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INSP,¢CTION N(Y��CE
City or Tigard Building Depar#jwjnt
13123 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639--4175 Business Phone: 639-4171 I�
Inepoction:- --- ----
Footing Plbg. Undereldh Hoch. Rough-in Appy/idwlk
Found. Plbg. Top Out Can Lino \1INALt
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Poet/S+sam Stru,a, San. Sewer Framing -01
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Post/Ream Mach. Rain Drain lnailation -Plumb.
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Plbg. underfloor /N/gtor Lino gyp. Rd. -INah. f
Date, Requoetodt• !✓ �� _ Tlmat AM PM
Addreass
Tax FOLLOWInn- UORRA(TIOIrS ARE REQUIRED:
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}; Inspectcir: — -- ---- -- Dates
LAPPROVED DISAPPROVED APPROVRD SUBJE('r TO ABOVE
call For Reinsp.
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INSPECT 0 Nm L i
city or Tigard Building Department
13175 90 Ball Bled. Tigard, Grown 97223
Ins;:ection Line (P.--O-Phone): 639-4175 Business Phone: 639-4171
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Inspection: - ----__—�
Footing Plbg. Underslab Ilech. Rough.-in 11ppC/8dMlk
Pound. Plbg. Top Out Gas Line \`= _t�
i Post/Beam Struct. San. Sewer framing -Bldg. S
Post/Beam Meeh. Rain Drain Insulation -plumb.
P1`aq. Underrlooc Nater Line Gyp. Rd. -Hoch.
t' t n S 3 40
Date Requested: l TL1es p1I
! Addresst�Z` 1C CcC� f.�lu �cr Permit �,NSaT�t� o�I.50
Builders—_ --� W /'-J� 10
TNI FOLLO1IIN(i CORRSC'TIOUS ARE REQUIREDt
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Inepectort1`/ -� - Dates
1 APPROMD -- DISAPPROVED -- APPROVED SUBJECT TO ABOVIC
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j�PLLTION NOTICE+ �,t)
city or Tigard Building Departmmt
13125 SW Ball Blvd. Tigard, Oregon 97223
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Inapection Line (Roc-u-Phnnw)r 539-4175 Business Phone: 639-4171
Inepect inn:
Footing Plbq. Undorslab Xzh. Rough-in Appr/.4dwlk t
Pound. Plbg. Top out
Can Line PINALr
Post/Beam struct. sen. sower Frming -Bldg.
Post/B-sam Hoch. Rain Drain I!1
soatioa -Plumb.
Plbg. Underfloor hater Lino �� pyp. spJ/ _Ker h.
Date Requost&ds ( I /1 pK
AddresesAlG1 1 ) (!)I�A1'A �7 ( iesfit ft M,;l 13-OCfs-O
Builders oWN K.71''--E
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THE POLLOWTNG CORRECTIONsRel RRQUIREDI
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Inspectors
--_-APPROVZD DISAPPROVED -- APPROVED sUB.:dCT TO )►ROVE
CJ _—Call For Reinep.
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jNST'ECTION NOTICE.
City or Tigard Building Department q
13125 811 Ball Blvd. ligard, Oregon 47221 !
Inspec:tlo: Line (hoc-O-Phone): 539-4175 Bunineas Phoma: 639••417:
Inspections__
Pc�ting Plbg. Underslahk Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line tINALt S
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Pont/Ream Scruct. San. Sewer Pray, -Bldg
Post/Ream Ruch. Rain Drain insulation -Plumb.
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Plbg. Underfloor Nater Line Oyp. Bd. -Mach.
Date Requeatedr. - - I TLMf 1111 PK
Address: 1 IC? 6)A_cko L'1I, �C1( . Punit f1 1`�` �� �'{ISLE
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TBE FOLLOWING CORRECTIONS REQUIRED:
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' Inspector: Dates
�p fb •. _ APPROVED DISII.PPROVED APPROVED SUBJECT TO ABOVS
�;!•, 1 G Call For Awinep.
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City of Tigard BuildiDg DepartMOMt
13125. 811 Ball Blvd. Tigard„ Oregon 97223
Inspection Line (Rec-o--r.hone)s 639-4175 Business Phones 639-4,171
Inspections
Footing Pibq. Qnderrlab !tech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Oar Lina FINAL:
40
Post/Ream Struct. Baa �c Framing -Bldg.
Post/Beam !tech. Rain Drain Insulation -Plumb.
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Plbg. Under.flocr 1Water Line Gyp. Rd. -Nsch.
Date Requeatedt49 Times �AN ��PN
Address 2dqw. Permit 1+eV 6-A , �s1
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Builder:
TER FO2.LOi1INi OORRUCTIONS ARB REQUIRm
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Inspectors Dates,
PROVRD DISAPPROVED APPROVRD SOWNCT TO ABOVR
_Call For Reinap.
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T ; , CITY OF TIGARD
:AMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Ora2on 27223.611 ' om)630-4171
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� f f CITY Cdc TIGARD COMMUNITY DEVELG .LENT DEPARTMENT
g. 13126 9W Hall Blvd.Tigard,Oregon 07223.9199 (603)630-4171
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CITY OF T I CARD RE:CF I PT Or, PAYMENT RE'CE:I p'r NO,. :93-243395
CHECK AMOUNT a 16. 105 �
NAME FORCE BUILDING C''0 CASH AMOUNT N. 00
(4DE)RFSS t PAYMENT DATF. 08 IS .
PO 1194 UBDIVIST(DN
TUALAT I N OR 97062—
U R 1-10 S E
7062—UR1-10SG OF PAYMENT AMOUNT 1"'A I D PURPOSE: OF PAYMENT AMOUNT PA T 1)
l'L.LJMPTNC7 r'k tci' 15. 10 ST. BUILD PER 0. 95
SW GLACIER I._II._Y C1R �
SIR 93-0450
f OT'AL AMOUNT ►-'AID
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CIIN OF 'TIGARD 111L5SWHaillllvd.
PLNCK/RECT N _, `C
, Tigard,Oregon 97Z1J PERMIT A rri 'C
COMMUNITY DEVELOP MENT DEI ARTMENT —� — —
(501)639-,171 DATE ISSUED
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J0 Ar, 0270 SO TAX MAP/Lor f S 133 QA -
SUB: ,;'r' Lf LOT: _ y _ LAND USE: _ ^—
VALUATION: -to n
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OWNER np SPECIAL NOTES
' NAME: _ J, V ,r Iy1du �Z�`p'u_ REISSUE Or:
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ADORES3. /197f S�l / OLI�11 [ LAST REISSUE:
FLOOR 'LAIN/
PHONE: 79SENSITIVE LAND: --..,--------_-
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING:
FC' C� _ rl�IL17 '. PLANNING: ----- -_.-�
ADDRE'�S: _.� __ ENGINEERING: --
_-_-_ F 1 RL DEPT: �.
PHOI,L: S, ~ OTHER:
CONTR. BOARD EXP D!dIE: _
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: G/lE`3MAL) LIST/SUBCONTRACTORS:
MECH: 2O&C UhnPrX'd a BUS TAX:
-ARC i fiw'T#tfi�-- !nl.C!PLAT I ONS: ---, ---
NAME: TRUSS TRUSS DETAILS: `--_---_- —
ADDRESS: _ �['� /f�5� 9THER: -_-----T._ _---- —
PHONE:
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PROPOSED BLDG. USE: —
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COMMENTS:
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-APPLICANT SIGNATURE--- —
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Received By: ___:�,V,4tA Date Received: ��/1K,
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E PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
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yn 51 a ��ii 10-432 00 Btj; (ding Permit fees
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees _
10. 230 01 State Building Tax (5%)
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Building
Plumbing
Mechanical
IJ-433 00 Plans Check Fee .3�
Building'
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charve (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
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I 24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL 1��• _� �'! ,.►y
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CITY OF TIGARD RECEI:F''1' OF PAYIvIFNT RECEIPT NCI.
CHECK AMOUN'r 106. ::,6
NOME FORCE BUILDING GOCASH AMOUNT 0. 00
ADURFSCS, » PO BOX 1 194 PAYMENT DATE: k)I-A, 16 c#3
TUAt-AT I N, OR GUBD I V I5I ON
91(c'16r'•-
PUWA)hF.:: OF' PAYME:N r AMOUNT Pn I D PURPOSF OF PAYMENT AMOUNT PAID
.....,___...........6c'. 50 T. BUILD TPER
_....,__,.. .__.__....._�._. .S. .l?
1_AN CHECK FF 40. 63
'37k1 SW (31.-f4CIER LILLY
i Q'i AL AMOUNT PAID - y 106. 26
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