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C'ERTIF'ICATE Of:
CITY OF T I GARS
OCCUPANCY
PER141 T #. . . . . . . I MST95; Ah 1,,,i9
COMMUNITY DEVELOPME,,T DEPARTMENT DATE ISLUED I 09/27/95
13125 SW Hall Blvd.Tigard,Oregon 97k23@,P1gg (503,a39-4171
PARCEL: 2911214BA...09000
_jITE ADDRESS. . . s 13877 SW LIDE"N U1,
SUBDIVISION. . . . a CASTLE HILL #2 ZO-NINGiR--,?5 PD
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . . 125
CLASS OF WORK. PNEW
TYPE OF USE— ssr
OCG' PANCY GRP. -R3
OCCUPANCY LOAD.-22'4 4
TENANI NAME- -
Remer (sa PATH I
Owner.
ON MORTSGETTE
5000 S=AW MEADOWS RD
SULTS 151
LAKE OSWEGO OR 97035
PhOT)e #1 6.2`0-7538
Contractors
DON moRissrrTE HOMES
50047r SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035
Phone #t 620-7338
Reg s 3515333
Thin f. (..-v,t if irate j f ies that the abovp k'ef ererwed bui Iding or' Pori- ion
thereof 1-jas beer, iw?pected fry,- "OlnPliaTWe with the Tigard Bl'.kilding Code
for the gV"(1UP) and division -)f Or.-CLIMAnCy
ref eren(.-�ed permit wjAs which the above
and 0C. ereby 14 a n t q d.
BUILDING INSPECIOR ---------
BUILDING OrFICIAL
POST IN CONSPICUOUS PLACE
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CITY OF TIGARD BUILDING INSPECTION NUITICE l��
r' Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspect;on:
<<` Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk��►4'
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Bearn Mach. San. Sewer Gas Line 's /
Plbg. Under loor Rain Drain Framing -Plumb. Z/1
Alarm Water Line Insulation Mec / ■
Undertlr. Insul, Shear Wall Gyp. Bd. -Elect. q/I�
Date Requested:_ _ ` �r Tirne: AM PM
Addre
Builde. Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
17 9-
Inspector: yy — Date:_/ ' 7
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
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--Call For Reinsp.
1 CITY OF TIGARD BUILDING INSPECTION NOTICE
I Inspection Line (Rec-O-Phcne): 639-4175 Business Phone: 639-4171
USA-
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in App dwlk f
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam StrUCt. ''Ibg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line a) -
Plbg. Underfloor Rain Drain Framing ` -kl►+ �
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. -LIect.
l,' Time: AM PM
Date Requested:, Z(r' 5
Address:- / -7 7 7 `���".... —
Builder: _ Permit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: —
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mspe^tor Date:
_APPROVED _ISAPPROVED `APPROVED SUBJECT TO ABOVE
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a INSPECTION
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NOTICE
CITY OF TIGAHU BUILCSIN
-O-P hone): 339-,,175 Business Phone: 639-4171
Inspr;tion Line (Rec
inspection:--------------
S rink. Rough-in At)pr/Sdwlk
Footing Susp. Ceiling p �
Mech. Rough-in Fireplace
Founda'ion Plbg. Underslab
Elec. Rough-in FINAL:
Post/Beam Struct. Plbg, Top Out Gas Line -Bldg. a
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Post/Beam Mech. San. Sewer um
Framing
Rain Drain
Plbg. UnrJertloor -Mech. ,fl
Water Line Insulation x ■
Alarm -Elect.
Undertlr. Insul. Shear Wall Gyp. Bd.
Date Requested:,— �' 1��� l
Time:__AA!
Address: G
Permit #. q -?
Builder: _ N
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Date:
I spector:<' _
PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
�/ Call For Reinsp.
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i CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Spink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab N ech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL;
Post/Beam Mech. San. Sewer Sas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr, Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: /��' �� Timo: AM PM �l fir' ►,
Address:
Builder: Y 1' 15 Z--Permit A:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE j
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/'3eam Struct. Plbg. Top Out Elec. Rough-in FINAL:
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. ect.
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Date Requested: f Ti A PM
Address: / .39 -7
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Builder:. Permit #:95--L/)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: ^ A Dater
_APPROVED _DISAPPROV PROVED SUBJECT TO Af3�VE
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CITY OF TIGAfiD BUILDING INSPECTION NOTICE �-�. •,
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639 4171
Inspection: k'
Footing Susp. Ceiling Sprink. Rough-in App
r/Sdwlk
Plb Underslab Mech. Rough-in Fireplace
Foundation 9
Post/Beam Struct, Plbg. Top Out Elec. Rough in FINAL: a
Post/Beam Mech. San. Sewer Gas Line Bldg. ;
Plbg. Underfloor Rain Drain Framing
-Plumb.
Insulation -Mech.
Alarm Water Line
Elect.
Ui+derflr. Insul. Shear Wall �:
TimeXAM PM
Date Requested:
Address:
Builder:
Oermit #: --� `�
THE FOLLOWING CORRECTIONS ARE REQUIRED: '
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Date:
Inspectjr.
APPROVED _DISAPPROVED r',�PPHOVED ;fBJECCIT`O ABOVE
b __Call For�rieinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE t 1
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 �J
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Sough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg, a""
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mech. ti
Underflr. Insul. Shear Wall
-Elect
by .
Date Requested: ' '� �'=�
I / �� Time: AM PM
Address:
Builder: — _
Permit #: 1.
TI IE FOLLOWING CORRECTIONS ARE REQUIRED: `
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Inspector. Date:
_APPROVED � SAPPROVED _APPROVED SUBJECT TO ABCVE
&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. Under3lab 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 , t glation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: .7; I i. Time: AM PM
Address:
Build(r: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
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_APPROVED DISAPPROVED PZAPPROVEDSUBJECTTOAF3OVE
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 \�►J
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnderslabMech. Rough i Fireplace
Post/Boam Struct. Plbg. Top Out I/Ij Elec. Rough-in IM FINAL:
Post/Beam Mech. San. Sewer Gas Line -7/211 -Bldg.
Plbg. Underfloor Rain Drain FraRiin Plumb.
Alarm Water Line Insulation -M(. I
Underflr. Insul. Shear Wall x Gyp. Bd. E ct.
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Date Requested: �TCe Time: AM PM
Address: L 3 -7
Builder:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
AN%ks pc
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Inspector: 1 Date: �l
`APPROVED _DISAPPROVED 0RPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE w
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: }
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk "
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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. t 1.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
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Unoerflr. Insul. St ear _ Gyp. Bd. -Elect.
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Date Requested: ��-2� ( �/� Time AM PM
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Address: — e• ,r� `
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Builder: Permit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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—APPROVED _DISAPPROVED OVED SUBJECT TO ABOVEJL
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CITY OF TIGPF,, BUILDING INSPECTION NOTICE l( \ I
Inspection Line (Rec-O-(-none). 639-4175 Business Phone: 639-4171
Inspection:_ _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in F replace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. S,n. Sewer as Tin e7) -Bldg.
Plbg. Underfloor Rain Drain f=raming -Plumb.
Alarm
ater Line
Underflr. Insul. Sh.
ear Wall Gyp.Bdn Elect
Date Requested: ��� Time: AM PM
Address: �_ j cQ 1
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Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Insp ctor: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OFTIGARD BUILDING INSPECTION NOTICE
, r Inspect')n Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk +'.
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/team Mach, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Fram;ng -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Sh-iar Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
-,
Address:,)/
Builder: a- Permit #:(:�C C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Gall For Reinsp.
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DING INSPECTION NOTICE I
CITY OF TIGARD BUIL
Inspection Line (Rec-O-Phone): 639-4175 Business Phone- 639-4171
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. ewer Gas Line -Bldg.
t
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: r� (� r� Time: AM PM
Address: _7 2tl y
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Builder: —Permit q: � _' __- IS,J
THE FOLLOWING CORRECTIONS ASE REQUIRED:
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Date:
I pectora
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—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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Community Development ELECTRICAL PERMIT APPLICATION ■
13125 SW Hall Blvd.
1
Tigard, (DR 97223 Planck/Rec. #
Permit # L L C -t Y 171 1_ ,
Phone (503) 639-4171 Date Issued <
FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175 _
1. Job Address: ��� 'n S�� t'1f'�9 4. Complete Fee Schedule Below:
Name of Development1y SF Number of Inspections per permit allowed .
Address Service included Items Cost(ea) Sum
City/State/Zip � C,�' � �J ?i'.� • 4a, Residential- per unit 4
1000 eq It or lose :110 00
Each additional 500 act if or 'ss I •
;Jame (or name of business)_ portion thereof $25007•V[/ 1
Limited Energy $2500
Commercial❑ Residential R _
Each Memd'd Home or Modular 2
Dwelling Service or Feeder $6000
2a. Contractor installation only:
4b.Services or Feeders �
Installation,alteration,or relocation 2 i
Electrical Contractors I E 'Ilk ej 200 amps or less 5e000 2
Address 8Q'Zt) -,,jr
201 amps l0 400 amps —^ $2000 2
401 amps to 600 an{n $12000
City �jQ[�t(QTtDri State_)C _ Zip c c 4,2 601 amps to 1000 amps $ls000 2
Phone No. Over 1000 amps or voila $34000 2
Contractor's License No, J Reconnect only $5000
Contractor's Board Reg, Ng. 4c.Temporary Services or Feeders
/ Installation,alteralion,or relocation 2
Signature of SU r. EI �---��. 200 amps or leas $5000 2
g p —� 2
201 amps to 400 amps $75 00
License No. 3_S .�_ Phone No.��),%/ �j[�/z� 401 amps to 600 amps $10000
Over 600 amps to 1000 volts
2b. For owner Installations: see'b•above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per panel
Address n)The fee for branch circuits with
purchase of seryke w feeder fee. 2
City _ State Zlp Each branch circuit $500
Phoile No. _ h,The lee for branch circuits without
The in.tallation is being made on property I own which is purchase of servke or feeder tee. -- 2
First branch circuit $35,10 2
not intended f0. Sale, lease or rent. Each additional branch circuit $5 Uu _
Owner's Signatui a 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or vngeb $40 00 2
Each sign or outline ligg circlehting $4000
Signal circuit(s)or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel,alternbon or extension $4000 _
4 or more residential units in one structure Minor Lnbels(10) $10000
Service and feeder 22b amps or more
System over 600 volts nominal 4f. Each additional inspection over
_ Ciaisifi,d a+ea or structure containing special occupancy the allowable in any of the above
as described in N.E.0 Chapter 5 Per inspection $3500
Per hour $5500
In Plnnl $550f)
Submit 2 sets of plans with app!ication where any of the above
r apply. Not required for temporary construction services. 5 Fees:
1.
NOTICE So. Enter Intel of above :nes $ CXR
5%E,-charge(05 X total fees) $
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 it rs,11uired(Sec 3) $ _
A PERIOD OF 1180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Account N $
Balance Due $ �� C
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CITY OF" TIFIORD RE'CTIPT OF PAYMV::NT RE'.CEIPT NO. t93--267499
CHECK AMOUNT 168. 00
NAME; a CITY ELFCTP I C: R 131JP1 --1,-Y CASH AMOUNT s 0. 00
ADDRESS a 10014 SW CANYON RI) PAYMENT DATE t 06/30/95
! PORT-IJIM), OR .3UBDI V I S I ON s
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
II EL,Fr,'*F'R1'C:Al_ -AE.RMIT_... ~W—~ 160. 00 OT. BUILD PE'R__ ._..._. ___—. _...H. QI4?►
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1 ,"-3,8777 SW I_I DE.N DR
i TOTAL AMOUNT PAID
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CITY OF TIGARD BUILDING INSPECTIONI
NOTICE
Inspection Line (Rec-O-Phone): 635-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
F atkm- -`� Plbg. Underslab Mach. Rough-in Fireplace
�fpSUBG=.$ruct. � Plbg, Top Out Elec. Rough-in FINAL:
st/ ch. 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: (D -5 -55 Time: AM PM
Address:_1, � �
Builder` ) `r Permi?# �S- L-)1J`-�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:- /&& _ Date: r
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_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
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 APP r/Sdwlk
Foundation Plbg. Underslah Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. eSenp r Gas Line -Bldg.
Plbg. Underfloor r Framing -Plumb.
Alarm r L n�O Insulation -Mech,
Underllr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: r -)'-�/ -5- Time:
� PM
AddressCSI.:
Builder: � �-
- Permit #: �`D-� '�5- �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
V
Inspectoi" / S
Date:_., L ,
PIPPROVED `DISAPPROVED __APPROVED SUBJECT TO ABOVE
_ Call For Reinsp.
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'r. CITY OF TIGARD BUILDING INSPECTION NOTICE ( � r
Inspection Line (Rec-O-Phone); 639-4175 Business Phone, 639-4171
Inspection:
noting �; Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
�Fonndation / Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line
•Bld,.
Plbg. Underfloor Rain Drain Framing -Plur ib.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: l z
Time: AM PM
Address: r
Builder; Permit #:
THEFOLLOWINGCORRECTIONS ARE REQUIRED:
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Inspector: D ate
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CITY OF TIGARD
nATE la5UED: 0x/13/1
COMMUNITY DEVELOPMENT DEPARTMENT F,ARCE:L : aI04DA All'3001'2
131 1■YV M lbd.
Tigard,Oregon 97223*81 OR,..(so d C�171
SITE I�ff�L •. ,._.��.
:"sUBDIVISIC3N. . . . . 141 LL #2 ZONINOs C? ::` Cin
I3L.001:. . . . . . . „ . . , OT. . . . . . ... . . . . . . .
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CL'YJJ Or+ WORK,. 7N17W tJ���R.BAGL: D1 SPO:.Al...r. . : .I
TYPE OF USE. . . . 3 cF WA:SHING MACH. . . . . . . 31 BACK.-LOW PREVNTRs% s 1
OC:"1 XIANCY C ,;G . . :r33, t"L 11OR C.-r I1V`>. . . . . . . ..0 TRAP . . . . . . . . . . . . . . .k�
STORIE`S. . . . . . . . .2' WATER HC':ATE RS;. . . . . . : 1 CATCH BASINS. . . . . . . :0
C'IXTURES_. ........._----.---. LAUNDRY TRAYS. , . . . . ;0 O1= RAIN DRAINS. . . . . : 1 �
SINKS t'REAaE TRAf," . . . . . . . 10 r
LAVnTORIES. . . . . .3 OTI-Irn C'TXTUC?L"r,. . . . . ;0 i
TUB/SHOWERS. . . . : E)EWER LINE (ft) . . . . :0
WATC Tk CLOSETS. . -.3 WATER I_I NF` (f t j . . . . : 14'�� ■
DT!7)HWA SHCPS. . . . : 1 RATN DRAIN (ft ) , . , . :0
PATH
DON MC]P V7)rE:TTL_ G6:!'1 t 1 B;2�. i!,0 );
3000 OW MEADOWS RD SWM $ 100. 00 B 05/t 8/95
SUITE 151 P`'I'?T a 4"76. 010 11 05/U.1/1)3 ._
LAKE' Cl WE:.GO OR 970 3C BPLC, �F 310. 70 ,W 04/07/95 95-263939
Phone #- r.i?m 7528 n5pc $ &--*3. ')0 S 2151118/0155
BPLC 50. 00 B 05/18/9 -
P1 umbiny Contr act, a1 _.._ rnP111 # SW. 00 B 05;1,3,'1:1:,
" �\ .�� Mp'RT ffi 43. 5 B ��5/1Q/9rs
rJa7R)C `. � fdF'L.0 1, Ill '-r.'l L� 05 18/9N
Addr ` Mrt'1C
zip : L p3Q- ��-� F'Sf�C 9. 11. 215 a 05/18/958
)I ` Addit icma fko,{i nt)-', 5t}rovin t'i,.l a .,
REDU,RED INSPECTIONS
Tt:'i ; P eY-mit is i.,s'(cc1 t 1_1b,jer:t to the i eq...
r.(lations c:ont.lined in the Tigard Municipal Footing Insp Insulation Insp
(:adc-, State of Or e. Opecia.ity Ccd(i rl and ,-all "oundFtiorr. Tnsp Cayp Sward Insp
other applicable laws. All work will be clone Cost/Beam Strut-t Rain dv-ain Insp
wil'11 r?c".)vov'?13 glans. Thiti P0czt/EkEl,l11 Me+`11,411 Wa tel' 1..1.A-w In5I7
permit w-111 expire if work 1s not started Crawl Drain Water Service In
within J80 days Of i53uance, ov i. r , o;—k i :; P1.m/un(.lslatJ Irl-.5P Apps/Odwlk TnSp
suspended for mw1^p than 180 days. PLM/Underfloor Mechanical Final
MP(:h.ani(:al Insp rlr_lrnta 1 incl
Plumb Top 0,-it Buildir)W Final
f i .AA,Ainq InsC:, Er'o-.;� i on Control
( ',iveplAc:e TnsF:1
GaE L.i.nAa Tngp
.)rizc AmbiI, C:rAr ture
for' i (', o e c I.: i.o A,
C:nnLy'actor' Note:.:
'i,yeAe�kl ?a,�i1i�I�r'ihlh�S,4;ant+>_. ., ex y'#VA;4P�'n�;E,`��;+1�,� yr 'n , .• ,, .. /
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CITY QF TIGm RD _ MASTER . . RMI
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/10/95
13125 BW Hall Blvd.Tigard,Ornpon 97223.6199 (503)639-4171
i 1
PARCE'i._ : 7)10 4'ISA- 09000
C I TC Ar.r RE S!). . . 17 G 7 SW L.I DCN DR.
SUBDIVISION. . . . : CASTLE )HILL ill ZONING: R••25 PD
SLC 5X1. . . . . •. . . . . . LOT., . . . . . . . . .
BUILDING
n'.:;;ISSU1-. DWELLIMG UNITS: 1 1]A aEhlCi`iT. . . . . . . :4'.1 sf
CLASS OF WORT:. :NEW BED RMS:4 E3f1THS:3 GARAGE'. . . . . . . . . . f
TYPE Or USE. , . .15F 1-ti.00R faC�[
Ur CONST. :5N FI RST. . . . :769 s f LEFT. . : 17 ft R I GIAT. :5 ft
',C;Ular•�f Y onl% :R.3 SECOND. . . :701 r !'"RONT. :1''171 ft REAR. . :4'1 ft
a'f'OR.IE:S. . . . . . . .2 FI14BEMENT:0 f REQUIRED
Gt;T. . . , . . . . �+ f t TOTAL_ _._..- : 1.701 �;f ^1111 DET EL TOR. . :Y ■
�.., FLOnR LOAD. . . . :40 psf VALUE', . . . . $ : 1171 3C j PARKING SPACES. . : 1
f emal kr.,. PATH I !
_.__._ ..__......_.._._..__,_...._._.....__......... .. .. _ ._ ._...._._..__... r'LUMSING
731N; t_. . . . . . . : 1. FI-..C7OR OPPINS. . . . :0 BAC:KFL f1W
L.AVATORICS. . . . . Y WATER HEATERS. . . „ 1 TRAPS. . . . . . . . . . . . . :0
LAUNDRY 'TRA`i a. . . :41 CCI I CFI 1"I" IN`,. . . , :121 l
.:ATE R CLOSETS. . ;3 SEWER LINE (f't ) . :0 GRE=ASE:' TRAPS. . . . . 30
-;I aHWASHE Pc3. • . . 41 WATFr2 LINE: t F': ) . : 1Q)0 OTl IE.'R f`1.XTURE S. . . . . .0
,ARDAGEW DISP. . . . 1 RAIN DRAIN (ft) . :0
1114C MACH. . . . 1 5r' RAIN DRAINS. . - 1
.......__._...._._...._... Mr'C HANICAL _ ._ _. ._.. _ ..._.__. _. ._.. . __..._ _ F'CES
i t UNIT Irn R!". . :121 t�jP(, amclaint ity 1aUEL
GAS ! / VENTS .
. :0 SWM t; 180. 00 B OS/13/15
AX I NP UT:4"_I BTU iFAN"I. . 4 OWM +1 IV 14?1. Ill D 0x/ i 2. ,'r30
'r"URN ( 100M. . . ; 1 I IOl7f1'i. . . . . . . 1 BPRT $ 478, 00 B 1211.5/1.8/95 -
FURtJ ? =101711; . . :121 tJC?OD Tt�VC".' 171 Er't_C 14'. '712+ 0W 1711+/47/95 95
r'LOC7R FURN. . . . :0 CLO DRYE:RS. : 1 k�5PC $ 90 9 1715/.i8;'rJ" -
001L_/(:Ml < 3)II' : 71 CJT'i!_-R UNITO: 1 rpl..l, 1 154). 3 i0
CCC. OUTLETS. 1 PARK 500. 00 S OS/10/95
Owni�?r ; _ ..... _-.MPkT 43. x;1'1 S 1713/119/'17
r.0N MORISSFTTE 11PLC: 1121. AF.1 S 05)i11a/95
`:,04 >z1 OW MEADOWS RC' MOF'C' 8 T' 0S;13 +.;i
)'UITF= 1S1 BTH •E ;7'2'5. 00 B 05/1.8/95
_.ili OSWErGO OR ')7035 fi'3Pll s 11. 1271 P 1715/18//3'.;
G"�cIne 0 : S20 7;1 sl] CRC).^, $ E14. 00 R 00/113/90 ..-
r ►lt;r^c;i:tJr" : C'RfC t '0. L34'1 f1 0: /1i3/")`
_._. 1
ON ' ORISSE TTE` Hf?MFwE3 ERR'C $ X17.1. 80 11 0,1/1A/r?!')
,171I()11 ;3W I'tt"F�DOWy" r.
iJI7C. 151 "r
Al{✓`: OSWEC't? OR
'none t!:
f,c_'21-7�r3fn
>; 2-1.741, 01 "r0TAL
lis il is issued sul,!ect to the reou;atio- -ottained it the - - PEOUIRCD INSPECTION: -
':leard Municipal Carle, state of Ore, Spv-ialtp Codes it all other rnct inq Insp P11.1mb Tap Olaf
rplicobie laws. All work ii he done in a zvdar:: wit:, approve] f"o1_ind.at ion Insp r
FaminU Ina,p
ions. 'his persit will explirp i f work is tl:)t =tai-ted •lith, !RA Str k.lrt Sir-eplar.e In�,p k
.ays of issuance, if wol•r, i. for r"o:,t/Beaim Mechar Gays Line In ,p
01-.zin Insl.lation Tl .: n
Tn,,p GV 13o,ar.ri lo -.. ,
PLM/I..Irlcier,flrncrr Rein dv,aln In -
�_ Wat,er Lirtn tr,
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SEWER CONNECTION
CR
CITY OF TIGARD PCRMIT #!"'... . .'• s SWR95-0152
COMMUNITY DEVELOPMENT DEPARTMENT DATC ISSUED: 0'1/18/95
='t
13126 SW Hall Blvd.Tigard,Oregon 07223.0109 (603)639.4171 "
1='f-1RCfrl_; c.c3104Bf1-09000 �
SUBDIVISION. . . . . CASTLE HILL #L ZONING; R--GC PD
� I3i�OCK^_. . . . .. . . . .
�...__...,___....,_LOT._�.'.._.�......w...._..........: ICS-�..----.....__..----.__._.._-._...____.___..._ _._ ._..__.._._...
TF':h,iANT NAME. . . . . .
U&1 NO. . . „ . . . . . . : rI XTURE UNITS. . . :
CLAOS Or' WORK. . „ ,NEW DWELL I NG UPJ I-f^. . - I
TYPE OF USE. . . . . :GF• NO. OF BUILDINGS: 1 �
INS-Tt•:L.1,_ " Y'S''F_. . " . :SUSWR I htf.'E`11V Slir1F`ACC:. . _ : r,F
1�
fie rnark sa : (-"'ATN I
iOwner; - --....._._.w,_.___...._ __.,_.__._..__. ._._ ....._......_._._..._.___., ...... _._. .,.._____._..._____......_ FEES
DON MORIar"i.TTC type amount tsy rdati? recpt; �
? 5000 OW MEADOWS RD PRhIT ;:'200. 00 D 05/1n/95 -
SUITE 1;_,1 i hlrr' t ,3 5. 00 0 05/10/95
LAKE OSWEGO OR 970-1:
P '
CONTRACTOR NOT ON r I i_."
(-.'h on e ,i , 'b 2 1'.:.35. 011 TOTAL
Req if, . . J
REQU I RED INSPECTIONS
__..__. ._.
This Applicant agrees to ronply with all the rules and regulations E;ewer Ins>I:rel_tion
of the `Jnifie; Sewage Ager-y. The permit expires 183 days from
the date ixsued. The tots; amountl __,.._.._...___._._.».__._._..__.__...—..
paid will be forfeited if the
permit expel-es. The Agency does not guarantee tF,e accuracy of the
side sewer laterals. If the sewer is not located at the measareRent
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Ta;, and Side Sewer" Pereit and the Agency Nill instal; aterai,
"4
/--1
143 S is a ti i, .�___.__ _ ' /_— _. . ..
for- infpec.tion 630,-A1'7r,
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7N'N�C�VP»7iY;.42 .. .�nnt4fM4w0.Ws.'>xrM'+�+W�s"<tlsWlk�raw.`y'%^d�riN!'aY.ri?�w+nnnr,..,,•., ._.,._
Residential Building. Permit ARPlication
City of Tigard
13125 SW Hail Blvd. 5 HCl
Tigard, OR 97223 I �J
(503) 639-4171
Jobsite Address: [-:�-->L' /-) �y � 1� ,� y" \ 1_.�`( •
,� Office, Use Only
subdivision: %���VLLot# - > ■
Planck/Rec
Valuation: r/ , Z 3.,�. l
Comer Lot? • Y N Permit#
Reissue of
Flag Lot? Y N
Map&TL # Z:5 1 Qi-t b A ' 09 OW
caner• 'DOQ F'10c1`SSP_7 +ipMeL), IN • Approvals Required rk
Address: 5
0M fW M9qkM1S RD- t5M 151 Planning - -
Engineering
a, Phone: �O�U " �•�'J�J� Other
Contractor. Items Required
Address: Subcontractors
Truss Details
Phone: _ Other Y
Contractor's License # �J55 33 e1l�•
a. (attach copy of current Oregon license) 201
Contact Name & Phone: �
15 '
Subcontractors: �y Architect/Engineer:
pco�lumbing:`3k4 ;RF1 INI(EY—S �.0 i B I IBJ Ca Address: V196d. 5 S1 • I�j
Aechanical:-XI CLV N ry —T$•1 t�_ �..�rl'(E (� C7< q O 35
(attach copy of current OR Contractor's License) —�
Phone:
x
JOB DESCRIPTION:
;r
t Applicant Signature & Phone number
Received by: Date Received:
N%VKMD%COMOEV W E WP
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�.._.- e....._ :: _. . ,... ,.a.,.aM„wr;.,,,. ,«rig.,..,,_... -. _..... .._ ,..-,..,..w.,...w,a..,,.,,MrvFtA!�'rsMaw�6lflMr�R•+q.
Permit N Account Description Amount Amt Pd. Bal. Due
IS Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECN) ?l 3 )�•/
State Tax (TAX) ' � 3
Bldg: 3• U
Plumb:
Mech: /
■
Plan Check (PUINCK) S�/ 2 �.� �-Z�••s�j
Bldg: J/0• U t Sv sz ! a#L15-263�5(1
r
Plumb:
Mech: �' :.:.......: .. .. M
Sewer Connection (SWUSA)
SWR J.. .... _ . ._ •..._.__..... Z,_U`�
Sewer Inspection (SWINSP) _ i .3 ) /
Parks Dev Charge PKSDC
'7 ( ) .. ...._..w ....._.. _..._..:o... .-.._._ _. . Imo'-• " .
Str.)rm Drainage Chg (SDSDC)
Residential TIF MF-R)
Mass Transit TIF (TIF-MT) --
�, �.,.,. . Commercial TIF MF-C)
Industrial TIF MF-I)
institutional TIF MF-IS)
`"y ”— Offlce TIF MF-O) _ _ f '
(' :•...:_ _. _ Water Quality (WQUAL)
Water Quantity (WQUANT) ��
--Fire District ' (FIRE)
Erosion Cntr1 Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) 0� /
Erosion Planck/COT
TOTALS: L' �Z' �'� , U
:. 'Aii` •.v., ••� .�t;.f1ii� ,•t. ,�irry, • r•.�t!. 'iiri•,' Zit' iiia, ,, t��QCC'.. 'i.
I :=4,4,ir i' •��_�:::!';,y4�3�F .: �.=0:!:.:':::5 i :_ �id'•�j,•: ...tS'�,to ��¢ !:r!�•;.'t:..s��1 ,,. .L,..:t� tl,�(,;, i::�''�:�`'
%% t tt�.:,�i�f l:�:' `_! _{tt,..��SS{ '''' ,�t 1. i.�1•.i3f%.,. :� �•7df'�'s=•i%%!' ';1� `���S.Ssijr,, ;��,�:�,;.
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Credit No: �ti
;r'r,• Date Issued:
L' _
•:..;. TRA!r1C IMPACT FES
CREDI7VOLICHER
In accordance with the Traffic impact Fee Ordinance, Matrix Development Corporation
is entitled to 1 550 in Traffic 1npact Fee Cradits that can be applied to TIFcharges
on lot(s)6d-131 of tha Castle h'i'll No. 2 Develcpment. The use of 77F credits "'`•rf
ars subject to the rules and limitations of the TIF Ordinance. WARNING:
N� i77is voucher must be presented at the time of issuance of the 9uilding Permit, or it deferral
was granted issuance of an Occupancy Permit.
MA T r/X LOFME,VT CORPORA iION hereby assigns all its right,
title and interest in and to that certain Tre,,"ic Impact Fee Credit to be granted
ti •;tib' upon the Issuance of a building permit for Lot
1-25
CAST L=HILL NO. 2 subdivision, Washington County, Oregon, to the order of
DON MORISSETTE HOMES, INC.
5000 S.W. MEADOWS ROAD
•j'• SUITE 151
t LAKE OSWEGO, OR 97035
This assignment of T ra"!c Impact Fss C,alit is rade and given th" j
day of 1995.
r%:'tom MA T RIA'DE'VELOFMENT CORPORATION,
aa- eyon ''7rperation
Title or Position
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•�:'.'. 'i .';f!•�•�.�,,, ,�i.y.
44 •�•i�: ii%f:i9i'.•;�iii�i�:• ;�fi it ;ti '+_���: ,:fi i'p•ir;i ji .•f::i�;,
tib:• •: Ss�;t • a:• ;? di,:••;.?` ,� :•!•'
,�1•••4;r, •''jf3• Sig%.�'j�i� =i!�! ••'tfi}iii�i�r.�?��Pi� �i`!, '•'iiiiSSi.�;..,,�iC���i=! '%a.SiS�•;,i ttt�l��i�' `'tti S .ti's• ,''%'i•rY�� %'
p,...;.T •1,i..,,.. ,!•••��Ii •;�i,•i�:S• ' .•,•,•�•,_• •;•�•i ." ;,,':..•.�! i,.,rr•,, ,;....,.. •, ,.�r„S.7!���•J�;••+t.' ,•;i1;;..
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lil •1., _ .. � 1�1. -lam,�'1 ��.;.�f{
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CITY OF TIGARD -- RECEIPT or PAYMENT RECEIPT NO, s9a-E!~'SE ;ia � + •
CHECK AMOUNT : 4026. (61 f
11IAMEr DON MOP I SSE T•TE;. HOMES INC . CASH AMOUNT o 0. 00
�CnT)RF:SS : PAYMENT :TATE : 05/1.6/95 I
15000 SW MEADOWS RU S3TE. 151 SUBDIVISION c
1-AKF. OSWEGO OR 9703',-.--
oURPOSE OF PAYMENT AMOUNT PAID PI IRPOSrE nF PAYMENT AMOUNT Pry I D 1
1 �
r+Ull_UING�PERM MBT�lS-�i1159 _••..•4'78, 00 Pl_L.IME�INTi-.C'-ERM. �. 2
23._00 ( I
NEC HANI CAL PE: 43. 0507, ST. BUILD PER 37. 33
1--'-LAN CHECK F+ 121. 58 SEWER USA E1WFZ9t:i 0152 8201A. 00 I _
E"WE:R INSPECT 15. 00 PARKS GnC X00, 00 �
tiRO QUAL.ITY FACILITY FEE 180. 00 H1 0 [QUANTITY FACILITY FELE: 10W. X710
1 R(7Li I C)N CWCINT RCIL. PE i�of i"L r:F.C: ' 4. 00 EROS I CIN CONTROL PLAN UK P0, t-10
C ROS I ON CONTROL. -'0« f:►0 "
t. t S W 1-11)4,N DR
;.4-r i , HILL. 2 LOT
(C)TAL. AMf7UNT PAIq - > G4 cE,. 01
1
1,
LI•T'Y ()r: TIGARI) - RF.C1`iF''r Cal" T'(IVMFN1' RF:CE:IF''r NO. 6,vk ,-) i
C:HFw.CK fimn.INT : 750. 00
NAME a DON MOR I G9F'I'T'z 1-iOMEci AMOUNT s 0. Dpi
lattl)RF Osi s `i01�1Ch q%%, MEADCIWEi RD. 5 -1. 1 K'A'1ME.Nr DATE 0f�/V�7!r�`:, l
i L..AKF 0914Ci(:1, OR E11-1s])I V IS I.ON s
9703`.5-
F,UFIPOl3E: OF PAYMFNT OMOLINT PAID F'urivic 4 of f',f')YMF.'IST AMOUNT PA I D
1 ..__._.._...r_.._. _. _.•.. ..�._.. � _ _._.._ .._... .._.. _ .._ __._..._.. . _... ......... _
I''I..r1r,1 CHECK F'F 4•- 16FZ 750. 00
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13877, 1.382:3, 138151 I W L I DEN OR.
�4-16R, 4-17R, F, 4-18P
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