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p SEC'`ION NOTICE
City of Tigard Building DeCart-mt
13125 Sif Hall Blvd. Tigard, Oregon 97223
Inspectir., Line (Rec-O-Phone): 639-4175 Business Phot.r: 639-4171
Ineprction:`__ �� C
Focttng Plbg. Underelab Neth. Rough n Opp-/Sdwl.k
Fours.'. Plbg. Top Out Gas Line FINAL
Poet/Beam Struct. San. Sewer Framing Bldg.
Poet/Beam mech. Rain Drain Insulation liw�b.l
Plbg. Underfloor Ha:..-r Line Gyp. Rd. -Mec_h..-�
Date Requested: ` ' L1_ -----TLme: AM PM
Addreee: (�n � ,__ — Permit
Uuilder:� �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-
'nepector:_._`- ------- ------_--- Date:
APPROVED � _ DISAPPROVED __ APPROVED SUBJECT TO ABOVE
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Call For Reinep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171
PLJMBING PERMIT
PERMIT 0. . .. . . . . : C=l_M94--0170
DATE: ISSUED: 08/1 /94
PARCEL: 21S104(10 .1�4U.'Z�
SITE' h7DRE54:i. . . 136685W ,.1ENNA Cl"
SUBDIVISION. . . . : HTLLSHIRE ZONING: R-7 PI1 ■
BLOCK. . . . . . . . . . .. I_.C1 T. . . . . . . . .. . . . . : 104
CLASS�OF�WORK. . :NEW GARBAGE: D T SPOSALS. . : MOB I LL HOME SPACES. : ■
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PRE YNTRS. . : l.
OCCUPANCY GRP. . : R3 FLOOIT DRN T N'S. . . . . . . . TRAPS. . . . . . . . . . . . . .
STUB I E a. . . . . . . . :E: NATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES-._._._.._.______ ._._..-. LAUNDRY TRAYS. . . . .. . : SF RAIN
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GRE_ASL TRAPS. . . . . . . .
L_AVATORIES. . . . . : OTHER F"IXTURES. . . . . :
TUB/SHOWERS. . . . : Ljf WF R LINE: (ft ) . . . . :
WATER CLOSETS. . : WATER I-INE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . .
Remar•I-4,1i : INSTALLING BACK\ FLOW DE V IC
Owner,: - -_.___...._______.________.______._________. _. -__.___.._. _. FEES
STEPHEN GOE-TZ type ama1.;nt by date recpt
13686 SW JENNA C"T PRMT $ 15. 00 Bl.l 08/12/'94
5F'C_;l" '#; 0. 75 BLI
TIGAI�DIN OR 97c�3
Phone #: 590-5228
Contractor:
PRO LANDSCAPE
P U BOX 595c'
I3E::AVER�ON OR 97,27106 �--.-------___-__.____-.-____.____.____._.___
Phone #: :a42-545E: $ 15. *75 TOTAL_
Req fit. . : 5903
- - - REQUIRED I NSPEC I T ONS ----__._ 1
This pewit Is issued subject to the regulations r'ont-•ined in the T'op--01.lt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if w-rk is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. - - -- -
P'ar-mittee 'Di.gnat I_Are :
By . r
Call for inspection - 639--4175
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City of Tigard PLUME3ING PERMIT APPLICATION Planck,Rec- # _
13125 SW Hal! Blvd. Permit #V I
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FETE +ST. SURCHARGE
i
New Single iFamily Residences Only
/ ❑ 1 BATH HOUSE 5140.00 ❑ 2 BATH HOUSE$195.00
,,,°°° I
Job _I 0-- ❑ 3 BATH HOUSE$225.00
Address adtin. Al Foe includes uii plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below. I!
Rem r«n.-of U.°,e..r r. _ . yL� - FIXTURES QTY PRICE AMT
i J 9.00
Sink _ 9.00
Memo Adivep /�� _ Lavatory _
Owner 13 C//O C�`/ ���ti�. C� Tub or TubiShower Comb. 9.00
_ i
Shower Only 9.00
Water CIE - 9.00 .
rN.m.t«n.m..1 WMn.w Dishwasher_-- 9.00
Garbage Disposal 9.00
Occupant M.M°A,- Ai.n. Washing Machine _ 9.00
Floor Drain 9.00
all Water Heater 9.00
Laundry Room Tray 9.00
N.- Urinal 9.00
r)f U LCLG'iLJS�LC 1� �4'L�/�� Other Fixtures (Specify) 9.00
Melina tam«. r+han. 9.00
Contractor /.) 0 Z _ 9.00 4
ary�etM. n, 9.00
Sewer list 100' 311.00 _
etn.R .°.lN. --" uv&N Too No Sewer-ea. Addit. 100'
q .° 25.00
Water Service lit 100' 30.00
1 hareby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given Is correct, that I am the owner or authorized agent of Storm A Rain Drain 1st 100' 30.60
the owner, that plans submitted are In compliance with Stato laws, that
I am registered with the Construction Cnntractoes Board, that the Storm 3 Rain Drain Addit. 100' 25.00
number given is correct. (I, exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
I4 {tib f J �I� L�(lC� Device or Anti-Pollution Device 9.00
We
Any Trap or Waste Not
Connerted to a Fixture 9.00
Describe worth now tpf addition rJ alteration Q repair Q Catch Basin 9.00
to be done residential Q nom-residential O Insp. of Exist. Ph ibing 40.00/hr
�r Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property __ _
Residential backflow prevention
devices 15.00
Pr000;ed use of
buildinS or property _ _ _ - '(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL CJo
PERMITS BECOME VOID IF WORK OR CONSTRI'JTI01J �-��
5°/a SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR NORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL
COMMENCED.
TOTAL
Special Conditions
Date issued �_ by_ _
1
Na
c I'TY OF TI GARU RF GEr'I PT OP PAYMENT RE.CEw 1{''T NO. a 94--r' 554L
CHECK AMOUNT t 15. '75
NAME s OOE TZ, STE PHE-N CASH AMOUNT s 0. 00
ADDRESS 5 J3686 SW JE.NNA CT 0l/1c./94
T1C3(-NRD, OR 97223-- IA
PURPOSE OF PAYMV N T AMOUNT P911 U f-,U RPOI- - OF P(--I YMI-N-f AMOUN T G'N 11)
PLUMB I NO PF:FSM PL.M44. 0) 70 15. 00 S1. BUILD V" k 0. 75
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TOTAL. AMOUNT PAID -> 15. 75
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CITY QF TIGARD
CEwRTIFILATE OF'
COMMUNITY DEVELOPMENT DEPARTMENT OCC(JE�ANC y
13128 SW Nall Blvd.Tigard,Oregon 9722:l+8100 f60#60=4171
PERMIT #. . . . . . , : MST9:+ `>" •
A:j t 1 DATE I BS IJE:D a 03/08/94
PHRCEL.s 2 7104CA--10400
t 21'E ADDRESS. e . c 13688 SW ,SENNA LT
:SUBDIVISION. . . . : HILLSHIRE 7ONINGiR--7 PD
BLOCK. . . . . . . . . . s LOi". . . . . . . . . . . . . . 104 �
iA.ASS OF WORK. sNEW P
TYPE: Off:"' USE. . . s SF
OC C,UC=FANCY IFIRP. :R3 I
I"iCC'UPANC;Y LCIAI7 s i-_'i,::0 4 j
r f:,anN r NAME. . .
rlem;tr~kms P141 H I 1
i
�44[:A-BUHNE DEV
01 u Sty! NYSE-RG RD
rUAL.AT IN OR 97062
Phare #9 b9i. 6383
Contractor* -.__ _._...._..__.___.. ......__.._.........__...._.
Z)HE.LPURNC DE VC LOPM(;:N r
,1008 SW NYBE RG RD
rUALA7IN OR 97062
Phon:4 M: 692--6383
j
Ocoupanry of the above r•eFerenc.ed building is het"Eby givisn, and certifies
the comp's iaarlc•e with the .state (If O,,egon Specialty Codes fc►r tho gr�OuPr
1iccupanc.y, and u%e under which the referenced rermit was isssi-ted. k
FIRE DEPAR"I'ME:NT"
BUILDIW, ;[Nf3t E R
5,- , l 1
...__..__......... _. r� U I I_D I h9D 4ffF'/ I L_._...._.._._....._...
POST IN CONST'l(LU(J(1S PLACE
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INSPECTION NOTICE �l
City of Tigard Building Departeaent 1 f
13125 £fit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspoct ion:_ `��ih' _� 4
Footing Plbg Underelab Hoch. Rough-in Appr/8dw1k
Found. Plbq. Top Out Gas Line 1INAD
Poet/Beam Struct. San.. Sewer Framing
Poet/Beam Hoch. Rain P'rI n Insulation -Plumb.
Plbg. Underfloor water :.1noo Gyp. Bd. `Meeh.
Date ReVelstedfr4/ V/� Time: 11M � � PH
Addreee: �� '��� ` Permit f:
Builder•
THE FOLLOWING OORI XTIONS ARE REQUIRED:
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77 qq
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Inepsckare Date:
Af"Ne
PROVED
'Al1 a I APPROVED DISAPPROVBD APPROVED SUBJECT Tn ABONe
V a/ _Call For Reinap. ki jirl:t4 f
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jj
,tak,+ dry , W14 >"•r,>r �.1
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i Yuk1�r �,'fy.ki�h� S.
$v1
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INSPECTION NC)TICE
City of Tigard Building Depart—nt
13125 SW B01.1 Blvd. Tigard, Oregon 97223
InspectionLine (Rec-O-Phona): 639-4175 Business Phot,e: 639-4171 "'w
Inspection: _ -----" "KIN"
Footing Plbg. Undeislab Mach. Rough-in Appr/Sd\wlk h '
Found. Plbg, Top Out Gas Line IFINAL t1 ! � r
Poet/Beata Struct. sen. sewer Fr tming <Bldq, F�'�t+�"��� 1 "� •
\/ k3
Peet/Ream Mach. Rain Drain Insulation y y ' fFi`
,�M
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Plbg. Underfloor Water Line Gyp. Bd. . !yt
/1 �j - C Timet AM LL_PM ty�yya °}3d�r,+ •
Data Requeetedt
Address: I �0 ', rJ C_jZ t4'u u` ' Permit #s � U a
J — — G
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Builders �. ,( �� — 4+ �. Ni' a
THE10LLOilINO ^ARRECTION3 Ault REQUIRED:
\ � 2�..+/� ��1�---/� ��� lr� "'•".�� �`'T . i+r j��rt'1Y{t I�l�:&'��",r�4 ��':
OIry,l— -ate=
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Inspector: ' ---- nates
APPROVED �� DISAPPROVED �F APPROVED SUBJECT TO ABOVR
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cj� L/_Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Buildin, Depa-0annt
1.4125 BM Bal? 131vd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-41.71
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line lINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Lins Gyp. Bd. -Mech.
U �
Date Requweteds r _ ?7� 4� / Time: AM _PM
> t
Addresus � � \tel Permit f:
�
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� tBulldars _ ( �-�Vv
TNR FOLLOWING CORRECTIONS KRB REQUIRED: „a
Inspector: '�lc: d z—_-_�_—_ Date:
_APPROVED — DISAPPP,OVED _,�APPROVEG SUB.7ECT TO ABOVE—t—
Cell For Relnep.
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SNSPECiION NOTICE ��
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Insoectiont
Footing Mg. Underslab Mech. Rough-in Appr/Sdwlk
v.,
Found. Mg. Top Out Gae Line FINAL: + & jlE;I''
Pout/Beam Struct. San. Sewer Framing -B).dg. {
�}
PostJl.e:ua Mech. Rain Drain Ine.tlation -Plumb.
Pl'.:g. Undorlloor Nater Line Gyp. Bd. -Koch.
t'I ,.
Date Requestedt_ �t/ ___T�= _AM PIM
Addreut �_-'~1' 'JI"d ' � Po m7it'1: Cl ' � �'l I■
Builder:
TBE FOLLOWING CORRECTIONS ARE RMVTRED:
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pAY 1- 404,41
Q4 64
+
1 1 1 B �j0�pptll f'
Inspector: v 1U 1A, " �~—,��_ Date$
APPROVED DISAPPROVED V 11PPROVED SUcJNCT TO ABOVE
Call For Reinsp.
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INSPEC��f NO�'�CE ��'
City of Tigard Building Departesmt ���✓✓✓
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O.-(�P�jhoae)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Undorelab Hech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing I j ,Ij -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. sd. -Hoch.
Date Requeeteds l Z" `� 3 Times AN /` PH
I>4' l c�nvr� -4
Address: C
Permit
Builders�7��
THE FOLLOWING CORRECTIONS ARS REQUIRED:
.J G•�U -�
Inspectorsy _ nates
,�APPROVEn DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rexnsp.
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�NSgECPION NOTICE ..
City of Tigard Building Departaent
13125 811 Gall Blvd. Tigard, Oregon 97323
Inspection Line (Rec--O-Phone)t 639-4175 Business Phones 639-4171
Inspxt ion a
Footing Plbg. Underslab Hoch. Rough-in Appr/3dwlk '
Pound. Plbg. Top Out \\'Cas Line FINALt
Poet/Beam Utruct. San. Sower �.'raninq Bldg.
Post/Beam Hoch. Rain Drain -Plumb.
-- -Plumb. {
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Plbg. Underfloor Nater Line Gyp. IN. -Nech.
�7 C
Date Requestedt �- I Timet AN PN tti:
Address: � (L��- '� � � PermLt #
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Btsild?rt 7 �� .�� ` �2 -1-3
—
THE FOLLOWING CORRZC:TIONS ARE REQUIRED: _Ck�-
c
_ �Aj Z
L
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f-2,0
C,-,T1
Inspectors—_
APPROVED DISAPPROVED 'APPROVED SUBJECT TO ABOVE
Call For Reinttp.
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INSP><MON NOTICE 1��
City of Tigard Building Departaent
13125 SA Ball Blvd. Tigard, Oregon 97223
Inepaotion Line (Rec-O-Phone)t 639-4175 Business Phone% 639-4171
Inspections
Foott„7 Plbg. Onderslab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out as Line FINAL:
1 r
Post/Beam Struct. San. Sewer 5(:�nsulatLon'
s►ing -Bldg.
Post/Beam Msch. Rain Drain / Plumb.
Plhg. Underfloor Nater Line Gyp. ad. -Hoch.
Date Requwated�t/ II 7 ) Time: ^� _AH PH
hddre�a t
M Z7�tl �/l.1/�( l� Permit t t
``
Buil_dert -� � �J\r(� 44
TRZ FOLLOWING CORRECTIONS ARE REQUIRRD:
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All
Inspector: \ J :'V'~�-_- Date:_\
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
VCall For Rainep.
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�ISPECT ION NOTICE I '
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City of Tigard Building Department
13125 81! Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-- -Paons): 639-•4175 Business Phons: 639-4171
Inspections
Footing /� . � �. /:y' plbq. Gnderslab Mach. Rough-in Appr/Sdwlk •-
Vound.
_P_lb_g. Top-Out- Gas Line FINAL:
Post/Beam etruct} San. Sewer (� Framing . .-Bldg.
Post/Beam !{soh. Rain Drain Insulaticn -Ply.
Plbg. Underfloor Nater Line Gyp. Bd. -)tech.
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Data ItequelIs Per•atedt JJ L 1 L l 5 _Time: Aj PM
Address: 1�l, D t�1A/Y l i Lt I: ��2 O-( — �
Builder:,�,k. V LV v� ti
TCI FOLUMING CORPilmoNB ARE REQUIRE,): )
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Inapect
APPROVED DISAPPROVED -i APPROVED SUBJECT TO ABCtrE S:
Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Sall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-C -Phone)t 639-4175 Bumineaa Phonal 639-4171
i
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
(106st7ffa—M 3fJCE;> San. S.rwer ]PcmLng -Bldg. ,
Post/Beam Mach. Rain Devin Insulation -P;umb.
Plbg. Underfloor Nater line Gyp. Ed. -Nech.
Date Reque.stedt —AM v PN •
Address: ' v* Permit #s
Buil;er t IY
ThR FOLL(VIN CORRECTIONS ARE REQUIREDt
-
16,
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Inspectors ��"J Date:
APPROVED DISAPPROVED APPF.OVED SUBJECT TO ABOVE
/
Call For Rainsp.
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INNPEOTION NOTICE l• _ `"
City of Tigard BULUINg Department
1.3125 BE Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phrne 639-ti!1!
Inspection: __ w
Footing Plbg. Underslab Meoh. Rough-in Appr/Sdwlk
Found. Out Gas Line FIMALi
Post/Beam 8trarr. San. Bower F_aming -BlAg.
1
Poet/Saari Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line O Bd. -Moch.
Date Requested: Time: AN PM
Addresee �iJ x lJ ' �.L� �� --- P..it #p
Builder:
_ B
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Date:/,)
APPROVED —__ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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41 '
INBP%CTION NOTICE
City of Tigard Building Deparbeent
13125 Bt Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone)s 639-4175 euainess Phonal 639-4171
Inspections --
looting Plbq. Underslab - n Appr/sdwlk
round. Plbg. Top Out Gas Line J/ FINALS
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb. .
Mg. Underfloor Nater Line Gyp. Bd. -Mach.
Data Requestedt // I � Timet
Addreaas 1 W I t C. k Permit rs J L•'�r I ����')� t
Builders' 11/ )ll l l� / - ?�j
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TM FOLLOWING CORRECTIONS ARE REQUIREDt
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-inspectors / Data:_IZ
APPROVED DISAPPROVED APPROVED BUBJECT TO ABOVE
Call For Rainsp.
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j!!¢�ECTION NOTICE �w
City of Tigard Building Department
13125 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phcne: 639-4171 r,
Inspection:
looting Plbq. Underslabh�Rough-ia'1 / Appr/Sdwlk
Found. Plbq. Top Out (_4aB /
�/ FINAL:
Post/Beam Struct. San. Sewer framing -Bldg. r�
Poet/Beam Mach. Rain DrainV l M
Inwiation •,P1umL.
Plbq. UnderPl.00r Nater Line Gyp, Bd. -lurch. I u
Date Requested: �2-^ 3' 3 7� I
-- I ` Timet
_Am� PN
Address: j? b llj_J% �\��fit. C� Perml.t i i"I; C1-)C�I r
Builder: f)k, �{CUa_•1
THE FOLLOWING CORRECTIONS ARE REQUIRED: I 4'
79(2-4
6�1 ., It
11 r— t
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Inspector: ` "
Dates- .S 1 � 7 5
APPROVED61EAPPROVBD
17 _� APPROVED SUBJECT TO ABOVE I
I-Call For Reinsp. `
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INBPECT_Q'� IOTI4'E ,
City Of Tigard B-.cluing Department
13125 M Ball B1Td. Tigard, Oregon 97223
Inspection Line (Roc-0-Phona)e 639-4175 Business Phones 639- 171.
Inspection:_,
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk.
Found. Plbg. Top Out Gas Line FINAL: /
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Heoh. Rain Drain Insulation -Plumb. ,
Plbg. Uni ertioor Nater Line Gyp. ad. -Hoch. y
Date Requestedt�/
Address: rb� Permit i s'l
Builders
TAE FOL•.OWING COMMONS ARE REgGIP"s
y^rt
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�p�'
a �
Inspectors C..• -- Dats:j
_L _APPROVED __— DISAPPR(')VED APPROVED SUBJECT TO ABOVE
v`,J� �� Call For Rainsp.
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INSPECTION NoTICs
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phones 639-4175 Buainess Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbq.._Top out Cas Lina FINAL.
Poet/Emma Struct. j�san_ Sewgt/ Framing -Bldg.
Post/Baas Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. ad. -Koch. r1
Data Roquuteds I h (� /`" Tleses AM \&_ta PM
Addresses ' r^Cfi �P.�lV"�(l `_ -
Permit t s ML7 i �'�I
Builders - ��>i�r
TBR POLLONINO CORRECTIONS ARE REQUIRED.
�...,
1 �
Inspector Dates
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Rainep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Lina IRsc-O•Phons)t 639-4175 Susineas Phonal 639-4171
InspectionsLA&PxyvlyC.(
looting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL,
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Ra_n Drain Insulation -Plumb.
Plbg. Underfloor '1Water LineGyp. Rd. -Koch.
Date Requested, I (,-) -( d 4 1 - �1 � Tune, AM PM
Address, `)(4'25 g :T L'C'V\_'yt"M c' Permit it •3' a
Builders1yio, 1(� .�_ �J, �� �'v� �� � t )
TBE FOLLOWING CORRECTIONS ARE REQUIRED,
A efA-
L', ..AJC L _U �- Q•S.S C,/\ c_v_
Inupector, �'• Dates /
APPROVED DISAPPROURD _ ✓ APPROVED SUBJErT To ABOVE
For Painsp.
1�
I�
INSPECTION NOTICZ
City of Tigard Building Department I
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Lina•, (Roc-O-Phone)s 639-4175 6•ssineAss Phones 639-4171
Inspections `\r" I V\`XI�
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlt
found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sower framing -Bldg.
Post/Beam Koch. Rain Drain In%ulation -Plumb.
Plbg. Maderfloor Nater Line Gyp. Sd. -Ma :h.
Date Roquesttu-di c/ ll '0Tfmst PM
Address_ ?�(�(_> V�' �V1Q C�, Permit
Buildors
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinap.
Citi of Tigard aaildiaq Department
13125 dg Hall Blvd. Tigard, Oregon 97249
Inspection Line (Roc-O-Phons)s 639-4175 Business Phones 639-4171
{ C+i Inspections (I b1,'li)
Footing Plbg. Underslab Hoch. Rough-in A
q ppr/8dwlk
Found. Plbq. Top Out Gas Line FINALt
1
Post/Beam etruct. Ban. Sewer Framing -Bldg.
r
Post/Beam Hoch. Rain Drain Insulation -Ply.
Plbg. Underfloor Water Line Oyp. Sd. -Hoch.
Data Requsstsdg 1 L CI Times r� (� AM PN
Address s <� � J<_ v 1 vle� (',A,
Permit #,_�
■
Builder:
TBE FOLLOWING CORRICTIONS ARE REQUIREDs
-- ��,
Inspector: "
Dates
APPROVED DISAPPROVED Y_ APPROVED SUBJECT TO AnOVR
_`Call For Reinsp.
;z t°
1'.
INSPICPION NOTICE y
City of Tigard Building Department
13725 SW Ball Blvd. Tigard, Oregon 97223
M1 Inspection Line (Roc-O-Ph^ne; 639-4175 Business Phoney -4171
h- k.
Inspectionr
Footing Plbg. Underslab Mech. Rough-in Appr/SdwlkFound
. ) Plbg. Top Out Gas Line FINAL$
Post/Beam Struct. San. Bower framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
■
Plbg. Underfloor Mater Line Gyp. Rd. -Mach.
Date Requested$ 10 Cj Timer _v AM pM
Address$ ("✓�00� C A Permit 1p )'T _r3 ? ■
Builders -�f n�+
TBR FOLLCMING CORRZCTIOKS MR REQUIRED,
4.
Inapsatorr
Dater
APPROVED DISAPPROVED APPROVED SU&TEC'f TO ADOVE
Call For Reinsp.
r
,
CITY OF TIGARD _LZfaf l T #. . . . . MST", ,�, 17
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd,Tigard,Oregon 07223.8100 (603)639.4171
o
r'i=1(:l:'L-:i_:
SUBDIVI :(,"ON. . HIL.L�ii IRL . . ZDNINla; ?-'7 +'1)
I ,LF-1-5 OF 4,JORK. . :Pl94
i
`fl-'E OF USE. . . . Jr" WASHING MACH. . . . . . . : 1 BAC.K:FL OW r'PEVNTRS. . : i
GUF'F1NCY u"fdf'. . :Ft:3 F=L OCIR "Ps. .
ORIEEa. . . . . . . . . WATER HEPTERS. . . . . . . 1 (DITCH LAASlN3. . . . . .,
1?(TLAU1 DPT 'r l'ii?W';:i. ., . . . . ., 1 UF ` kIN I>RAINE_.. :.
.f•lt''.f3. . . . . . . . . . . 1 GREASE -r RADS. . . . . . , ;yr
i r VAI URIL_S. . . . . :t" 011IL_R t I 1 URl,.'.'..;. . .
UD/GH0WLRE3. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS— 4't WnTER LINE; ( ft ) . . . . : V00
I.)I a1-IWPSHERS. . . . : 1 RAIN DRAIN (ft) . . . .
Pemarl(s : r1ATH I
awn.►LR- — _._____ _ _..._.___........_........_... ...__.._....,__. _.... _....- _.._._._.__._..v.._... � .�- _._._....._._.__.._. _.
rr-
+ii:,LLU?L NL OLV 1' f 6 152la100 J!i 10/04/91:
0111a Ski NYBERG RD BPRT '1 598. 00 JII 10/Q14/93
rk fAl L.0 6 386. 70 JLI;
14N (_'IR ..1..;`L 0 J11 1'410gf/9.24
rhnr;ty
0 : 692 638 SL-;t)c 280. Qui JH 10/04/93
PORK t 500. 160 J!1, 12b/0q/9 ,
1 I _rmbIn; ntract ;-'. Irir=l{l £ 5/4. W JH L0/04/93
1t r MPLC: 6 .13. :50 JH 10/04/93
�m r. - /� �- /�^��� -wr I•I:`.�r 1 7th H 14'x/04,19 v3
____..�r.e_..._____.._CS.._._
ddre s s .._. _ .._.._-_._. F'r {;i' ! 85. 00 JH 10/04/93
JNi 1,CO)/0
i p ._ _ .__. - Ph one
e �_.__ .__r
R GrU I REl') I 1\1S,V L C'T.t ON.cq
hi permit z, issued ,Ab.)ect to the reg..
iations contained in the Tigard Municipal foot:/found lnsp Rain dr
.,):Ie, btat:i.` of Ui.e. eant1 zki1 Post !.itruct: Water' L,if"1F I.n5'F.1
the- applicable laws. All work will be done Post/F)eam Mechan 00pr/9rJw1k insp
n Accoi-dance v,r,tn appr^ovc=rf plans.. lnis Pim/c_rriclal,11 ln:ip rlecIlanIca1 t - rIeAi
;er•,,rit will expire if work is not started P'LM/Underfioar Plumb Final
ithin 1E;0 d8y>a of i.anuancze, or if :: Mechanical In ,p 3ii lditiq t`i.n.�l
=.rr,pended for, more than 190 days. Plumb Top Uut 1::f` Osi01"1 Control
r- caminy lnsp i;ra�vl ir,ai
r i r^a p i au a Ins 1W
Insulation Insi.i
A- Gyp Board Insp
,;4aturEt, F
C.1?,lI fo'. .I.ns.pec-tic1;l ( 37 e+i !,
antractar Note., :
..........
i
t'
I
!�.,t+J_✓r.`HMl1R+.:,JAt.Wnr,a ar...... ....i .. .. .. .. ...... ........... ... .......... r... .v .._....,M MrFM1ClVI1N.4_�Y
CITY CSF TIGARD Mn,. r�.E� �!zsZMIT
COMMUNITY DEVELOPMENT DEPARTMENT 1SSUED; 10104/9:3 F.
13126 8W Hall Bbd.Tigard,Oregon 97223.8109 (503)639.4171
r:'iIrrf:LL. .3"xa ,,t r�, hr,;n;r L
1.66136 3W .1E.i0)(11 C T j I
LSE3I)IVISIt7N. . . . FIIi_LS;H.FiC Z 0 N I N 6 r ,
%. . . . . . . . . 1_UT. . . . . . . . . . . .
BUILDING
DWEL_L'.NG :,JN I 'is; J. 13AGEMEwN r. . . . . . . . : 714 S f
:LASS UT" 4CjRK. :AL;.W BEi;kmS:5 BATHS:4 GARAGE. . . » . . . . » . 716 s f ■
"eP,L f-)F U&L.. . . ', :F r"L_L)UR PRE05 - _._.._.... .. . RE QUIrvED SETBlat,:}4S...---,....._ ... .__._..._
Yf='E OF CONST. :`_1'J RST. . . . : 1; 68 S LEFT. . :5 ft RIGHT. :5 ft
'>CCUPANCY CRr. : R, SECOND. . . : 1222 at" F1.ONT. :;20 ft RE:_'AP. . :..1► f'
ST OR I E8. . . . . , . :2 TF11 RD. . . . .-0 s fi RLG!U1 REU_.• _._ w,._____.,_ _______._.._.. ■
;C 10117.. . . . . . . .. :c Yr ft TO TAL :1',S`.)ef a f SMOKES DET0_;F0PG. .Y
Lt1C�R LOAD. . . . s 40 ps f VALUE . . . . . S : 165056 PARI,I NG SPIAL wS. . - I l
■
INKS. . . . . . . . . . ; I FL0UAR Df,'A11',1: , . . , :0 LAC14'"LC)W F'IREa'WN'r'E25. . :4h
_ AVATORIES. . . . . .6 WAI'E:R HEATERS. I TWIPS. . . . . . » . . . . , . . :0
`US/SHL)WE,'i.G. . . . :4 LAUNDRY TRAY}. . . : 1 ::ATCI1 :0
.JHTER CLOSETL,. . '14 SE WE:.FR LINES (ft) . :W' GREASE TRAPO. . ,. . . — ;10
It 1SHWA5Hv1:RS. . . .. i WATIE.JZ L 11`aE:. i f t ) . : 100 OTHER F I X rLJr11 :;. . . , . ;i.
,AROAGE D11.1p', . . . 1 RAIN DRAIN (ft ) . o0
ra ;14ING MACK. . SF' PPIN DRAINS. , . 1
MECHANICAL_ FE'C.;r r
IJEL 'r1'r'E:Ci._. ,_._..._..__. _ ..... UNl'1' tif'I10). . ;0 typemc _�nt by date r'ec:p+
GAS/ / / VENTS" . . , . . :0 TIE` 15e0. 00 JH 10 '0410,1
inn INF-'U•rso BTU VENT FANS. . :7 BPR'. $ ;798. 04) JFI 10
URN t look' » . :LA HCUQ1)S. . . . . . . 1 8PL.0 $ 368. 70 JL..H 09/03/93 93
1 URN ) .-10011, . . .- 1 Wt)tJUS'11"t1VE1a, .0 LA12r't: 1; 4,2'9. 90 J)1 101214/9:.` t
F'LOOFI F�URN. . , . s46 CLU DRYERS. 1 S>7DL. $ X80. l� 0 JH 10/014/93
(t1L/Ci"If" t .:;IiFy:lLr 01IiL.ri UN112 t 1 t41RIi $ 00 JIE tlb/04/03
GAt1 OUFLE:'T9:ir 1 MPRT $ 5.4. 001 JH 10/04/93
L 1.., sle-1 JH 10/24: 3:;
.HE'LBURNE DEV Mat*,C E:. •70+ JH 10/04/93
0'083Wt�YE1ERlS r: 1185. 00 .111 Iit/1714/`)3
F*-*IbpG $ 9. 5 JH 10/04 9 3 -
U()1A)T I N OR 93 70L,2
'Pune #: 692638,,, r; .
:OT,treictot_: _ __..._ _._.. ..-.. .
J11J_l3tYiNL DEV
/00.; OW NY17):ERG RD
tJi,�,F�TIN GIs; 971&,:'
,
' 'hone #e 692-6361,
' 388 _._ ..... - _ ....3581, 05 1-01 f1L.
his persit ;s ss5nec subject tc the regulations contained in the - r7:.ULJIRED INSF='ELTIONS - -__..._._.._..
Aga+- ",_,nicipal Cade, State of Ore, Specialty Codes and a.1 ether Foot/fol.nd Irrsr F i.;1j*pIEaC,e Snsp
applicatle 'saws. R11 stark will he done in accordance with approved mast/Pfia m �,itiAl-tvt Giro-, Line Insp
plar5. Th;: F'of It w:ll e>,pi�e if war^k is rat star!T!' ):at•ir 181 F'o s,t lHe m Ivle ch +n In s,.r l ��t i cln I n s,W
i,..
days :f o•• if work is vispendep for Aare days. PI ""'!.(nds1,-Ib IntSp Ciypr 900r-d Ina;
I'Dc rL.t+l, Untioa f=1c7r Rain cir-air. In ,..
�• K ; t ': t � ,.. : �t^;:,1. �.t. t: :; - � i")a c.•!":ca n 7,c-4=11 1 r. F' Wa.': c!t• 4_. n e 111.;I:a
t 1' Umb Top Out Pppx./13dwaF< Inyp
IH e c:t1 a<n i e p.i f"3.n a
' h,i l i fm--- ; rt p e: -Lot, 6.39--41""t-1
r
PT
O
tl:
lel i�F� C:ONNLC1'ION 1
CITY OF TIGARD �,��e:;
i Fel:F Yl1 T # �WEl�.i'3_- ,„
COMMUNITY DEVELOPMENT DEPARTMENT DfI,E 1151,3UL;: l ;k�+.``) '
'
+3125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)839-4171
USUIJICION. . . . iILLE,HIR' ZUl�li�lLi: kt- 7 i
JLE . . . . . . . . : . . . : 104 ___. _ .W.._....... i'
» _.....
;SA NU. . . . . . . . . » F IX'T'URF 1JN1�' ;. .
!_Ia!3::i ilE Wt)(-+lt• . .. „i'+!{:W DWELL ING Uhl II
:SF NO. OF AU 11-91 NGS: i
. :1:a�.tSWR 1{wi-'C RV
4
r'melr'kr,: r{aTH i
FEFt.i' ._..._....__..._._. __. ..__. �. ■
' HELBURNE DEV type amc�unt by "date r erp,
'008 Wil,! NYPERG RU
PRMT $ �' 00. 00 JH 10/04/93 l
IN moir-" $ :s.i. 00 Jl...! )rn,,;•,.
U()U'0'1N OR
h ne r 692--6383
.:antr^ari:yr r -. --_...._...._ ..._. . ,....____...._....._ ..__.....__..,______ f
ONTr
mu
$ E;R3 5. 00 TOTPL
RECi U l RCly t{ SPECT I ONS,
`his Fpplicant agrees to comply with all the rules and regulations !.fewer- Irlspect ic11
fthe unified Sewage Agency, The permit eKpir,es IN days from
:he date xs=ued. the total amount paid will be forfeited i` Vie
:ermit expires. The Agency does not guarantee tre accuracy of the --- __.._.___ _�_.._____. 1
aide sewer Iate;'a1s. It the sewer is not located at the aeasurewent
giver., the installer shall prospect 3 feet in all directions from ___--
the distant; yiuen. If not so located, the installer shall purchase
a "!ap and Side Sewer' Permit and . all a lateral.
71 J.[}'1 ia':
Cal fo, , inspection
.....��,' «e�'s'PA!�,'�e� :. ....,.., .. ..sFF.•c.euwu+.. H�`�Ar+R►W':�:�AMi4ar+; sec 's ,. ,. . . .,, . ., ... �.
i
PLNCK RECT # �� r
CITY OF TI GARD »>u sw,,,n n� /
PERMIT #
COMMUNITY DIEVELOPMENT DETARTWNT Tigard,Orcgm97123
(503)63"171 DATE ISSUED
JOB ADDRESS: - � 4,W wN1z1+ C_`T TAX MAP/LOT aV.251
SUB: _ �� !�//1_ LOT: _ /CO LAND USE: (tD
VALUATION:
OWNERt*'" SPECIAL NOTES
NAME: � � GC�°�t �74� REISSUE OF: _
ADDRESS: _ 706 SZ-c) /V 7 CSn�� K _ �-� ___ LAST REISSUE: _
7'Z `(h/ FLOOD PLAIN/
PHONE: 6192 0 f�rt'1( t� SENSITIVE LAND:
CONTRACTOR APPROVALS REQU I Rte. S 0 490-Q''o/
sE-..
NAME: _ PLANNING: .� k�' dl _
ADDRESS: _ _ ENGINEEkING: _.—
____ _ FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOARD #: EXP JTE: :14q
N-"19 ht ITEMS REQUIRED
SUBCONTRACTORS: Pvd4B: f LCL/tl LIST/SUBCONTRACTORS: —¢-
''�__
mko: jt' _e';ny tBUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: S�/'fT/ ,c' c GCr'P`�1� TRUSS DETAILS:
ADDRESS: 77cv (i .�G� ��f�'�� _ OTHER:
PHONE:
PROPOSED BLDG. USE: _ 's
COMMENTS: l_ 5 / '('/
�_-
1LY_ka, ze
tx�
�P
APPLICANT SI TRF.
Received By:c.-_--1.:.- -- Date Received: 9 AA z
. . .....,.........wo«.�rw..:.:.;,e..-....«_,.»...:.............v.+wa`w..ar...a.........:.w...�nra.arnwn^.. amu:.,,.....
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. CAL. DUE
�3l7J�/ 10-432 00 Building Permit Fees
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees `S
/
10-230 01 State Building Tax (5%)
j Building o20
Plumbing
Mechanical
r
10-433 00 Plans Check Fee u2•ZU / �-= /
Building
Plumbing
i
Mechanical
10-230 06 Fire — -
C1 041 30-202 00 Sewer Connection L�U _ .
30-444 00 Sewer Inspection _ —.3>-
25-448-02 Commercial TIF Fees —
25-448-04 Industtiial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees —
I
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg C,�,
(SSDC)
c� / A "
2.4-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTALv���
C I
nm,/3587P.WPF
...... .,. ,.yMxn•,!mm:wn?AOup61a-rnvv�dJ+HfilrM vwrrwMlMdi.!'Ai'Na4.9"w"nu:�....... .........,.. ... .... ... ..•.• •«+ixa.wa.w.na•..mwnm:.srwec.,wnrwt...aa.s.owmwn
w
y{
a�
1
4
j.
_ -_ ..�.,.---+...�.......�. r..... -._.�T...�..��..-..T._..�.. . .�-- -•--•... -. .--..�.W.�._ -__• .... __. a �. "'. .. _.� ....) . ....' r•
r
CITY OF 1 1(3ARD 14ECE IF-IT OF PAYMF:N1' RF•CE 1PT NO. e9 a-•x'4460 3
C NF'C:K AMOUN r' a `51566. 05
1)
NAME a al�r;L_F3URNE DFVE,I.UC�ME:N'r CASH AMOUNT' d 0. 011
1)C)FJrtFF;f; s PAYMf_N'T LATE- a i0/04 9
13
SURD I V 191 ON
r="URPOSE OF PAYIyIFNT AMC INT PAIL) F=BI-IRPOSE OF PAYMFN•r AMOUNT PAID
UUIL.DT4(� PE!tr+l _ __.5911. 00 PI.0MIAING PERM —" 15....___0
ME'.CNANICAL. PE: 54. c,T'. W-111-1) PER 41 . CISr:q AN CHECK FE 15;':!. 20 OE=.WF:R USA '2200. 00
SF WF R I NSPF:C.T 335. 00 MARKS SDC': SOW. 00 }
STORM DRAIN !ECIC; «:CiV�. 00 RF'C3IDE:Nr'If.w. TRAFFIC F'F:F)3 1410. 00
MASS T RANF;I 'C TIF r7FES 1 10. 00
t �
I-C)'r 104 FI I I.L. H I R
13688 BW JF.NW CT 1
TOTAL. AMOUNT PAID - — - -.> 5566. 05
n
f
Ritmo ;.
i
Y.
'r ,
I
;
CITY OF TIGARD '-' RFC;E:IF'T OF F'FaYME=:NT" FlEC;E lF'T NO. :9_, '_%�:i00
CHECK AMOUNT 250. ��
NOME : HEL_BURNE= DEVELOPMENT NT C:(� l{ AMOUNT ��• ��
PAYMFNT DATE
ADDRE";r; S,I.JSDT V I S IC_{N
F'URt'C]SE OFF pAYMF_:NT (AMOUNT FIATD 1='{JR1 O' ',E OF PAYMENT" (1MCJUNI' F'0I17
.i, .wr........_..r...._...n_..r»_..._.._.....�............_........ ..fin..
K'I_Cahi C 1-IF'CN. �'F i.?50. 00
�I
1_01 104 E{I1._1.-SH I Rr
,.. E� _EI ;1W .J FNNA C;T
TOl'AL AHOUNT PAID 250. 00
Y
r
INSPwTig1NOTICE
City of Tigard Buildl09 Department
1312S M Bail Blvd. Tigard, Oregon 97223
Inspection Line (PARC-O-Phone)t 639-4175 Business Phone: 639-4171 }
inspections ----
i� Plbg. nderslab Koch. Rough-in Appr/Sdwlk
Found-._-� Plbg. Top Out Gas L_.se FINAL:
Post/Beam Struct. dan. Sewer Framing -Bldg. 1
Insulation -Plumb.
Post/Beam Mech. Rain Drain �
i aK
Plbg. Underfloor Water Line
C� Gyp. Bd. -Hoch.
Date Requestedr " 2 1 `1`5 Time: AN PM
II ] 1
Address: `
-k 1v15T q3 -�Sb�
l ,�f���1, ��=��� � Permit f s
Builders
�61 K 6`. �` •�
�•�G, X373
THE FO�LLON�IN�G' CORRECTIONS AAE REQUIRED:
('
c.' ( vie S k_�
-- '
1 natal 5- 7 .
Inspector: -- -
APPROVED DISAPPROVED — APPROVED SUBJECT TO ABOVE
/ —gall For Reinsp.