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CITY OFTIGARD CEROIF KATERF
CCUPANI':Y
I COMMUNITY DEVELOPMENT DEPARTMENT PERmj,r #. . . . . . . s MS f�i3--4aQ1`"'
13125 SW Hell Blvd.Tigard,Oregon 97223*8199_ (603;630-4171
DATE I1^►Bu�D" �8/20/g
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PARCEL o 1 S 135DD-I_UC0:3
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i l I TE (IDDRESS. . . s 08531 SW LUG I LLE CT
{ SUBDIVIc,ION . . . s LUCILLE ZONINGS
l BLOCK. . . . . . . . . . s LOT. . . . . . . . .
CLASS OF WORK. a NEW
TYPE OF USF:. . . s SF
OCCUPANCY GRP. a R3
i oCCUPANCY LOAD a 22'_';3 4 ■
7 ENAIVT NAME:. . . s
Remarks - PATE( 8
t
NORTHLAND HOMES
t834 SW 58f'14
l
r-ORTI-AND OR 97221
Phone Ks 292-3975
I
{ t:.'ontractors _ ..._....._...___.,.._.._.---._._......__.._. ....._._. .._..
r
t IORTNLANU I 40MFra"
i 1834 SW 58TH i
i
PORTLAND OR 97221
Phone #s 292-39'15
i e g #. . t 13727
Ur.':Ckapancy of the above referenced building 111 hereby given, and certifies
Nthe cnepliarc a with the ,-3tate of Grlagon Specialty Codes for the group, I
oc-r_upancy, and use 1_lnder which the referenced permit w s is.,ued.
i
____.... I RE ^i)Ef`nFtTMENT
F' PU I LD INSPECTOR
PiJUT IN CONSPICUOUS PLACE
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I�¢PECTION NOTICE
City of Tigard Building Department r
13125 SW Sall Blvd. Tigard, Oregon 97223
Inspection Lins (Rec-O-Phone): 639-4175 Business Phon-: 639-4171
Inspection:_____ 1f
looting Plbg. Underelab Mach. Rough-in Appr/Sdwlk I
Found. Plbq. Top Out Gas Line i. FINAL:
Post„/Beam Struct. Can. Sewer Framing �B` ,1
Post/Beam Lisch. Min Drain Insulation -Plumb.
■
Plbg. Underfloor Nater Line
� Gyp. Bd. -Mach.
( Z l
Date ktsquested: - Z-A0n ^J' Timet AM / PM
Address t �l '1 + L U-C�(��L.�x,.4 ' U� A Permit #t `l�7��"7��/ ■
Builder r i,, 1 1,`l►6 1 Y'1✓t c5 212 Z-3eq 71
THE FOLU)WTNG CORRECTTONR ARE REQUIRED:
Inspector:_ � V"! /✓ L /�_.._- _—r > Q
•L- Dates �--
--APPAOVEL' DISAPPROVED V APPROVED SUBJECT TO ABOVE
k.11 For Reinsp.
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INSPECTION NOTICE
city of Tigard Building Department i �)
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Lirt (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ --
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL I
Post/Beam Struct. San. Sewer Framing
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requesteds� Gl� Times —AH k. PH •
Address: X75 1 ll._a.UQ L Perwit
Builders "lZ "3 7�
TRE FOLUMING OORRECTIONS ARE "QUIRED:
i
Inspector:_-_A Date Ai
1
APPROVRDDIBAPP VED APPROVRD SUBJE TO
Call For Reinsp.
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INSPECTION JpTigK
City of Tigard Building Departasnt ,
13125 SP Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phan : 639-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL: I
Post/Beam St:Cuct. San. Sower Framing -Bldg.
Post/Beam Moch. Rain Drain Insulation -Plumb. '
Plbg. Lndertloor Nater Line Gyp. Rd. -Mach.
Data R"squresstodd: I I / -� _ Time: _AM PM
Adfiraset Permit
Builder: �+,,� r I ") 6 1r1� i('�, ■
THE FOLLOWING CORRECTIONS ARE REQUIRED: ti
el Jr- 'l Com_✓' � ,�1S ���/.�'�A(. /� � �� ti'
Inrpector: _ Date:- ) f
___APPROVED _ DIBAPPROVBn APPROVED SUBJECT TO ABOVE
ell For Reinep.
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INSPB TION NOTICk
0
Citi or riq,A Building Department
13125 BW Ball Bltd. Tigard, Oregon 97223
Inspection Line (Roc-0-Phone): 639-4175 Business Phone: 639-4171 I
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwl.k '
Fa nd. Plbg. Top Out :a■ Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg. •
Post/Realm Hoch. Rain Drain Insulation _Ply, I
Plbg. Underfloor )Nater Line Gyp. Bd. -Hoch.
Data Requestede Time:
AM PH
Address a f` Permit lE t - J % ■
Builder: �-
THE FOLLOWING CORRZcTIoFs ARS REQUIRED:
Inspector G' -
f - -- -_ Date:
1—/ APPROveD DISAPPROv,p APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
Y� r
'ell OF
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INSPECTION NOTICE_
City of Tigard Building Departr:eut
13125 SW Hall Blvd. Tigard, Oregon 97223 '
Inspection Line tRec-O-Phone): 639-4175 Puniness Phone: 639-4171
Inspection•
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL: I
Poet/Beam Struct.. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb. •
Plbg. Underfloor Water Line Gyp. Pd. -Mech.
Date Requested: 7 C Time: AM / M
Address: ("
C1DS
' �� Permit p:�
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED,
7
Inspector:
i74 _ Date:.`__.—
__APPROVED DISAPPROVED _j APPROVED SUBJECT TO ABOVE
----Call For Reiinap.
N
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Bled. Tigard, Oregon 97223 1
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. .
Post/Berm Hoch. ain Dram Insulation -Plumb.
:llq. Underfloor Mat Line') Gyp. Bd. -Hoch.
Dlta Requested: __Time: AN --PH
♦ ��
Addresa: , � Permit !: D y
Builder:
TAE FOLLOWING COPRECTIONS ARE REQUIRED:
Inspectors
�"PROVCD
_—_ DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Re.inap.
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"19ML N NOTICE
City of Tigard Building DKmrtasentI
1.3125 ane he11 Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phono)t 639-4175 Business Phone: 639-4171
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Foun4. Plbg. Top Out Gas Line FINALt
Poet/908m Struct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ,' -Mach.
Dpte Re"Oftods Timet W PN
Addreses
457
_ •' Permit
/
Builder:THE FOLLOWING CORRECTIONS ARE REQUIRED:
APPROVED DISRPPROVRD _ APPROVED SUBJECT TO ABOVE
Call For Relnep.
6
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INSrECTION W)TICE
city c.! Tigard Building oepartasnt� / •
13125 611 Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Pho,is: 639-4171 I
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer 1A 1Esiin9 / g.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. ach.
�7 _ 1— M Date Aaqussted: G Time: PM
Address: Permit W
Builder:_T
THE FOMONING OORRECTIC-NS ARE REQUIRED:
� 1 .
Ail
_-
Inspect�f"PROVZD
DI£APPROVED APPROVED SUBJECT TO ABOVE
j _call For Rsinsp.
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INSPEg
..SIONNOTA
City of Tigard Building Department
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone)t 639-4175 Business Phones 6:19-4171
Inspect ion t.—
Footing Plbg. 'Underslab Hoch. Rough-in Appr/Sdwlk
Found. �Plbq. Top Out �� Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg. e
Post/Beam Hoch. Rain Drain Insulation -plumb. I
Plbg. Underfloor Mater Line Gyp. Bt!. -Hoch.
C �
Date Requestedt _ —Tinet AM �–��/SPH
Addresst _ Pernit t:'rL ��UV 7
Builders _
r
ME FOLLOWINU OORNECTIONS ARE REQUIRED,
i
Inspector ' `— Dates_
"PROVED DISAPPROVED APPROVED SUBJECT lY) ABOVE
—_Call For Reinsp.
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INSPECTION-KO-Lc-4
City ct Tigard Building Departssenr
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Llno (Roc-O-Phones 639-4175 Business Phones 639-4171
Inspections — _—
Footing Plbg. Underslab Hoch. Rough-in Appy/Sawlk
Found. Plbg. Top Out Gan Line FINALE I
Post/Beam Struct. San. Sewer Framing -Bldg.
Post ,am Koch. train Drain Insul tion -Plumb.
Plbg. Under oo s.,Mater Line O Rd. -Hoch.
!1 r 7 Gyp.
Data Raquweteds "'` 7 �/ Times AM PN ,
Address s ���__ 1 C `_ Permit 1 s
Builders
THE FOLLOWING CORRECTIONS ARE RNIQUIRED,
La"
/1"c<<.'.! ,C�rJG�c.-dt iC' l�� C��'��K.��`'�/�C`� S�P2�I/�•�,�
Myr{�i
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Inspectors -- �- Data
/ � It $'
APPROVED DISAPPROVED �_- APPROVED SUBJECT TO ASO1R
ui1Y '
Call For Reins d°
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L¢ E—CIT _0N om— ,
City of 'tlgard Building Department
13125 80 Ball Blvd. Tigard, Oregon 97223-�
Inspection Line (Rec-O-•Phone): 639-4175 Business Phones 9-4171
Inspection: _
Footing Plbg. Onderslab / Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
4
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Mech.
.�;
Date Rsqursted: - Time AM PN
Address s Permit t `� e
Builders
THE FOLLOWING CORR&C:TIONS ARE REQUIREDs
I
I
Inspectors J _ Dates_ 2�_
APPROVED DISAPPROVED APPROVED SURJRCT To ABOVE
Call For Reinep.
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INSSpECTION NOTICE
City of Tigard Building Department �(;
131-25 BW Hall Blvd. Tigard, Oregon 9722 '/�l-�
Inspection Line (Rec-O-Phone): 639-4175 Busineeu Ph ca: 639-4171
Inspection:
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
et/Bram Btruct,' San. Sewer Framing -Bldg.
st/Beam HochfRain Drain Insulation -Plumb.
Plbg. Underfloor Water Line GYP. Bd. Mach.
Date Requestedt Time: AM PH
Address: c/�� : ( ���� Permit f:�
Builders—
THE FOLLOWING ODRRECTIONS ARE REQUIRED:
I
Inepeotor: pate:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
I
--Call For Reinap.
' .. .. ...... .. .... „ 5.K"w,xiarm•rnmwryn.aa;�ran.. .n.�........... ...�......,...e.,.wm........
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j�PECTION NOTIC3
City of Tigard Duildinq Department
13125 DR Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Roc-O-Phone)t 639-4175 Business Phoney 6 -4171
Inspections
Pootin
4 Plbq. Underelab Mach. Rough-in Appy/Sdwlk
i
Pound. Plbg. Top OutI
Oas Line PINALe
Post/Seas Struct. San. Sewer Framing -Bldg.
. Post/Beam Mech. Rain Drain
�`•,.� `.____` Insulation -Plumb.
"Plbg. Undeillo_or
Water r L
ine
rn
Bd
-M
Date Requested� T ,�r ff �'-� _41mel AN
Address:
Permit 1t
Builder:_
TNS FOLLOWING CORRECTIONS ARE REQUIREDt
1
Inspectors
TT--" Dates_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD1
OREGON
1
March 22, 1993
■
Northland Homes
10211 sw Barbur Blvd. , Room 202
Portland, OR 97217
Re: Lucille subdivision
.1
This letter is to confirm previous conversations with
the
hbuildng
insr)ector from the City of Tigard, with Larry,
ve
from Northland Homes. ,
The following are minimum requirema.its due to the type of soil
conditions found on-site, and the way construction methods are
being employed installing utilities, streets, etc. , at the same
time large amount at footings
undesirable soils,�crock which is
ibeing resulting
sn a
and
large
deposited randomly on the job site.
fF All lots are required to be tested by an independent test lab
'4 showing soils will meet minimum standards (UBC 1 & 2 family
Code. `
ar to be substandard
Alao, footings already poured on Lot #1 apps
with poor consolidation of concrete;
ed to be tested to pr meetf minimum
i' etc. This footing will also
um
standards of 3,000 psi.
y •a"P
#' Tom Plescher
Building Inspector
br/North1wW A tr
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INSPECTION NOTICE
� City of Tigard Building Departiment
13125 SW Ball Blvd. Tigard, Oregon 97223
ffff Inspection Line (Rec-O-Phone): 639-4175 Buninese Phone: 639-4171
Inspection• _ -- -—
Looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
L
Found. Plbg. Top Out Gas Line FINAL: I
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Z Gyp. Bd. M ch.
Date Requested: Time: _PM
Addreses__ /'_3.� h�L � �ermit 1:A _ [J�J
BuIIder:.��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f � —
InspectorJlpC— Date:
` APPROVED DISAPPROVED APPROVED S RJECT TO ABOVE
—_.call For Reinsp.
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IV.
CITY OFTIOARD PLUMBING PIERMIT-
COMMUK;TY DEVELOPMENT DEPARTMENT Mom 1IT #. . . . . . . » 01ST93--0054
13125 BW HWI Blvd.P.O.Bm 23397 Tipd,OrW 97 (603)63041761)('I*F'F-- ISSUED: 01 /10/93
SITE ADDRESS. . . : 08551 SW LUCILLE CT PARCEL: I S1 35DD--LUC03
SUBDIVISIO14. . . . I LUG-ILLE Z ON I NU
BLOCK. . . . . . . . . . C LOT. . . . . . . . . . . . . :3
CLASS OF WORK. . :NEW GARBAGE D I SV-`OSAL',-_3. t
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . . J BACKFLOW PREVNTRS. -IZI
OCCUPANCY GRP. . :R3 FLOOR DHAINS. . . . . . . :VI TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES--- _._.__._..___..__... LOUNDRY TRA'Y.'-.:"). . . . . . ..III SF RAIN DRAING. . . . . . I
SINKS. . . . . . . . . . . I GRLASE TRP V'S. . . . . . . .IZI
LAVATL)' IES. . . . . :Z' OER 1-*_ IX_''RES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE
WATER CLOSET5. . WATER LINE ( ft ) . . . . I VIO
DISHWASHERS. . . . I RAIN DRAIN (ft ) . . . . CA
Remav,ks . 14flH 8
OW14ER: --------
NORI-HLAND H(JIvIES TI F $ 1460. 00 JH 02/10/93
1834 SW 58TH BVIRT $ 316. 00 JH 02/10/93
DPLL $ QI 5. 40 JLH III B/.:-:'6/92 92-230954
PORTLAND OR 97221 B5PC $ .15. BIZA JH 021 10/93 —
Phone #: 29`-3975 SSDC $ 280. 00 JH 02/10/93 —
PARK
PARK $ 500. IZI1ZI JH 0`/IQ,P)3 —
P'lunibing Cant Ir,acL at- : 1Y1 P R T $ 37. 50 JH 02/10/93 —
MPLC $ 9. 36 JH 02/10/93 —
Na me 115PC $ 1. 6B JH 0 1 V.I/9 3
Addr-e s s . PV'R 1 $ .1 J.111. 0 0 JH 02/10/93
C i t y st at I? :
Zip: Phune#
"00
Reg ff
REOUIRED iNSVIEunONS
This permit is issued subject to the r,e!l-•
ulations contained in the Tigard Municipal Foot/ found Insp Rain dt-ain I p
Code, State of Ot,e. Specialty Codes and All r-*'USt/Be,.AM Stl-LlCt Water- Line Insp
other applicable laws. All work will be done Flost/Ream Ilerhall Appt-/5dw1k Insp
in auc-or-dan(-.-e with approved plans. This P-11ni/1-Indslab Insp N P r-h a n i c a 1. F i n a 1.
per-mit will expire if work is riot started PL11/Undvv-f I oat-, Plumb Final
within 180 days of issuance, or, if work is Nechanic.al Insp Suildinq Final
SUSpeyided for, mot,e than 180 days. PlUmb lop Out Erosion Control
Ft-aming Insp
Fireplace losp
Gas Line Insp
Insulation Insp
Gyp IAOaV-(:] InSp
A Signature
Call for- inspection 639-4175
Contractor Nates :
T7 X
!n
Cf�1l
CITYOF T
�� MAEir•ER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 7 PERK I T I1. . . . . . . : IvIST93--00`4
13126 SW FWI Blvd P.O.Ba 23397•Tlpnd,Orepon 97223(SM)
639--41 71 DA f E ISSUED: 021 10193 �d
SITE ADDRESS. . . : 085,r5l SW LUC I LLL- Ci" PARCEL: 1 F;1;:�5DD—LUCO:s"
SUBDIVISION. . . . . LUCILLE ZOhIING:
BLOCK., . . . . . . . . . . LOT. . . . . . . . . . . . . :3 �.
RE I SSUE: DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 5f
CLASS OF WORK. :NEW BEDRhIS:3 BA l'HS:c GARAGE. . . . . . . . . . :353 s f
TYPE OF USE. . . :SF FLOOR AREAS------------ RE*0.l..J1 RE.D SETBACKS---_____.____
TYPE (7F CONST. .51V F I R51 . . . . :56d s f LE:F 1-. . : 1 1 ft RIGHT. :5 ft �
OCCUPANCY GRP. :R3 5EC"01\1D. . . :586 S FRONT. -22 ft REAR. . : 15 ft
1
STORIES. . . . . . . : T1•I I RD. . . . :0 s f REQUIRED-
y
HEIGHT.. . . . . . . . .23 ft TOTAL------------: 1168 sf SMOKE DETECT•ORS. :Y f
FLOOR LOfiD. . . . :40 psf VALUE. . . . . H : 6008c PARKING SPI )CES. . : 1
Remar4tc, : P01H 8
SINITS. . . . . . . . . . .. I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIE:S. . . . . : WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . -.0
TUB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . :+Zr CAICH BASINS. . . . . . . :0
WATE=R CLOSET S. . :2 SEWER LINE (ft ) . :0 GREASE: TRAVIS. . . . . . . :0
DI5HWPSHERS. . . . .. .1 WATER LINE: ( ft ) . : 1017.1 OTHER FIXTURES. . . . . ..0
GARBAGE DISP. . . : 1 RAIN DRAIN (f-t) . :0
WASHING HACH. . . : 1 SF RAIN DRAINS. . : I
_.._
------------ h1LCHONIC,AL _._..____.....__.___________._...._.._.._._._..__..._.___.___ FEES
FUEL TYPES---------- - UNIT HTRS. . :0 type amol_rrrt by dat e recpt
/GAS/ / / VENTS . . . . . V! TIF $ 1460. 00 JH 0:'_/10/93 -
lvliliX INPUT .-O LAT•U VENT FANS. . :;' BPRT $ 316. 00 JH 02/10/93 -
FURN ( 1001; . . : 1 HOODS. . . . . . .. 1 BF,LE $ 205. 40 JLH VIS/26/92 9 2-23VI954 a
FURN ) -100K. . . :0 WOODSTOVES. :0 B5P(=: M .15. 80 JH 02110/93 --
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC * 280. 00 JH 04'/10/93 -
BOIL/CMP ( 3HP:0 OJHER UNIT'S: 1 PARK $ 500. 00 JH
GAS OUTLETS: 1 lylF'R-1 37. 50 JH 0.2/10/9.3 -
Owner": `h 9. 38 JH 02/.10/93 _
NORTHLAND HOIMES lyl5PC 9, 1. 88 J14 0c/10/923 -
1834 SW 58TH PPRT T .1 10. ki0 JH 0i::1/ 10 9.s -
PORTLAND OR 972:11
Phone #t : 292-3975
Contractor,,.
NORTHLAND HOMES
1834 SW 5E3TH
PORTI_AND OR 9721-.1
Phone #: 292-3975
Reg #. 1.3727
T, 29;35. 96 TOTAL
This permit is issued subject to the regulations contained in the - -- --- REQUIRED INSPECTIONS - -- --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.(ncl Insp Fireplace lrrsp
applicable laws. All work will be done in accordance with approved Post/Beam St)-ur.•t Gas Line Insp
plans. This permit will expire if work is not started within 168 Past/Beam Ihertian Inaulatinn Insp
days of issuance, or if work is spowreTllfor more,,than 188I'lm/�_rrrdslab Insp Gyp Board Insp
�'ec7haTi ier1lpor p ate dine lns i
F'er"mi. ttee C3iynatl_rr'F' • _....... _1-01
�IPh an>ca !ns a er
Plumb Top Out Appr/Sdwli( Insp
Issl.recl BY : 1 r•amilly Insp Ivlec.:f)anic::aI F inal
t
Call for irispecti.on - E39--4175
rat Nx{.' ,fir �i,1"t'°Ty�T�:..d"`rpanM^•^ - T � —^+R^—tr :�
}I,yppiSx,I
{I'Cy'� ii✓ m ] y�,�;w b ik r'�1'i JrcU7� ` i� tr iM t� �t � ,L,i,�I �
Mr i,...., ; ��P�iik11+4 7t.'A';�,i'l`f`+.bt v';te.i'v�a1 v..i� �. 1�.E'�:+7 r� �H.?+r'�.C'��I4 't'Mj�1k�'•', .
rl
} . CITY of TI ARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT anew Y F'Ef<hI I T
13125 BW HdI Blvd.P.O.BaK 23M,Tlpmrd,Or@W 97223(SM)NO 4176 F f 21+1 I T #. . . . . . . : SWR 9.,— 0`
t
E+ ;9 -4171 DATE ISSUED: V12110/93 .�
SITE ADDRE=SS. . . : 08551 SW LUCILLE CT F'ARCE:L: 1S13',`d)D--LUC.Q)3 I
SUBDIVISION. . . . . I...LJ 11_LE: ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLAS: OF' WORK. . . :NE.W I)W1_-A_L I NU UN I F5. . : t
T YF'E OF* USE. . . . . :SF IUO. OF LSU I LD I N05: 1 �
INSTALL_ TYP)E. . . . :BI. 5WH IMPIERV SURFACE. . : : sf
Remarks: F'ATH 8
Owner-. —•__.__.______________.__.___._..____.._._____________.._.___._________.___-- f E[::.; ._...._____._____.____..
y
NORTHLAND HOMES type am _rn
o� t by date recpt
1834 SW 58TH p'RMI c100. 00 :JH OL/10/93 —
INSF, $ `;, 00 JH Vic,, 10 93 —
F-`ORTLAND OR 97221
Ffhone fi: 892-397 :
Corrtr-actor':
CONTRACTOR NOT ON FILE
I
rfione It: $ 21,35. 01/1 TOTAL.
Reg 1J. . :
__._.._.. ._..._ REQUIRED I NSF'ECT I ONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspec�tiorr
of the Unified Sewage Agency. The permit expires 190 days from
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
given, the installer shall prospezt 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side. Sewer" Permit and
_...................
.—..
I s s l-red By : �— '
i
Call for inspection — 639--41.75
I
t
13125 SW Hall llwa. PLNCK/RECT #
CITY QF TIGARD PO[lox 23397 PERMIT # M 5 fL sy
COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon97M
(503)639-4171 DATE ISSUED
j 7 ,
/ TAX MAP/LOT / S®p
JOB AQqDRESS:
/All LAND USE: �
SUB: rz- LOT: --
�! !�
VALUATION: �-
OWNER / SPECIAL NOTES
NAME: /��a•► ffi L/t r-�/ �L�ar+-► a- REISSUE OF:
I
ADDRESS: 1��3� •->L✓ -_s�z� _— LAST REISSUE: �
FLOOD PLAIN/
PHONE: __ _ __ SENSITIVE LAND:
i
I
CONTRACTOR APPROVALS REQUIREDa91-DSU
f
NAME: — �� --- PLANNING: 12 '- Giir►m� S—
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: _. OTHER: 7%F
CONTR. BOARD #: �� Y 2^-yt EXP GATE:
• ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: -- •LIST/SUBCONTRACTORS: _
MECH: BUS TAX:
CALCULATIONS:
ARCH/ENGINEER
TRUSS DETAILS:
NAME:
ADDRESS: OTHER: —
PHONE:
PROPOSED BLDG. USE:
COMMENTS: E(YE3 y1 1,b0�_ 1�Z�:m�-u79�ln°�lvu-c fi/
APPLICANT SIGNATURE
Received By: �1i"__ _ ��___
Date Received:
i
L� I
FVi .
�yv E.. yf_ .:a.ld•.�i.u.u..M. 59'x. 1
1 ,
PERMIT # ACCT # DESCRIPTION
AMOUNT AMOUNT PD. BAL'. DUE
m
00-5 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees —
10-431 01 Mechanical Permit Fees —
10-230 01 State Building Tax (5%) — I
Building
Plumbing
jMechanical Iyr
10-433 00 Plans Check Fee
3� .
Building
Plumbing
Mechanical �.3g
i
I "
10-230 06 Fire -
dJS� (U �2��✓
Sc.v243- 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3 �— -
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees — — --
25-448-03 Office TIF Fees _ —
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Feesy �16
t
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) q
24-445-01 Water Quality (Fee in lieu of) `
24-445-02 Water Quantity (Fee in lieu of) t
TOTAL
C ,
j nm/3587P.WPF
•.ryyyPtYRwnaT�..•.-.w-.e�rurwMWIN9WA�iM1'BYIa'R�+w .. .... ....,..,. ..
i
tl�
r
76k
Y
CITY OF- TIt�AF`I} - FtEIEIF�T UFF�AYMEN"t RECEIPT NU. 993--i.�36-b 2
CHECK AMOUNT x 4826. 46
IlAME a NOR('IIL.AND HOMES l:A'3H AMOUNT a V). 00 { �
F'AYMENI DATE. a 0/9 3
DRE.SSUBDIVISION a I
F�URF�f sr— OF PAYMENT AMOUNT PAID
PURPOSE OFG'AYMC:N 1" AMOUNT PAID
316.0@ PLUMBING PE=RM 110. 00
23. 18
I•ii C;HAN I CAL PE 7. `:0t ST. BUILD PER %100. 001
l_AN CHECK Fa -35. _12 SEWER LJ13A -
c i `y. 00 PARKS SDC' 500. 00
LWER r.N.i ECT
STORM DRAIN `3Di ?130. 00 I�f `�I Dr- I A!_ TRAP f`I C FCF�, 135V+. �'�V� ,
MAC'S TRANSIT TIF" F'EE$ 1. 1.0. 00
s
LOT 3 LUC I LL E EST
85151 SW LUC:II_.l_6. CT `
TOTAL AMOUNT PAID 48''=6• 46
CITY OF 'T I GARD - RECEIPT OF F'AYMUN-C RECEIPT NO. 02-830954
309. `..°,4
CHOCK AMF.]I.04T a 11010. 00
NAME` a DONALD E. POLLOCI', INVE'S'T CASH AMOUNT : 0. 010
AI1L►Flk.:3f.3 PAYMENT DATES a 08/26/92 �
SUBDIVISICIN a I
a�
PURPOSE EIF F''AYMENT AMOUNT PAID PURPOSE 0E- PAYMENT AMOUNT PAID
ALEIIV C;E�EI':;K f I_ µ 8--66Et ;0►, 00► rI_.AN I.HECK FE F3--67R 2.50. 00
PLAN CHECK FE 8-,68R 2`.l0. 00 PLAN CHECK E=EC 8---69R 250. 00
GL.AN CHECK FE 8--•70R 40. 00 FLAN CHECK FE A--71R 4.0. 00
FLAN CHECK FE: 8--7PR 40. 00 �
I :
j `
LOTS 1-7 DOUCLPS ESTATES <
TOTAL AMOUNT PAID - _ - -> 1 1 ae. 00
.- 41 '