13564 SW BRIM PLACE ADDRESS:
i\records\microflm\targets\building.doc
CERTIFICATE OF
CITE' OF TiGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARtIVIPENT PERMIT 0. . . . . . . : MST93-145W,
13126 SW Hall Blvd.Ilgard,Ornpon 972,13-6100 (503j'64-4171 DATE: I`SUED r 08/02/94
t'ARCEI._e 2S104CD--@760'A
SITE ADDRESS- 2 1356.4 SW BRIM PL.
SUBDIVISION. . . . a HILLBHIRE ESTATES LONINC:R-7 FAD
I.ALOCK. . . . . . . . . . a LOT. . . . . . . ,. . . . . . w 07F.,
I.LAS6 OF WORK. :NEW
TYPE OF USE. . . :GF
OCCUPANCY GRP. :R3
OCCUPANCY LCIAD s 230 4
rfr NANT NAM[---. . . t
P marks o POTH I -- •- ONLY ISSUE TEMP CE:RI IF ICATE OF OCCUPANCY UNC IL.. STROIM
F)PP 1 NnrF 1 N STAI__i UP IN I1mm Or PPOPFPTY 4 H131-ISE CONNF"("Tr t) TO TT.
i
BRAD/JUDY CROXI=ORD
e
('hon e #1 6,43-0904
(.:ontraoctorp
I I I LLC:ROF T CONSTRUCTION INC:
303 R I DBE LANE.
WE93T L INN OR 97060
Phone 0: 650-4876
(INrl #. . a 74024
Occupancy of tha above ref ere+nced bui lding i s hereby W i Wen, imid 1`eri. i f a,
flee rrompltanre with the State Of Oregon Speciailty Code$ for the group,
o c:upmmvy, nand 1.1ie under which the referenced permit was issurd.
tai LV 0 iNSPEcroa..__....__
ti ILD I NG OFF ITiAL Y
POST IN CONSPICUOUS PLACE.
4
INSPECTION NOTICE
City of Tigard n:ildinq Departar 'it_
13I.2S rW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Undarslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas LinelINAL:
Post/Beam Struct. San. Sower Framing B1A 1
Post/RoAm Mech. Rain Drain Insulation -Plumb.
Plhq. Underfloor Water Line Gyp. Bd. -mech.
Date Re<paestedl - I'� Times
M _Q_AM !P_N
Address: l � ) � V,\ __ Pdrmit T1
l
Builder:_ e `L
TNR FOLLOWING (DRRECTIONS An REQUIRF.DI
`I
Inspectors_ Date:_'j�-
APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
V2 _—Call For Reinep.
V2
JNS''BCTION NOTICE
City or Heard building Department /
13125 9M Ball Blvd. Tigard, Oregon 97223
Inspectlio�n Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection: •l -2 If L Ip -y- `
-A �-Q ` ,-�,- --4 t ., (_4 � `_'
Tooting Plbg. Underslab Hoch. Rough-in Ap}-/Sddwwlk
Pound. Plbg. Top Out Gas Line ►IIf11Ls /
Post/Beam Struct. San. Sewer Framing
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested:_ `! - cY ���fT�i�mef [� 11M v PM
Address: � YYA v 4 P=it fit_--t l���0
Builder: E 1J ��` -) , (r•J���1�J
THE FOLLOWING CORRRCTIO149 AAE REQUIRED:
l Wil.
Inspector, Date: 2-2
APPROVED L-52//SAPPROVED APPROVRD SUBJECT TO AROVE
+ Call For Reinsp.
• xnaeacxxon narks
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspeckton Line fRec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspectiont
Footing Plbg. Underslab Koch. Rough-in Aper/Sdwlk
Fout.d. Plbg. Top out Das Line 7l11i.
Post/Beam Rtruct. San. Rower Framing BId
Post/Beam Koch. Rain Drain Insulation -Pith,
Plbg. Underfloor Mater Line Gyp. Bd.
Date Requestedt �(� �- — G Times AK PK
Address: C, 6 /
Permit �j
Builders
TBZ FOL14MINO OORRECTIONS ARE REQUIRED:
i
G !
Inspector: �% �� - ` 7
Dates
✓ APPROVED DIRAPPROVED APPROVRD AURJP.CT To ABOVE
—Call For Reinep.
INSPECPION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 9727.3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Tooting Plbg. Underelab Mach.. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL'
Poet/Beam Struct. San. Sewer Framing
Post/Ream Mech. Rain Drain Insulation -Plwsb.
Plbg. Underfloor. Water Line Gyp. Bd.
Date Requested:_ 19 —Times AM PM
/,0Address: � 61 L 16'ti C,L PTiermit 1s
Builder: � C—.LSA__L '
"M FOLLOWING CORRECTIONS ARE REQUIRED: 'goot
LA� �2a.
y >A
Ar
wl �-l
Inspector: Date: �?
V � � c,�
APPROVED V�DISAPPROVED APPROVED 3URJEC7 To ABOVE�� ._ all For Aainep.
MEMInON
CitT Of Tigard Building Doper
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phons)r 639-4175 Business Phone: 639-4171
Inspections•_
Footing Plbg, Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg, Top Out Gas Line
PINALc
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Ratn Drain Insulation -Plumb.
Plbq. Underfloor. Nater Fine Gyp. Bd. -Mach.
Data ROquestedt
-T 11ne t AH PN
Addreest Permit
Puilders_-•_
THE FOLLOMING CDRRiCTIOMS An REQUIREDI \v�� CAY
t7 �' c
Inspectors
/ — tet_ 4
•i_APPROVED t- DISAPPPAMD APPP.OVED SUB,RCT TO ASR-t—
/Call For Reinsp.
lis FECTION NOTICE c
City of Tigard Building Departakant
13125 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Due iness Phone: 639-4171
rooting P1bg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Cas Line PIKALc
�--
Post/Beam Struct. San. Sever Framing -Bldg.
i
Post./Beam Mech. Rain Drain Insulation pls�, -
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requeeteds / �-- - / 7 Timet rr_ AM Q PH
Addreees `/ �rl'r1 1 l/c Pitmit
Du I1 0r:_ 4:570 - '�/Y Y'THE FOLLOWING CORRECTIONS ARE RRQUIREDs
i
Z15
I
1
Inspector ---- ---- C t
Dotes J
APPRDVED DISAPPROVED APPROVED SURJRCT TO ABOVE
` Call For HalnRp.
XNSPECTION NOTICE
City of Tigard Bullding Department
13125 SN Ba17. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phorna)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Aper/Sdwlk
Found. Plbg. Top Out Gas Line FINAL%
Post/Beam S.!�ruct. San. Sewer Framing -Bldg.
Post/Roam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. .-Mecti.
Data Requested: / �`.� /� �� —Time: --PM
Address: J'~� 1 /i/I7 �P�risit 1
Builders_ '
THE FOLLOWING CORRECTIONS ARE REQUIREDs
I;
Inspectort�3C �UfY1(�}S — v--. Date•_ l -74L
_APPROVED DISAPPROVED }tr APPROVED SUBJECT TO ABOVE
--_Call For Relnwp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 47223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inepectionz
Footing Plbg. Underalab Mech. Rough-in 71�Sd k
Found.
Plbq. Top Out Gas Line FINAL:
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -.Plumb.
Plbq. Underfloor Nater Line Gyp. Rd. -Meeh.
Date Requested: // 7" / - / __Ti.' AM PM
Addres i c �`?J ts� �[)/-l I Y-7 C+2 A P it f c �_
# Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED,
ZAJ
A P c
Inspector• ��/�t' 7 _
— =+—f Date t
-_APPROVED ZOAPPROVED APPROVED BUBJECT -m ABOVE
Call For Reinsp.
r�
INSPECTION NOTICE
City or Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underalab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gee Line FINAL:
Poet/Ream Struct. Sen. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Undarrloor Nater Line
yNater_ine �j [/ Gyp. Rd. -Koch.
Date Requested: / �/ �- / 7 Times AM _PK
Address s � (p '2/I7r) Permit i Mf9� G
Rut-)der:
THF. FOLLOWING CORRECTIONS AAE/-REQUIRED:
Inspector Date:
PROM DISAPPROVED,--- DISAPPROVED -- APPROVED SUBJECT TO ABOVE
_Call For Reinep.
g8_CCION NOTICE -
city of Tigard Building Depart ent
13125 S' Hall, Bled. Tigard, Oregon 9.7223
inspection
/Line (Rec-o-Phone)r 639-4175 Business Phone: 639-4171
Inspevtlonr
Footing plbg. �derslabko
t,�
L +CSO
erh. Rh-in ou
q Appr/Sdwlk
bound.
Plbq. Tc•p out Gas Line
FINAL:
Por ;Beam Struct. San. Sower Framing -B.ld
q^
Post/90am Hoch. Rain Drain insulation
-Plumb.
Plbq. underfloor Water Line Gyp. Bd. -Neth.
Date Roquestedr_ C Times
r AN PN
Address. -S C �-
Permit
THE FOLLOWING ODRRRCTIONS .ARE REQUIRED:f�
Inspector:_- /�/� "0bstes
r' 11PPROVED Y ---
DISAPPRuvrtD APPROVED SU9JEf`T TO ABONg
_,`Gall For Reinap.
SPSPECMO 0071 \'
City of Tigard Building Department
13125 SW BaI.1 Blvd, Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Pholle: 639-4171
Inspection:
Footinq Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALt
Post/Beam Stntct. Ban. Sewer Framing -Bldg.
Post/Ream Hoch. Rain Drain Insulation _Plumb.
PYby. Underfloor Water Line Gyp. Bd. /h.
Data Requeateds - 2 0 - /? � Timms r AM PM
Addreass J'
J '.r -C_� �} 't'yt"'-�'' Permit Ere
Builders——,
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
InspectorsZ 6 - `1
'Date:
/APED DrsAppRoVgn APPROVED SUBJECT TO ABCM
Call. For Ratnep-
INSPLCRION NMICi
City of Tigard saildisy Department
13125 OR Ball Blvd. Tigard, Oregoe 97223
Inspection Line (Rec-O-Ptone)� 639-4175 Business Phoney 639-4171
Inspection
Foo-in
9 Plbg. Underslab Meeh. Rough-tn Appr/Sdwlk
Found. Plbg. Top Out Gas Line
YINALt
Post/Beam struct. Ban. Sewer Framing -Bldg,
Port/Beam Mech. Rain D-.ain Insulation / -Plu%b.
Plbg. Underfloor Mater Line pyp. Bd. ✓
DatsL C/
Raqueetedo7 ! ", _Z_cj' -- 1 �( TL0e1 � !K
Addreast� � l��f kW' f f-ry Permit fz�1`�Z
Builders ` Zfr �i-fit SO
TNR FOLLOWING OORRECTIoms ARE RRQUIRRDt
VYV? 4-'- r_
VLP. .s was
Inspectort_ 'l �/ k. �--.��
Date:
_—APPROVRD _LL'DISAPPRO'JRD APPROVRD SUBJECT To ABOVR
Call For Reinap.
INSPECTION NOTICE l V
City of Tigard Building Department
11135 ON Hall Blvd. Tigard, Oregon 97223
Inspection Lino (Rao-o-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top out Gas Line FINALS
Post/Beam Struct. San. Bawer Framing -Bldg.
Post/Beam Mach. Raln Drain Insulation -Plumb.
Plbq. Underfloor Nater Lina a Corp. 1d_„-� -Mach.
Date Requestedt ( -3 l Y I Timet
Address, ( tJ�r(1 Y I�M_�1�r Y Permit
Builders
TIM FOLLOWING CORRECTIONS Ails PJWIREDt
Inspectors7 —
Datse
APPROVED - N 'DISAPPROVED —- APPROVED SUBJECT TO ABOVE
"-C811 For Reinsp.
CITY OF T PERMBI TN#. PERMIT : MST9:3-9566
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/21/94
13125 SW Hall Blvd.Tigard,Or*aon 07223.8189 (503)830-4171
PARCEL: 2S 10400--HE076
SITE ADDRESS. . . . 1.3564 SW BRIM F'L
SUBDIVISION. . . . : H I l_LSH I RE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :076
CLASS OF WORK. . .-NEW UARBAGC: DISPOSALS—:1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-- ------------ LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . .. . . . . . 13 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :7 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE ( "t ) . . . . :0
WATER CLOSETS. . 15 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . -. 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER: --------------------•------------ ------------------FEES----------
BFZAD/JUDY CROXFOR7 TIF t 1520. 00 JH 12/10/9.3
BPRT $ 625. 50 JH 12/10/93 -
BPLC (; 536. 58 JLH 11 /12/93 93-245926
B5PC $ 41. 28 JH 12/10/93 -
Phone #: 643--0904 SSDC $ 280. 00 JIA 12/10/93 -
PARK $ 500. 00 JH 12/10/93 -
c MPRT $ 46. 00 JH 12/10/93 -
MPL.0 i 12. 00 JH 12/10/93
N:ame a tl Ca )V4L u4 M5PC i 2. 40 JH 12/10/93
f-
lcicir esh
0 ('I PPRT 4 225. 50 JH 12/10/93✓' _ State • ✓ PaPC 1. 1. 13 JH 12/10/93
Z i ❑:1 �- Phone#:�Q ^_`
Reg
-- ---- REQUIRED INSPECTIONS ---- --
lhi permit is i sued subject to the reg--
1-dations contained in the Tigard Municipal Foot/found Insp Framing (REINSP)
Code, State of Ore,. Specialty Cedes and all Foot/fof..ind Insp Fir-eplace Insp
other applicable laws. All work will be done Post/Beam Struct Fireplace Insp
in ac-rordance with approved p)ans. This Post/Beam Mechan Gas Line Insp
permit will expire if work is not started Plm/undslab Insp Insulation Insp
within 180 days of issuance, or if work is PLM/Underflocr Gyp Board Insp
suspended for more than 190 days. Mechanical Insp Rain drain Insp
Mechanical Insp Water Line Insp
Mechaniral Insp Appr/Sdwlk Insp
Plumb Top Out Misc. Insper_tion
Framinq Insp Misr. Inspection
x� Framing (REINSP) Additional . . . . . .
Authorized Plumb Vnjg Contractor Signature—
Call for inspection - 639-4175
Contractor Notes:__ --_-__—
WILLAMETTE PLUMBING INC.
P.O. BOX 276
CLACKAMAS, OREGON 97015
( 503) 656--2506
17. March 1994
Ref: mst93-9586
To Whom It May Concern:
The house under construction at 13564 Brian CT, Tigard Oregon
9727.3 was originally permitted by Willamette Plumbing Inc. permit
MST93-9586. This house was not plumbed by Willamette Plumbing.
Therefor Willamette Plumbing will not be held responsible for
any problems that may arise at saiu address.
On March 7, 1994, Henry Marshall. Threefoot,whil.e installing
plumbing at said address, mis-representehimself as an employee
of Willamette Plumbinv Inc. to the City of Tigard 's Plumbing
Inspector Mike Sheean.
In December 1993, Mr. Threefoot was laid off from Willamette
Plumbing Inc.
Mr. Threefoot must cease and desist from using Willamette
Plumbing 's: name, license or Building Board number to perform
any plumbing work.
,j
Any questions concerning this matter, please contact Willamette
Plumbing at above address. Thank you for your time.
Cordially
R.L.Olson
Copies of this letter are being sent to the following persons
and organizations:
Mr. Steve Varner
Hillcroft Construction
3303 Ridge Lane
West Linn, Oregon 97068
Oregon Costr.uction Board
700 Summer Street N.E.
PO Box 14140
Salem,Oreon 97309
Oregon Building Code
1535 Edgewater. N.W.
Salem, Oregon 97310
City of 'Tigard
13125 S.W. Hall Blvd.
Tigard, Oregon 97223
Brad & Judy Croxford
17425 S.W. 131 ST Ave.
Tigard,Gregon 97223
Henry Marshall Threefoot
21555 S. Dianne DR
Beavercreek, Oregon 97004
Plumbers & Steamfitters Local 290
8111 N.F. Holman Street
Portland, Oregon 97218
INSPECTION NOTICE '
City of Tigard Building Department
13125 BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection
Footing Plbg. Underslab �ich. Rough-in �'Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Strict. San. Sower �FeYinq ' -Bldg.
Post/Beam Hoch. Rain Drain Insula ation /'� -Plumb.
Plbg. Underfloor Water Line y(/ gyp, Bd. -Koch.
Data Roquesteds_ J I1/-G/ / Timm: AMN
G. �(p
Address: 7���lD(j (- Permit #2 ��� /.�_.C�(S 941
1 t/
Builder:
ni
('
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
-3^ V✓ 1 �� �
AC
<>
T ( �_� I- �
��vvt_ j -
-�
Inspector:
_ Deter _
iAPPROVED DISAPPROVED _-6APPROVED SURJEcT ro1 ABOVE
For Reinsp.
�C LTi-r��- .
INSPECTION NOTICE
Cit? of Tigard Building DapartMnt
13125 M Doll Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspectiont
a
Tooting PLbg. Underslab Mach. Rough-in Appr/Bdwlk
Found. Plbg. Top Out Gas Line FINAL,
Q Post/Beam Struct. San. Hewer praising -Bldg.
Port/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested, i> l "s _Time AM
Address,_, j,:� (`1 `�z / w- Permit #1`1
Builder:
THE FOLLOWING CORRECTIONS ARE REQDIRZDt
t S Swc Zp
,r
7-'2- G_F_ 1.
sp
1Ai 4?
Inspector,.-- Date: _
_APPROVED DISAPPROVED V/ APPROVED SUBJRCT To ABOVR
Call Por Reinsp.
INSPECTION NOTICE
City of Tigard Building Department V/
13125 sO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALs
Post/Beam Struct. San. Sewer !racing -Bldg.
Post/Beam Rech. Pair: Drain Insulation -Plumb. Cess
Plbg. Underfloor Mater Line Gyp. Ed. -Hoch.
i /
Date Requesteds /, LI f Tines ,/` l{M/ PQM/
Addresses I "� 1 r�s 1 Permit 1 t 2
Builders
TRE FOLLOWING CORRECTIONS ARE REQUIREDr
.30
y— "I1
, A^ 9
vv\T' \c Al-
17 - N- `_ _ � � L
C+S
Inspectors_— Date
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
fj Call For Pei nap.
a c"l — 1 Z -� tt 1-1 0 QcN
INSPBCfIO" NOTICE
City of Tigard Building Department
1.3125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)c 639-4175 Business Phone: 639-4171Inspectioni
�A
y 1'\
Tooting Plbg. Under h. Rough- Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
st/Beam 8truc San. Sewerrasing -Bldg.
ot./Beam Mech.� Raln Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Requested:-� (�z ClI Tima: M�AM a-_PH
Addreas: ('7�>11 f J�( (y, �r ` Permit f f /`�9 SICu�F'
Builders ejif Cokit, �1.- 1(�
THE POLLMING ODRRECTIONS ARE REQUIRED:
i
IKS
zk
CC Lam,. �,�. c, 5+-Z�. S
LJL
Inspector-_.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
) /(" L'-Call For Reinnp.
Jun-U oN NOTICE r
City Of T19ard E4J.1,24 Department �)
13125 M Hall Blvd. Tigard, Oreyom 97223 --
Inspection Line (Roc-o-Phone)l 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Pibg. Top Out Gas Line FINALS
Post/Beam Struct. Man. Bower Framing -Bldg.
Post/Beam ►loch. Rain Drain Insulation -plumb.
Mg. Underfloor Mater Lira Gyp. Bd. -Hoeh.
Date Roquestod3 �� Cl
Times AM PN
Addre
Permit
Builders
— I
TBS FOOL-LOWING CORRECTIONS PRZ R=QUIRZDt
IAC-
�U . LC
Inspector: Dates
APPROVED —, DIBAPPROVEO APPROVED Su"CT To ABOVE
For Peinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 OR Hall Blvd. Tigard, Oregon 97323
inspection Line (Rec-O-Phons)s 639-4175 Business Phone: 639-4171
Inapecttonc _
Footing Plbg. Underslab .Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas L1 FINALE
I Post/Beam Struat. San. Sewer Framing -Bldg.
4 Post/Beam Hoch. Rain Drain Insulation -Plumb.
i
Plbg. Underfloor Mater Line Gyp. ad. -Hoch.
Date Requesteds rl y Times AH _f PH
Addrosst 1 > ) � 4 ,J'r .mow^- Permit to '�3 -
Builders
TBE FOLLOWING CORRECTIONS ARE RsQUIRED: / �j
w c.ALA
Jac,1h -
� '
VO AY L_ U11- `..r �r •7 f C 'h SQL
LAJ
Inspector:_ ` -------- Date I
\ "PROVED APPROVED SUBJECT To ABOVE
v t�(� _LCC"ill For Reinep.
. IedPscrxoB BD7'ICi
city or Tigard Boildiag Departs ^V
13125 ell Ball Blvd. Tigard, Oregon 97223
Inspsctlon Line (ROC-O-Phone)l 639_4175 Business Phones 639-4171
Inspections
Footing Plbg. Underalab Hach. Rough-in g Appr/Sdwlk
Pound. Plbg. Top out Cas Line
►INALs
Post/Beam struet. San. Bawer framing -Bldg.
Post/BOam Mach, Rain Drain Insulation
-Plumb,
Plbg. Underfloor Mater Lina Gyp. Bd.
-Nech.
Date Reyuesteds � -- ^l _ rl
Times AM --PH
Address s \
Permit Q (1,
Builders 6 I
TM FOLLONIRG CORREMIOeS AM RBQUIREDs
'- P
VVN
&52
'1 � •__ iill
�- A
Inspectors /�,
—1_ Dates S r
APPROVKD _ L-irsAPPRom APPP43M SUBJeCf To ABMR
p L/
1 _-Call for Reinsp.
I
I
i
INSPECTION NOTICE
City of Tigard Building Departnant
13115 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec•-O-Phone)t 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line FINALS
Poet/Beam Struct. San. Sewer truing -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb,
i
Plbg. Underfloor Nater Line gyp, Bd. -Xwh, `
Date Requestwds,__ � _,Tines AM PM
Address �.i--.+ Permit is
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
y,�_ dl
i
Inspectors 1 1
Dates-APPROVEDDIEAPPROVED APPROVED SUBJECT TO ABOVE
For Relnsp.
IRSPECTYGB NOTICE
CUT Of Tigard Hnildimg Depertmlent
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (ROC-o-Phone)e 639-4175 Business Phones 639-4171
lnepec+ ton:__
Poottnq PUM. Ond*ralab Mach. Rough-in Appr/Sdwlk
Hund. ibp _3 Gas Line PINALs
POWBe4m Struct. San. Seller /ruing -Bldg.
Post/Bees heck Rain Drain Insulation _Plumb.
!Q o den rtloo Mater Line Gyp. Rd. -Poch.
Date Requested, _Times AM PM
Address: �J -)W `J r w��. (� Permit s��J - �C'��/l0
Builder: ^�1 V1� \o��U - Kb7Dc
THE FOLLOWING CORRECTIons ARE AMUIREDs
OF
i
Inspector _ ^Dates
APPINIVED —� DISAPPROVED APPROVED SUBJECT TO ABOVE
0411 For Retnep.
41
y�
INS R ION NOTICE
City of Tigard Building Deportment 1.
1332S M Hall Blvd. Tigard, Oregon 97223
Inspection Line (R*c-O-Phon*)s 639-1175 Business Phone: 639-4171
Inspection:
Footing Plbg. underslab `Nem Rough-ins Appr/Sdwlk
Found. Plbg. Top out Gas Lin j FINAL:
Post/Beam struct. San. Bower Praminq -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater Line Gyp. ad. -Hoch.
Date Requested-:-/ � `time: AM PM
J (r�
Peprait #: Z3-
BuIIder:____�:
TBE FOLLOWING OORRZCTIONS ARE REQU REI D:
1,014
4 �� 1l0`1
A k Zg_
Inspector: Z 7-7_ 4
Date:
APPROVED �DISAPPAOVEO APPROVED SUBJECT TO ABOVE
/I �� Lall For Reinsp.
INSPECTION NOTICE
City of Tigard building Department
13125 M ball blvd. T19ard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspections _
Footing Plbg. Underslab Mach. Rough-In Appr/Sdwlk
Found. Plbg. Top out Gas Lina FINALS
Post/Beam Btruct. Ban. Bawer Freeing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg, Underfloor Water Lina Gyp. Rd. -Mach.
Date Requested s L - Z `� —�` Times AM
< /PM
Address s \ �o `1 -� ( Permit #3 ) 'r,Is 5�
Builders_
THE FOLLOMING CORRECTIONS ARE REQUIRED: < ' 2 L
�
� � �� .+t-� � r
tee � < .�, T� l
\14 N4
Inspectors �� Dates_ C S�`7
APPROVED _DISAPPROVED --- APPROVED SUBJECT TO ABOVE
t
Call For Reinsp.
INS?zgTxON NOTICE
city or Tigard Building Department
13175 sR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)t 639-4175 Business Phone: 639-4171
Inspect ion e VIA J(rn Y
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underrloor Nater Line / Gyp. ad. -Hoch.
Date Requested: r�Z - L�� '1 Time: A/M, PI[
Address �7�7�U� V« I� C Permit
nuilders Af uc r
THE FOLLONING CORRECTIONS ARE REQUIRED:
vw✓1 `"� Z�F'S_��' 'Its- S
VvL'v -� v N yr
Inspector: �� Date: Z.
APPROVED DISAPPROVED " APPROVRD SUBJECT TO ABOVE
n r 7 Call
For Reinep.
INGPECTIon WYMN
City of Tigard Building Depart--t
13125 M Ball olid. Tigard. Oregon 97223
Inapection Line (Roc-O-Phone)t 639-4175 Business Phones 06-39-4171
Inspect ion:--- Z s 4 — _
looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line iIMALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. R^Ln Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mech.
Date Restuesteds Times AM PII
MST
Addresser 1 ` >�'� 1 (d' yv. ; Permit #s �? �y
Builders
THE roLLoWino ooRRECTiOMS ARE REQUIREDs
Inspectors_ 1 _ Dates Z
APPROVED DISAPPROY=n " APPRMRn SUBJECT To ABOVE
Call For Reinap.
INBPZCTION NOTICE
City of Tigard Building Departseeot
13125 Bw Sall Blvd. Tigard, Oregon 97223
Inspection Lina (Pec-{{O-Phone�d39-1175 Buriness Phones 639-6171
Inspect ion s-- ��Y�n 1 �1 Q `1 `. ( 'y1 V ��,�il Q Q
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top out Cas Line I'INALs
Post/Boas Struct. San. Sewer Prising -Bldg.
Poet/seas Nech. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. _Neth,
t r.
Date Requ steds I_I " Tlmes AN PM
Addresses t'U T• 1��/1 I Permit to
Builder:
THE FOLLOWING CORRECTIMM ARE RUMIRM
i
Inspectors
Dates L
,__APPROVED DISAPPROVED "PROVED SUBJRCT TO ASME
V� Call For Reinep.
IPSPE0106 EQTICS
City of Tigard Building Department
1312E W Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc`-O-Phone)t 639-4175 Business Phones 639-4171
Inspeationr___.
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top out Gas Line FINALS
Post/Beans Struct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested& Y Times AlM� � PM
Addresss ��r �r llly� CA Permit to
Builders
TBS FOI.LONING CORRECTIONS ARE REQUIREDr
Inspectors_— ,— Deter
^�APRROVRD __ DIBAPPRuVED APPRMBD SUBJECT TO ABOVE
---_—Call For Reinsp.
INSPECTION NOTICE
Citi of Tigard Building Deprrtmeet
13123 e* Hall Blvd. Tigard, Oregon 97223
Inspection Lin* (Rec-O-Phone: 639-4175 Business Phone: 639•4171
Inspections / h
looting Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Hoch. C RRaain�) Insulation -Plumb.
Plbq. Underfloor Water Liffe Gyp. Bd. -Hoch.
Data Requestede_ 1 I 7 7 Times )1M PN
Addresses l y t _ Permit
--T-- s Lb
Builder:
THE POLLONING CORRlCTIONS ARE REQUIRED:
i
r
d
Inspector:
Date: ��—
��APPROVED - - DISAPPROVRD APPROVED SUBJECT TO ABOVE
f7all ror Reinap.
M__
INSP=CrION MOTIF
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rsc-O--Phones 639-4175 Business, Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. (San. some ) Framing -.Bldg.
Post/Beam Mach. in Draia Insulation -Plumb.
Plbg. Underfloor Nater Line2 /� Gyp. Bd. �A ICGA�--Mach.
Data Requested, -� `7 / Times
�'�_AM !M
Addreeas 1 36-6 -/ 1771 c� Merit t, '^� 3 4sl-6
Builder,
i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors �o Dates —
-APPROVED -__— DTSAPPROVED APPROVED SUBJRC:T TO ABOVE
For Rssinap.
INSPECTION NOTICE
City of Tigard Bailding Departaaot ��11
13125 BE Ball Blvd Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Business Phones 639-4171
Inapaotione
�OOtipq Plbg. Underalab Hach. Rough-in Appr/adwlk 1+I
.c Plbg. Top Out Cam Line FINALS I
Post/Bears Struct. Ban. Sewer Praising -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ed. -Meeh.
Date Requesteds Z `1 _ 111t Cl �( PH
U p
Addreses I l7 �� f_�Y�� 1 Permit It by ?T` -C13 �tsO�o
Builders
THI FOLLOWING CORRECTIONS ARE RRQUIRRDs
1
inspectors
/ Date t
1 �PROVED --- DISAPPROVED - "PROVRD SUBJECT TO ABOVR
C� _-Call for Relnap.
(
INSPEGTI,�1[OTICE
city of Tigard Building Department Iv J
13125 SW Ball Blvd. Tigard, Oregon 97223 �
Inapec.-tion Line (Rec-o-Phone)s 639-4175 Business Phones 639.-4171
Inspeetlons_,,,�_�_
OtiO� / Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line f1NALs
Post/Beam Struct. San. Sower framinq -Bldg.
G Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lille Gyp. Bd. -Meeh.
— xIse
Data Requesteds_ -
(
c- ^^__��•J Z' 1 T
5--� imes
4 1wx C�
Aadreees '� l Permit
Builders
i TBE fOI.LOMING oORAECTYCNlB ARE RIQUIREDs �
/1
47 f >
+ k eC {i ti, 1- \ 2.
Inspectors_ tL _ nate: ' •� _ / � -
APPROVRD DISAPPROVED APPROVED SURJRCT TO ABWZ
--Call Por Reinep.
PLUMBING PERMIT
CI T'*o*w f.174wf "T T I G,ARD PLRM.T.T 0#. . . . . . . : msrm -,)5a6
COMMU ' -, VOO—MT DEPARTMENT DATE ISSUED. 1.2/10/'-33
13125 SW Ha,Skid. r :7223-611* (603)639-4171
PARCEL, 2GI0400-HE076
11,E A1)j*""--.,SS. :.,,64 SW BRIM PL
I v 1 0114. HILLS14tRE ESTATES ZONING. R-7 PD
0-t-OCK. . . . . . . . . . LOI.. . . . . . . . . . . . . 076
I- WORK. . :NEW GARBAGE DISPOSALS. . I
I VPIL Or USE. . . . -GF WAC31ING MACH. . . . . . . : 1 B(4C1-'%FL0i4 t-'RLVN'f F?S. . '10
(.)CCUPANC'Y GRP. R,-;, FLOOR DRAINS. .. . . . . . :0 TRAPS. . . . . » . . . . . . . . :0
;TUR I EE1. 2 WOTER HEATERS. . . . . . : I cAmt4 s�4s1N5. . . . . . . ..o
1'*T.XTLmE!77-- LAUNDRY TRAYS. . . . . . : I SF RAIN DRAINS. . � - - : 1
Nfl,�.. . . . . . . . . . ..3 GREASE TRAPS. . . . . , . 'A
1VATOR I rzs. . . . . .7 QTHER F*YXTUREG. LA
US/SI-40 WE RG. . . . SEWER LINE (ft) . — :0
i-10TER CLOSETS. . :5WATEP LINE (ft ) ,. . . . - 1.00
01:SHWPSWRS. . . . - I RAIN DRAIN ( ft) . . . . :0
Wool 41"
k I,4IT'H
OWNLR.-
T.`,QAV/.1LJDY CROXFORD 11--" $ 00 JH IZ?f 10 1)3
BVIRT 4 825. 50 JH 12/10/93
BPLC $ 53t,. 50 JLH I I/I Z:/93
Bspc $ 41. 26 JH 12/10/93
SISDc f, 280. 00 JH 1.2110/9.3
PARK $ `.x00. 00 .JH I E.,/I 1274/91,�
"llibing MPR 1, S 46. 0 lb JH 12/10/93
MPLU $ 10% 00 JH
i4a rn e M5Pu $ 2. 40 JH 1;V10/93
V R1 $ 222. 50 JH 12i 10"93
State : p5pc,, $ 1 1. 13 JH 1.2/I a/9 3
0 Phone*:
r -37
4
(FY
i ;)is permit is is, rued to the rng-
1( f."aticitivi (;,uvit-qivierl in the Tigard Municipal root/found Insp Rain dnain In
':'f:odp, of t3t.P. SpeC-. itAlty CO(jerl acrd all Post/neam Stv uLt Water Line Insp
other applivabl4- laws. All work will be done Flast/Beam Me-c-han Appr/9dwlk frisp
! Ii apprw)ed plan ;. Fhis Plm/undil,.Rh Insj.) Merhwhicfal,
pri-mit will expire if work is not started VII-M/Underfloor Plumb Final
tlr IBO days of 7.%%I.AaY1CV-, Or if, work i% Mechanirml Insp Building Final
I f-IL71
rny, Mf-)y,p i-f-ii7itj rtitmb rop U.-rt Ev-c)qior; Contrul
Aming Insp Crawl Drair
ireplqac e Insp
Gas Line Insp
ITISUlat.it-11-1 Insp
\-A, G 1,3 Board Insp
.1 i(t h 0 r i.z,e cl Plumbing Cuntrmcor gignati.wp
Call. For inspection 61"39-4175
i
I
I
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Dr.%q JdT PERMIT #. . . . . . . s MST93-9586
13126 SW Hall Blvd.Tigard,Oregon 97223.81 b ''ddss����7t DATE ISSUED: 12/10/93
PARCELS 2S10400-HE076
SITE ADDRESS. . . : 13564 SW BRIM PL
SUBDIVISION. . . . : HI1_LSHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :076
__------____- _- ------- ---_ -- ----- BUILDING -----------------------•--------------
REISSUE: DWELLING UNITS: 1 3ASEMENT. . . . . . . . : 1120 sf
CLASS OF WORK. :NEW BEDRMSs4 BATHS:5 GARAGE. . . . . . . . . . : 1069 sf
TYPE. OF USE. . . :SF FLUOR AREAS------------- REQUIRED SETBACKS-- ---------
TYPE OF CONST. :5N FIRST. . . . : 1920 sf LEFT. . : 10 ft R I GHT. s 14 ft
OCCUPANCY GHP. sR3 SECOND. . . :2127 sf FRUNT. :20 ft REAR. . :50 ft
STORIES. . . . . . . 12 THIRD. . . . :0 sf REQUIRED---------•-----------
HEIGHT. . . . . . . . :30 ft TOTAL--------x4047 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . 140 psf VALUE. . . . . ts 256924 PARKING SPACES. . si
Remarks : PATH I
------- -----__-__ _------------_-- PLUMBING -------------------------------------------
SINKS. . . . . . . . . . :3
-•---•-----------------------------------
SINKS. . . . . . . . . . :3 FLOOR DRAINS. . . . :0 BACKFLOW PREVN'PRS. . s0
LAVATORIES. . . . . :7 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . s0
TUB/SHOWERS. . . . 15 LAUNDRY TRAYS. . . ill CATCH BASINS. . . . . . . :0
WATER CLOSETS. . s5 SEWER LINE (ft) . e0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . 91 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . 90
GARBAGE DISP. . . sl RAIN DRAIN (ft) . s0
WASHING MACH. . . : 1 SF RAIN DRAINS. . il
--------------- MECHANICAL
---------------------------------- FEES .___•----__.______
FUEL TYPES------•------ UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF 11 1520. 00 JH 122/10/93 -
MAX INPUT=0 BTU VENT FANS. . :5 BPRT t 825. 50 JH 12/10/93 -
FURN ( 100K . . 10 HOODS. . . . . . : 1 BPLC t 536. 58 JLH 11/12/93 93-245926
F'URN ) -100K . . sl WOODSTQVES. :0 B5PC $ 41. 28 JH 12/10/93 -
FLOOR FURN. . . . :0 CLO DRYERS. - 1 SSDC t 280. 00 JH 12/10/93 -
BOIL/CMP ( 3HPs0 OTHER UNITS: 1 PARK f 500. 00 Jli 12/10/93
GAS OUTLETSsl MPRT $ 48. 00 JH 122/10/93 -
Owner: --------------------------------------MPI_C $ 12. 00 JH 12/10/93 -
BRAD/JUDY CROXFORD M5PC $ 2. 40 JP 12/10/93 -
PPRT $ 222. 50 JH 12/10/93 -
P5PC ! 11- 13 J!4 12/10/93 -
Phone #: 643-0904
Contractor: __.-----•--.________--
HILLCROFT CONSTL2UCTION INC
3303 RIDGE LANE
WEST LINN OR 97068
Phone #: 650-•4878
Reg #. . : 74024 ----------- --------___ --- -----__-_- ____
$ 3999. 39 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, Stat, of Ore. Specialty Cadet and all other Foot/found Insp Fireplace Insp
applicable laws. All Mork will be done in accordance with approved Post/Beare Strur..t Gas Line Insp
plans. This permit will !Ilpirt if work is not started within 1 Post/Broad Mecham Insulation Insp
days of issuance, or if work is suspended for a tha IA! ay . Plm/undslab Insp Gyp Board Insp
PLM/Underf1aor- Rain drain Insp
Permittp- �3i Gnat ;r et' �' l� Mechaniral Insp Water Line Insp
Plumb 'Top Out Appr/Sdwlk Insp
I ,;r.;ued L2y : � -- Framing Insp Mechanical Final. ,
Call for inspection — 639-4173
I
i
;
CITY OF
TIGARD SEWER PERMIT ERMITCONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR93-0504
131,26 SW Hall Blvd.Tigard,Oregon o7223•e1ir3*00137-)171 DATE ISSUED: 12/10/93
PARCEL: 2510400-HE076
SITE ADDRESS. . . : 13564 SW BRIM PL
SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R•-7 PD
BLOCK. . . . . . . . . . : LOT— . . . . . . . . . . . :076
-----------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . , : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I
Owner: ---------- -- -- -----------____ -----------------_-_ FEES ----------_.___
BRAD/JUDY CROXFORD type amount by date recpt
PRMT t 2200. 00 JH 12/10/93 -
INSP $ 35. 00 JH 12/10/93 -
R11one #: 64 -:�W
Cuntract nr: -
CONTRACTOR NOT' ON FILE
--------------------------------
Phone #: $ 2235. 00 TOTAL
Reg #. .
REQUIRED INSPECT.IONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 190 days from _
the date issued. 1he total amount paid will be forfeited if the
permit expires. Tye Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from _
the distance given. If not so located, the installer shall rchase _
a 'Tap and Side Sewer" Permit and the Agency W 1 nsta lateral.
Permittee S i g n a t r e:
Issued By: — -
Call for inspection - 639-4175
L1666 7
CITY OF TIGARD w REC'EIPST OF PAYMFNT RECFIPT' NO. 193--P-4656'7
CHECK AMOUNT a 5984. ;:39
HILLCROFT CONSTRUCTION LASH AMOUNT
ADDRESS a PAYMEW DPTF' 10/93
bUBDIVISION
PURPOSE W OF PAYMEAMOUNr Pwo PURPOHIn OF PAYMEN'T AMOUNT PAID
DING PERM Flo Pl. lJMlAlN(.-i PERM 2RE'.. "50
MF(:HANICAL PF 48. 00 Ld- BUILD PER 54. 81
PLAN CHECK ip9a. ba SEWER USA P200. 00
13F-'WF-fi INSPECT 35. 00 PfIRKH bD(', 500. (AlA
STORM DRAIN SDC 21 A IA. 00 HF.91DWTIAL fRWFl(; F-'EF-.8 14 t W. OV,
mA�is rkANRIT TIF FE'F-'.S t. 10. AAo
L01" 76 HILLSHIRE EST
T111AL AMOl.JNV PAID - ) `i984. 39
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 539-4171
..'ohslte Address: rl 'f�
J[�l use+Ung
Subdivision: Lot
_ PlRec r
a xr,
Valuation: y
PS7111 R1 R was••-��..Y `r'
Owner: _ - _� y -K�oXl�o�a7 Rej$ 9 ul
;_ .=:.
Address:
♦ °
N
Phone: � /,O!�
.( ntractor: Z-A U. r6iL{.i. i_1L • l`'�� Y"_�• }S.J 4 } }
Address: — 3303 &I n G m _Lo"4
wag T
Co�'Lbense#
(attach dopy of current Oregon license)
Subcontractors: r b-,2,5-6
Plumbing:w ( U ggjWAr'TW__ P44—M ' 140
Mechanical:--..8C--2 .
(attach copy of current OR Contractor's Lloense)
ArchilectlEngineor:
Address:
mac,4t K�►rn IC)R
Phone: q 11
COMMENTS:
(o S"O �_7lk
Applicant Signature Phone number
Received by: Date Received:_
Permit!tt Account Description Amount Amt. Pd. Bal. Due
ms63.9596 Bldg. Permit (BUILD)
i"
Plumb. Permit (PLUMB) .2 22-5V
Mech. Permit (MECH) ao 4 .00
State Tax (TAX) S SI.11 ' S4.8
Bldg: 4/. t p
Plumb: // 1 3
Mech: .2• o
i
Plan Check (PLANCK) sqr S� sly o Z98.S 8
Bldg: 3(o SY
Plumb:
Mech:
��c✓R. -O S o Sewer Connection (SWUSA) Z Z U Z O b
Sewer Inspection (SWINSF)
i
Parks Dev Charge (PKSDC) .Sv SO U
Storm Drainage Chg (SDSDC) Z—_o
Residential TIF (TIF-R)
Mass Transit TIF (TIP MT) 1 f d f l Q
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WOUMT)
Fire District (FIRE) -
TOTALS: 31,-11 ZrP jZ2 ?4,PK
��"'_�1 Y�---'�"N h�"���►C'�►�"_.�.�N_"Y�►�.'�..�'!►C.__.__.�11C�1C'��4 K:.��1 f�
FsTAT Off' OREGON CONSTRUCTION CONTRACTORS BOARD
REGISTRATION! CERTIFICATE
This c0itios that the person narned hereon
is repist,--ed as provided by law as a
.J IT / t :i t u c `c r ( 1 Registration
A Y IJ•r Number. `
HJkAT /U•s
ExpiresiI
r
s MILL,' IC; T
'
11 SMANT
K=�f M..._.�=�1!'.�-.Jr►�..."fl/�..:�"..�I K.�__._!4 K......��1�._..:�IG��1�'."':'��11C.
c I'l Y (41 T?1,;444t, kEGED-IT N11, e
r, UAV. 00
f4lylE H I I R14i-. 1 1.ow CW f AM,.ItY I I
HD OR[Ltib L 3-"-,03 R.101.4% L I 'PAY Mt N( I'[.-A'[F
LA.NN, IWOH
Pl.(•l N ('I it 1, 1 1 J 00
F.9TATES, [.0t #76
WiN "MOOM Plillf) > R50. (40
EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
I/we, the undersigned, as legal, owners of record of the property
described as: 11
Lot # a_ Of ;��S�+.ra �Gs�rx�t pa.- Subdivision
Tigard Address
Tax Map and Lot Number _
do hereby release the property owners of adjacent Lot *-7(e
of _ !/L�-•S�/� ��5%'f� 1� 7 Subdivision, also known as Tigard
address
and as Tax Map and Lot Number
from complying with Community Development Code Section 18.88.050.G
(Maximum Shade Point Height Standard) ; and agree that the structure
may have a shade point height of _,Afeet, thereby allowing shade
on an area otherwise protected by Code Section 18.88 .050.D.
In addition, I/we also release the City of Tigard from .liability
for damages resulting from this adjustment.
Signature
Signature
State of Oregon j
) 66 .
County Of Clackamas __ }
This instrument was signed or attested to before me by
Ed Freeman and
on , 1993 .
dash OFFICIAL WA L f Jy )
RALRRLL
PLIB
NOTARY PUBLIC-OREGON �----��-- t- -- _�
COMMISSION NO.0270M Signature ofNotar.ia.l Officer,
AAYCOM 41830N IRES SEPT.0,in? My Commission Expires: _
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