11076 SW GENEVA STREET f �.�• 1. r-4^. �,1Y. � �' I} ��II_ i� .. l `�n� •1I�" � I,� •� + f a I v r � I, J
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IF L'ERT FILArI C?I•
CITY OF TIGARD F��ERMIT ik. . . . . . . :OCCUPANC'1MSi94 -909
COMMUNITY DEVELOP'*ENT DEPARTMENT DATE- ISSUEDI 08/03/94 '
13125 SW Hell Blvd.Tigard,Oregon P7223.8199 (503)639-4171
PARCEL. i S 134Af --t07E`100
SITE AD:}KEGS. . .. . 11076 SW 1.3E:NEVO ST
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L31IADIVIriI0i,1. . . . I JEFFREY E!5TATE:.r-, ZONING-;:R--4. 5 FD •
DI_OCK. . .. . . . . . . . I LOT. . . . . . . . . . . . . .. 01 `;
CLASS Or' WORK. INEW �
1'YPE: OF USE. . . I SE_
01,CUPANCY GRI-'. I R3
OCCUPANCY 1.f.1AD r 226 4
e
TENANT NOMil. . .
kemarks I PATH 1
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Owner.I _.._.... ._.... ._... .... _ ._.. ..... _.._ ....._... ..._._.._ ._...._._.
rlESTUALE CONSTRUCTIUN
12536 SW 133RD AVE
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i
T I13ARD OR 972-2,:! t
Phone ##I 524-5602
'
Contractor: -.--..--.--.--- -.-1'-' _..........._ ......._.._...._.._.._.._.. 1
W .'(3TDALE CONSTRUCTION � 1
,D447 SW 68TH PLACE
PORTLAAD Ufa 972L3 1
Phoney >K: 645- 71,97 j
PNy . . . 2.1345
I
Occ upanoy of the abot.,e referenced building its hereby given, and certifies
the compliance with the State Of Oregon Specialty Cedes for the grump,
)ccupanGy, acrd use under which the )-efPV-CnLed permit pilaw, z asued.
j I'IJ�LU TU INSPECTOR
' BUILDING OFrICIAL
POST IN CONGPICIJOW31 PLACE:'.
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�a Sy`9/ ,_ � y p'.A 7 'INPSY`•gNs°A'rr, r£ ' 'r i, I� 4 • : .I..
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ZNSPI!CTION NOTICE: �
City of. Tigard Bul-diary Dhpar►sent
13125 SM Fall Blvd. Tigard, Oresj,n 9 .23
Inspection Line (Rec-O-Phone): 639-4175 Busineee Phones 639-4171 >
Inupec tont_ _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
e
Found. Plbg. Top Out Can Line FIEALt -
i �
Post/Beam Struct. San. Sewer Framing -Bldg. 4_1�1S
Post/Beam Mach. Rain Draiu Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. l -Moch w
Date Requested: L jTI..
Addr�eas:_�� 11(J` fi �.1/C:L Permit' t s 1 Ll -1-1044-
Buil.dar: f�_J_
C, C ---E--1—r , 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ll
Inspector:------�—
_k__,/APPIMVEU DISAPPROVED APPROVED 9,:.lECP TO ABOVE
---Call For Reinep.
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NI SPRCTION NOTICE
Citi, of Tigard Building DePartift+++t \7
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ruc-o-Phone)s 639-4175 Buniness Phone: 639-4171
Footing Plbg. Underslab Hoch. Rough-in Appr_/8d`lk
Found. -7.>Plbg. Top Out f' 4.s Line FINAL& l
f J
Peat/Beam Stuart. San. Sewer Framing -Bldg.�
Post/Beam Hech. . Rain Drain VA�ai x� Insulation -Plumb. r
Plbq. Underfloor .)Water Line NCM` Gyp. Bd.
.i Date Requested: r _ C7 I --Tinos 1 � _AM� —�PFI �
Add:esa:. VI (p �e�l,✓«• PYLmit•__!�_i..�LJ__
Builder: I,J f, 3 Jo -'tz
FOLLOWING CORRECTIONS ARE REQUIRED:
(� •�� •..vim �z..r-�-wee —-
G-- 2. - S
Inspector: — �� Date:_'_` 1 •,,
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APPROVED �DISAPPVOVED APPROVED FUA.TRCT TO ABOVE
Call Por Reinnp. n!
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NI SPECTION NOTICE
city of Tigard Building Department �
13125 SW Ball Blvd. Tiganl, Oregon: 97223 9
Inspection Line (Roc-O-Phone): 639-4175 Ruainpss Phone: 639-4171
f
Inspect!on:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
j Found. Plbg. Top Out Can Line t_=yFINA7.: �I
Post/Beam Struct. San. Sewer Framing -Bldg.
post/Beam Meth. Rain Drain Insulation -Pl.simb.
Plbg. Underfloor. Water Line Gyp. Bd. `-Mech. •
{
Date Requested:_ _ Ll Time: AN PH
.j Addres:e:
1 Builders.-We- _
TRH FOLLOWING OORRECPIONS ARE REQUIRED: e
1 _
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1
1
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7
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Inspector: /
APPROVED _— nISAPPROVED APFRO"D SUBjr.rT TO ABOVE
call For Reinnp.
I�
1
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i
INSPECTION NOTICE
City of Tigard Building Department
+ 13125 SW Fall Blvd. Tigard, cnregon 97223
9!! Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspect ions_,_
I tooting Pibg. Underslab Hoch. Rough-in /Appr, Sdwlk
i
i Pound. Plbg. Top Out Gas Line FINAL.
Post/Beam Struct. San. Sewer Framing -Bldg.
i
Post/Beam Hoch. Rain Drain Insulation -Plumb.
i
a Plbg. Underfloor Water Line Gyp. Bd. -Mach. 4M
Date Requear.eds_�Z= Timez _ AM PH
k
AddressPermit
Builder:_(•��PS_C�4Q..
THE FOLLOWING CORRECTIONS ARE REQUIRM CO 41.5 7/ 9 7
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Inspector: -- Date:
�—APPROVED DISAPPROVED
___Cell For Retnsp.
INSPEC'T'ION NOTICEC�.�� lL 1
City of Tigard Building Departaeent
13125 89 Hall Blvd. Tigard, Oregon 97223
# Tnepection Line (Pec-O--Phone): 639-4175 Bueineae Phone: 639-4171
Inspection:___
Tooting Plbg. Undarslab Mach. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Gas Line FINAL:
Post/Beam 8truct. San. Sewer Framing -Bldg.
A
Post/Beam Mech. Rain Drain Insulation ��.. -Plumb.
1 _ �
Plbg. Underfloor Water Lina Bd,� �;A-C�_ -Hoch.
J
{ Date RequF,Ftadt 4y Times AM
1 Address:- �V / �7 PI'��t.,,cA.r Permit /f: <
Builder:_,-, ' 2--,?z l,n (ID --
THE FOLLOWING CORRECTIONS: ARP, REQI;IRED:
e.
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-
Inepecto �—_
- ---- — Date: �_Y-+--__
A
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__-Call Pot Reirap.
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own
INSPBCTIUN KO—TILT-
city
O IT-
City of Tigard Building Department
13125 &A Hall Blvd. Tigard, Oregon 972s3
Inapectlor Line (Rec-O-Phonn)s 639-4175 Busineen Phones 639-4171
Inrpw.-t ion r,__ --- ----
Footing Plbg. Underslab Mech. Rough-in Appr./flwlk
4
Found. Plbg. 1.::1 Out Oas Line PINAL: (!
Poet/Ream 3trvct. San. Sewer framing -Bldg. {
a
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Plater Line Oyp. -Mach. �
Date Requeste03_—, -_ )C/- 91/ —T"wttt )U] PM
Addreses aerieCom" P0211TO, 9q` "o/
Builders
THE FOLLOWING CORRSCCIONS ARE REQUIREDt
- _ l
i
i
Inspector
i I
APPROVED DISAPPROVED _ _ APPROVED SU&TFCC TO ABOVE
^Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspection•. —_ -------.—� -- -- _—�
Footing Plbq. Underalao Mech. Rough-in Appr/Sdwlk r
� rs
Found. Plbq. Top Oot Gas Line FINAL: l
Post/Beam Struct. San. Sewn Framing -Bldg.
post/Boam Merl:. Ratn Drain Insulation -Plumb. a
Plbg. Underfloor Water Line yp.. Bd.
jM Date Requested:- 1� Time: AM PM
P /
Address:�Q_/ l0 t.A e/'7�IJC�z Pew/it/f qtl -
Builder:—
!!! THE FOLLOWING OORRECTIONS ARE REQUIRED:
_eA10�
1
Al I
- - -
Inspector• _ Date,- �
APPROM, DISADPROVED APPROVRD SUBJECT To ABOVE
__.ZC811 For Reinsp.
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}NS?ECT10N NOTICE
City uP Ti�j_d BuLldiog Department K
13125 811 Rall Blvd_ l'igard, Oregon 9722.3
Inspection Line (Ree-O-Phone): 63S'-4175 Bneineer Phone: 639--4171
A
------------------....__--
Footing Plbg. Underalab Mech. Ro, in
Appr/Sdwlk
Four.J. Plhg. Top Out Gas Line FINAL: _
Poet/Beam Struct. San. Sower,
lramingJ� -Bldg.
Poet/beam Mech. Rain Grain Insulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ ")/- e.
Ti-jet
Q AMC C� pM
� 4
Builder: /CA QQ e
,
THE FOLLOWING CORRECTIONS ARE REQUIREDt
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4
Inspectort/
'APPROVED —� DISAPP;OVED APPROVED SUBJECT TO ABOVE
__Call For Reinap,
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� INSPECTION NOTICE
City of Tigard Building Departsant
13125 SW Ball Blvd. Tigard. Oregon 97223 f
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
� b
1 Inspection• _
a
? Footing Plbg. Underelab Mach. Rough--in Aprp-/Sd,ilk
i
Found. Plbg. Top Out Gas Line FINAL-.
+ Poet/Beam Struct. San. Sewer Framing Irl.{ -Bldg.
i
,7
i �-
Post/Boam Mach. Rain Drain ..r,eulation 45ftc -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach. �/
Date Roquesteds_ - / - Timet AM ✓� PM
O7i �'eneyc� Perm t zCe
f Address• C�l / / [�
Builders P /`f d�� 7 1-1 ✓- 712 :2
THE FOLLOWING CORRECTIONS AM REQUIRED:
�C111 c�caxzo��: _ z-
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at
inspector: _ ---_`—— Dates b -17 ,
APPROVED v/DISAP,ROVED — APPROVED SUHJEr'T TO ABOVF,
---call For Reinap.
l �,.y ;«.,�p)` .tN. c= ..p�.c�»yq�s�4a�Y,l�,($' .�{�rw1J�+ ,a3',�y1�'91�i'r°�,, �•rp��i"id"�u 4�� ,�;^7"'',
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INSPECTION NOTICE c4�
City of Tigard Building Department
13125 SW Ua11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineno Phone: 639--4171
i
Inspection:
Footing Plbq. Underelab !tech. Rough-in Appr/Sdwlk I
Found. Plbg. Top Out Gas Line �-� _ FINALS j
Poet/Beam Struct. San. Sower ( Framing ��jn', -Bld_g. s
f `�- - _ /mac'• i
Fort/Beam Mech. Rain Drain CIneulation > -Plumb.
Plbg. Underiloor `Water Litre Q Gyp. Bd. -NeCh.
Date Req•,ested t C 0 /if - -! C/ TiMt 11M PM
i
`S Address:
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
i
t -14V
y.
ILI
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Inspector: Dnte:
APPROVED DIBKP/PROVED APPROVED SUB.TECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICF. d
icity of Tigard Building Department
13125 SII 11a.11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phone: 639-4171 C
c
i
I
Inspection:_, ----- —
Pco`inq Plbg. Undarslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Stn:ct. San. Sower Pramieg -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Rd. -Hoch.
Data Roquestedf_ q T = q //PM
Adareas: - --
i Perm
Builder: (CSI 6�3!CltG'( !� �/Y L7 �7S /z5 l
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THE FOLLOWING CORRECTIONS ARS REQUIRED:
1
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✓��' .t --� �SYZ__� L1
i Inspector: Date s, _
__A/P�PROVED DISAPPROVED �RPPROVSD SUBJECT TO ABOVE
call For Reinep.
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INSPECTION NOTICE \ /
City of Tigard Buildi.nq Department
13125 SM hall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-47.75 Business Phone: 639-4171
1 _
Inspection:. ----- ---
looting Plbg. Dnderelab Mach.. -R-ouuggh-in 1 Appr/rdwlk
Pound.
Plbg. Top Out as Line --,)e FINAL:
1i Post/Beam Struct. San. Sewer !raping Bldg.
i Post/Beam Much. Rain Drain Insulation -Plumb.
Plbg. Onderflcor Water Line Gyp. Bd. -Mach.
Date Requested: TLne: AM PM
Com—
Address: r v)im"' P®rml�t 1°S
� (�
Builder: L/1--6/da r� LlJY1 A-. /,5` - 71l27
Tia. juLLOWING OORRECTIONS ARE REQUIRED:
'-J, i k -
2-7
C t S
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AL
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Inspe^tore `— �_. - _ Dates
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APPROVED /bISAPPROVED APPROVED SUBJECT TO ABOV!
Y2 Cell For Reinep.
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�NSPECPILN NOTICE
City of Tigard Builui-.- Departaent
13125 BW Ball Blvd. Tigard, oreyoo 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171 l(
r
I + Inspection: __- - ----
1
s Tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
kFounG. Plbg. Top Out Gas Line FINAL:
Post/Beam StLuct. San. Sewer Framing -Bldg. .
'i
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
r �
Date Requested: _rime- ___—AM __PM S
lr � 1 i
Address: Permit f: Ck
Builder: _
A'..
THE FOLLOWING CORRECTIONS ARE REQUIRE[)s
S-0 47
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It
MA
1 ICU S t-� w �::• 2-✓� �
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�r y—;'-P�`s w�.%. C_.. �t-v t�.�'� � a► W�i� �L�J`t
Inspectory v Vv '" k%� L, _ Data
APPROVED DISAPPROVED _— APPROVID suDJ=CT TO Avon
\ _Call For Reinep.
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In P21-,51 f].
A
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. rigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect,on: — --- —�— —_
Frx�ttng Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Poet/Poem Mach. Rain Drain Insulation -Plumb.
.r^
Pl.bq. Underfloor Water Line Gyp. Bd. -Hoch. �
Date Roquested: --^� _—_-_Times a AH PN
Address: — _ Permit 1s
y Builder: (�
THE FOLLOWING CORRECTIONS ARE REQUIRED: �l 1 Z�
U w—a( S C
U k2 ✓�0—
—_ APPROVEu —"DISAPPROVED APPROVED SUBJECT TO ABOVE
�(t� n Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Bail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639-4175 Business Phone: 639-4171
Inspections --- --
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
T
a
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line ayl .1. -Koch.
Data Requested: /�� /�rj C/ _Time: -AM -- PK
Address: C Permit ts //
Builders / ( ��'yT��a-Gk'_ _,`)-) �.5 L, �7 7 G') ✓ _� r
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
AS!
rZ
all
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} t. A 141
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— —
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Inepector: /, — -_ Date:�_ �
-_APPROVED —_ DISAPPROVES APPROVED SUBJECT TO ABOVE
For Poinsp.
yY PAW w, rnn:r�t r 4�44Y �Ir�.1,.
INSPECTION NOTICE
City or Tigard Building Departswat
73125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phane: 639-4171
Inspection:
Footing Plbg. Underelab -�t771f Appr/Sdwlk
Found. Plbg. Top Out Ca� L� FINAL:
�wt;WReamct. ' San. Su-jr Framing -Bldg.
aeT,/Beam Mech.� Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. .-Hoch.
4Br
Data Requestgd:_7 /_ � ( - T v Time: _AM _. PH
Address:_ 'n -! l.G / /1�f 1�,��y��i _—_ PFCm1tS 9y- go
Builder.:�E�1�C-��t.�'(
THE FOLLOWING CORRECTIONS ARE REQUIRED-
e f
- -
CL
lu c z.. - —vim o ,. ,.Q_ S C-)
Inspector: v/_�
Dale:_ ' _---
APPROVED
-- DISAPPROVED _ V APPROVED SUBJEC`-l' TO ABOVE
r __Call For Reinep.
F1
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INSPECTION NOTICE
�
city of Tigard Building Drrpartaent
13125 SK Ball Blvd. Tigard, Oregon 97223 '
Inspection Line (Rec-0-Fhond): 639-4175 Business Phone: 639-4171 n
Inspection:
Footing Plbg. Undersl.ab Mach. Rough-in Appr/S4wlk
Found. Plbq. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Saam Mach. Rain Draii Insulation -Plumb.
i
lbg. Underfloor Wata- Line Gyp. ad. -Mach.
Data Requeste
fd
�: / V1� Time: PM
Address:�/ Vtom. _����Q `�-��• Permit
Z /
_ �� �. l s 77D
Builder: - _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
9 '
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Inspector: _ p
ate: 12 1AX
1
APPROVED D18APPROVRD APPROVED SUBJECT TO ABOVE
—Call For Reinap.
71 i
-�
XNSPRCTION NOTICR
city or Tigard Bvildiog Deparbssut
13125 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s b39-4175 Business Phone: 639-'4171
Inspection: --
looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
i
Post/Beam Struct. San. BMC Framing -Bldg.
p!!I Post/Beam Hoch. Rain Orainn Insulation -Plumb.
i Plbg. underfloor wateryLiMe Gyp. Bd. -Hoch.
_ { , " (P`� AH PM
Date Tequeeted: _--Times f/ (� G
Addresst c.�1(�+ {�[ �VCV _ Permit #: `Z-1
-
Buildert 74'-j - �I I /7
l
TBE FOT:,.'.-n1NU CORIOLCTIONS ARE REQUIRED:
XY
Inspector! Date:
---APPROVED Di .^PROVED APPROVEDECT SUBJTO ABOVE�T
,_Call Por Reinap.
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„�(rf<,R�n4�yjyy,�jt�R ;r.,y.•i*',�v�'''�f!�t}''t, M°'TM ?1d�'9�1'_P[°I�j!NT"'"#+�M",nym1► ��*�' NY,�" 1.
.. .�'t`� `1t4'. '', fkv' ;ti �G tP ,, ”S 4' i'�' -W� nR pipr►
1
INSPECTION NOTICE
City of Tigard Building Department (✓/
19125 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rwc-O-Phone)c 639-4175 Buoiness Phonsx 639-4171
J�
Inspsctionxoww
_ i
(ioo*inq Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
found. 0_04" Plbq. Top Out Gas Line FINALc
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. f
Plbg. Underfloor Nater Line Gyp. ed. -Nech.
Date Roquestedx -�q Times -Am
Address c C� iLIC/ /Picm�C o(l
Builderc ��i1_L�1/7`J
TIM FOLLOWING OORRSCTIONS ARE RNMIRM
t ✓� tip- `/ r C r21�
a
ANEMONE
Inspectors Date e
___APPROVED DISAPPROVED ' 2APPROVED SUBJECT TO ABOVX
---Call ForRReinsp.
i
NEW � �•... t. .r ur�erarwu�ypryy
PLUMBI
�� ®� T I GuA�® PERMIT N#. PERMIT
» MST94 ..x)091.
MATE: ISSUED. 03/2:8/94
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SIN Hall Blvd.Tigard,Oregon 67223.8199 (503)930-4171 PARCEL.: i S 134AC-JE:015
S:_TE ADDRESS. . . : 11076 SW GENEVA ST
SUBDIVISION. . . . : JEFFREY E=STATES ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOI... . . . . . . . . . . . . :015
CLASS OF WORK. . :NEW GARBAGE DIE '05ALS. . : 1
TYPE OF USE. . . . :SF WASHING MRCH. . . . . . . : 1 ::ACKFLOW PREVN I H3. . :0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . » . . . . :0
FIXTURES--_.---------_-- LAUNDRY DRAY'- . . . . . . .(11 SF RAIN DRAING. . . . , : .1.
S 1 NKS. . . . . . . . . . : 1 UREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :'5 01141__R FIXTURES. . . . . :ZI �
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER: _.___.___.---_-_---------.-___.____._._.___ - ---------
WLSTDALE CONSTRUCTION 1 IF $ 1 .:_0. 00 JCS 03/28/94 - - -
12536 SW 1.3:;RD AVE NPRT $ 475. 50 JG 03/28/94 - j
BPLC; $ :309. 08 JLH 02'/23/94 94--
TIGARD OR 972L3 B 5PC $ _;3. 78 JG 03/28/94 - '
Phone #: 524-5602 SSDC $ 280. 00 JG 0.3/28/94 -
PARK $
500- 00 JG 03/28/94 -
Plumbino Contractor•:- - ________._.____ MPRT $ 45. 00 JG 0.3/28/94 -.
MPLC $ 11. 25 JG 03/28/94 -
Name:-- t -P MSPC $ 2. 25 JG 03/28/94 -
Address �j G�L i — r�F'RT $ 15`x. 00 JG 03/28/94 -
C i t v: 4jI '- yr) Stat � .r P5PC $ 7. '75 JG 03/28/94 Zip:
_---
Req #:
REPU I RED INSPECTIONS
' - - --_- €
This permit is issued sub.jer_t to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp 1
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp !
other applicable laws. All work will be done E'ost/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
Permit will expire if work 4s not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mer.hanicz:l. Insp S,_tilding Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl. Drain r
Fireplace Insp w:
Gas Lane Insp
InSUlation Insp
Gyp Board Insp
Authorized 1�_i t.�iny Contractor Signature
Call fp,,,- inspection - 639-4175
Contractor Nates :
� ,rfi .,
11 111111p 1 fW. III
1 / ,
CITY OF T IGARD MASTER PERMIT
f-'LRIhTl' #. . . . . . . MST94--.1:a11191
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/48/94
(3125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
PARCEL: 17)134AC•-J•E015
SITE ADDRESS. . . . 11076 SW GENEVA S'T
SUBDIVISION. . . . : JEFFREY ESTATE'S ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :'7113
BUILDING
REISSUE: DWELLING UNI TS: 1. BASEMENT. . . . . . . . :0 s
CLASS OF WORK. :NEW SEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :420 s f
TYPE OF USE.. . . :SF FLOOR AREAS—- REQUIRED
+
TYPE OF CONST. -5N F•IRST. . . . : 1103 s LEFT. . :5 ft RIGHT'. :2121 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1271 s FRONT. :20 ft REAR. . :50 ft �
STORIES. . . . . . . :2 THIRD. . . . -0 s f
HE I GH1 . . . . . . . . :26 f t TUTAI_ -:�'3 74 s F SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE:. . . . . b : 116764 PARKING SPACES. . : 1
Remarks: PATH I s
PLUMBING
SINKS. . . . . . .. . . . . 1 FLOGR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :5 WA-'ER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :121
TUB/SHOWERS. . . . :3 L.AL'NDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSE s. . :3 SLWI:_R L.IN11_ (ft ) . :0 GREASE TRAP,`_'.. . . . . . . :0
DISH'�u=,:3HERS. . . . - 1 WATER LINE (ft ) . : 1.00 OTHER FIXTURES. . . . . ..0
GAF<SkGE DISP. . . : 1 R$41N DRAIN (ft ) . :0
WASHING MACH. . . : 1. SF RAIN DRAINS. . : 1
MECHANICAL - --_________.______.__.__._.__._......_._..__._._.-_ FEES .--_--_--_-.-_-_--
FUEL TYPES------------ UNIT HTRS. . :0 type amol_1nt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JG 03/28/94 -
MAX INPUT:O BTU VENT FANS. . :4 LIF RT $ 475. 5121 JG 03/20/94
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 309. 08 JLH 02/23/94 94-
FURN ) =100K . . : 1 WOODSTOVES. .0 B5PC $ 23. 78 JG 03/28/94 -
FLOOR FURN. . . . :1(1 CLU DRYERS. : T SSDC $ ::'80. 111121 J(.3 03/28/94 -
BOIL/CMF"' ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JG 03/28/94 -
GAS OUTLETS: 1 MPRT $ 45. 00 JG 03/28/94 -
Owner. : -____.._.___.________ _..___....__._____._..____._._--.- IhF='I_C. $ 11. 25 JG 03/28/94 -
WESTDALE CONSTRUCTION M5PC t 2. 25 JG 0:3/28/94 -
1.2536 SW 133RD AVE PF'RT $ 155. 00 J13 0.:5/2'8/94 -
F'5PC $ 7. 75 JG 03/28/94 -
TIGARD OR 972c:3
Phone #: 524-560L
Conti-actor.
DALE F'FLEUGER
WESTDALE CONSTRUCTION
6086 SW ALDEN ST.
PORTLAND OR 97223-0000
Phone #: 503-246-2:370
Reg #. . . 21345
$ 3329. 61 TOTAL
This permit is issued subject to the regulations contained in V* ------- REQUIRED INSPECTIONS ---- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foLInd Insp Fireplace Insp
applicable laws. All work w111 be done in accnrdance with approved Cost/Beam Stri_1ct Gas Line Insp
plans. This pit-nit will expire if work is not started within IN Post/Ream Mechan InsLtlation Insp
days of issuance, or if worker"suspen e r ore a s. PIm/iandslab Insp Gyp Board Insp
\\ PLM/Underfloor Rain dr^ain Insp
F'c?, mi.ttee 5ionat1_1r e>IJj echanical Inr sp Water Line Insp
____ 'limb Top Out Appr/Sdwlk Insp
Iss .led By: .___._..._. _ Framing Insp Mer_hanicaI Final
Call for inspection - 639-4175
r
SEWER CONNECTION
PE fill I T
C11Y OF TPERMIT #. . . . . . . ; SWR94--0095
i COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 03/213/94
13125 SW Heli Blvd.Tigard,Oregon 97223+8199 (503)839.4171
PARCEL: 1S134AC--JE015
SITE ADDRESS. . . : 11076 SW GENEVA ST
SUBDIVISION. . . . : JEFFREY ESTATES ZO`41;\IG: R-4. 5 FID �
BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . :015
--------_.. --_--______-
I-ENANT NAME. . . . . ;
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . .SF NO. OF BU1LDINGS: 1
INSTALL TYPE. . . „ :BLJSWR IMPERV SURFACE. . : Sf
Remarks : PATH i
Uwner ____._____.________..___.__._._.._._._.______.______.-----._._.___._..___.__. FFES _._.._..__.....__._.____..__...__..
WESTDALE CONSTRUCTION type amoI_tnt by (date r^ecpt ~
12:536 SW 133RD AVE PRMT• $ 2200. 00 JG 03/28/94 —
T_NSP E 35. 00 JG 03/28/94 —
I.ICARD OR 9722:
Pkone #: 524-5602
Cont y-actor-
CONTRACTOR NOT' ON FILE
i
Phone #: $ 2;!',35. 00 TOTAL
Peg #. . .
i ------- REQUIRED INSPECTIONS
This Applicant egrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expo,. 180 days from
the date i,sued. The total amount paid will Le forfeited if the
permit e•pires. The Agency does not guarantee the accuracy of the
side saver laterals. If tic sewer is not located at the measurement
given. the installer, shall p,•ospect 3 feet in all directions from
the distance given. If not sn-located,_ the ins a ler sh ase
a "lap and Side Sewer" Perm t and the Ag y
Permittee Si.❑r,at,oire �.
I s s i_t e ri By :
CAI l for, inspection -- 639-4175
�y
�,� L)
+: r
59
,r
"Imp
�1
,3
I,ITY CIF" T.IGARD RECEIPT OF' PAYMENT RFCF:'1:F'T No. a94 ??"';(%1;9p)
CHECK AMCll.1N'f `.,:114.61
AMM«. N WF.'.S T'DAI.E CONSTRUCTION CIASH AIhC.ICIN I• a N.Is 0 �
DDRE SS a I•'AYl%'.Nl AA I E c 03/R8/94
"ORPOSE: OF C.*IFIYME:NI' AMOUNI' PAID FaCIFtPOSFF: OF PAYME:N'T AMOUNT PAID
f C111_.DING PFF:R11 M al'94�-�':)H4•)1. 475.50 pl.. .1MFtIh10 PERM 1:` i.l%INI
E:C HANICAL I.'F: 45. OW ST. 1)011.1) V'F R
LAN CHECK FF. 70. 313 SFF:WF.R USM SWF294 "C�1CtT9:"i aE'.k1o.WW
3k:WER INESPEC I 4 5.00 MARKS SDC: 50 0.(40
1llF<M DRAIN hI)C,
P.80.Ma RKSIDFF:N11AI... TRAFT'IC; r-AZT:8 1.41.W.00
ASS TRANSIT 'T ).F 1-7 E:S :11,0.00)
•i
1076 SW GENEVA fail' ?
UI AI_. AMOUNT PAID " - -) 53J4.61
4.61
r
II
1
1
i
N•
Fit 7
9
CITY OF IAWIRD - REGFIN' Of' PAYMENT RE(:E'U'7 N0. s94---i?5W,-'j`: ! � 0
S.I*A.;K AMOUNT a 53,35. 2i
AME_ a WF'.E;'I'DAI...E CIMNS I RLIC ') TON CASH AMI:)UN'T a 0.00
1)DF2F'File► a PAYMI-N I DA'TF a 03/28/94 p
S:UNDIVIS3IUN p `
URPOSE OF PAYMENT AMOUNT PATI) PURC-'f)SE OF PAYMENT APII:)UNT MAID
3F RETURN LA . .._.__._. 5335.23 __.._.�._..._...,........_....._.............._..�... .»..................,......_.._..._._. - �
M`
A
OTA1. 0119I.1NT POIt1
i .
Residential Building Permit Application II�
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 1
Jobsite Address: d 76 5U)
Subdivislon: .o,� Lot #_G5— Office Use OnIY
Plandc/Rec#
valuation: //�T7G/• Fo —
PerTit # LC 7 7 r' 7 I •
Owner: d a _— Reissue of
Address:1Zf S_�. /33 — Map&TL.# 3 I C U S
Phone: s Z y - 5 Q Approvals required
Planning_
Contractor: � Engineering _
Address:
Other
Pho^i: Items Required
' Contractor's License # Subcontractors,_
(attach copy of current Oregon license) Truss Details
Subcontractors: / Other
I Plumbing:
Mechanical: ecy 5 !YE M
(attach copy of cur-,ent OR ntractor's License)
Architect/Enjineer:_-� 16) �;-
Address: / 2 5W la
I4
1,4t f z/ q
Phone:
COMMENTS:
- �
Pi�,, ignature & Pho a ni; n[3�r
Received b _--
Y Date Received:
i
r 'dewwtie:kw.+..t.M.; v.,...wv'.iM.�IMr:..�. ..............•.....__. ...... ,..,;,n.�wnrrw.,••......
. I
Permit # Account Description Amount Amt. Pd. tial. Due
/n5jR- gC Bldg. Permit (BUILD) S,SU — 41'7, >
Plumb. Permit (PLUMB) /Ss
i
Mech. Permit (MECH) -9-L610
State l ax (TAX)) 33,73L
Bldg: a 3 ;7,Y ! �.
Plumb: 7•
s
Mech: .2•2 /
Plan Check (PLANCK) 3a2 0, j � 7o,.;3
Bldg: 0 c)
Plumb:
Mech:
Sewer Connection (SWUSA)
N
WSewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) (u 14to
Mass Transit TIF (TIF-MT) I I 0
I Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) _
In l tutional TIF (TIF-IS) _
Office TIF (TIF-0) _
Water Ouality (WOU?L)
Water Quantity (WQUANT)
Fire District (I'VIE)
TOTALS:
\� f
J