Framing -Bldg. ■
Poet/seam Hoch. Rain Drain Insulation
-Plumb.
Plbg. arfloor Nater Lin. Gyp. Bd. -Hoch.
� Date Re
questod: � ._� `�7 -Times ■
1 PM
Addr...t__l J 1(I �rtckye A ( . V'
Permit is
Builder, Ott t yk IJl'�r ( ._.6
THE FOLI.ONING OORRECTIONS ARE REQUIRED:
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Inspectors
Dates r9 4� ° _
LAPPROVID DISAPPROVED
�,. APPROVRD SUBJECT TO ADM
Call For Relnep.
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CITY' OF T Prt rl�i
� , COMMUNITY DEVELOPMENT DEPARTMENT t
13124 BW Mall Blvd.Tlpud,Orpon 9722398199 (403)439•4171 I iii 'c. I SSUE U:
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,,41 f'G.1,' I..I_UMEi S. . .::r WO-11 LCA LIN;.'. (f t ) .
FAN I N DDA J N ( ft) . . . . a tt1
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I':U11fl? #!t ,�,:t1 •�(u� -�i)l� $ i f5!(i. IC►�N YIV11��/c.,:/�/.;
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i .l,~ uiuris crntainuan in the Tir.;ardt�l�In.ir j.pa".
l+aat/tar.+nd Insp P�.t1.r1 drain Jr,
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cant to Pumt/'Deam Mechan HopF '_3dwlk ;nw:
Ii c.,?.'Cor'danue wcO. ail:pi'ilVi?kj (%i .1f±:6, 1!'1l !a 1-A 1k , 1.kiIu lclt.7 1,11.i o1vt.i1r.1i'Iuek1 1'-I
t r'•111it Will expire it work is not Started P4.A/Under°floor PlAMLI f':irlal
11.h i r, 180 d—k,J4i of i ; ,.-.ka nc..v oI- if. wu;- 1, J S I'Jecholl:►r_Ai ). .Gip j' ��
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11.)spenelltll:l For more •t Ilan J3175 drays. Plumb Top t:)1_tt E t cats i purl Cont).( i
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tOas Line
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
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13125 BW NNI Blvd.Tigard,Orpon 07223•NN (003)0394171 DWE C, „
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c i�'1t:.lxt.iI REV SL fi3(IL.K3..,_ _ ., . .. .._..
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s, c, e „ '''"7E~ 5 F LEFT. . :6 ft RIUFI c=+ PI
i YpE OF I:UN..+ :�N F I RST. . • . ,�_+c .
�Ci;UI='fiSVC'Y C:i1;; . :,ii:3 �3k:C:CJY,D. . . : ,• F ffl.lN1 : LQ' i t t7C.:AN. , :furl
.r'10R1E:a. . . . . , . : 1 THIRD. . , . :41 s F'
t : rE 1 C:,l-1? . , . . . . . , :27 1'L t 2c C, 51 ;;Md:1fiE b).:. ?V.f
LOOR LOCID, . . ,. g40 lis f VALUE. . Y « . $ : k l ti'l iG 'ARK I Au UF+F•ft:.'. S. Y : .iPUNLAINU
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:ry
t ,! L:R LLOSETE?. . : r li3E:W4 A L..i NE. t"-U . -0 GREASE TRAPS.
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Lli`fI l ! , .1:;. . :rir t: )pt:� amor�tiil: by F(lata r*'cC.p .
i %CiWt ! % VF.:N"I) , . . . . :+t 1 t� b 046171. (l0 JH 061r_5/s�3 �
t� ria! t`•1'�1� , !. Kt ff:,f« 50 1H IJV
MAX i.i'JiY�k.rr c>;i� LAI�• VE•YI'v? ?`�•;�a.�r. ,
'-URN { 11wrt4!K . . :0 1-IGOUE11. . . . . . : 1 NA.C:: 0i Wtiw9. @3 JH 111E+/c 5/'93
WOULS] .:vtt, . 13,-,Pr $ sr, t3 •.1}a 4�G
w LOUR FUkN. $ i=80. 4r 0 JH 06/25/'J.:3
( .ilt{': U(i�L:ii +`i li:a , I r �'if�1� $ w'+k+k10Ile, i13 f?Yl`/c:� r'3w.
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' GHS l_Ytr'{ LEI S: 1 PIP RT $ 4wi, 00 JH
t1•4 06 f ter'":9.. .,.
f1L:, 14?cl., i-IUMt-'HRL'Y' M5L"IC $ t«5 JH
;:it•6 1c'iI 14 I',G_! ..11i OL
13 j 1216
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v {l".�.36'°_1 SW 1 •11.1-.'.. NVi.'
4 TOTAL.
This' pertrlt Is ;%Avec subir7t to the regulations Contasned atr the - }iEUUll•I:I.1 IN ;PEC I IUNU
Tigird I+!'iffttipai �'co, a"tbt:r i,:iaitp Ludes and ail cater- C'uot/f•U+,Ind ltisp Fir0pla+r_e Insli
;Cabin laws. till Nc`� viii .:E uove it accoraance with app,uytd Post/11emim Stv-,.tt•t, Lias Line tnsip
a• '•ris perllit wiil exp ro if worst =, not stal°tea within 18,0 t're st 'LAF!ain 110-0C!I'raI Insi..tiat i.on Ins
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i'L 1/u iJter IL,.LtfUr Main r!rt11x;' LI
rtI ,.nnJ.') Wart eir Line lr,:
;,•, l=+i+_tmb Top C_Ittt; Appy^/Sdwllt 1:199
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CITY OF TIGARD SEWE ra COLWIj. :+_ . 1O1�
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COMMUNITY DEVELOPMENT DEPARTMENT i,.:Mr++.t"r » . . . . . . :
12125*W Hell Blvd.Tigard,Oregon 171112lH/M (502)MITI
,'ITE ADDRL S. . . : 13711 SW Lf'IURLN l..iv F'W1;CLI–s i :a 1 r11 ►rdrLl. F1�ari4,-'i`^
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CNAN7' NAME. .
A44 NU. . . . . . . . . . s F 1 X T'i.kL, !JN Y TS .
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,I..�6S OP WClHK. . . :taEW iiWLLL 1 N.', UNI')
SF NO. lel=• LAU(L.D J N66;
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t,yPH cdlllClurli; by d»nl:e r—c.pt
i..s'E15 SW 121ST AVi_ PRM F :4 c100. 00 A 0E+/w25/93 – F
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_ te.illa l til L i Nli i- c.L. 1 .11JNb __ ........
iifis Applicant agrees to comply witn all the runes and regulaticnt, 6 ewer- 1t1,,pler::t a an _
;f the Unified Sewage AyenLy. IN pewit erpir'e� I g Carl.:. fro"
►' re date issued. the total amount paid will be forfeited ,f the
;:ersit expires. The Agency dr,es I<ut guarantee the accuracy of the
Ae ieoer laterals. If the sewn' is no! !orated at the eeasu pr+enfi
,Lven, the installer shali prospect 1i feet -n all dirtcticns from
'.re distant- given. If ^nt so located, the snytaiier shat; purLtase
r `'ap and Slue +ewer" Fer'eit and the ti:r�v loll i la ,
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L:4s11 f'c4r' irisectiori 639- 417 25
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fcT;C';y4. 19r ,. SMt •n4f•.thf !d9:14�t 1^jl�bi ��K �".'i}Jii �t` y'".'!'Vr rF/' .,•+y +.tin yt t,r
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CITY OF TIPLNCK/RECT #G_
G-ARD PERMIT a ly1 Sf1 - 2-
COMMUNITY DEVELOPMENT DEPARTMENT 7; (503) Y9-4171con z) I
(503)639-4171 DATE ISSUED _
JOB ADDRESS: /. 7// S 4J 4( riTAX MAP/LOT
SUB: 11111131jr LOT: 2 -- LAND USE.
VALUATION: �?�5�,� — -
OWNER SPECIAL. NOTES
rE REISSUE OF:
NAME. a �� � d� _.. — -
ADDRESS: � S&,) LAST REISSUE: .--_
FLOOD PLAIN/
PHONE: ��YD 9�� __ SENSITIVE LAND:
i
CONTRACTOR
APPROVALS REQUIRED ,SL/t 139D -Dao
NAME: moose OQJ �ey. . — _ PLANNING: j�+� '✓ , SDG ,-,
ADDRESS: ._sem wi 4 S QLx.,r ENGINEERING:
FIRE DEPT:
PHONE: OTHER: _
CONTR. BOARD,ii: YC S?, fl ? EXP DATE: Z/- -�
7C q16 t
�i. t_�(� ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: F,, `,/e f ���� _ LIST/SUBCONTRACTORS:
MECH: _rl/r�e� e- 0 / �y ��a, BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: a r <.SCe2Cr _ TRUSS DETAILS:
ADDRESS: OTHER: _
PHONE: _
PROPOSED BLDG. USE:
COMMENTS: —
APPLICANT SIGNATURE
Received 13y: �. (late Pece_i ved:
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" PERMIT ACCT # DESCRIPTION AMOUNT AMOUNT PD. Bkl.. DUE
N?�t �Z 10-432. 00 Building Permit Fees
D w
10-431 00 Plumbing Permit Fees � /-013�
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building3
Plumbing �i13 w
Mechanical 2,Z� �
10-433 00 Plans Check Fee
0' 3'3
i
BuilAing a ; ofr
Plumbing
Mechanical �rZs
10-230 06 Fire
�Sc,lZQ3-CLW 30-202. 00 Sewer Connection —
30-444 00 Sewer Inspection — _
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 so
25-448-05 (lass Transit TIF Fees
I
52-449 00 Parks System Dev Charge (PDC) �' -5,�
! 31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL .15gl?, 4oZSu� �r –16
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CITY OF T I CARD RE._E I F'T OF PAYMENT RECEIPT NO. :93-24t684
CHECK AMOUNT a 5162. 41)
NAME a ROSEWOOD DEVELOPMENT CASH AMOUNT a il. 00
ADDRESS a PAYMENT DATE s 06/::'5;/9: � 1
SUBDIVISION
PURPOSE_ OF PAYMENT AMOUNT PAID PURPOSE OF POYME-N'f AMOUNT PAID
BUILDING PERM � 475. 50 PLUMBING PERM
162. 50 �
MECHANICAL PF 45. 00 ST. BUILD PIER 34. 16
PLAN CHECK FES 70. 33 SEWER USA 2100. 00
;EWER INSPECT 351. PARKS SDC; 500. 00
'-STORM DRAIN SDC 280. 00 RESIDENTIAL T RAr-F I.C FEES 1350. 00
MASE; TRANSI'C TIF FEES 110. 00
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LOT 20 HIL_LSHIRE
1.3711 SW LAUREN L.N
1"0701_ AMOUNT P'A I D _. _.. _ _> 5162. 49
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CITY LIU' T I GORD - RECEIPT OF PAYMENT REC;F''P'T NO. e93--24094
CHECK AMOUNT e 250, 0
NOME : ROSEWOOD DEVELOPMENT CO. CASH AMOUNT s 0. 0
AUDF?FSS .12385 S. W. 12iST AVENUE P'A'YMENT DATE a 06/04/9
SURD I V I S I f7N
T I GARD, OR
P'URP'OSE OF PAYMENT AMOUNT F,AID P'URP'OSE OF PAYMENT AMn(jN'T PAID
KLAN CHEf_:K F E. _—...... 250. 00
,
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$;x'50. 0'T P'LANCHE CK #6- 19P FOR:
13711 SW LAURE=N LANE, LOT #20
TOTAL ntlOUNT PAID 00
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