10987 SW GENEVA STREET-1 i
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CERTIFICATE OF
CITY MJF T I GARD PERMIT #I.OCCUPANCY MST94-907;.
COMMUNITY DEVELOPMENT DEPARTMENT DATE' ISSUED: 07/27/94
13125 SW Hall Blvd.Tlaurd,Oregon 97223.8199 (503)8'19-4171
PARCELt IS134AC-06800
CITE: APORCSS. 10987 SW GENEVA S)
JEFf7REY ESTATT:�I�
SUBDIVISION. . . . : ZONING-R- 4. 5 PD
FLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . ..001
CLASS OF WORK. :NEW
TYPE OF WHE. . . :SF fell
OCCUPANCY GRP. cR3
OCCUPANCY LOAD 4
TENANT NHME. . .
Remarks: V-1011-1 I
Uwner;t
FOUR D CONSTRUCTIGA
0 B U X 15 77
U17-AYEFITON OR 97073
Phone # 64J -0935
Lont ract or:
FOUR D CONSTRUCTION
. PO BOX 1577
BLnVEATON OR 97075
Phone #a 641-0935
Reg #, . : 71037
Occupancy of the above vefareiic-ed building it, hereby jiven, and certifies
the compliance with the State Of 111-egon Specialty Go Jos for the group,
occupanry, Alld USe undev- which thf? referpneed permit was issLied.
-4QEBUTLDIIN PECTOR
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D, F I CIAL
Pwr IN CONSPICUOUS PL410E
y :VSPECTION NOTICE
iii City of Tigard Build.uq De to mt ;t
1-1125 SM Ball Blvd. Tigard, Orr-,vn 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: K39- F`f
y 417]
h Inapecti, n
Footing Plbg. Underalab Hoch. Rough-in V Appr/Sdwlk
j Found. Plbg. Top Out (las Line (/
Pont. BNam Strum. S.sn. Sewer *raming
P08t/BeAm Hoch. Rain Drain lnrulation -ply,
Plbg. Underfloor Water Line Gyp. Bd.
Date Requesteds _ .1 r^�L, Times ` AH PH
Addrses•-y�1_ �- '�✓(iceL{
� IPen_ait ti _
Builder:,_ _�Lx���. _ �Z_ 5 T►' U
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspector:_ 7
Date:
APPROVR'� DISAPPROVED _L"e"APPR'1:8D SUFIJP1 T TO ABOVE
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INSEF—Cl;-ON NOTICE
rCit! of Tigsrd d•-ilding Departsent
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t rr39-4175 Business Phone: 539-4171
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Inspection:
Footing Plbg. Underslab Hoch. Rough-in Ikrpr/gdwlk
Fount. Plbg. Top Out Gas Line lINALt}
Post/Brun S1-ruct. San. SSewer. Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation
Plbg. Underfloor Nater Line Gyp. Rd. -Nech.
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Date Requestedt ! _ l Timet (���/_11M(^� / !N
Address:_- 1— e Y 1 f. t1 CJ�.� leneit #t 1 1^ —I D�In
Builder:, Lsr-3 , aU" 1 qq) .
THE FOLUMING CWMCTIONS ARE REQUIRELt
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Inapectort_1 bate:
APPROVED DISAPPROVED APPROVED SU&JRCT TO ABOVE
__—Call For Reinnp.
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IN:,PFqL10N NOTIM
City of Tigard Building Departmeat
13735. SW Ball. Blvd. Tigard, Orcgcm 977.23
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Undernlab Mach. Rough-in ( Appr/Sdwlk
i Found. Plbg. Top Ovt Gas Line FINALS
Post/Beam Struct. San. Sewor Framing -Bldg. 0
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Post/Beam Mech. Rain Drain Insulation -riumb.
Plbg. Underfloor Water Line Gyp. Bd. -!tech. f
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Date Recluc+etede � — — Time: ��AM —PM
i Addresss /
� ` e✓�£��� Permit#: L - k
Builder: —
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THE FOLLOWING CORRECTIONS ARE REQDIRSDs
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Dates
tea` APPROVED DISAPPROVED -APPROVED 03iRJ1-_T 'h5-� f
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departoent •
13125 Sit Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4.175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough--i : Appr/Sdw.k
Found. Plbg. Top Out Gas Line Ft t`
Post/Beam Struct. San. Sewer Framing _gl,
7
Post/Beam Meeh. Rain Drain Insulation -Plumb.
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{ Plbg. Underfloor Water Line Gyp. Bd. -Hoch. i
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Date Requested:_ Co �� � C/ Time: AN l _PN
Address:---LC Y C {^}Lf !�[ _ Permit/1:
Builder.:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
— �.----- — _-- Dates_ --------
APPROtfE'D DISAPPROVED APPROVED AUBJECT TO ABOVE
Call For Reinsp.
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INSPE,TION NOTICE C+4
City of Tigard Building Depart—nt
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Dhone): 6351-4175 nus_ness Phone: 639-4171
Inspection:—_.___— — ----
Footing Plbg. Underelab Mech. Rough-in Appy/Sdwlk
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Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
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Post/Beam Mech. Rain Drain Insulation -Plumb.
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Pl.bq. Underfloor Mater LineMech.C� J 6�YLPS�
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Dato Requested: - / �7 Timet \ 1W PM
cru vim.. ' 9U 9v
Addreee:_ _05�2— ermlf/8s
Builder
THE F5i. ING CORRECTIONS ARE REQUIRED:
Inspector ------ Date:_(O___ -� --
APPROVED V DISAPPROVED APPROVED SUBJErf TO ABOVF.
—Call For Reinsp.
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Nj SPECTION NOTICE
city of Tigard Building Depar—t
13125 SW Ball Blvd. Tigard, Oreg^n 97223
1 Insl.xtion Line (Rec--0-Phone): 639-4175 Business Phone: 639-4111
7 !
Inspection:_--- — —� _�----..-- —
3 Footing Pllr3. Underalab Hoch. Rough-in APPr/Sdwlk
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Pl . Top Out Gas Line PINAL:
Pound. � �-
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Post/Beam Struct. San. Sewer
Framino -Bldg.
Post/exam Mach. Rain Drain
Insulation -Plumb. C
Plbq. Undorfloor Water Line � Gyp. Bd}h�
-Nech.
Date Requested,q J_T-'� PM
= AN n—_—
Address: Permit 0:MGT
Builder: may. / Gz_ IL__
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iTHE FOLLOWING CORRECTIONS ARE Rv4UIRED--- -- — —�_
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APPROVED — DISAPPROVED —` APPROVED SUBJECT TO ABOVE
Call For Reinap.
IlISpECfOI N NOTICE int 1
Zity of Tigard BuS ldi -d 0_.qon 97223
L31.25 tSN pall Blvd. Tigard.
639-4175 Business Phone: 639-4171
Inas+.. -Lun Line (Rec-o-Phons): ti
inspect ion=__ Mech. Rough-in Appr/Sdw l k
9 Plbg• Underelab
Footing FINAL=
plbq•
Top Out Gas Line
Found. -Bldg. .�
Sewer Framing
San. C
oet/Beam Strutt.
-plumb.
Rain Drain
Insulation .
Post/Roam Rech. -Hach.
! Nater WAO pyp• ad.
plbq• Underfloor AM - PH
TSme=
Date Requested=__ ) parsit #1
Addrses:
n ' ,p ('pay►S 7�w- 7-1111"
Builder=.
CTIONS ARS! RgQUIRED.
T" FOLS,OWINCI CORKS
.--_.--------------! Date=`
Inspector= — ------ —^
�AppROVED
DISAPPROVED APPROVED SUXTICT TO ABC�VL
Call For Rei=eP•
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INSPECTION NOTICE
City of Tigard Building Department
6
13125 SW Ball Blvd. Tigard, Oregon 9722.3
Inspection Line (Rec-O-•Phone): 639-4175 Business Phones 639-4171 ;
Insipect ion:_�_J_�
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: `!
Post/Beam Struct. San. Serer P__dng -Bldg. I
Poet/Beam leech. Rain Drain ins=Iatill -Plumb.
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Plbg. Underfloor Mater Line Gyp. Bd. -Hoch.
Date Requestedss G //f�/5- / Time: _X—AM /_PM
Address: /U [ O 7 �/ �� �C�^ Permit is
Builders �. A0 C= �r 7�y 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors - _ Date: (o'��
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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—Call For Reinap.
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INSPECTION NOTICE
city of Tigard Building Department
1-1125 am Rall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone).- 639-4175 Bueinens Phone: 539-4171
Rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line � FINAL: G
i Post/Beam Struct, San. Sewer Fraeingg)//u _Bldg. •
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd. -Hoch.
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Date Requested: �s' C� Time: AM
p
YR57- 7�
Address: 67 Permit f:
Ru 11der:
THS FOLLONING OORRECTIONS ARE REQUIRED:
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APPROVED __.--- UISAPPRUVRD V hPPROVEb SUBJRCT TO ABOVE
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Call For Rteinnp.
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J INSPECTION NOTICE •
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97723
Inspection Gine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Y Appr/Sdwik d
Round. Plbg. Top Out Can Line Off FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb. -
Plbg. Underfloor Hater Line Gyp. fid. -Mesh.
g Date Requested: r?` :�IV __ Times
AN RM
Address s10 r)e G.� �eV 1 i e1907�
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TER 1OI:I,OWING CCIRRECTION3 ARE REQgIRh.^.
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Inspectors_ �6 Date:
A?PROM \/61SAPPROVED APPROVED SUBJFrT TO ABOVE
✓Call For kwinep.
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PECTL_ NOTICE \V S
City of Tigard Building eoprtannt
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Ph( a: 639-4171
A
Inspect'on:_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line FINAL:
Post/Beam Stn.ct. San. "ewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
aw
Plbg. Underfloor dater Line Gyp. Rd. -Hoch.
Date Requeatedt_ ,. Time: {`AH PM
Address:,-- - _ Ps-lit #:(14
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Builder:
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THE /OI.LOHING CORRECTIONS ARE REQUIRED:
(� F ✓► \S C�S l J _l„�. -vr �'- �� Vw &,tet
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Inspector•
Date: �O
11PPwOVlD /DISAPPROVED :- APPROVED SUBJECT To A&M
Call For Reinep.
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INSPECTION NOTICB f III,
City of Tigard BuilAing Depart>sent Qv
13125 SN Hall Blvd. Tigard, Oregon 97223 II
Inspection Line (Rec-O-Phone): 639-4175 Buoinebs Phone: 639-4171 I
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4t Inspection:-----
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Footing Plbq. Underslab Hoch. Rough-in Appr/Sdwlk (1
Found. rlbg. Too Out Gas Line BINALs I
Post/Bearn Struct. San. Sew+r- Framing -Bldg.
1
Post/Beam Hoch. Rain Drain Lnoulation --Plumb.
Plbq. Underfloor Water. Line Gyp. Bd. -Hoch. I rf
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Date Requestede__ --Time: Am J� I-ISM
Addrene: Permit s`l
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Builder:
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: ` nate: - -
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_)1PPROVRD -6I811PPROVSD APPROVED SUB 7F.t:'I' TO ABOVF.
Call For Reinsp. I
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INOMMON NOTICE
City of Tigard Building Departarmt
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13125 SR Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)I 639-417% Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gau Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
i Post/Beam Mech. Rain Drain Insulation -Plumb.
1 Plbg. Underfloor Water Line Gyp. Rd. -Neth. _
Date Requasteds— v J TLme: —X_AM PM
Address: Permit is
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Builder: ` c .c. - �[J 7 ao- -1 tvtlS
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THE FOLI.OWINO CORRECTIONS ARE REQtlIREU:
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Inspector.- _-- Date:,�T—__�—
jV/ APPROVED DISAPPROVED APPROVED SU&TECT TO ABOVE
—Call Fo•- Reinsp.
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INSPECT oI N_ NOTICE
City of Tigard Building Departaent
13129 an Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phons): 639-4175 Business Phone: 639-4171
Inapection:
Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
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Post/Beam Strutt. San. Sewer Framing -Bldg.
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Post/Beam Hoch. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Water Lino �j Gyp. Bd. -Hoch. 1/
Date Requestedq _/�r� / �l TLmm*3 ----AM �` - PM
Address:) / � I 1�1f����- Pe.it"Sr:_ci7- Al 7�
Buildorsf_r _ y vC� 1 1 `l r `7�G� =
THE FOLLOWING CORRECTIONS ARE REQUIRED: k
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i Inspector: _ _ Date: 45 _
_ APPROVED DISAPPROVHD APPROVED SUBJECT TO ABOVE
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INSPECTION NOTICE
City of Tigard Building Departsment ,
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Eine (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
V
Inspection: —
Underslab Hoch. Rough-in Appr/Sdwlk
Tooting p!N. '
Pound. Plbg. Top Out , Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Port/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line (�Gyp. Rd. -Hoch. _
� T - ] Times AM �� PH
Date Requesteds �i
Address: /q d /-7 z� FrPerrmit #3.
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Builder:(/ / J�(f�7 l,r ( / /n_Ph /Y) _—
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THE FOLLOWING CORRECTIONS ARE REQUIRED: 57 7 �) #
Inspectors Dates
�+ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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HT SPE(TION NOTICE
City of Tigard Building Dep—taent •
3.3125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_—_— __--- -
Footing Plbg. Underalab Mech, Rough-in Appr/Sdwlk
4
Found. Pllg. Top Out Gas Line FINAL:
Post/Beam Struct. San. 8lwa� Framing -Bldg.
Post/Beam Mech. ` n Orain Insulation -Plumb.
4 Plbg. Underfloor Water Line Gyp. Bd. -Mech.
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j Date Requested: `� CI I Time: Y___AM PM
I tl`b I C�VVAkA- — �T �1 c� to
Addrons: Permit fs
Builder:— _ �I
THE FOLLOWING ('JivaECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECP TO ABOVE
[✓� Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phons: 639-4171
Inspectionx_
Footing Plbg. Underslab Hoch. Rough-in Appr,'Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pos_t/Beam Struct.) San. Sower Framing -Bldg.
C:et/Beam Mach, Rain Drain Insulation -Pi',mb.
N
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: l �-R---1 L Time: AM —�PM
Address:_ (: Lc_!G�_ _ Permit f:qq_:_q L)
Builder:
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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— >_ Mon —
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Inspector: Dater
APPROVED
DISAPPROVED –M APPRt1VED SUB TEC! TO ABOVE
Call For Reinsp.
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IVSPECTION !ZLCC.
City of Tigard Bulld. g Department
13125 BW gall Bled. Tigard, oregon 972.23
v\ I Inspection Line (Roc-O•-Phone): 539-4175 Business Phones r39-4171
n� a inspection: --
ff rf looting Plhg. Underalab Hoch. Rough-in Appr/Sdwlk S
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Q Lound. Plbq. Top Out bas Line LINAC:
lost/Beam Structs , San. Sewer lydming -Bldg. i
�\y\ �� r POst/Beam`1taCt1: Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Koch.
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Date Requesteds 6 -- Time: AN PM
Address:ltna Q _ Permit
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IN Builder: ------�— —
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THE FOLLOWING CORRECTIONS ARE REQUIRED:.
l� I (,orf i�-+-.- r ' i _ - ---�*-'a""'i-•----•�-.r..
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Inspector•. Dates-
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-_APPROVED _ DISAPPROVED APPROVED SUBJECT TU ABOVE
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FULLER LESIGN ENGF. 503 145 5977 P. 01 '
-
- Fuller �
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- ,�A� k0 � �cuu ref
Desi,en & Engineering - – 1/ —
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�[ISP@C':ION NOTICB
City of Tigard Buned ng Department
L312S SW Ball Blvd., TI-pard, Oregon 97223
Inspection Line (Rec-O-Phone): 6.:9-4175 B sinews Phone: 639-4173
Inspectiont_ i --
Footing Plbg. Underslab Hoch. Rough.-in Appr/Sdwlk -
Found. Plbg. Top Out Gas Line FINAL:
s
Poet/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Rater Line Gyp. Bd. -mach.
( ( LI y Time: �-Am PM
Date Requested: 7 f/ /
Address. � ��, ( l/'t:vu �1(.�_ _ Permit #s J q-10 76
Builder: t
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A THE FOLLOWING OORRECTIONS ARE REQUIRED:
7
77
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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J_NSPYCfLON 00TICE �� f
City of Tigard eutl'iing Department Gf
13125 SW Ball Blvd. Ti9srd, Oregon 97223
Inspection Lina (Rec-O-•Phone): 639-4i75 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
I
found• )� I Plbg. Top Out Gas Lina FINAL:
Post/seam Struct. San. Sower Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb. i
Plbg. Underfloor Nater Lina Gyp. Bd. -Moch.
Data Requested: ~�&- 1 AM
—PM
Address: Permit
Builder?-
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
GSC-C_.Fi�j r'�_,.. (• i_) �' `� cd�.1`---�--� � ��--
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Tnepyctort /( /l� -- Datat_S' 0 '�
APPROV20 DISAPPROVED 1/APY?RoVRD SUBJECT TO ADME
Call For Rainsp.
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InsucTION NOTIC$ ( J
City of Tigard Building Depertmesst
13125 80 Ball Bird. Tigard, Oregon 97223
Inspection Line (Ree-O-Phones 639-4175 Business Phones 639-4171
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Inspections
tooting 1 Plbg. Onderalab Mach. Rough-in Appr/Sdwl.k
Found. Plbg. Top out Gas Line FINALS
f
Poet/Beam Struct. San. Sewer Framing -Bldg.
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Y Post/Beam Hoch. Rain Drain Insulatlon -Plumb.
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Plbg. Underfloor water Line oyp. Bd. -Hoch.
d C
r Date Requesteds Tom""= AM PM
C/ \
6 Addreass�C� �'�'� 4 `J '�" Permit 1: l �� "�
Builder:
THE FOLLOWING CORRECPIons ARE REQUIREDs
r Inspectors Date s
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
` , < ^) Call For neinsp.
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ITY OF TIGARD PLUMBING PERMIT
PERMIT #. . . . . . . I1ST94--9076
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUi.D: 03/09,194
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-4171
PARCEL: 15134AC-JE001
SITE ADDRESS. . . : 10987 SW GENEVA ST
SUBDIVISION. . . . : JEFFREY Er.5TATES ZONING: R-4. 5 PD
BLOCK. . LCT. . . . . . . . . . . . . :001
___--_._.____-____._______.-__.__________.___.._._______________._._.._.__.
CLASS OF WORK. . :NEW GORBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WPSHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
GCCUPANCY GRP. . : R3 FLOOR DRAIN . . . . . . . :0 TRAP'S. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH PAS 1 N5. . . . , . . :0
f'IXTURE.i._._________._.-_ LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
S1l:KS. . . . . . . . . . : 1 G R L A 571 RAPS. . . . . . . :0
LAVA-0RILS. . . . . :4 OTHER FIXTURES. . . . . .0
7U8/Si4OWERS. . . . SOWER LINE (ft ) . . . . :0
WATER :.LOSETS. . :3 (DATER LINE (ft ) . . . . : 100
DISHWASi1ERS. . . . rl RAIN DRAIN (ft) . . . :0
Remarks . PATH I
OWNER:
FOUR D CONSTRUCTION TIF $ 1520. 00 .JH 03/09/94 -
F' U BOX 1577 BPRT $ 400. 00 JH 03/09/94 -
BPLC $ 50. 00 JLH 02/17/94 94- c 49 1. 14
BEAVER10N OR 97075 05PC $ c.0. 00 JH 03/09/94 -
Phone #: 641-0935 SSDC $ 280. 00 JH 03/09/94 -
PAR1'. $ 500. 00 JH 03/09/94 -
Plumbing Contrar_tor;._.__.__.___.___._____.- MPRT $ h3. 50 JH 03/09/94 -
I
MPLC $ 10. 88 JH 03/09/94 -
Name : eE- _1��� to 11151"C 1, E. 18 JH 03/09/94 -
Address - - ,S C ; 1 L G PPRT $ 140. 00 JH 03/09/94 -
City : � ��-° _..._State ; <-CA d _L= P5PC 7. 00 JH 03/03/94 Zip:
_ o n e#
Reg
- ----- REQUIRED INSPECTIONS -
- ----
This permit is iss1_led sub jec:t to the rey-
ulations contained in the Tigard Municipal Foot/fol_(nd Insp Water Line Insp
Coda, State of Ore. Speciaity Codes and all Post/Beam Str^Uct Appr/Sdwlk Insp
other applicable laws. All work will be clone Frost /Beam Mechan Mechanical Final.
in accordanr_e with approved plans. This PLM/Underfloor Plumb Final
permit will expire if work is not started Mechanical Insp Building Final i
within 180 days of issuance, or if wnr-k is Plumb Top Out Erosion Control 1
suspended far more than 180 days. Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulat :o^ Tn,p
Gyp Board Insp
X _ Rain drain Insp
Authorized Flumbing Contractor Signature
Call for inspection - 639-41.75
Contractor Notes :
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CITY OF TIGARD
MASTER FERMI-l'
COMMUNITY DEVELOPMENT D P R E T PERMIT #. . . . . . . . MST94--9076
13125 SW Hall Blvd.Tigard,Oregon 97223.81 113) 9 71 DATE ISSUED: 03/09/94
PARCEL: 1 S 134AC--JCOO 1 '
SITE ADDRESS. . . : 1.0987 SW GENEVA ST �
SUBDIVISION. . . . : JEFFREY ESTATES ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO1 ;.
BUILDING
REISSUE:MST94-9013 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf •
CLASS OF WORK. :NEW BEDRM :4 BATHS:4 GARAGE. . . . . . . . . . :420 sf
TYPE OF USE. .. . :SF FLOOR AREAS------- -- REQU I RED SETBACKS----•--•----
TYPE OF CONST. :5N FIRST. . . . :899 5f L_EF T. . : 13 ft R I GHT. : 13 ft 'q
OCCUPANCY GRP. :R3 SECOND. . . :617 sf F=RONT. :20 ft REAR. . :99 ft r
STORIES. . . . . . . :2 THIRD. . . . :0 sf RF7JIRED-----.______.._._._________
HEIGHT. . . . . . . . :25 ft TOTAL-------: 1770 sf SMOKE DETECTORS. :Y k'
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 88980 PARKING SPACES. . : 1
Remarks ; PATH I
--_-------•- PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PRE=VNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O
TUB/SHOWERS. . LAUNDRY TRAYS. . . :0 CATCH BASING. . . . . . . :0
WATER CL.OSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1O0 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : l
MECHANICAL - -___.____.._.______-•----________.___..____.-_ F"E:ES ______________
FUEL TYPES•----_--_.____--. UNIT HTRS. . :0 type amount by date rEcpt I`
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JH 03/09/94 -
MAX INPUT:O 1311.) VENT FANS. . : 4 BPRT $ 400. 00 JI•i 03/09/94 -
FURN ( 1001", . . : 1 HOODS. . . . . . : 1 BPLC $ 50. 00 JLH 02/17/94 94-249114
FURN ) =1O0K . . :0 WOODSTOVE5. :0 B5PC; $ 20. 00 JH 03/09/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ .'80. 00 JH 03/09/94 -
BOIL/CMR ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 03/09/94 -
GAS OUTLETS: I MPRT $ 43. 50 JH 03/09/94 -
Owner: -----_..______._._____.-_.____.._________.__._._MRLC $ 10. 88 JH 03/09/94 -
r9!-'P n CONSTRUCTION MSPC t 2. 18 JH 03/09/94 -
P O BOX 1577 PPRT $ 140. 0'7..1 JH 03/O9/94 -
F'5PC $ 7. 00 JH 03/09/94 -
BEAVEI?TJN OR 97075
Phone 't: 641-0935
Contractor-:
a
FOUR D CONSTRUCTION
PO BOX 1577
BEAVE.RTON OR 97075
Phone ##: 641 -0935
Reg #. . - 71037
$ 2973. 56 TOTAL
This permit is issued subject to the regulations contained in the --- -- -- REQUIRED INSPECI IONS --_---
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gas Line I n�i p
applicahle laws. All Mores will be done in accordance with approved Post/Beam St r°-Ict Ins°_Ilatinri Insp
,�. plans. This permit will expire if Mork is ,lot started within 180 Post/Beam Meehan Gyp Boar-d Insp
days of issuance, or if Mork is sus4d, 7e,.t/lan 190 days. PLM/Underfloor Rain drain Insp
� Mechanical Insp Water Line Insp
PermitteeSignat°.°re : _ I- l1_Imb lop Uo.°t Appr/Sdwlk Insp
Fr-aming Insp Mechanical Final
Iss�_ted By ; Fir•eplace Insp Plumb Final
Call for, inspection 639--41.75
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SEWER CONNECTION Y
CITY OF TIGARD PERMIT
COMMUNITY DEVELOPMENT D 2ART �jNT PERMIT #. . . . . . . : SWR94-008c"'_
13125 SW Hili Blvd.Tigard,Oregon 97223.81`('J�3)�1S�V-4)171 DATE ISSUED: 03/09/94
PARCEL: 1S134AC—JE001
SITZ ADDRESS. . . : 10987 SW GENEVA ST
SUBDIVISION. . . : JEFFREY ESTATES ZONING: R--4. PID
BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . :001
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NE W DWELLING UNITS. . : 1
TYPE_' OF USE. „ . . . :SF NO. OF BU I LD I NGS: 1
INSTALL 'TYPE. . . . :BUSWR IMPF_RV SURFACE. . : :sf
Remarks : PATH I
Owner: —---------_.______._.---------.._._--_____-- ----.______----____-- FEES --__---___----
FOUR D CONSTRUCTION type atmol_rnt by date racpt
P 0 BOX 1577 PRMT $ 2200. 00 JH 03/09/94 —
INSP $ 35. 00 JH 03/09/94 —
BEAVERTON OR 97075
Phone #: 641-0935
Contracto,.;
CONTRACTOR NOT ON FILE
Phone #: 211 35. 410 TOTAL
Reg tt. .
REGIU I RF9 INSPECTIONS
----This Applicant agrees to comply with all the rules dnd regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 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 w _
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 purchase
a "Tap and Side Serer" Permit and the Ag7y wil , nstall a 1 teral.
Per mit.tee S19, ais1..ir•Er?
:
Call for inspection — 639-4175
- - -------- - -
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CITY OF M4ARD RFCFIFIT OF PAYMENT RECEIV11 NO. #94---rP49A49 �
CHECK AMOUNT 5151:1. 56
4AMF; F OI;;; il COINS f RLJCT'I ON CASH AMOUNT 0. rho
4DDRESS a PAYMF-:NT DATiz
SUBDIVISION
IURPOSE OF PAYMFN'f AMOUN( PAID PURPOSE OF PAYMENT APIOUN I PA 1 l:)
U I LD I NO PERM 400. 00 PLUMBING VIF RM 140. 00
ME.CHAN I CAL PF 43. 50 ST'. BUILD PER E'9. 18
I?L_AN CHECK FE 10. 88 E31--.WER USA r.?e'OIA. 00
iF..:WF:R INSPE 'T 35. 10 PARKS E;UC: 50N. 01i
'iTORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES 141.0. 00
4ASS TRANSIT TIF FIS ES 110. 00
JEFFREY ESTATF.8, LOT i
10987 SW OENFVA ST
OTAL AMOUNT PAID — - -> 5158. 506
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Cy of Tgand ;residential Building Permit Application
City
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13125 SW Hall Blvd.
Tigard, OR 97223 ►
(503) 639-4171
Jobslte Address:
U 9� 7ST-.
S `� �E A] e y �
—� Ot,ice Use Only
Subdivision: NEFF e� ESTATa<S Lot #
Valuation:
Pianck/Rec# " 4G1*9/-- -�
-
Pergnit #
Owner: ,��K C..m N-S"i"C t(O1J Reissue of
Address:_ a X 5 7 7 Map & TL #
;F !::4veszta0 Q7S
Approvals Required�U 3 -- 6`f" I '� 0I�S _ ,.,'d '--
Planning ��/
-'�L" S` �=�--��
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Contractor: _SAM E ��'dV Engineering
Address: _ Other
Items Requlred I
Phone:
Subcontractors _
Contract` License #_ r/
V (attach copy of current Oregon license) Truss Details
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Subcontractors: Other.
Plumbing: LU M BIN `v
Mechart al: C I �� � —4_ LELLIN c� f
L (attach copy of current OR Contractor's License)
I
Architect/Engineer: M I :xo t
Address: 1 S I `�. w . Z-Z�, -
t~ -r L toc) off- 272 1 U
Phone: .s C)3 -.2 ZS ���G
COMMENTS: - '` - i � [ y(/)/,���t/ AAui D
Applicant Signature & Phone number
Received by: Date Received: _ /
L� -
'fN6:H!}MWN.+1Rslf'NMOI"plfttyMM]pA9�+Mt=At,rwmuwrai�br.. -..... .. mnwWp�y�p�_
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Permit # Account Description Amount Amt. Pd. Bal. Due
P//S f 2 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Hermit (MECH) iZT,�Z _ i�
State Tax (TAX) - i cy _,
•
Bldg: 'LO.GAJ /j
Plumb: u v
QD
Mech: rJIV
i
Plan Check (PLANCK)
Bldg:
t
Plumb:
Mech: /
sy vU Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF ;fIF-MT)
�r v
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WQUANT) _
Fire District (FIRE)
TOTALS: 0
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FOUR D CONSTRUCTION CO _
POST OFFICE BOX 1577 ■ BEAVERTON,OREGON,97075 ■ FHONE (503)641-09;35
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GI C'Y OF T I GARU - RECEIPT Off PAYMENT RECEIPT NO. a 94--P.491 1 4
f;MF.CK AMOWN I' a SOSO. 00
NAME a FOUR i) f I- NSTRUCTTCJN CASH AMOUNT' 0. 00 �
aD1)RE 6'Fi PAYMENT DO'l l a 02/17/94
SUBDEVISIfJN a
j!UFRPnSF OF PAYME N T AMOUNT PPI f) PURL O(SE OF F'f)\MF'NT Wf)l JN T' PAC U :t
F'L_AN CHECK FE c-'�;f . 00 PI—ANClif f.;C< F'F_ �-",�,, ��0 ,
FLAN CHECK FE'. 54 . 00
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C 096 7 SW 111TH, 1.0995 SW 111TH, i
E 09 S 7 SW 6ENFF'';.T
,�(JT A[ PMTII IN T PAID — —) lhbo. l7Jih
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