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l:'TY OF TIGAHD BUILDING INSPECTION NOTICEI
1§A'M` ;��rt X15"',�kt
i Inspection Lu a (Ree-C-Pho6p); 639-4175 Business Phone: 639-4171
Inspection:
„1nA��rt Footing Susp. Gbil+ng Sprink. Rough-in Appr/Sd,v.k
Foundation Plb Unders'ab Mech. Rou n-in Fireplace
9 9 P
Post/Beam Strutt. r'Ibg. Top Out Elec. Rough-n AL: '
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Post/Baam Mach. Sar,. Sewer Gas Line e•BiBq-'�
Plbg. Underfloor Rain Drain Framing -Plumb. r
Alarm Water Live Insulation -Mach.
},
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. •
Date R Z/ CjTime:--AM
eq 2 PM '
Address:
-rmit #:
• HE FOLLOWING CORRECTIONS ARE REQUIRED: )- v Z
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Inspector: �J� > T L c
Date:� 7q, t
�APPROVELI _DISAPPROVED "APPROVED SUBJECT TO ABOVE
V \ I ) Call For
Reinsp.
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CCR'TIVICAIEc OF ,
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CITY OF TIG;#ARD occ:uf:`ANCY
PERM11 #. . . . . . . : mB,rc)5 .{Zii6"5
COMMUNITY DEYELOPMEN". DEPARTMENT DATE ISSUED: 09/22/95
13125 6W Hall Blvd.Tigard,Oregon 97223.61110 (503)6:,1.4171
F�AF2C::1..: 1 S 1�',°iCD-•-1X1l0Q10
' ,17E f-DURk:�.G. . . : 09706 SW LANDAU PL
:aUbD I V I S ON. . . . : LANDAU WOODS 70N I NG:R-4. 5
ZLOC . . . . . . . . . . : LOT. . . . . . . . . . . . . :007
CLASS OF WORK. a NE W
' TYPE OF USE:. . . :SE"
OC4UPANC;Y GRP.
OCOPANCY t_OAD 12 4 4
!
TENANT i 1AMC. . . :
1 Hem+�rk0 ' w�riN t
MIC;HREL CHURCH
35T'H
PORTLAND OR 97219
Phoria? #: 293-2109
MICHAEL. r„I•lURCH HOME'S INC
'7440 SW 65TH
POR1'LAND 01'; 97219
Phone #k: 293-•2109
Rey #, . : X1961
This Lpi-Alficate certifies that the Above reference4l buriding or portion
thereof' has been inspected for c,.mp? iamue with the 'ri.gaarcf Building Codu
' for the group and division of or^r_upaincy and uue for which the &bole
referenced p armit was issimedy and occo.,pAncy is hereb,, ilii ntod.
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1 BUILDING INSK)E CT'OR BUILDING OFFICIAL
Aid !'OST IN CC)N';I`I CUOU S PLAC;E::.
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Community Development RESTRICTED ENERGY ELECTRICAL.APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT #
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY -
PLEASE COMPLETE ALI SECTIONS
1. LOCATION Of INSTALLATION 4. TYPE OF WORK
i.:
A / r!D Q � , RESIDENTIAL—restricted Energy fee. . . . . . . . .
!� (FOR ALL SYSTEMS)
City State Zip Cbeck Type of Work Invc
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK [] Ap*o and,Stereo Sy
IS NOT STaRTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR �/
180 DAYS. LJ t3urglar Alarrr, ■
❑ Garage Door Opener*
2. CONTRACTOR APPL)f ATION�//4cC
_ fJe-f, n Heating,Ventilation and Air Conditioning System*
Contractor lGb�,,(. � .[ gyp- � ❑ Vacuum Systems*
c El Other _
Address_ �`�'�SL J( J � -- --------— — — e
Date `_____ _ ___- COMMFRCIAL—Fee for each sstem . . . . . . . . . S40.00
��� (SEF OAR 918-1 260-260)
Property Owner _
/ Check ly e of f Work Involved:
Contractor's Board Reg. No. Audio and Stereo Systems*
n Boiler Controls
Phone# —�� ❑ Clock Systems
3. OWNER APPLICATION; ❑ Date.Telecommunication Installaticns
❑ Fire Xarm Instal;-!ion
_ ❑ HVAC
Print Owner's Nainv Phonv No I
[� Instrumentation
Address _ — — — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control* !
City State Zip ❑ Medical
This permit is Issued under OAR 918-320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 vnll amps or les!)under this Ixxmit and Io do the ❑ Outdoor 1:,ndscape Lighting*
following:
1. Only use electrical licensed persons to do i lstallalions where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have 13 Other
asterisks(*).All others need licensing). —
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639-4175. ❑ Number of Systems
3. Purchase separate permits for all installations Hot are not ready for Inspection '�—
when the inspector is out to inspect under this permit. *Nn)Irenses are required Licenses are required for all other Instillations.
4. Assume responsibility for assuring that all corrections required by the Inspector __are done,and
5. Assume responsibility for calling for a Anal inspection when all of the corrections 5. FEES
are completed. C f
The person signing for this per i must a the appli nt or a person Enter Fees $
authorized to bind the appliea
b. 5% Surcharge (OS x total above) $ L _
Signature ,�-
TOTAL $ L
Authority if other than appli
FNERGAP.CHP
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NAME 1+1 f,C'Fif1f F., •.1111HCA I f i(IhRp V111 1 I it;:;l� PI►'ll U!"I I
ADDRESS)ADDRESS) 4?. +rADDRESS) 7440 S.,,W !r I FI 11!11: f'IdYhIF.:N I fit-I I t c
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' CITY OF TIGARu BUILDING INSPECTION NOTICE
Ins;lection Line (Rec-O-Phos ): 639.4175 Business Phone: 639.4171
Inspection: �_!�c)�•_ �"�/21 6,
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1. Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk�/z4
} k r Foundation Plbg, Underslab Mach. Rough-in Fireplace
PosL'Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: r
1, �
S 4 i a Post/Beam Mach. San. Sewer Gas Line
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Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation - ec ,
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
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1�jirpdA.
Date Requested:
eq / �� �� Time: AM PM
Address:. _5 -7
_7 _tomBuider: Permit #:
THE LL .)WING CORRECTIONS ARE REQUIRED:LOW
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Inspector: Date: 9 �
i _APPROVEDX-1 SAPPROVED _APPROVED SUBJECT TO ABOVE
t\ Call For Reinsp.
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CITY OF TIGAAD BUILDING INSPECTION NOTICE
Inspection 1_ine (Rec.O Phort'e): 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.
Alarm Water Line Insulation -Mech.
Urderflr. Insul, Shear Wall Gyp. Bd. -Elect.
l Date Requested: PM
9 Time: AM �
Address:
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Builder: Permit #
TF;'_ FULLOWING CORRECTIONS ARE REQUIRED:
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Date: �/
_APPROVED )�kSAPPROVEE _APPROVED SUBJECT TO ABOVE
fall For �eintp k
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J CITY OF -I•-ARD BUILDING INSPECTION NOTICE
Inspection Line (Recd•` Phorie): 639-4175 Business Phone: 639-4171
.M
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslat Mach. Rough-in Fireplace ,r
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Moch. San. Sewer Gas Line -Bldg.
Plbg. Underilo,, Rain Drain Framing -Plumb.
Alarm Wate+ Line Insulation -Mach. '
Undeft. insul. Shear Wall Gyp, Bd. -Elect.
L
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Date Reque,ted:
Time: AM PM
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Address:
Builder: Permit #. y
• + THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: C t , +
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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t 1", 1''� ,, CITY OF TItaARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: f � ati�Fr tNr
pp
k.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk ;
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Petst/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Fiaming -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested: /2,6 ��� _Tirne: AM PM
�
Address: C/ Le� C� if"�«-yL�GL{U `"
BuilderPermit # jCGs
THE FOU OW12 CORRECTIONS ARE REQUIRED: "" a
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Inspector:7� . Date:
L i'PROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
rCall For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 631-4171
1 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,
Plbg Underfloor Rain Drain Framing lumb1� <+
u 4
Alarm Water Lina Insulation -Mach.
Undertlr. Insul. Shear Wall
Gyp. Bd. -Elect,
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Date Requested: CC"
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Time: AM pM
Address:_
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Permit :
THE FOLLOWING rC•'RRECTIONS ARE REQUIRED:
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Date: G�
_APPROVED _DISAPPROVED _APPROVED SUCJECT TO ABOVE £rr" t�
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Call For For Reinsp. 1y�4
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 �!
Inspect )n:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace r
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. , r
Underfir. losul. Shear Wall rG ESB' '� -Elect.,
i
Date i1e^^uested: f �' �_Time: AM_
`I
Address: 2
Builder: _ Pp,.-nit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: 1./�---- Jate:
PROVED DISAPPROVED wDISAPPROVED 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/-- Sdw7R:
Foundation Plbg. Undersiab Much. Rough-in Fireplace
Post/Beam Siruct. Plbg. Top Out Elec. Rough-'n FINAL:
Post/Beam Mech. San. Sewer Gas Line -Pldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mr..ch.
Underflr. Insul. Shear Wall Gyp. Bd. 70ci.
Date Requested: a /%S Time: A —_—PM
Address: `, ,---
Builder: its �fermit 4:
I THE FOLLOWING CORRECTIONS ARE REQUIRE
,
Inspector: Date._—�-246 -j-5-
-APPROVED
j)'_APPROVED DISAPPROVEDED 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 V
Inspection: �/t.._1 ,►gyp ,��,
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
t :
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San Sewer Gas Line -Bldg.
Plbg. Underflo,r Rai,
n Drain Framing -Plumb.
Alarm Water Line Insulation ,
-Mech.
Underflr. Insul, Shea- Wall Gyp, Bd.
-Elect. r
Date Requee d:
�L_Time:__AM pM
dress: G)
Builder:
— Permit #: �_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:— �{ '� J
—��- ''_-/ ^� Date:
_APPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
!
a
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection: I
Footing Susp. Ceiling Sprink. Rough'in/ Appr/Sdwlk
Foundation Plbg. Underslab ec Rough-in Fireplace
Post/Beam Stru '--Plbg. Top Out Elec. Rough-in FINAL:
Pcst/Roam Mach. San. Sewer � as -Elldg.
Plbg. Underfloor Rain Drain �_Fr amin /-Plumb.
Al;,,m Water Line Insulation -Mach. a •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
i
zte Requested: y 5 Time: AM PM
Address: _7O /�. '
Builder; Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: "S
_ SIL
_ - ,
..i "r S+x 4irin
Inspector: _ Date:
I _APPROVED DISAPPROVED XADPROVED SUBJECT TO ABOVE
d ,
Zi _Call For Reinsp. ,
I
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6391-4175 Business Phone. -6j9.4171
Inspection: I�MZ�lA) 1 <JV C�••.-�ti
Footing Susp. Ceiling S r'u1K, Rot h in Appr;,dwlk
Foundation Plbg. Underslab Mech. Rough-ii Fireplace
ost/Beam eta Plbg. Top Out Elec. Rough in �/ FINAL:
ost/Beam Mec San. Sewer Gas Line dl(,. -Bldg.
Plb,. Underfloor Rain Drain �� -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp, Bd. A, 40tt.
IJr' �
Date Requested:__ 7 �f S Time:f � � PM
Address: / 7C Fjz'—e —_
Builder: Permit #:
-THE FOLLOWING CORRECTIONS ARE REQUIRED:
r � 2
) 1,S- )
�� ✓L �.es-C vV�-Cr-�- ,�
Inspector: `- Date:'J J J�5 s
_APPROVED _,kSAPPROVED _APPROVED SUBJECT TO ABOVE/ /
II For Reinsp.
l��
��'f/4L
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection line (f?ec-O-Phone): 639-4175 Business Phone: 639-4171
i
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post,'Beam Struct. Plb To Out
9• P Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg• Underfloor Rain Drain Framing -Plumb.
yi Alarm Water Line Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
-Elect.
�. Date Requested: Time: AM ■
PM
Address:
x
' Builder: Permit k:
J' THE FOLLOWING CORREC"IONS ARE REQUIRED:
72-
Inspector:
Inspector: ^�
Date: ("-
-APPROVED P! —APPROVED J
�—'� APPROVED SUBJECT TO ABOVE
(� tjQCall For Reinsp.
1.
1=1111 �il
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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 FINAL:
rust/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: 7// 1 f 5 Time: AM PM
Address.
Builder:_ (i.� �-� ` J 9--—7 S Permit #: E-7C `1 S— U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:; '�� Y Date �_��
APPROVED DISAPPROVED APPRO`'ED SUBJECT TO ABOVE
_Call For Reinsp. r
s
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 Plhg. Underslab Mech, Rou 1h-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Roug i-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. .
Alarm Water Line Insulation -Mech.
Underflr, Insul. Shear Wc,il Gyp. Bd. -Elect.
Date Requested: Time: AM PM ■
Address:
Builder: y�{ ' �1[ Permit
RE R UIR
THE FOLLO ING CORRECTIONS ARE_may -- s� a �'� -
d N �
Inspector: Dat-:
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phon3): 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. P op Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
�P16g nU deriloo) Rain Drain Framing -Plumb. ,
Alarm Water Line insulation -Mech.
Undertlr. Insul. Shear Wall ( Gyp. Bd -Elect.
Date Requested: ��, l �� L Time: AM _ PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ 1
7
Inspector: !� ,��7 Date:� �N
!//A4,AAPPROVEU _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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iaFalWarrarWa.
Imis
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ri Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Perrr, ; # —�L C 1-1S--ol 10 I
Phone (503) 639-4171 Date- Issued -1- (a -
CITY OF TIGARD FAX (503) 684-7297 ISSU@d by ,Mtk
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below: it
Name of Development Z-,4111 1)�4Ci1 ,�.b<�s Number of Inspections per permit allowed
Address ? 20b S-) Z,4�J, e Service included: Items Cost(") Sum
City/State/Zip �//r 4a. Residential-per unit ! � 4 •
/ 1000 eq It otiose $11000 L�
Each additional 500 aq It or
Name (or name of business) t�h
� portion thereof $2500
i Commercial❑ Residentie Limited Energy $2500
Each Manurd Home or Modular 2
I
Dwelling Service or Feeder It66 00
i
2a. Contractor Installation ott.1Y. 4b.Services or Feeders
Installation,alteration,or relocation 2
�lectrical Contractor ( ! 200 amps or leen t6r100 2
At2dreSS N S f— 201 amps to 400 amps $80 00 2
401 amps to 600 reaps $120 00 2
City 2 State( Zip 601 r:lrpa to 1000 amps $19000 2
Phone No. G� Over 1000 amps or volts $34000 2
Contractor's License No. - 142 C�- Reconnect only $5000
Contractor's Board Reg. No. 4c.Temporary Services or Feeders
Installelion,alteration,or relocation 2
Signature of S r. I c'n 41 200 amps or leas $6000 2
License No.3 ! S Pho e No,.-.7&y- 201 amps to 400 amps -- $75 00 2
—— — 401 amps to 600 amps $100(tio
Over 600 amps to 1000 volts
2b. For owner Installations: see'b'above
da. Straw-h Circuits
Print Owner's Name _ New,alteraron or extension per panel
Address a) he tee for branch circuits with
city State Zit] purchase of aeryke or 11modw Ara. 2
-- — Each btr nch circuit $500
Phone N0. 1)The tea lot branch circuits without
The installation is being made on property I own which is purchae of service or Nader fee. 2
not intended for safe, lease or rent. First branch circuit $35 on 2
Each additional branch circuit $500
r Owner's Signature 9 —_ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4()00 2
Erich sign or outline lighting $4000
3. Signal cimud(s)of hmdeanergy 2
Pletass check appropriate item and eater fee in section 58, panel,alteratioon or extension $4000 1
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
* Syster,over 600 volts nominal 41.Each additional Inspection over
Clarsified area or structure containing special ocrupnncy the allowpt.•ie in any of the above
r.s described in N.E.C. Chapter 5 Pm iner.chon $3500
Per hr v
$5500
Submit? sets of plans with application where any of the above In Plant $5500
apply. Not required for temporary construction services. $. Fees:
NOTICE 5s. Enter total of above fees $
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 uAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED.
❑ T--+Account 8 $ I
Balance Due $ ) tJ
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1
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CITY OF T I QARD — REOF I PT OF PAYMENT Rr-u-I r--f NO. :9 5--?67690
CHECK AMOL.fl,I1.68. 00
NF'�I�Ir x M'(CHAFL- CHURCH HOMES, INC CASH AMCIIJNT a 0. 00
A1)DRFSt" 7440 SW 3 'TH AVE
PAYt!F'NT I?Fa'T'F. 07/06/95
PIOPT1.,4ND, OR SURD I V I G ION 1
9l2119-
A41RF'(.]EiE OF PAYMENT AMOUNT PAID FkLIF1PClSE OF PpYIMF'NT AMC1UtdIT PAID I '
E4-EGTR I CAL PERMIT 160. 00 c:; ._e.. w) PER P. lath + i
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970(*,SW UANDAU PL.
f )'1 AL. AM(7UNT P010
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---'---- _.......---'._ •_.__�-.__ ___:_.....-.._.._.�____ est
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CITY OF TIGARD BUILDING INSPECTION NOTICE ,)
Inspection Line (Rec-O-Phone): G39-4175 Business Phona: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rou; -in Appr/Sdwlk
Foundatior. Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
' Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plug. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. ear W '�`) Gyp. Bd. -Elect.
Date Requested: _ TimeJ�_AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I1 --� 1
-,� rJ
ten, ,2 -
10 A
A A
12
i
A
Inspector: i'-- Data: S
_APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
4 (r _Call For Reinsp. +
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7.
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CITY OF TIGARD BUILDING INSPEr ION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Busoipss 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.
Alarm Water line -4 _ Insulation -Mech.
Underflr. Insul. ear Wail '(d \ I Gyp. Bd. Elect.
Date Requested: < <'_5 Time: AfY M
c�
Address:
Builder:_-��"C' ' �,� �.1 Permit #: cam,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
`) /Y/1[Li ff�t hY%�✓J ij`�%Lf�' �!-/Gtr'"'✓tel L / C!
J
( f 7C
�G/ `%���af L T%✓�;-KGs G� ,2.'b� �...��TA l� %�
Inspector: Date: G
S�
I _APPROVED r---6ISAPPROVED ,APPROVED SUBJECT TO ABOVE
` -Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICIf � •
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
i
Footing 5usp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. an.. S Gas Line Bldg.
Plbg. Underfloor ain Dr�in�' Framing
Alarmater�L nem..? Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect
Date Requested: S
e4 -7 Time: AM PM
U —T�
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
(,
Inspector_" Date: ?
-ARPROVE.D _DISAPPROVED _APP;;OVED SUBJECT TO ABOVE
_Call For Reinsp.
L�
aI
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
oundati Plbg. Underslab Mech. i=1.,ugh-in Fireplace
Post/Beam Struct. Plbg. Top Out Elac. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. w
Underflr. Insul, Shear Wall Gyp. Bd. Elect.
Date Requested: / Tim9:L� PM
Address:_ 6
G , c � 1.tact�� (l am`- et C:cL
Builder: Permit 4:J15 /4,Jr
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Innpector: Date:
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
r
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
Inspection: I ' )
ootin Sus Ceilin
P• Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. U iderslab 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.
Underfh. Insul. Shear Wall
Gyp. Bd. -Ele,t.
Date Requested:_ �/a_ T<' Time: AM PM
C ,
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.t ,x!•,rte/L�'._
r
Inspector:— ,
Date:
_APPROVED —DISAPPROVEDOVED SUBJECT TO ABOVE
_Call For Reinsp.
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3
Construction Inspection&Related Tests
Carlson Testing, Inc. Geotechnical Consulting
J08 NO. 913-3'7_77 P.O. Box 23814 Tigard,Oregon 97281
fay 04 , 1995
+ Phone(503)684-3460
REPORT OF IN-PLACE DENSITY TESTS FAX(503)684-0954
Client MICHAEL CHURCH HOMES INC.
Project 9706 SW LANDAU PLACE
1 TIGARD , OR
Material Description 3/4"-0 ROCK FROM MORSE BROTHERS — PROGRESS
Max. Dry Density 129 .7 lbs./cu.ft. Optimum Moisture 11 .4 _% Method of Test AASHTO T-180
Serial 1.8312 NUC 3440 _
DATE OF TEST % ADJ. ELEV. FIELD IN-PLACE DENSITY
TEST LOCATION COARSE MAX. MOISTURE (LEIS/CU.FT.1
TES'r NO NAnnc�Es DENS. FT. % -WE DHY COMPACTION
LI- NOR r ,
r 1 CENTEPLINE , 6 ' FROM WEST END TOP
5— 3 3 .7 137 .(-- 132 .7 100•+
, �.
2 C:ENTERLTNE , 27 ' FORM WEST END TOP
5— 3 3 .5 134 .E 130 .0 100t-
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00
5
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Remarks:
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Tested by _ CARLSON TESTING INC.
Information contained herein is t.•)t to be reproduced, except in full, without prior authorization ftcm this office.
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�— STEMWALL BEYOND
FRONT OF GARAGE
-8' 3' CONC. SLAB OVER 3/4' C.D-X
Irl' 11/2' LEDGE TtG PLYWOOD SHEATHING,
1 --
04 BARS (B' LONG) 46 18' O.C.
-- 2 X 12 FL. JSTS. s 12' O.C.
- o �-- P.T. 3 X 1 2 LEDGER W/ 1/2' A.B. 74' O.C.
N o W/ PLATE WASHERS W/ 'SIMPSON' HU212TF
v JOIST HANGER5.
�— (2) 04 CONTINUOUS
OC 24
- '4 DOWELS • 18' O.C. 124
O GRANULAR BACKFILL
�t
04 BARS • 18' O.C.
(W/ b' HOOK ON BTM.)
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' (2) 05 CONTINUOUS
k 24'
k
JSTD . GARAGE FDTN.
s-
A L A N OBJECTS WITHIN BORDER ARE NOT DRAWN TO SCALE
M-Gplr--JFD
PRINTED: 10/01/94
■ D E 8 1 0 N A9@OCIATR *
■ 1305 NW Ukh Moms, bland, OB. 9"
MV 2259161 FAM (503)2240933 COPYRIGHT C) 1994 BY ALAN MASCORD DESIGN ASSOCIATES, INC
} F t
PLUMBING PERMIT �
�t. RECEIVED I='CRM I T �. . . . . . . :r M3T7�
CITY OF TIGARD
.3 DATE ISSUED: 04/c_7/95
COMMUNITY DEVELOPMENT DEPARTMENT MAY 1 - 1995 PARCEL. 1rS12'1jCD'-0'7000
13126 3W Hall Blvd.Tigard.Orpgt2 97223.61{i6._ (603)430-4171 _
SUBDIVISION. , , . LANDAU WOODS POWER PLUMBING CO. ZONING; R-•4. 5
:
OL OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .007
-LASS OF WORK. . :NEW GARI:,AGE D I OP'OGAI.S. . : 1
TYPE OF IJSE. . . . ;SF WASE.I NG MCH. . . . . » , t 1 BACKFLOW PREVNTRS. . ¢ 1
i 7CCUr-,ANCY GRP'. . :RC FLOOR DRAINS. . . . . . . :'.'' TRAPS. . . . . . . . . . . . . . .0
a STORIEL,. . . . . . . . :2 WATER VIEATERS. . . . . . : .1 CATCH BASINS. . . . . . . ..0
"'IXTURE •..__. . _ ___ LAUNDRY TRAY,. . . . . . ;0 Sr" RAI1\1 DPAINS. . . . . : 1.
i
SINKS. . . . . . . . . . .. 1 GREASE TRAPS. . . . . . . :0
i..AVATORIEa. . . . . :5 OTHER rIXTUREa. . . . .. :0 1
TUB/SHOWERS. . . . . ,EWER LINE i ft ) . . . . :0
WATER CLO`ET ,. . ::, WATER I...I NE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks : Pf�TH I
<'
OWNER:
MICHAEL CHURCH t 1C`0'0. Orb 0W 04/37/95 _
7440 SW 313TH 1;t• $ 180. 00 SW 04/.:7/95
"Wht $ 14'r0. '00 SIN 41,',:'7/'), ....
�ORTLe�PdD C7r 9Twi9 k�P'FT 43. 00 SW 04/27/7
''hone #: 213-2109 BPLC F .35;x. 95 BON 04/03/9') 95 b s67�
n_!5Pc 't :::7. 15 SW 1114/ '7/17,
F'l-..rmbiny Contra,, ' c _ ... . ._ Pilin,, t '50`,*. 00 SW 04/1-'7/95 ...
( MORT 43. 00 SW 04/27/95
laama : OWE'>( ��v m`q 1 N C� CO. lhr'L.f� 9 i .l I. 15W 4"'t4/t27/9 5
`1ddrR: P 0 Box_ .23_144.___ 4 1. 25 SW 04/ 7/9`3
;i Ly Tigard _..__. ,-, Or ._.......... . 30TI1 f . 00 SW O4/C:7/95 ....
'ip: .. 97281one#:. 2G4-1900 11. ;_',`'': SW 04/2*7/95 -
R0 #. NdditiLII'140. r0e�: VIOL 'BhUwrt Iter^e. . . . . . . ..
___.... .. .._ ^EC,U I RCJ.) INSPECTIONS
This, permit is is ued �.ala.Jar,t to t'h#3 ey
ilations contained in the Ti.ymar^ri Municipal F ootiny Insp Insulation Insp
Sodej Gtate of Ore. `7peci,alty Coder, Ard All r'oundaLian Insp Gyp Etoard Insp
the!r applicable laws. All work will be clone F'ost/Eteaam ytruc:t stain strain Insp
ir7 raccor 'i��nce
With approved plans. This Fast /Seam Mechar Water• Line Tn-j
ovrm ' t will expi, a if work, is riot stat-ted Crawl Dr•aain Water Service Tr
.thin 1130 days of isLiluance, or if' wars; is Plm/undslab Insp App-./ dw?k Insp j1
,it..ts.pended for mare than ISO days, P'LM/Underfloor Mechariical F'in4a ' 1
Mechanical Insp P11.rmh 1'•in'AI
Plumb Top Out Duildirta Final
Framing Insp Cr osion Conti-ol
I" i.replac::e Insp
Ga-s Line Ins�p
1ut11urJ z ''luml:,.ing Curitr-a' C ignatUPI?
Cal \ in spe:_i: i nn 63x1 A 1.7�
"untractor Notes :
I
:7 ITT
MASTER PERMIT
CITY OF TIGARD PERMIT c#. . . . . . . . MST9'5 �7J1 :r
DATE ISSUED: 04/2://95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 9W Hall Bbd.Tigard,Oregon 97223.8194 (S03)b: -,./1 PARCEL: 13125CL' .-.0"I000
C.
i UPD:VIGION. . . . : LANDAU WOODS 'ONING: R•-4. 5
: LOCI{. . . . . , , . . . . Ln-1.T. . . . . . . . . . . . .
:007
BUIL.DING
j
REISSUE: DWELL I'{G UNI Tse 1 SA^EMENT. . . . . . . . ;0
i ,LASS OF WORK, :NEW DEDRMS e 4 BATF13:3 GARAGE. . . . . . . . . . :444 s f f '
TYPE rr USE. . . :Cr, F=LOOR AREAE ..., ._.._....__ .._.-. F:EQUIPED SETBACKS_--_._......___._
TYPE OF" CO�'ST. :SN riRST. . . . : 1013 of LEFT. . . 15 ft RIGHT. :5 ft
:JCC 1~'ArdC,Y OPP. .R 3 SECOND. . . : 1030 s, FRONT. : 0C ft REnR. . :23 ft:
3TORIES. . . . . . . :2 FINPSMENT:O sf
'IEISI IT. . . . . . . . :24 ft TOTAL -- - .. _.- 7'001 sf 3MOKC DETI7CTOR5. :Y
%OOR LOAD. . . . :40 prsf VALLIE. . . . . E : 143596 PARKING SPACES. . : l
Rwmat-ks : PATH I
__._.__._..._._..________-_._______--..__._.._._... PLUMBING
1NKa. . . . . . . . . . . I FLOOR CnAINa. . . . : 11 T?AGKF LOW r-RC04TRS. . : l
;_AVATORIES. . . . . :5 WATrR HEATE:RS. . . : 1 TRAPS. . . . . . . . . :0
" r, IN;:
LAUNDRY .'RAY a. . . :lb CATCH D' S*. INS. . . .
}' WATER CLOSETS. - :13 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
:iISFiWAC;I IF`RJ. . . . : t WATrR LINE ( ft ) . . 100 JTFIC F' rI XTUREO. . . . . -,0
; ARPAGE DIS( . . . : 1 RAIN DRAIN (ft) . :0
',dnSHING MACH. . . : 1 .:,F" RAIN DRAINS. . . 1.
____....._._ ____•_.__._ MEC11AN7CFIL _._____... _..__...•._.__...._.___.__._____. .____--- FEES
I"UEL. TYrES - - ---- UNIT IITR3. . e0 t- NPP .;mount t3y date r'ecpt
VENTZ' .. , . . . :0 TIF" $ 1550. 00 SW 04/ 7,'95
~1AX INPUT.0 ETL1 VENT F'AN . . .4 .3WM T 1E34'�. i�,0 :.,W 04/27/'35
-lJRN ( 100E . . :0 HOODS. . . . . . : 1 SWM t 100. 00 SW 04/`7/9S -
I'URN ) =1:001 . . : 1 WOOn''TOVCS. :0 "FRT $ 547. 00 1514 04/227/9 -
"LOOR F'URh.I. . . . :0 CLO DRYER'S. : 1 BF:LC $ :352. 95 BON 04/03/95 95 •2636 7r.
r
'.',azl_/crrr ( .:SIIPg0. OTHER UNITS: :'. C-1)-IC ti 27. 15 3W 04/'27/'?5
GAG OU i!..ET•S. 1 PARK ii 500. 00 SW 04/27/95
1 :Jvme _.. MPI-,1T t 4CS. 00 SW 04/27!'3
MICH11EL CHURCH MF''LC 4 11. 25 SW 04/2:7/1,.`"-.,
7440 G14 :.STI ! M.:ir.0 e:r 3W ".14,'27/95
3BT1I f 225. 00 SW 04/27/95 -
'OR'TLAND OR 97215 P5PC I. 11. , '5 7.14 04/,7/")5
"'hone #: 2:93.-2109 EROS $ 64. 00 SW 04/i27/95
CQ,;1t1-c,CtUr• . - -- .. ._ .. - __ _... _. ERPC It 010. 132 ",W 04/277/97't
MICHAEL CHURCH HOMES INC ERPC 2:0. 30 SW 04/,'7/95
440 5W 335TH
PORTLAND OR 972:19
Re Fl it. . : 91961 !
$ 3&33. 45 TOTAL
This penit is issued subject to thr regulations contained in the - - -- REQUIRED INSPECTIONS -
Tigard Nur.icipal Code, State of Oro, Specialty Codes and all other F'ootiny InsF) i='l�rmb Tuu Out
applicable laws. All Mark will be ;L-e it accordance with approved F-o,.mdation Ir.sp F"r^,ming 1nsF;
plans. This perait Mill expire if work within 180 Post/beam Str,_!ct Fir-e,ilace tris-i,
days of issuance, or if work is suspe- 180 days. Post/Ream Mechan Gas Line Ins>p
Cr .14J1 Drain, Inslalat ion 1n4F1
a :'er mi'rtea ia' F'lro/ .rrijsl��ta 1 � p ayF. ►uar•c1 Insp
F'LM/Uncier•floor- Ravin : rain Insp
Issf.,eci By . � '� __.._.._._ MEQ i.-riical Insp Wat,_.r^ I._i.nc, In=_p
f
_ Gti : fa, i; 5pkct ion -
639-4175
/ �� 1 9 1y5,Y i .. i Ili .. -:. '. i� r',.•. d `
PC.RMIT
F ;RM1T F. . . . . . . JWR7J"015-CIr( OF TIGARD
v
DATE IGSUED; 04/j'7/95-
COMMUNITY
4/j'7/95COMMUNITY DEVELOPMENT DEPARTMENT
l
13126 SW Hall Blvd.Tigard,Oregon 97223•!190 (603)439-4171 PARCEL: 1 r 12 S1,D-07fz 's''
j 7ITC AI',L;rl::::;: . . . : /�'�• t•. f;rJDA_
SUBDIVISION. . . . s LANDAU 400DO ZONTNG: R---4. 5
j3LOCV. . . . . . . . . . .. LOT. . . . . . . . . . . . . :4'x07
TENANT NAME. . . . .
.JGA NO. . . . . . . . . . : FIXTURE UNITO. . . :
CLASS Or WORK. . . :NEW DWELLING UN I T G. . : 1
?'YPE OF USE. . . . . :SF NO. OF bU I LD I NQS i 1
INS T ALL T YPC. .'. . :DIJSWR !MPERV SURFACE. . : : sf
Remarks : PATH I
:lwner _._..__ _..._._._. __.___________ ________.______._..._,----_._._.__..,___..____. FEEa
MTCHA[.L CHURCH type., amount by date V�ecpt �
7440 SW 35TH PRI1T $ 2200. 00 SW 04/27/95 —
IN'5P $ 35. 00 SW 047/95 .,..
1.'JORTLAND OR 97c 19
Phone #; 293-2109
1
1 l.UTltract 0r._ _._,..._.__..._..r..... ._._ .. ..._ ._ .. _._
CONTRACTOR NOT ON FILE
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Phone 1 : 2_235. 00 TOTAL
____.._._.,.. REOUI RED INSPECTIONS
— _._. ...
'his Applicant ap,eey to comply with all the riles and reyu,ations ewer Inspection _,�•_-_.,_-_••-_•— _•_.
g of the unified Sewage Agency. The permit expires 180 days from
i the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuiracy of the _ __•,.__•___.�_�.,.___ __ _
side sewer lateral,. If the sewer is not located at the measurement
Given, the installer shall prospect 3 feet in all directions from
I the distance given. If not so located, the .nstaller rchase
a "Tap and Side Sewer" Permit and the Agency will i later al. _�__•_____._.___ __..__.__ __ ..__ __. ___._ _•._._.
T?@}"Inittk?t� 5J.[:IT1,:At:'kr"f� '
I ss i,ed LAY
Cal for inspection 639._ 4175
75--
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Residential Building Permit Application C�-�. t� ;
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: q7rK, �/
Subdivision: 14 ft,p W f `�[&71)5 Lot# � Office Use Only
� PlanckLRec #
l
Valuation: 3,,
Permit# /7'l S a fGJ
Corner Lot? Y N
Reissue of
Flag Lot? Y N
Map& TL# 1!5I �•5 C p - d*7Dia
Owner. / "► C Ita Aoprovals Required
- v
Address: U > ,CJ y`, Planning
Engineering _
J�-o �p- �
Phone: _ — Other 'li`kA f�.l 000
Contractor: — !,' Items Required
Address: SUbcontr'ac4rs
ITruss Details
Phone: — Other 20� PIJ L ht6e
Contractors License
(attach copy of current Oregon license) 4,L $�C,►�e.r �r�S2w
Contact Name & Phone: f�� -> > ��,,j
o„c,rvsg ,M,e., p,ri.•u.i-e, c,.c�c,t�
Subcontractors: A-rchitect/Engineer:
/Plumbing: _ � � 1/ tl��llfti� �( Address:
✓Mechanical
(attach copy of current'OR Contractor's Li ense)
Phone:
JOB DESCRIPTI _
Ap icb t Signature & Phone number
Received by: — _ Date Received:
1 °
�r1
Permit# Account Description Amount Amt. Pd. Be:. Due t
S S 3
Permit (BUILD) �_
i
Plumb. Permit (PLUMB)
Mech. Permit (MECH) ys —
`y State Tax (TAX) _t:i2 G 7
,1
Bldg: 02 �- ✓' q0,Ct
Plumb: -_ �• 7-
�'✓ ,
Mech: - L
Plan Check (PLANCK) 3 // Zo ✓
Bldg: 35-1. 91_v
Plumb:
a;
i
Mech: _ /�- Z v"
SwIZ '� -U Sewer Connection (SWUSA) �.�y U .221
Sewer Inspection (SWINSP)
Parks Dei Charge (PK!SDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) --L, 2 _ 3
Mass Transit TIF (TIF-MT) l l0
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
j Institutional TIF (11F-IS)
Office TIF (TIF-0) _
Water Quality (WGr!1AL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
a
Erosion Planck/USA (ERPLAN)
i
Erosion Planck/COT (EROSN) J
TOTALS: 5M qj- 563e'�( 1�
CITY OF TIGARD
WASHINGTON COUNTY OREGON
VOLIJN'IARY COMPLIANCE AGREEMENT
To: Michael Church Homes, Inc.
7440 SW 35th Avenue
Portland, OR 97219
A
Re: Illegal tree removal
I, Michael Church Homes,Inc., as responsible person for Tax Lots 7000,7100 and 7200,Tax
Map 1S1 25CD, and I agree to the following conditions: In addition to the planting of two
(2) street trees per lot, the planting of two (2) coniferous and one dedicous trees of a
minimum of two (2) inch as caliper per lot, prior to occupancy. Said trees are to be planted
according to the attached map as approved by the Planning Division.
i
I understand the City will withhold action until occupancy of the dweiling units or planting
of the trees, whichever is first. Upon compliance with all above conditions, this case will
be closed. I further understand, if these conditions are not complied with fully, I may be
cited with a Summons and Complaint.
1 /
Signed: Date:
Respondent
� i
Signed: VW
Date:
J. Wolf
Community Service Officer
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CITY OF T IC;F#ftD - RFGF 1 Pr OF' PAML'NT RECEIPT NO. a C13—c647A 1
CHECK AMOUN1 a 5631.1. 45
NAME. a UNITED SAVINGS BANK CASH AMOUNT a 0. 00
AUhFtFSS a MICHAEL CHURCH HOMES, XNI:'. PAYMENT DATE'' a �14/l'7/"�`3
SU1`11)IVISIL]N a
`.31rc10 LAW M6ICADAM, ;'�`!'E �4�30
• ;� PORI L..ANDM, OR 97201 '
PURPOSE: OF PAYMF..N'i AMOUNT PAID PLJRPGf;L_ OF P14YMEKIT AMOUNT PAID
r � BUILDING PERM MSiT95--0165 543. 00 PLUMBING PERM 2P5. 00
a i IMECHANICAL PE 45. 00 ST. BUILD PrR 40. 65
FLAN CHECK FE= 1 14. c'0 SEWER USIA 'SWR95--01 na c.'e' . f110
YY !
?
;ciI-:WFR INSPECT 35. 00 1' 1RKR) 13DC:
500. 00
k I HiP.0 DUALITY FACILITY FEE' 180. 00
RESIDENTIAL "f RF1F'F'T f FFES 1430. 00
�
15 ' MASS TRANSIT TIF FEES 1?IA. 00 1-420 UUANTITY JnC;IL. ITY F'E'E 1otd 00
�` '' EROSION CONTROL PE=RM I TF EE: F.4. 00 EROSION CONT RC1l_ PL ON Ch{ x:'17►. NLA C
EROSION CONTROL., ?0. 80
:)706 SW LANDAU PLACE"
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I TOTAL AMOUN'i PAID - -- - -> 5630, 45
;C I
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CITY OF T I OPRD RECEIPT OF PAYMF NT RE'E'F 1'P-r' NO. o :r',`; :'b 3c.743
CHE:C'K AMOUNIa '!:50. 00
I iuAMI_ a M I C;HAr-.E_ CHURCH HOMF: 3, INC: 1:;AG,il AMi')UN 1' a 0. (110
�►, '•;1RESS 7440 SW 35TH FIVE:. r'AYlylVNT DATE. a 114/0 3/9 5'
I
PORTLAND, OR P1)1V113IC1N a
972'l 9—
(i, 4
1F't..IRFv-3F. (7E- PAYMENT 0MC)UNT 111:01)1) PURPOSI OF' POYME'NT 0MOUNT P01t)
Pl.r.lrd CHECK FC 4..2,R 00
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`0706 SW L.ANDA0 PL.
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� I TUTTOTALpMC1l INT !='G)1 1'a _ -. `: 091
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