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CITY OF TIGARD BUILDING INSPECTION NOTICE LL
Inspect;on Line (Rec-O-F,,,,ne): 639-4175 Busirnass Phone: 639-4171 '
. Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
Foundation Plbg, Underslab Mach. Rough-in Fireplace A
Post/Beam Struct. Plbg. Top Out Elec. Rough-in Flt
Post/Beam Mach. San. Sewer Gas I_Ine
Plbg. Underfloor Rain Drain Framing -Plumb. r
Alarm Water Line Insulation
Underflr. Insul Shear Wall Gyp, Ud,
Date Requested: (,o Time: AM i _PM �.1F�}, ;
4'.�
Addr;ss:�_
Builder: Z `� , `�j .1'� Permit#:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
ti
11010
Z 1 s ujlr yyi
1 1 •;,ir tir I''F;W
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Inspector:
�� Date:
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CERTIFICATE OF
CITY OF TIGARD PERMT f #OCCU. . . .. . sYMST95 0243
COMMUNITY DEVELOPMENT DEPARTMENT DA i C I SSUED s 01/12/96
13125 SW Hall Blvd.Tigard, Irpon 07223.3190 (503)039.4171
Pc�r+'CF�I_ : ��S1��rt3A_..¢17�0►Q ,
iisTE ADDRE"J". . . a 140,.0 13W L_11:1;N OR
SULA' IVISION. . . . : CFSTLE. HILL_ #2 Z0NIN0aR• 12 PD
i
SLUCK. . . . . . . . . . it L01.. . . . . . . . . . . . . : 1.07
i CLASS OF WORK. aNEW
TYPE OF' USE. . . :SF
OCCUPANCY GRP. a 5N �
OCCUPANCY L.DAD s Z!
Remalrk 5 : PATH I
(-lwner.A �._.._.... _._.__.. .... . _.._ ..__..._........ _,,.. _._._..
ICON MOR I SSEI'TE
'3000 5W MLADOWS FAD
r I._AKE: OSWEGci OR 970-,5
I1hone #a 620-7538
Contractor:
LUN MORISSETTE HOME,
3k"I00 ,W MEADOWS Rid
I
SUITE 151
LAKE OSWEGO OR 970,30
i Phone #a Ei :0-7538
Reg
I�I
-Chis C;errtific:.aite grants OCULIVATI:.`y of the I,PfF enred k,uild' ny ur Dortiw. i
f!-IaItlecif and confirms that the bl-tilding has been insperted for romplianLP wifh
the : tate of Oregon Spec:i. :+.lty Codes for they 'grr,1.IF, ur r_l,.Irlane yr asci uee under
which the I•efer.F;n ^ d pe!r,nit wasp is+auted„
LUILDING INaPEC;TCIR ` 8 L.UTNf3 01. ICTAL
POST IN C ON>:P T C'UC1t.IC Pt.r;i .
4`
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CITY OF TIGARD BUiLDING INSPECTION NOTICE l�1
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 U"
Inspection: _
Footing Susp. Ceiling S.xink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab M-ch. (lough-in Fireplace
Post/Seam St Litt. Plbg. Top Out Elec, Rough-in
Post/Beam Mech. San. Sewer Gas Line - Idg. . ..-
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. Elect
Date Requested:1/M7,l(, _Time: AM —_—PM
/r
Builder: 2 7 y S Z z 3 r'ermit At:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: — Date. % _i L
J _APPROVED KISAPPROVFD —APPROVED SUBJECT TO ABOVE
_X-1II Frr Reinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6.39-4175 Business Phone: 639-41 11 1
Inspection:
Footing Sus
p. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab
Mesh, 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. s
Underflr• Insul. Shear Wall
Gyp. Bd. -Elect.
Dale Requested:
Time:__AM PM
Address:
ti ilrin. Q�
- _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
--— - `E--��--4.- k s CC
Ir air,ctor: _� �J
-- - _.___---- Date: � �►
/APPROVED :SAPPROVED `APPROVED SUBJECT TO ABOVE
C%l Call For Reinsp.
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tt-�+ 'i• CITY OF BUILDING INSPECTION NOT "r +�" h,
`
4 •,` Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 y
c�
Inspection: �I
I r.t ' •,r � Mt�� �
Footing Susp. Ceiling Sprink. Bough-in Appr/Sdw'k
Foundation Plbg. Underslab Mach. Rough-in Fireplace
yf
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/9earm Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water—_ Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 1 Z c���I� Time: AM PM
■
Address:__
Builder: Permit#:_
THE FOLLOWING CORRECTIONS AFF REQUIRED:
, I
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Ingpector:2K/1�z Date:
�PPROVED _DISAPPROVED _APPROVED SUBJECT TO A OVE
_Call For Reinsp.
I �•
_ CITY OF TIGARD BUILDING INSPECTION NOTICE
Ipspect on Line (Rec-O-Phone)- 639-4175 Business Phone:
6'1%41710
Inspection: _ 1v� \
opting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk toxo
Foundation Plbg. U iderslab Mea. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL
Post/Boam Mech, San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing `Plumb. %1/(l
Alarm Wate, Line InsulationMec .
Underflr. Insul, Shear Wall Gyp. Bd. ILA� - ct,
Dare Requested:_ -1
/. /�_Time PM
Address: / L{ L3-:1 C^ I-z
Builder:
Permit / 71-- C',
THE FOLLOWING CORRECTIONS ARE REQUIRED: ]
Inspector:
_AF PRC)'!ED ISAPPROVED _APPROVED SUBJECT TO ABOVE .
Call For Reinsp.
i
1 -
F
t
- 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
Fcomdition Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plhn up 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-
1 /
Builder: _ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUiPED: Z 2-
_ 1
1 r•
Inspector: ^�_
- 1 - -_:Date 1 � ,
_APPROVED I'' APPROVED _APPROVED SUBJECT TO A6.-1VE
�II For Reinsp.
t � ^
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_ 1.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O Phone): 639-4175 Business Phone: 639-4171
i
i 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 -Bld
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: 1��� 1!me: AM PM
Address:
Builder: _ Permit #:c) J ZA3
THE FOLLOWING CORRECTIONS ARE REQUIRi D:
4 -
i
� 1
i
Insp t • Date:
APPROVED ^CiSAPPROVED __APPROVED SUBJECT TO ABOVE
c- —Call For Reinsp.
I
I �
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I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
1Spectlon:
y i ] yySI
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undersl•,o Tech, Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in !�FINAL:>
Post/Beam Mech. San. Sewer Gas Line
Bid t ,
Plbg. Underfloor Rain Drain Framing Plurnb.
Alarm Water Line Insulation -Mach.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: (3-- Time: AM PM
Address: ► y b 3D La , •
Builder: '�t{-S22-3 Permit #: Tv� l -1S U Zq 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
09
r 0,
Inspector: � _ _ Date:
—APPROVED DISAPPROVED APPROVED SUBJECT TO AEtOVE
kk — s
/ Call For Reinsp.
;!4
ts:
L }
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Hough in Appr/Sdwlk
Foundation Plbg. Underslab Mech Rough-m Fireplace
Post/Beam Strurt. Pibg. Top Out Elec. Rough-in FINAL:
■
Post/Beam Mach. San, Seaver Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. w
Underflr. Insul• Shear Wall Gyp. Bd. ec
Date Requested: �- /C
� Lc2Z� 1�Time: AM ---PM
Address:--j C/ 6".
Y�
Builde�-�/_ , /� �,? y/ — D 1. Permit #:172 C 61 6d-.35-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector. Date: _
_APPROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
I G
C'Y OF TIGARD BU' LING INSPECTION NOTICE ;y
Inspection Lina (Rec-O-Phone, 339-4175 Business Phone: 639-4171
Inspection:
y.: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace u J
Post/Beam Struct. Flbg. 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.
UndedIr, Insul. Shear Wall Gyp. Bd. �`_e"'c
Date Requested: Time: AM PM
Address:
Buildero_�_ (�1�(�- xo /Rz-- Permit #t C9 0,3 j
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f
42
kl-
r +i•#Se t1
P e
C,
,; J, gttill�9p�y'
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d
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Inspector: /r c da e �u Dater / S�
APPROVED _DISAPPROVEDAPPROVED SUBJECT TO ABOVE
_Call For Reinsp"
i7
CITY O'TIGARD BUILDING INSPECTION NOTICE a
I ; Inspection Line (Fiec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: - a-
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. 4
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ` -Mech.
Underflr. Insul. Shear Wall Gyp. Bic ✓ -Elect.
Date Requested: Time: AM PM
Address: fJ �---
Builder: Permit#: 5 C7`�'_u -2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector: ate:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
\. I YCall For Reinsp.
1
i
I
I 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 A r/Sd
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. lr.6i I. Shear WGyp. Bd. -Elect.
a
Date Requestedd: G> 5, Time: AM PM
Address:— ( � 3 61)
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE PEOUIRED:
jo pa
n
Inspector:_ � � l� Date:
__APPROVED _DISAPPROVED f'FF30VEp SSUBJECT VE
__Call For Rein
L
CITY OF TIGARD BUILDING INSPECTION NOTICE
!r,aoection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Irspection:
Footing Susp. Ceiling Sprink. Rough-in Appr Sdwlk
Foundation Plbg. IInderslab Atech. 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. l
Alarm Water LinensulatDn<�) -Mech, ■
Underflr, Insul. Shear Wall Gyp. Bd. -4—Elect.
Date RequPsied:_ O // �� _Time: AM PM
Address:
Builder: ,S�,Q Permit #: •S D.� �j
THE FOLLOWING CORRECTIONS ARE REOUIriED:
i'
Inspec Date:
PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE t
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 (
Inspection: _
Footing Susp. Ceiling Sprink. Rcugh-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.
Plbq. Underfloor Rain Drain Framing -Plumb 14��
Alarm Water Linensul� la�tlon l -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Ele-1.
Date Requested: lQ �l Time AM PM
Address:_
Builder: Permit #: IT U2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Li/iA 17 0,111) I. .
r1 a r �L
r -
Inspector: L rel r7 Date: 1 G ►to �I pli
_APPROVED 90ISAPPROVED _APPROVED SUBJECT TO ABOVE
`/+Call For Reinsp.
Lp
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R
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 u 71
Inspection:
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwlk
Foundation Plbg. Underslab tech."RougTi ifT Firep ace
Post/Beam Struct. Plbg. Top Out ec. ough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line / Bldg'
-Plumb.
Alarm
.�
Plbg. Underfloor Rain Drain C'Frafnmg (�c
� C ,
Alarm Water Line Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. I
Date Requested:
/1,366. Time: AM PM
4
,iii'• ` y
t Address: c�L ' �, C '�E° c' , �• l
6 C
`r builder: Permit #: 02 (43
-HE FOLLOWING CORRECTIONS ARE REQUIRED:
fa
I
I
iInspector: `. Date: j L
�4PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
^ _� —Call For Reinsp,
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it t 14 t
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Ctrs.- `�y�,' ,':n ''� fL�� ^S�,Y ,I t�' : : 7 • ' h� �;
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-U
_Phone
)
639
_4175
Business ss Pho
n
e:
639-41-4-
Inspection:
39-41--Inspection: '
Footing Suso. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. cI �To7p
t+ Elec. Rough-in FINAL:
Post/Beam Mech. San. Sower Gas Line -Bldg.
■
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
■
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
'�
Date Requested: G JL c �� Time:__JAM PM
Address: ��
Builder:
Permit #: �
THE FOLLOWING CORRECTIONS ARE RFQUIl'IL-0
Inspector: Date:
/ _ PP _
/ ROVED _DISAPPROVED AROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY-OF TIGARD BUILDING INSPECTION NOTICE (�
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
Footing Susp. Ce:'ing Sprink. Rough-in �.Appr/Sdwlk
Foundation Plbg. Underslab ech. Rough Fireplace
Post/Beam Struct. Plbg. Top Out.,,-' Elec. Rough-in q1 ,,�r FINAL:
Post/Beam Mech. San. SewerGas Line U _ -Bldg.
Plbg. Underfloor Rain Drain ramin J �._._Ile-
-Plumb
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall Gyp,Gyp. Bd. -Elect.
Date Requested:_ Time: AM PM
Address:_ Z YL 3r`) c:2 L,
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
fG — �-�^ 1-� cnr� �►vis s s —TIT
1AA2�V1 �,�.-e�O ems' r✓ W //—�►
Inspector: t �--5� t}- Date:_ 2-7 (l
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
O-_Call For Reinsp.
I t I
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CITY-OF TIGARD BUILDING INSPECTION NOTICE
` Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
� <r
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk ,,
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam 5truct. Plb . Top Out
Elec.
Rough-in 9
h-in
FINAL:
►
Post/Beam Mech. San. Sewer Gas Line -Bldg. �I
Plbg. Underfloor Rain Drain Framing -Plumb.
r
Alarm Water Line Insulation -Mach.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Lime: AM __PM
Address:
Builder: Permit ft: `�` ~�d 2-
THE
THE FOLLOWING 90RECTI NS,ARE REOUIR
iLIA
Inspect
APPROVED YW-SAPPROVED APPROVED SUBJECT TO ABOVE
—
II For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
f Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plhg. Tor 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:
Builder: Permit #: 0
FOLLOW NG COR 1E S A REQUIRED:
I
A-MINAL _P
T CC
In:pector: Date:
_APPROVED KISAPPROVED _APPROVED SUBJECT TO ABOVE
-kcall For Reinsp
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspecticn:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
it Foundation Plbg. Undersla �� Mech. Rough-in Fireplace
Post,Aeam Struct. � Top Outer- 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 Requbsted:_ CZ/Z 4, Time: AM PM
Address:
Builder ` Permit #: -7 J q3
THE FOLLOWING CORHECTIONS ARE REQUIRED:
72
Inspector: � Date:
—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 App,/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sower Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
■
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested.i C ��r�J�` Time: AM PM
Address: L�
Builder: C- �-, t Permit #
i THE FOLLOWING CORRECTIONS ARE REQUIRED:
-:.
_-011 IF
i
I spector:�// L 4 Z ,-s�, --o L(� Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
f I'
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I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 �W
Inspection:
Footing Susp. Ceiling Sp,, <. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Siruc+. Plbg. Top Out Elec. hough-in FINAL:
Post/Bear,1 Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. l
Alarm Water Line Insulation -Mech. ■
Underflr. Insul. "$hearr Gyp, Bd. -Elect.
Date Requested: r /`� /�
t'�_Mime: AM PM
-- c �� ._.moi
Addr.ss: '_ e�1
uilder: Permit #: 2 S
HE FOLLOWING ORRECTIONS R UIRED:
a
Cl- N
z �.
a,p
f
Inspector: \`.V .�� —�,_ _ Z�Cr
Date:
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE f
_Call For Reinsp. j
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. Haugh-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. l
Alarm Water Line I Insulation -Mech.
Underflr. Insul. ear W Gyp. Bd. -Elect.
Date PAquested: /'� (�j S Time: AM PM
Address:
Builder: Permit #:�1 _O
THE FOLLOWING CORRECTIONS ARE REOUIHED:
s��" ,.- Pre
jS
��� /�i(��/�.M';Il L l+/'�„/i Ur2 S►''2�.,�i< --�� �i3'�-moi s
Inspector: Date:
—APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
`'C�fh-FerAeinsp.
CITY OF TIGARL' BUILDING INSPECTION NOTICE - i
Inspection Line (Pec-O-Ph)ne): 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. elbg. Top OuSJ 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: _ C/ZZ
7 _Time: AM PM
Address: l V c .�C) t C E -i�� �%'Z--
Builder:
Permit p: I SC a
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�-YJ/./; ��i -.yam j— ✓ y
4K
Inspector: Date:
rAPPROVED _ f315APPZCE
D _APPROVED SUBJECT TO ABOVE
Ei
allFor Reinsp.
0
■
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: c�.�U )` 1r 17 I
Footing Susp. Ceiling Sprink Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
eam Struct Plbg. Top Out Elec. Rough-in FINAL:
;D;0�/B_�e�ram_Me San. Sewer Gas Line -Bldg.
Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: c�f��%Lr1S Time; AM PM
Address:
Builder: _Permit p: y vL
THE FOLLOWING CORRECTIONS ARE REQUIRED.
i
�`Sl1
Inspector:_ Date:
t APPROVED DISAPPROVED ZAPPROVED SUBJECT TO ABOVE
_Call For Rein,p.
Ly p
7
9
7
rt
r1
I/ I
V
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Hec. # S- a,G,V2/i
Permit # �/C 95-0A 3
Phone (503) 639-4171 y-95
FAX (503) 684-7297 Date Issuea
CITY OF TIGARD TDD No. (503) 684-2772 Issued by C c,r %Ns- ScA,,► ,d. -
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development e St le I-41 I Number of Inspections per permit allowed
Address IV030 jw LZ Service included: Items Cost(es) Sum
—T-
City/State/Zip J , Q qrd 4s. Residential•per unit 4 .
1000 aq If or lose :110 00
Name (or name of business)_1r—n•N M...s�cw}}�_ tMe � Each additional 500 aq 11 or N l
portion Thereof $2600 1
Commercial 13 Residential Limited Energy $2500
Each Manufd Home or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor installation only: 4b.Services or Feeders
Installation,alleralion,or relocation 2 j
Electrical Contractor ( r�!-y_�e-C , 200 amps or lase sirs, 2
Address $p�� —_s&) T',,t la N S Ar-c 201 amps to 400 amps $801, 2 j
City PwVI1 1-n State_Z2/_r- Zip j?QQ A 401 nn pa to 600 smite $120 01, 2 I
601 amps to 1000 amps $18000 2
Phone No. rb - Ovor 1000 amps or volts $34000 2
Contractor's License No. Reconnect only $5000
Contractor's Boats Reg. No. 4c. Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Ele 200 amps or less $5000 2
License No. Phone No._&y/_Bol 201 amps to 400 amps $7500 2
t 401 amps to 600 ampa $100 00
Over 600 amps to 1000 volts
2b. For owner Installations: see'b'above
Print Owner's Name 4d. Branch Circuits
Now.alteration or extension per panel
Address a)The lee for branch circuits with
City State Zip purchase circuit $600
se of seryfee
anch
be or leader . 2
Phone No. h)The lee for branch circuits without !
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit $35 00 2
Each additional branch circuit $500
Owner's Signature 4a. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000 2
Farb sign or outline fighting $4000
Signal rcr ml(s)or a limited enoigy 2
Please check appropriate Item and enter tee in section 58. panel ofterallan or extension $4000
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing jpecisl occupancy the allowable in any of the above
as described in N E C. Chapter 5 par inspection $3500
Per hour $5500 I
Submit 2 sets of plans with application where any of the above In Plant $5500
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fess $ f
5%Surcharge(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 if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED
❑ Trust Account 0 $ i
I
Balance Due s �
wMicarlAr.NNKgm M1P
1
i
7
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1
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1�+
f
CITY OF T I GARD RF.rEI P7 OF PAYMENT RF..CFI F'T NO. 195-268913
CHECK AMcItJN t s 28:0. °50
NAME a CITY E1_ECTRIC ti SUF�Pi_Y co CHECK
AMOUNT s 0. 00,
ADDRESS s 110014 S. W. CANYON RD. PAYMENT DATE= s 08/04/95
PORTLAND OR. SUBDIVISION s
PURPOSE UF' AAYMEN,r AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
ELECTRICAL PERM 210. 00 ST. BUILD PFR �_.__... .. _. •.� __1.�..SO
I j
I
F X95-02'35 p
14303 S. W. L I DE:N DR. I ,
I ,
TOTAL AMOUNT PAID _ —> �10, 50
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4
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. an. w�
,.e Gas Line -Bldg.
Plbg. Underfloor iFraming -Plumb.
Alarm ter Lint Insulation -Mech.
■
Underflr. Insul, Shear Wa I Gyp. Bd. -Elect.
`r
Date Requested: �� �r -� Time; PM
Address: l cl 171 .. 1 c . � IL l
Builder:_ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_
Date:�_��
YAPPROVED _DISAPPROVED rAPPROVED SUBJECT TO ABOVE
_Call For Reinsp.
M
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
In,.pectio W
Si sp. Ceiling Sprink. Rough-in Appr/Sdwlk
6c,
,�atioti �� Pbq. Underslab Mech. Rough-in Fireplace
Pos?!R eam Struct. F'Ibg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. 3an. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb,
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear W II Gyp. Bd. Elect.
Date Requested:_ / )/ 1. `� ' Tim � PM,
4�
Address:_ _r f,. ��� ,_
Builder: Perm,t #:
THE FOLLOWING CORRECTIONS ARE REQUIF ED:
t
Inspector:— Date:
Date:
_APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE
_Call For Reinsp.
i l
9.!
ma
PLUMBING PERM 1.
CITY OF TIGARD F'EfiMiT k;. . . . . . . : MST95 4I4
DATE ISSUED: 07/28/95 ,
COMMUNITY DEVELOPMENT DEPARTMENT
13128 SW H.d Blvd.Tigard,Oregon 07223•8199 (603)639.4171 PARCEL: 2 104DA 072'00+ k'
14030 C'1W l_IUEN DR
JBD I V 15.I ON. . . . : CASTLE HILL #�' ZONING: R-12 PD
6LOC:K. . . . . . . . . . . L01.. . . . . . . . . . . . . .. 107
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . « 1
TYPE OF USE. . . . SF WASHING MACH. . . . . . . : 1 L�ACKFLCIW F'F2EV1�1'(RS. . : 1
TYPE
OCCUPANC:'Y GRP. . :R:J FLOOR DRfiINa. . . . . . . :1�
TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . .E WA"fER HEATERc. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-----, LAUNDRY TRA` 5. . . . . .. .0 SF RAIN DROINS. . . . ,. l
SINKS. . . . . . . . . . : 1 GREASE:. TRAVIS. . . . . . . :0
L,?VATOfiIC 5. . . . . :3 OTHER FIXTURES. . . . . :0
y '# TUB/Bl-40WERS. . . . : SEWER LINE (ft ) . . . . :0 e
WATER C.LO'SET . . :3 WATER? LINE (ft ) . . . . : 100
?y
DISHWASHERS. . . . 1 RAIN DRAIN (ft ) . . . . :0
,,`j'� Remar'l;1 : 1=laTH I
OWNER:
' DON MUI?15CE'TTE SWM 9: 11xO. 00 L�OI'., h'1'i/�iQ/9� 95-261363', j.
... `,000 5W ME;ADOWS RD SWM � 100. 00 NON 14 r 95 9�i cC�f1b3?, �
ter'- BPRT It 300. 50 DON 07/x_'8/9 5 95-•268633
} LAKE 05WE•=GO OR 971235 BPLC 83. 83 SW 06/13/9 5 9 -26E�699
hone fit: e,�0- 7530 B'.JPC. It r). ..J PON 07/EG/r)5 95 `1,6633
PARK 4- X00. 00 BON 07/28/05 95-a68633
;r L+.tmI: inr Cr.ntractor:_._.. .___.__ _.._.__.. 11PRT '6 45. 00 50I',1 07/.:8/3`3 r35 26863"
MF'LC * 1 i. 25 )TL�1C7N 07/� 8/ 35 9�5-268633
$ C. C- .DOW 07/ <_,a/ 95 :7K7 -'L'�IUV
Addr _._ 3I+T'hi $ L 5. 00 ICON 117/29/95 95 -x65633
� � Qdtl
- ---�j.(_._
_ � _ _ r=''»:�yC 1l . E5 BUN 07/26/")5 9 5--1,2-+f. 633
Z i Phnc� ' : EROS $ 64. 00
ION 07/28/95 9526863�a
Reg # _ _.._� Add it io1)aI Fei.,-i not s;hiown h;erel. . . . . . . .
_._.__._.._.__. RE OU I RED INSPECTIONS
-_,_.__._.....
This permit is issued s+..kbjI,rpt to the reU .
+_Mations contained in the Tigard Municipal Footing Insp Insl_llation InSP, a
i:ode, State of Ove. Spet:.ialty Godes arrd all Fu+_,ndation Insp Gyp P'oard Insp
other• applicable laws. 1'111 work will be done Post/Bs,am Str•uct Rain drain Insp
in arL-_urdance wiLh approvP(..1 plans,. This Pv L/Deam lleuhan W.�ti; i Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 180 days of ilss+_ran,_e, ar^ if work is FIm/undsl.ab Insp Appr/Sdwlk Insp
_rspended for more than 180 days. VILM/Underfloor Mechlani.cal Final ,
Mechanical Insp 1niumb r i.IaI �
Plumb Top Out Building Final
Framing 111.3p Evos .iot, Control.
Fireplace Insp
Ga,, L.i n e 'I.n p
_ .: , .. tractor Signature
C<i1 l far- inspection c,39 -4175
Cuntrac_tur NutP:a :
4�
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N
r IiPERMIT
PERMIT #. . . . . . . :
aST90...024.sCIN OF TIaARD
COMMUNITY DEVELOPMEN '>
DATE ISSUED: 07/ES/95
13125 BW Hall Blvd.Tigard,Oregon 67:23.6199 (603)630-4171
PARCEL: 2G104-BA -072,0i'i �
1 TE ADDRESS. 14030 ' W L I DCN Dry
SUDDIVIGION. . . . . CfISTLE HILL #:.' ZONING: R•-12 PD
LALOCK. . . . . . . . . . . L0 .. . . . . . . . . . . . . : 107
--__—____—.____--_ 13UILDING •_____.__.___________._.__..._._._._._---_.___.___.___.._
RE I r SUE a DWELLING UNITS. 1 BA JEMCN l'. . . . . . . . :0 S f
CLASS OF WORE;. :NEW BEDRM5:4 BATHS:3 GARAGE. . . . . . . . . . :631 S f
TYF''E OF UGC. . . :faF" FLOOR AF?EAG••••__._._.__._--,_ REQUIRED
TYPL' OF CONST. :5N F I FIST. . . . : 1225-0 5 f L ErT. . :7 Ft RIGHT. : 10 ft �
OCCUPANCY GRF,. :R3 SECOND. . . . 1300 S:f F'R0NT. :2:0 ft RI-AP. . ::35 1`t
} ST0R I ES. . . . . . . .2 FI NBSMENT:0 5 f REGlU I RED-----
HEIGHT. . . . . . . . ..x-29 Ft TOTAL-._.-__ __..;;:_350 S f SMOKE DETEC•i ORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . : 162:2:17 PARK I NG SPACES. . : I
Remarks : PITH 1
PLUMBING
i SINKS. . . . . . . . . . . 1 FLOOR . . . . :v) BACK, PREVNTR . . , 1
I_AVATOPIE'S. . . . . :3 WATER HEATERS. . . . I TRAPS. . . . . . . . . . . . . . .
_UP/SI-10WER,5'. . , . :3 L()UNDRY T DAYS. . . :2Z CATCH ):AGIN5. . . . . . . .
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GRE=ASE: TRAPS. . . . . . . ..0
WOTER LINE (-Ft) . t 1.4)it'l OTHER F-IXTUREG. . . . . .0 d
GARBAGE DISP. . . . 1 RAIN DRAIN (ft ) . :0
WAE31-IING MACH. . . : 1 SF RAIN DRAIN 5. . : 1
MECHANICAL ___.__._._...._._.._____._..__..._._,_._...___.. ,_.__.____..__. FEEG
FUEL,. TYPES-•---•---•._ -- UNIT HTR3. . :0 type amo,.Ant Uy (:)ate r•ecpt
/GAS/ / / VENTS . . . . . :0 SWM $ 180. 00 HON 07/28/95 95-268633
MAX INPLIT.0 PTU VENT FANS. . swM $ 1.t%I10. 00 BON 07/LG/115 95--2:686;'s3 :+
FURN ( 1001. . . :kc� HOODS. . . . . . . 1 BPRT $ 590. 50 BON 07/20/93 95--268633
FURN > =100K . . : 1 WOODS T OVES. :0 P-PL_E 1• 383. 03 SW 06/1::,/95 95- 2 661699
FLOOR FURN. . . . -0 CLO DRYERS. : 1 BSK''C 4 29. 5a, LION Q 7/EB/9: 95- 26F3633
EOII_/CMF l 311p':k� OTHER UNITS: 1 P A P K $ 500. 0171 LION Iii?/L,5/9a 9 �:C�E3G313
GAS OUTLETS: 1 MPRT• $ 45. 00 BON 07/28/95 95-268633
. -MPLC $ 11. ;2'5 SON 07/28/15 95--268633
DUN MORISSETTE. MSPC $ 2. 25 BON 07/28/95 95-••268633
S000 :3W 111::ADOWS RD 3PI 1 11 225. 00 BON 0 7/2,0/1)a 95•--2:60,633
F'5G'C R 11. 25 BON 1217/;'8/95 95--2:[,863.3
LAKs,:,[� OSWEGO Oil 97035 ERnC 1• 64. 0121 BON 07/i:3/95 95-2606;33
Phone #: 620-7538 ERPC $ ;x'0. 80 BON 07/28/95 95--2686:3
C'ontr~Rac.tor,: _--- 0. )0 ION 0'7,1-8i 95 05-268633
DON MOR I SSETTE HOME=S
50012, 13W MEADOWS RD
SUITE 151
LAKE: OSWEGO OR 1)7035 v
I Phone #c X20-75ut3
RNq #. . ., .35533 _.
c 184. r_'1. TOTAL
This permit is issued subject tc the regulations coitained in the - - - - REQUIRED INSPECTIONS ---
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp F"'.lumb To;) Out
applicab?: ,aws. ^?1 work will be done in accordance witn approved Foundation Insp Fr,,aminy Insp
plan;. This permit will expire if work is -:' sta t`in 168 -lost/fear 2;tr �tc:t Fir•eprlac_e Insp
days of issuance, or if ucrk .s ski a~tlec rays. P'05t/Beam Mec, an Cas, Line Tnrp
Crawl Drain Insi_tlation Insp
Permittee .i ' nG. : . Plm/Ltn&,1at:, Insp Gyl-1 Boart_I Insp
PL.N/Uncipt-floor- Rain drain Irloap
T s s k_t a d By .: �' �I�QQJ��-!Y_ � _._ M H c 17,7 n i c 1 I.n }.� 1 J A t e r• I.-i r t e Insi)
Call for- inspe:•c.,t ioT 639_•41.75
'l
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{
SEWER CONNEC"r i oN
CITY OF TIGARD PERMIT . .. . . . . . SWR95--&-246 ,
COMMUNITY DEVELOPMENT DEPARTMENT DATL ISSUED: 07/218/95
13125 SW Hall Blvd.Tigard,Oregon 97223.5199 (503)539.4171
K )RCEL: S104BO —07 :00
:.SITE Cll)D E.3'j. DR
;a SURD I V 15 I ON. . . . . CASTLE H I LL ZONING. R--12 PI)
BLOCK. . . . . . . . . . . LOT
a TENANT NAME. . . . .
USA NO. . . . . . . . . . : FIXTURE UNITS. .
C;LAOS Of` WCJRI-',. . :NEW DWELL I NG UN I TS. . „ 1 �
TYPE OF USE. . . . . :OFNO. OF BUILDINGS. 1
INSTALL TYPE. . . . ..B,,GWR I11PERV SURFACE. : s;f
Remarks : PATH I �
Ji-finer-: FEES _._..__.._._ . ._-.
DON MORIS'ETT;
type ama�.rnt: to date r pc. t
3 yN y _ P
J 5000 SW ME!1DGWS RD PRMT � ` 00. 00 DON 07/26/95/`6/9c 95 -2686,:3
' IIII S5P 0 BON 07/ 8 r)5, 95--268633
LAKE 0 SWEGO Or 1701",r
Phone #- 620-7538
COI',ITR()C70P NOT ON FILE
PI-ior-re #: t Z'.2325. 00 TOTAL
Reg #. . .._.__..._ ._._.._._.
REDUIRED INSPECTIONS
Applicant agrees to comply with all the rules and regulations Spwpr- lrisprection _
of the Unified Sewage Agency. The permit expires IN day, from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agercy does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measirement
j given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the ir.tall s I purchase
a "Tap and Side Sewer" Permit and the Agency all a lateral.
' F=a r•m i{;t e e '::,i r�n i t�_� ... .__._._, '
sued PYA
Call for- in4F-ection 39-••4175
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699
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• Residential Building Permit AD plication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
35 �o 3q
Jobsite Address:
/Subdivision: /
I Z Lot# r� Office Use Only
Planck/Rec # (n Y) _
Valuation:
PerrAt # ST 95- 025�J
Corner Lot? Y N
■
Reissue of
I+ Flag Lot? Y N Map & TL# d-7200
Owner: �ti� F'10121SSE71 LAPH IIQ ` Approvals Required/ („J�
Address: 5V%J H - 1�151 Planning `7D�a1�✓d��',Is� � L���
L-"15 05/41aQr-X Engineering
Phone: Other
Contractor: Items Required
Address: Subcontractors
Truss Details _
Phone: Other kAL �,
Contractor's License # :3-?) of P
(attach copy of currant Oregon license) �Y Uy�A- 1 S q cu,,u-9 e-
(_0;16
- zc
(_0;`b- 5 38
Contact Name & Phone: ✓u a� I S
Subcontractors: Arch itectlEngIneer:
n� 'Plumbing:�k 1Pr4C 4�,L)Hbl1J(:I Address)5=> thN M �W� ` Ste' lS1
1,
Mechanical:-ry C diNI-T� p• DOSE 2-,,0E6n, SL�—�
(attach copy of current OR Contractor's License) p,
Phone:
1
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: :�� �_ �, Date Received: 3 _
t,
N MORMCOMMARESAPP
y��ePrG 1r96 AA�!
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Permit# Account Description Amount Amt. Pd. Bal. Due
3 -d Bldg. Permit (BUILD) .5X�71 3-P SctU.50
i
Plumb. Permit (PLUMB) 2Z5,cld
Mech. Permit (MECH)
State Tax (TAX) 4 3 v 3
Bldg: 3
Plumb: Z ��
Mech: 2•L �� v pec p�
dr- -2rP
Plan Check (PLANCK) o -2-50 S o♦_
Bldg:
3�3 Y3
Plumb: _
Mech:
r
5w 2�/e Sewer Connection (SWUSA) ,-2,;L6,U
Sewer Inspection (SWINSP) 3
Parks Dev Charge (PKSDC) L5 co SOy 1
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUAP.T) l Uc)
�+ Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion r'lanck/USA (ERPLAN)
Erosion Planck/COT (EROSN) r d a, ky
l I )
`� f l
TOTALS: 1 ! �S(J �����L.e.
n, .,..: ., t:. ...... r...' .. .: ..y.. ....k.,
FR.Y 1 :F 1 R:_.T Fal t-R 1 CPN TF4,• -BFt J TO 5�73E207.3H5 1995.0^-�5 a-, S 1 "ll F-10! 0: I
.Y., •'•. �\iY 'Iii. ��:
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In accardance with the Traf.'rc Impact Fse Crdlrancs, ,V,gtfix Dvve/conrert Corporetron
is entitled to S.5 50 it T-z."fic Impact Fee Credits teat can be e00p7ed t.^ T/F charges
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are subject to the rules and limimtfons of tre TIF Ordinance. WARNING,
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This voucher must bs,,7,o voted et the tit a of issuanoa of the Bullc'lrg F9"r'1it, or if deforral
� Ii;,u ivus granted issuEn,-9 Cf Gr; Cc.^,ucarcy F3r1,�it.
14A 7FIX Dc'!EL CGMEA1 C01T?OF4;i0N hereby assigns ali its right
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A'C. 2sub0viroWashington County, Orrrcr, tottm arGEr or'
DON MORISSETTE HOMES, INC.
5000 S.W. MF.ADOk'S ROAD, 11151
LAKE OSWEGO, OR
a his as eri cl I Mo;'c incaC"Fee G Lc',7 is M-2de Ind Jrverr
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MATRIX 0-I;LOPMENT CORPORATION,
an Ora-cr, Corporation
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1 6000 S.W.Meadows Rd.,Ste. 161 +
Lake Oswego,OR 97036
Phone:(603)620-7638
FAX:(603)620-7486
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CITY OF TIGARD — RECEIPT (IF PAYMENT RECEIPT NO. :95--26863:3
CHECK AMOUNT t 41.69. 21
NAME t DON MOR I SSE TTE SU I LDE:RS CASH AMOUNT t 0. X70
ADDRESP t 5000 SW MEADOWS; ST. C-),IJI1'f": 2,01 POYMENT DATE t 07/28/9r
LAKE: O yWEGO, OR :UBD I V I a I ON t
97035— ''a
Pt IRPOSE: OF PAYMENT AMOUNT PAID PURPOSE". OF PAYMENT OMOUNT PAID
BUILDING PERM 5090. 0 PLUMBING PERM 225. 00
MECHANICAL PF., 45. 00 C7 -- BUILD PER 43. 03
PLAN CHECK FE 145. 08 SE�JER USA
SEWER INS3P--CT 35. 00 PARKS, 8DC 500. 00
H2O QUALITY FACILITY F'FF186 . 00 H�'O G11.JFINT I TY F•AC 11.S TY f"EwE: 100. 00
EROSION CONTROL PE RM I TF EE« 64. 00 E ROS T ON CONTROL PLAN ClC 20. 80 C h\
EROSION G'ONTROL. 20. 80
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,N 14030 93W L.I DEN St. - M'=1T 95--0 ::4:3
TOTAL. AMOUNT PAID - - - > 4169. 21
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