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CITY OF TIGARD BUILDING INSPECTION NOTICE
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,� 1 Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FI
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing
;i Plbg.Und/Flr/Slab Plbg.Top Out Insulation
Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. ■
San. Sewf r Gas Line Appr/Sdwlk Reins.
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Other:
Date:
Address: _ 13
i Tenant: -- Ste: _. MST:
J Con/Own:%/2/51 ,���9�11S UN _ MECIE
tS�Q PLM:
ELC: .1?
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: ��d' � Date:
.1CAPPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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11 ELECTR_
CITY OF TIGARD
MT
PERMIT I#: ECAL LC9�6I0;:0, '
COMIMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/14/96
13125 5W Hall Blvd.Tlgmrd,Oregon 07223.8198 (503)830-4171 PARCEL.: S 104BA-08 500
SITE ADDRESS. . . : 1375,3 SW LIDEN DR �
SUBDIVISION. . . . : CASTLE HILL_ #2 Z(;IV I NG: R-25 PD
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . : 120
Project Description: Installing one branch circuit for a 4ton air cond. unit.
--•-RESIDE:NTIAL UNP. t---- -- TEMP' SRVC/FEEDERS----•- -------MISCELLANEOUS-•----
1000 SF OR L.LSS. . . . : 0 0 - 200 ,.kmp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 ;.imp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
44
LIMITED ENERGY. . . . . : 0 401 - 6160 <amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/F'DR. . : 0 601+amps-•1000 volts. : 0 MINOR '_ABET_. ( 10) . . . : 0
I CE/FE EDER-_-_-_ _....___.BRAIVCFI (,IRCUITS-_-.--- -•--ADD' L INSPECTIONS———
Izi 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 �
2101. 400 ramp. . . . . . : 0 1. st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
()01 1000 amp. . . . . : 0 _._. _._._...._..__._._._.._._.__...._�'L(aIV REVIEW SECTION---.__.---.-_._-__---_..- -
1000+ amp/volt. . . . . : ) =4 RES UNIT;. . . . . . . . : ) 600 VOLT NUMIN^!_. . :
Reconnect only. . . . . . 0 SVC/FDR > - 211 AMPS. . CLASS AREA/`_'',EC OCC. .
Owner,: _____.__._.-•----.__._...___._....______...___.____.._..___.____.._._____._________ FEES --_
JUSI' IN WILLIAMSON type am0Unt by date r^ecpt
13635 SW LIDFN PRMT" $ 35. 00 CTR 06/14/96 96-•280609
5PC1 $ 1. 75 CTR 06/14/96 96-28+1609
1-IGARD OR ()7;2,.1
Phone #:
MCCALL HEATING & COOLING t 36. 75 TOTAL
1650 NE LOMBARD
REQUIR! D INSPECTIONS
PORTLAND OR 97211 WokI l Cover Elect' ]. Fi -ial
Phone #: 503-231-3,: 11 Elect, Service
Reg #. . . 102I�JO
This pereit is issued subject to the regulations contained in the
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Permittee Signature
applicable laws. All work will be Tone in accordance with
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for Bore
than !80 days. Issued B
Y
INSTALLAI ION ONLY--- --________-•_---.._._____.__.__._._.__.._
The installation is; being made on property I own which is not intended for-
sale, III o- rents
OWNER' S SIGNATURE:
INSTALL.-AT ION ONLY _. ....-----•--.___________.._____---___--
SIGNAJURE OF. SUPR. ELEC' N: O_C2.._ L.1.LGrf.1C�.ALATE:
1
L I CENSiE NO.
Gall for inspection - 6:39-4175
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Community Development Ek-ECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # ,L�-03Y:Z _
Date Issued -0 W,_
Phone (503) 639-4171
CITY OF TIOARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
■
Name of Development _ Number of Inspectlong, oer permit allowed
Address( JtLr \ C�_f 1 O� Service included. Items Sum
City/State/Zip�� \ �l Ccc� C 1�l 7 j 4a. Residential -per unit i
---'S"- 1000 sq ft or loss $110 00 _ 4
���r� .r ��.� \�`\curl`--� Eacheddlthere1500sq It or
Name (or name of business)
�. portion thereof $25.00 _ •
Commercial ❑ Residential Limited Energy $2500 — 1
Each Manurd Home or Modular III
Dwelling Service or Feeder $68.00 2 3
2a. Contractor installation only: i
4b. Services or Feeders
Installation,alteration,or relocation 1
Electrical Contractor frt�(%t.\\ E�teL\,r,< �`,�,ltilc) 200 amps or less $6000 ___ 2
Address n 1 C��',Y i r i` 201 amps to 400 amps $8000 2
—�——3 401 amps to 600 amps $12000 2
City�_i4.�, State i1 F_ Zip r1 �-� 601 amps to 1000 amps _ _ $180.00 2
Phone NoOver 1 1 Over 1000 amps or volts $740.00 2
Job NO
I-'
1 LI Reconnect only $50.00 2
1 _ --- —.—
contractor's license NO._ 1},, 1 ___ 4c. Temporary Services or Feeders
Contractor's Board Reg. Nop-J-� J ��' _ Installation,alteration,or relocation 2
Signature of Supr. Elec'n i,J• ,�% _ 200 amps or less 2
201 amps to 400 amps $50.00
License No. I LO f�_ Phone No._?_'31- ` 1_ 401 amps to 600 amps —'V $7500 2
Over 600 amps to 1000 vahs $10900
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name__--_._ New,alteration or extension per pane
Address a)The fee for branch circuits with
purchase of service or feeder lee. 2
City _ _ State Ztp. —_ Each branch circuit $5.00 _
Phone NO __ h)The fee for branch circuits without��
The installation is being made on property I own which is purchase of service or feeder fee
not intended for sale, lease or rent Eacir adeno cal branch
� $$5 00 7[ l
Each additional branch circuit $500
Owner's Signature_ 4e. Miscellareous
(Service or feeder not included) 2
3. P'an Review section (if required): Each pump o,Irrigation clrc'e $40.00 2
Each sign or r,ulline lighting $40.00 _
Signal circuit(s)or a limited energy 2
Pleas+ check appropriate Item and enter fee in section 5B. panel,alteration or extension $4000
4 o1 more residential units in one structure Minor L abets(10) $10000
Servi;e and feeder 225 amps or more
4f. Each additional Inspection over
System over 600 volts nominal
ClasslFed area or structure containing special occupancy the allowable in any of the above
as described in N.E C Chapter 5 Per hourInspuon $5500
55 00 '
Per hour S55 00
In Plant WS 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. $. Fees:
5a. Enter total of above fees $ ry J C7
NOTICE 5%Surcharge (05 X total fees) $ 1 ,'
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
rr -'
COMMENCED arm�ma��.,�,; u Trust Account 0
$ -T
Balance Due
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PERM1T
CITY CSF TIGARD DATE 15SULD:� 06/1 Ltl9t, 0180
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97.23&61Po (503)430.4171 1='ARCEL: 'S 104BA--08500
51 TE ADDRESS. . . : 13755 SW L_I DEN DP
SUBDIVISION. . . . : CASTLE h LL #2 ZONING: R--25 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1c:0
CLASS Of: WORK. . :ADD FLOOR 1-URN. . . . : 0 EVAP COOLERS: 0 a,
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :Al VENTS W/0 APPIL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 �
FULL TYPES --- ___.._._..__._.. 0-3 HI . . . . . 0 DOMES. INCIN: 0 ,
- /GAS/ / / ;3--15 HP. . . . : 0 COMML. INCIN: 0
1 MAX INPUT: 0 BI U 15-30 HP. . . . : REPAIR UNITS: 0
y
FIRE DAMPERS?— : 30-•50 HP. . . . : a. WOODSTOVE:S. . : 0 �
GAS PRESSURE. . . : 50+ 1-11='. . . . : 0 CLO DRYERS. . : 0
Nu. OF UNITS------- --- AIR HANDLING UNITS OTHER UNITS. : 0
rj F UIRN ( 100K 01-U.- 0 (- 1000111 cfm : 1 GAS OUTLETS. :
Q FURN ) =100K BTU: 0 > 10000 cfm: 0
i y Remarks : Installing 41cm air•• con(d. _(nit. � M,
Owner: ___.__.._._.___---.________.__._.._.____.....__..__......_.___..___..____._._._____._ FEES
JUSIN WILLIAMSON type amol.fnt by date recpt
13755 SW LIDEN DR PRMT +, 25. 00 CTR 06/14/96 96-280609
PCC I 1. 25 CTR 06/14/96 96•--280609
T 1GARD OR 972.'213
Phone #: '
Contractor:
MCCALL HEWING & CI.;OL I NG CO
1650 NE_ LOMBARD
PORTLAND OR 97211
Plh on e #: 503-231-3311. f 26. 25 TOTAL
Rei #. . . 102030
PE:QU I RED INSPECTIONS
-- -- -
Mis permit is issued subject to the regulations contained in the Mechanical Insh
Tiqard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or it work is suspended for more
than IN days.
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F 1 p r:1 i.t t e e S i g n a t r_(r a : .Gt_�l✓C.i_....___.�_.._.____ ._____ __.,__ ___.__�_�._ _____..._.___ _._. _
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Call for inspection - 639-4175
City of Tigard MECHANICAL PERMIT Pianck/Rec. # 9 C'��OY�
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13125 SW Hall Blvd. APPLICATION Permit # ,Y)L,-c,?6 c f yo
Tigard, OR 97223
(503) 639-4171
escnphon
r Table 3A Mechanical Code QTY PRICE AMT 1i
n
Job ?,"� �� �.� ' h F'kAe r l f�( 1) Permit Fee -0_ -0- 10.00
Addressw
t C v�i e C� f, �i' .7 2) Supplemental Permit 3.00 e
Furnace to 100.000
1) incd
,ducts&vents 6.00
umace 100,000 +
ct „�� 2) incl.duds 3 vents 7.50 -
Owner ... Floor Fumanoo
,. 3) imd.vent 6.00
Suspo wall heater
�»( 4) or floor mounted heater _ 6
vent not i in
Occupant 5) appliance permit 3.00
epav of heating.re ng.
6) cooling,absorption unit 6.00---
Boiler or comp,heat pump,air cond.
7) to 3 HP absorp unit to t00K BTU 6.00
der or camp,-Theat pump,air coed.
)I i�l 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor ,,,. ter or comp,heat pump,air co .
9) 15-30 HP absorp unit.5-1 mil BTU 15.00
T.N.. 6Aer or camp,heat pump,air coed.
r� t I1- <' 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
FroEy—a-Mi-owledgri that I have read is app icauon, t ei er or comp,heat pump,air cood.
information given is co"d,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted aro in compliance with State Air handlutg unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 ( .
that the number given is conGc, (if exempt from State registration, Air hanaling unit
please give reason below.) 13) 10,000 CTM+ 7.50
—- Non pot-table
1 I\ `�• cr_ \ ` C ` 1 14) evaporate cooler 4.50
Vent tan conneN;J
15) to a single dud _ 3.(10
Vendiahon system not
16) included in appliance permit 4.50
Hood serve y
17) mechanical exhaust 4.50
scribe word new U acklition a terahon reNWITT Commercial or industrial
to be done residential O non-residential(-1 18) type incinerator 30.00
-Tij—shng use of tner i.e.,w stove,water
building or property M_ 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or prope,ty
21) More than 4-per outlet _
Type of fuel-o1 O natural gas tJ LPG O electric Q
---WO—TICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,On 5%SURCHARGE ..'r
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED F-OR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS JOMMENCED. --
TOTAL
Special C-inrliitionsDate issued�- /3 �t�- -_ --by s.TS –--- _
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NAME D MMALL 1.1F.AT G NO A• C,1J(,}C....0 N(I t t4,)P t4,) 144011111 y
1�11'xl`►F Ft i r
1650 0 NEI 1.C1MNARD t-'1 I'v lyse P t 1 00 1 F r 06. 14
P13R FLAND C1R !�1,.)tt�i i i! ►c:i[111`1 » �
t�L.1FaF•.-►1~iC
OF PAYMEW f)MI.WIN I 1'dt 111 111J1'CII 0-1f 111 Oo l l I1 h1 I
fa.6 C'1 C�a 1(;NI i-1F ftt�l I.1_ `,. 6!t'; {•tf.I I tr ot•!i t:tii. �-4 '1. 11/t
ST. BUIL-L) PF 14 3. 00
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r CITY OF TIGARD GEROCCUPAC OF'
OCCUPANNCY
t COMMUNITY DEVELOPMENT DEPARTMENT F'EF: 111 T ##. . . . . . . : MST94 -'1445
I' 13126 SW Hall Blvd.Tlgrari,Or9gon 07223•0199 X603)b30-4171 DATE I SSUED s 07/07/93
PARCEL: 2S 10ABA--08500
S I TE ADDRESS. . . : 13755 SW L I DEN DR
SUBDIVISION. . . . a CASTLE HILL. il? ZONINGIR•-':5 PD
t DLOCK. . . . . . . . boll LOT. . . . . . . . . . . . . : 1.20
CLASS OF WORK» a NEW
TYPE: CIF' USE. . . a rF
OCCUPANCY GRP. a 03 Y
OCCUPANCY L.OAD a i:.28 4
TENANT NAME. . . :
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Remarks: PATH l
Owners
DON MCIRISSETTE
5000 SW MEADONS RD
SUITE 151
L.AKL OSWErGO OR 97033
Phone ##a 62-`0-7538
ContTact Ora -_____w._._._..__..____.... ._..__._._... ...._.._.._,.__..
DON MORISSE:TTE HOMES
3000 9W MEADOWS RD
SUITE 131
LAKE: OSWE:GO OR 97035
Phone i#: 62. 0.-.7538
Reg #. . . 35533
This f:ertafic ate c: ertifins thAt the above r•eferencecl building Or portion
thereof Inas h ren inspected for complianc sa witl-r the Tigard C.t_tilding Code
for the group atnc' division of occurmnc-y, and use for which L„e above
re!ferenc od pero i', was i.s succi, and occupancy is her-91:iy granted.
i EIUIL.f]1"JCj INSPECTOR �. t'UIL_DINC r1 -FJC 1*AL.
POST IN CONSPIC:U(7LJ": F4_ACE:
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CITY OF TIGARD BUILDING, INSPECTION NOTICE
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-417'
Inspection:
Sprink. Rough-in Appr/Sdwlk
Footing Susp. Ceiling
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL—
Post'9eam Mech. San. Sewer Gas Line -Bid
PI►-'g. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: �(� f� Time: AM PM
L ,uS`51� lei
Address.
Builder: Permit #: C 4"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J
Date: C
PP VED _DISAPPROVED APPROVED SUBJECT TO ABOVE
I
_Call For Reinsp.
' A MmMe•NwM.wv n...u.u.+...unw>arn.«w.Nw.,. ......... ..... ..............,w.ru.....—..
l.+
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 �\ ,
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer
Gas Line <- Id .
Plbg. Underfloor Rain Drain Framing .Plum
Alarm Water Line InsulationJ
�
Underflr. Insul, Shear Wall ecGya. Bd. -Elect.
Date Requested:_ Time: AM PM
Address: ( 3-] SS
Builder:
Permit P: �� S
THE FOLLOWING CORRECTIONS ARE HEQUIREG: Y"7, •Z„_
IS I
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Inspector. 11.- �l �1 Ate.- Date: C1
J
_APPROVED _ ISAPPROVED _APPROVED SUBJECT
-TO ABOVE
all For Reinsp, PJ 4.,-
I
5�i4&v r . 7.ti ...r.b.wr.wrwunar.Wapq�gM.ax7APLMnNRR
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CITY OF TIGARD BUILDING INSPECTION NOTICE •
Irlspeaion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in _ALS 1 .
Post/Beam Mech, San. Sewer Gas Line
Plbg. Underiloor Rain Drain Framing -Plumb. 0
Alarm Water Line Insulation ech, p
Underflr. Insul. Sher Wall Gyp. Bd. -Elect. U �L
Date Requested: f q7 L� _Time: AM PM
Address:_ C1r__1
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
qL
Insp,.ctor: �— �'`, �,� —�,--__" Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Ce'; For Reinsp.
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CITY OF TIGARD BUILDING INSPECTIONI
,Inspection Line (Rec-O-Phooe): 639 4175 BusinesPhone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: /
Post/Beam Mech. San, Sewer Gas Line 7
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Li ie Insulation �e-c- 1
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:_
_Time- AM PM
Address:
Builder: Permit #: 7 — d Lf_5 Z-
THE FOLLOWING CORRECTIONS ARE REQUIRED: �i + 7
v.
.
\ �,,�std �•�-�- _--
L
Inspector: (,�/L,�, •-� � Date:���"�
_APPROVED 2!QaISAPPROVED —APPROVED SUBJECT TO ABOVE
all For Reinsp.
1
_ I
j CITY OF TIGARD BUILDING INSPECTION NOTICE ,
Irispection Lrne (Rec-O-Phone): 639•n175 Business Phone: 693.4171
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Hough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Ala,m
Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Re uested:
q Time: AM PM
Address:
Builder: Permit #: �� ` �� -2-
THE FOLLOWING CORRECTIONS ARE REQUIRED: '�� Z
4: `p
c71
_ Y
Inspector:—�
Date:
_APPROVED APPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp. C p Q
t;
;ry
- CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (iec-G-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pibg. Underslab Mgch. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line •/
Plbg. Underfloor ? Rain Drain Framing Plumb./ l�
Alarm Water Line ? y1' Insulation T
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: S(r -7 I 1 S Time: AM pM
Address:
j
guilder: 07 � ? Permit #:
1 THE FOLLOWING CORRECTIONS ARE REQUIRED:
sc,,,,�
I� �„d�
C S c N o f
Inspector: Date:
_APPROVEDSAPPROVED wAPPROVED SUBJECT TO ABOVE
~ alI For Reinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (ReC-O-Phone): 639-4175 Business Phone: 639-4171 r
Inspection:
I "
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
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.
Date Requested•_ Time: AM PM
! Address:
9 Builder: Permit #:L9 4 — CA ^Z
THE FOLLOWING CORRECTIONS ARE REQUIRED: ( 'z CAt_"L_
view
� � ' `t-�.�_�{ Lam"'{'� • —
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Inspector: \./A/A� ._.__ Date:
_APPROVEDISAPPROVED�`APPROVED SUBJECT TO ABOVE
C" all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mecl. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Ele,.. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg,
■
I"
Plbg Underfloor Rain Drain Framing - umb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. 9d. -Elect.
Date Requested: 5 Time: AM PM
Address:_
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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nsctor. Date: _..- S
/ AePPROVED _DISAPPROVED _APPROVED SUBJECT TO A OVE
i _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in `Appr/Sdw k~
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 4
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect
Date Requested: I l i `� Time: AM PM
Address:_
Builder: _ Permit #:
THE F .OWING CORRECTIONS ARE REQUIRED:
y
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Inspector: �ate:
_APPROVED _DISAPPROVED ?S� PR
POVED SUBJECT TOABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE I
r,apdction Line (Rec-O-Phone): 639-4175 Buy,Bess Phone: 639-4171
I
Inspection:
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwlk
1 Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Pnst/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 4
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. -��
C /t"r ,
Date Requested: - /z Time: AMPM
Address:_ / 75-S1
(/ (/
Builder: Permit #: 7 ` 0 T-S
THE F LOWING CORRECTIONS ARE REQUIRED:
pev
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Date:
APPROVED —DISAPPROVEO�jPPROVED SUBJECT T BOVE
Call For MMM
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. 'dough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall �Bd. -Elect. 4
Date Requested: Js:�_�I `� _Time: AM _.&PM
Address:
Builder:
Permit #: �r�� ( ..��Z
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: L �L .4 Dater 2
APPROVED _DISAPPROVED - OVED SUB JE T TU ABOVE
�--� _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE J
Inspection Line (Rec-O-Phole): 639-4175 Business Phone: 639-4171 V
Inspection:
Footing Susp. Ceiling Sprink. Roh in Appr/Sdwlk
_ygFoundation Plbg. Underslab Ivlech. Rough-in i Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
■
Plbg. Underfloor Rain Drain 'Framing` - ? -Plumb.
Alarm Water Line ` ua ion ' -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requestod: /�. f .r Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _'Date: -> 22
_APPROVED DISAPPROVED �-0�ROVED SUBJECT TO ABOVE
> _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE!
1 ,
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
i Post/Beam Struct. PJb0"_Tp9Out�� Elec. Rough-in FINAL:
1
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 1
Alarm Water Line Insulation -Mech. ■
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:---Re 5
q l � Time: AM PM
Address:___
Builder: �� -
- � Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector/ Date:
�- APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
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CITY OF TIGARD - RECEIPT OF PAYMFNT RECEIPT NO. a9F,--; r,tiJ0t �<
NAME a SHOFMAKERI S PLUMBING C:NECR AMOUNT a 25. 00
CIDDRESG a CASH AMOUN'r a 0. 00 �
PnYMF:NT DATE
SUBDIVISION a a
PURPOSE OF PAYMENT AMOUNT PA I D PURE OSF OF PAYMENTPAID
�..._.. AMOUNT
25. Olb
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riF:IN8PFC:TION F=EE
13'155 SW L I DEN
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1*0T'AL. AMOUNT' PAID P5. 00
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rem O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct Plbg. Top Out 1, Elec. Rough-in FINAL:
Post/Baam Mech. San. Sewer Vn
-Bldg.
Plbg. Underfloor Rain Drain -Plumb.
Alarm Water Line -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ 7 ` Time: AM PM
Address:
Builder:_ Permit : �-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ZA 1-2
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APPROVED f PROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:-
9 —
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. �bg' op Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
AM PM
Time:
Date Requested: ; --
Address: —
Builder: - Z Permit #: S �'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: /,� .-c' Date: .,.5— P) r
PROVED L;--(5ISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab C M`h.RRou� Fireplace
Past/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer CasLine�� �tiC 11�1dg. r
Plbg. Underfloor Rain Drain Framing-- -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp Bd. -Elect,
Date Requested: c� c"�3 �1� Time:--AM PIA
Address: -_3 75 5
Builder: 7 I — //3 S Permit #:
'sr THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectdr � — Date
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
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_ CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: .
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alam Water Line Insulation -Mech.
Underflr. Insul, eefty� GYP Bd. -Elect.
Date Requested: S Time:[[ AM _PM
Address: ) -7 `7 5 ��, IL �
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
_APPROVED _DISAPPROVED �-APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
,~ Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk �' F9tr5x
Foundation Plbg. Underslab Mech. Rough-in Fireplace �1�1p,���'
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Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
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Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain �;�I
9 -Plumb. �• 4 � ��
Alarm Water Line In I
/ sulahon -Mech.
■
Underflr. Insul. hear Walj , Gyp, Bd, -Elect.
Date Requested: v�A IL' A/ S z: AM PM
F
Address:
M Builder
Permit t1:
i' THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: %(n✓
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' k —APPROVED _✓DISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 V�
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ Time: AM __PM
Address:
Builder: _Permit
THE FOLLOWII'.G CORRECTIONS ARE REQUIRED:
(13
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Inspector: _2 L Q 7 ��
Date:
_APPROVED _Oef5rSA PPROVEEDD _APPROVED SUBJECT ,O ABOVE
For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 \V r
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plb . Underslab Mech. Rough-in Fireplace
ost/Beam Struc Plbg. Top Out Elec. Rough-in FINAL:
t-150-st/Beam Mech�an. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Sher Wall Gyp. Bd. -Elect.
Date Requested: i l -/,,5— _Time:--AM PM
Address:_ Zj S �j W L"
Builder: Permit #:94 4SZ'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'6
Inspector: v ` t'�–� il_. —� Date:
_APPROVED _DISAPPROVED W/APPROVED SUBJECT TO ABOVE
Call For Reinsp. E'
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INSPECTION NOTICE
City of Tigard Building Departnant
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
I
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. �8jf^-y t Framing -Bldg.
Post/Beam Mach. KEMEMTRIA Insulation -Plumb.
Plbg. Underfloor Gyp. Bd. .-Muc
h.
Date Requested: ( f �� Times '��'A1 PM
Address J 1 �� v� 1�1� Permit� s
Builder: /),' I cJ If•- G 4
THE FOLLOWING CORRECTIONS ARE REQUIRED: i`;'
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Inspector: i
Date:
PROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
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MEET-10" NOTICE
Cit? of Tigard Buildioy Departaent ," #
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-0-Phone): 639-4175 Business Phone: 639-4171
;3
Inspect i.on:- '—
ootin Plbg. Underslab mech. Stough-i.
J►ppr/Sdwlk
,s Gas Line FINAa.s
Plb
cf nd.-` q. Top Out
r
Post/Beam struct. San. Sewer
Framing -Bldg.
Insulation -plumb.
Post/Boom mech.
7.
Rein Drain
<. -Mach.
Plbq. Underfloor water Line Gyp. Bd.
T Lme s AN
«' �p Data Aequeetods
1 t
Permit Is1
Address:
Builder:
TBE FOLLOWING CORRECTIONS ARL REQUIRED: --y--
Inspector: Date:
.�_- —�------ --�
APPROVED DISAPPROVED C- -*PPROVF.D SUBJRrT TO ABOVE
Call For Reinsp.
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PER1111 #. . . . . . . N'L-- I-r14--04' 2
CITY 4F TIGARD DATE ISSUED: 12/21/94
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 1``4BA -�Dfi wi00
511~95&W.H.0 aMiJy.rd,Oropon 072M@610 L(rxoa)d30.4M
SUBDIVISION. . . . : CASTLE. HILL #i' Z ON I N R--25 PI) �
BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . . 120
13-7-55 S- L � .a
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYNE: OF USE.. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW r r E:VNTRS. . : 1
OCCUPANCY GRP. .. .-R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . « . . . . . . . . . . :
67URIE.S. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH
FIXTURES- -__._.._._.__.._____._ LAUND!<Y TRAYS. . . . . . :0 SF RAIN DRAINS- - : ]. �
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . .. 3 OTHER F I YTURLS. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : i RAIN DRAIN (ft ) . . . . :0
I
Remarks : PATH I. ACCESS TO SITE VIA SCHOLLS FERRY RD ONLY. DO NOT ACCESS FR04 '
UWNER: _. __._____._._______ ________.____
_.__.____.___..___._____F"EES_____________..__..
DON MORISSE.T"i'E SWM $ 1.00- 00 JF 12/21/94 -
5000 SW MEADONG RD SWM $ 180. 00 JF 12/21/94 - l
SUITE 151 BPRT $ 6+95. 50 JF 12/21/94 -- f
LAKE OSWE.GO OR 97035 BPLC $ 452. 08 . 12/13/94 4
Phone B5"-'C $ 34. 78 JF 12/21/94 �
PARK $ 500. 00 JF 12/21/94 _
F'l1Amhing Contractor°:-- __.__.__.____._ _.. MPRT $ 45. 00 JF 12/21/'')4 -
MPLC $ 11. 25 JF 12/21/94 -
Namr. � �M���^ "
- `\'1`'�'Y`'��,� �"11111.1� IMSPC $ c:. ��,., JF 12/21/94
--
(address : kC) r v`(- _ ` '. ,. _ JB"fl! $ 225. 00 JF 12/21/ 34 -
City : LS ► Stater. Q14 ,``,,_ P5PC $ 11. 25 JF 12/21/94
Zip:_ ,'1_�JZ. F honelF: (ci :_724 .... EROS $ 88. 00 JF 12'/21/1)4 -
R e q fl : shown . . .
Wd d i t i o rt a l fees n a t
RFGUIRED INSPECTIONS
-
1"his permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Frain drain Insp
Cade, State of Ore. r;pecialty Codes and :all Post/Beam 'Struct Water L-ine 1nsN
other applicable laws. All work will be done Post/Beam Mechan Appr/5dw1k Insp
in accordance with -i,jproved plans. TI-ii5 Film/undslab Insp Mechanical Fina
permit will expire if work is not started PLM/Underfloor Plumb Final
within 1.80 days of issuance, or if work is Mechanical Insp BlAilding Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Wtr Proofing Bs i
` Fireplace Insp Crawl Drain
Gas Line Insp Ftg Drain 8sm1t
Insulation Insp
h y p 1.1 o a i cJ I n s p
r a z e d '1 U m b t• C o rt t r a C k or- S i gnat u r e
for inspection - 239--41.75
Contractor Notes:
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13126 SW Hall Blvd.Tigard,Oregon 97223.9199 (603)939-4171 "
PERMIT #. . . . . . . : MS1.94-04` ,,
i 11 1. DATE ISSUEDs 12/21/94
PARCEL: 2S104BA-06500
SITE ADDRESS. . . : J-37'5 SW L I D1=t\I DR
SUBDIVISION. . . . : CASTLE HILI_ #2 ZONINGS R-25 PD
' BLOCK. . . . . . . . . . . . .
120
----------------------------- BUILDING _________________-_-_-_-...__-____-_--.... .. .
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
F" BATHS:3 GRGE. . . . . . . . . . 155
lllRMS:: Bf
OOR
I
REQUIRED
TYP OF CONST. :5N FIRST. . . . : 1408 s LEFT. . : 18 ft RIGHT. :7 ft
OCCUPANCY GRN. :R3 SECOND. . . : 1617 s r FRONT. :20 ft REAR- 14121 ft ■
ST"OR I EE . . . . . . :2 F I NBSMENT s 0 s f RE:QU I
HEIGHT. . . . . . . . s28 ft TOTAL--- ---:3025 S SMOKE DETECTORS. :Y 1
FLOUR LOAD. . . . :40 psf VALUE. . . . . $ : 204546 PARKING SPACES. . s1
Remar-ks: PATH I. ACCESS TO aITE VIA SCHOLLS FERRY RD ONLY. DCI NOT ACCESS FRI) !
PLUMBINr
SINKS. . . . . . . . . . : 1 FLOUR DRAINS. . . . :0 BACKFLOW PREVNTRG. . : l a
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE "('RAE='S. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISE::'. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF" RAIN DRAINS. . : 1
-- MECHANICAL
------------ FEES _____________.
FUEL UNIT H'rRS. . :Il1 type amount by date rer-:pt
/GAS/ / / VENTS . . . . . :0 SWM $ 100. 00 JF 12/21/94 -
MAX INPUT:@ BTU VENT FANS. . :4 SWM f 180. 00 JF 12/21/94 -
FURN ( 100K . , :0 HOODS. . . . . . : 1 BPRT $ 695. 50 JF 12/21/94 -
FURN ) =100FS . . : I WOODSTOVES. :0 BPLL $ 452. 06 . 12/13/94 -
FLUOR F-'URN. . . . :0 CLO DRYERS. : 1 B51PC $ 34. 78 JF 12/21/94 -
BOIL/CMP ( 311P-0 OTI-a1=R UNITS: 1 PARK 1> 500. 00 JF 1 ::/21/94 -
GAS OUTLETS: l MPRT ! 45. 00 JF 12/21/94 K
Owner-: --_- ---- ------___.---_______._.___..___.__._MPEG. 9 11. 25 JF 12/21/94
DON MORISSETTE M5PC b 2. 25 JF 12/21/94 -
5000 SW MEADONS RD 313TH 1 L_�25. 00 JF 12/21/94 - 1
SUITE 151 P5PC $ 11. 25 JF 12/21/94 -
I-AKE OSWEGO OR 97035 EROS $ 88. 00 JF 12/21/94 -
Phone #: 620-7536 ERPC $ 28. 60 JF 12/21/94 -
(;ontr•act or-: _-______.__-__._.___.._.._._____.._____---ERPC >r ='8. 60 JF 12/21/94
DON MORISSETTE HOMES BPLC $ 235. 08 JF 12/21/94 ;
5000 SW MEADOWS RD
SUITE 151
LAKE:. OSWEGO OR 97035
Rhone #: 620-7538 t
Rey #. . : 35533
2f_,37. :39 TOTAL
This permit is issued s.biect to the regulations contained in the -- -- - REQUIRED INSPECTIONS ---
Tigard Municipal Code, State of Ore, Specialty Codes and Foot/found Insp Fireplace It1sp
applicable laws. Ali work will done in accord � prove Post/Beam Struct Uas Line Insp
plans. This p%sit wiil expire work is n rted wit Post/Beam Mechan Insulation Insp
days of issuance, or if worl� is su ays. Plm/undslab Insp Gyp Board Insp
FILM/Underfloor Rain. dr-ain Insp
Permittee Signatut-e : Mechanical Insp Water Line Insp
Plumb Top Out Appy^/Sdwlk Insp
I .i s d B y ; Framing l tr s p M e c.h a n i r a l Final
ry�'jrX
_ r '°awow :.
. �r�y"+allF^9BI�"�"" ,' �yY�!g��m�.,�,"'•!► „gyp,
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CITY OF TI �';ARD
SEWER CUNN!:I::;T I(]N
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT r
13125 SW Hall Blvd.Tigard,Oregon 07223.8190 (503)030.4171 PERMIT #. . . . . . . : SWR94--040f
DATE ISSUED: 12/i_'1/134
PARCEL: 2SiO4BA-08500
SITE ADDRE,55. . . : 13755 SW LIDEN DR "
SUBDIVISION. . . . : CASTLE HILL #2 "ZONING:
I BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1c0
TENANT NAME.. . . . .
USA NO. . . . . . . . . . . FIXTURE: UNI"rS. . .
CLA'3f3 OF WORK. . . :NEW DWELLING UNITS. . : l
TYPE: OF USE.. . . . . :SF IVU. OF' HU I LD I Nti9: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . :
Remarks: PATH I
(3wner, --.______._.._.____._.__.___._.._.._.«_«.___._.._.___ .__________._..___..._...._ FEES
DON MORISSFTTE: type amol_[nt by date recpt
5000 SW MP'ADON S RD f-" MT $ :'20121. 00 JF 12/21/94 _
SU11E 1551 NSP ��=
1N�1- � "::"x. 00 JF 12/21/94 —
LAKE OSW[_GO OR 97035
1-.11-h o n e #: 620--7538
L"ontractor:
CONTRACTOR NOT ON FILE:
Phoiie #f: $ Ei-35. 00 TOTAL
Reg #. . :
r
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from y
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the --
side sewer laterals. If the sewer is not located at the measurement ~---_
niven, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, thea r T P chase
a "Tap and Gide Sewer" permit and hp ncy wnsta lateral.
Per•mi ttee
I w s u[e d B y ; _..........
Gall for inspection — 639--4175
1
1�
Residential Building Per l nit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address:
E i I 1 t C office Use Only
Subdivision: /
c.• PlancWRec#
valuation: «t7 J U --
Permit #
Owner: 1M1 Yl IY1 L ''4', 1"1(';YYLReissue of
fY
C: , r
Address: �� �' L� 1.' I� L('l ��1�L� e ,I`�>I t�Aap &n ,
iA
/ Approvals Required
Phone:
Piannin f -t�• r r r
Contractor: ��(!C ti"1'll .� C ,'� Engineering
Address. Other
1� Items Required
Phone:
Subcontractors
Contractor's License #
(attach copy of can gnt Oregon license) Truss Details
Syy
a
w.
Subcontractors: r
to _
t
r
Plumbing: ��_( C'1'1 '1
Mechanical: Y 1 ( _ .1, ti , 1
(attach copy of current OR-Contractor's Li nse)
Archito-VEngineer.
Address:
Phone:
COMMENTS:
plicant Signature & Phone number (�
Received by: Date Received:,,,_
o
Permit # Account Description Amount Amt. Pd. Bal. Due
d ,S�
a Bldg. Permit (BUILD) 4&.•S0 �—
Plumb. Permit (PLUMB) c;.Z
Mech. Permit (MECH) `f •"`
State Tax (TAX) b•� 3
Bldg: y y .-S3
Plumb: J . L
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech: / Z 5 —
Sewer Connection (SWUSA) � Z"�✓
Sewer Inspection (SWINSP) 3 3 ice_
Parks Dev Charge (PKSDC) Syu `"v
Storm Drainage Chg (SDSDC) `� — — 2
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) --
Industrial TIF (TIF-1)
I
Institutk)nal TIF (TIF-IS)
Office TIF (TIF-0)
3�1Ry (WROW b
U y a f�/r—
C a T PIC—c�ti
TOT/d-S:
I
l
I
r �J
F
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. ��J,
Tigard, OR 97223 }/v,
(503) 639-4171 r -
ro
Jobsite Addres//s��F-53'-Y ") "-fir L)) ;�
Subdivision: l.(.SL�t �1 G-Lot# [ ,)_ Office Use Only
Valuation:
Planck/Rec# -
Corner Lot? Y N Permit#,,/-
Flag Lot? Y N Reissue of
Map &TL
Owner: ApprovaIs Required
Address:
Planningf
, ,' i �.l•i Imo,) .;,;. 114L- ,
�4�c' (-)ty- Engineering cle
Phone: 41-5 �� Other )
c
Contractor: J 1� 1' C '`) C1Jx Items Regulrad E
Address: Subcontractors
Truss Details
Phone: - Other ! / /.-''j->✓,�. L t :7
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone: jL"ftp , "7
c : ice L Ge _ L"J t J
Subrontractors: Arch ltect/Engineer:- 1vj' C: U-Ly-
l l YY
Plumbing: 1L 1/ �C i��_� b�r �' Address:
Mechanical:-R-) It ' ) .
1 (attach copy of current OR Con ractor's t_icens ) l
Phone: ��r>L' ,7 22�i
v
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: Date Received:
N 1WORDTOMOMRESAPP
1 11 N,,dt 4:NwoAd,. r
PItN t
B
f'k
Permit# Account noscription Amount Amt. Pd. Bal. Due
/Jf f -00 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) s
Mach. Permit (MECH)
State Tax (TAX) '-Y _ 4/y,2-Y
Bldg:
Plumb:
Mach: L `4
'
n II^
Plan Check (PLANCK) 4
Bldg: L a fi
Plumb: ��r;•/ a
Mech:
,
Sewer Connection (SWUSA) �9�� X''
C
Sewer Inspection (SWINSP) J.)
Parks Dev Charge (PK3DC) SU o
r
Residential TIF (TIF-R) / 1_
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
i Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRI`AT)
Erosion Planck/USA (ERPLAN) �.
Erosion Planck/COT (EROSN) � ' �� o
TOTALS:
,
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1111,V21,
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R
C;edit No: r
Gate Issued: December 1994
ice.• �\ •
MAFr`-IC IMPACT FE=
CREDIT VOUCHER �
!n acccrdance Wl,,h th2 I rc'ffIC Ir pcCt/=fie
ed to ar'C�l Matrix De've1c.oment Corporation
is ertltl one In l raffic ln,:act;ce C P
'edits„ at can b2 applied to T IF cr5arges
•„ cn lots) Ea-;3i cf the ^ 'l �' No. 2 •
�,aslle I r'l! Ceve/cFr art. The use of
TIF c-edits
ar-•subject to the rules and limitaticr/s of G7e TIF Ordinance. WARNING: ,
This vcuc'Pr
rrrLst 62 Presented at tl�a tine of/ e the ,r
ssuanc of ° ilding Perl,7it, or if
Was granted issuarce of a,'J defar;al
%s �parlc r' rrlit.
MATRIX DE✓--Or^MENT COFPO,.A TION ' e-Y assi ns all i
title teres er_ g t_ right,
and lr res in and to thlat cer+
lair, TIaf, l 7,-act Fee Credit edit fo be granted
:". LICon the Issuar7ce Of a buildir7r, r,?lf fcr LCt- 96
CASTLE h'ILL NO. 2 subdivls%cn, -
Wasl ;r_tcn Coon,y Or��on, to the order
or:
TI^is ass rll;lert cf Tra`ro lr-�a�',-Ge
d Y isrlade arrd given this`I
e' of December ;9 94
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an G;egcn Ccrycratio�
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Title or Pcs%tlor
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