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INSPECTION NOTICE
City of "igarr, Building Department
13125 SN Ball Bvvd_ Tigard, Oregon 97223 {
Inspection Line (Rec-O- h�nel: 639-41 5 Business Phone 9 417��
Inspection:—_�
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Lire
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insralation )
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: / I Time: __AM PM •
Address:j( '' �E llb)IYL 1-
Permit i�_ - U C
Builder.:_
THE FOLLOWING CORREL`'TIONS ARE REQUIRED:
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APPROVRD DISAPPROVED p_ APPROVED SUBJECT To ABOVE
_—Call For Reinap.
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- CITY OF T
I COMMUNITY DEVELOPMENT DEPARTMENT
13125 9W Hall Blvd,Tigard,Oregon 97223.9199 (503)639-4171
v t�, F'LUME1 i hIG PERMIT
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4q F-'ERiii I T #1•. . . , . . . PLM'r 4—•W 1 94•
639-4171 DATE'. ISSUED: 09/02/94
PARCEL: :'_S 1 14BB--x:1300 �+' �,'; ■
SITE ADDRESS. . . : 10,2248 SW KENT CT
SUBDIVISION. . . . t RiVERVIEW ESTATES NO. L ZONING: R•-7 PD
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BLOCK . . . . . :057
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d CLASS—OFHWORR. . :ADD GARNf-lUE DI3POSAr.S. . MOBILE= NOMI- SPACES. : �
TYPE OF USE:. . . . :SF• WASHING MACH. . . . . . . ;iPBACK r:
FLOW F=REVNTR 7. . : 1
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OCCUPANCY
GRP. . :R3 FLOOR DRAINS. . . , .
. . . TRAPS. . . . • N . . . . . . . . ..
STORIES. , , . . . . . . WATER HEATrRS. . CATCH BASING. . . . . , .
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FT.XTURES-•--_________..___ LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : �
SINKS.. URINALS. . . . . . . . . . GREASE TRAPS. .
LAVATOPTES. . . . . : OTHER dFIXTURES. .es TUE{/SHOWERS. . . . . . . . „ . . .
. . SEWER LINES (ft) .
W OYER CLfJ5ET5. . : WATER I_.INE (ft ) . . . . ;
DISHWASHERS. . . . ; RAIN DRAIN (ft ) . . . .
Remarks : SPRINKLER PERMIT
I
Owrner-: __._-._.___________.___._._....___.____.______________._ FEES
BILL_ MONAHAN type amor.lnt by date recpt I
102,48 3W KENT C1` PRMT $ 15. 00 JF 09/02/94 —
5E Cl 1' $ 0. 75 JF=' 09/Oi :/94 —
r I CARD OR 97224
Phone #:
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Contr-actor,;
INTEGRITY LANDSCAPE
VIO BOX 4c_'
WOODBURN OR 97071
Ph c:r r7 e #: $ 15- 75 TOTAL
Rey #. . : 61)36
RLUU I RED INSPECTIONS
_...._..___.._.
This permit is issued subject to the regulations contained in the Rp'/Backf.low Pv-ev _
Tigard Municipal Code, State of Ore. Specialty Codes and all other F irral. Inspection
applicable laws, All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or, if work is suspended for more
than 180 days.
P'erm: ctee i.gnatr.rre ;
Issued By
JC I for, insper_tion 639-4175
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City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd, Permit #
Tigard, OR 97223
(503) 639-4171
MINI VIUM $25.00 PERMIT FEE + ST. SURCHARGE
1
N. w 0—mv." New Sinale Family Residences Only
A.&.•. 0 1 BA7 . HOUSF$140.00 ❑ 2 BATH HOUSE$195.00
Job ❑ 3 BATH HOUSE$225.00 .
Address nwsir. m Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees bricw.
W s..) FIXTURES QTY PRICE AaVIT
Sink _ 9 Oil
.,.+w Ad*— °Rini Lavatory
Owner Tub or Tub/Shower Comb _ 900
c.wa.. a Shower Only 9.00
Water Closet 9.00
Dishwasher 9.00 I
Garbage Disposal 9.00
Occupant M•&C Ad*+• Washing Machine 9.00
Floor Drain 9.00
WIN* ar Water Heater 9.00
Laundry Room Tray 9.00 j
Urinal 9.00
e
Other Fixtures (Specify) 9.00
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M-04 Ad*— 9.00
Contractor� 9.00
clwai
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m m 9.00
Sewer 1st 100' 30.00
s+M.A.vt+��•• &a•T. Sewer-ea. Addit. 100' 25.00 _
AQP h�
+ j.XjWater Service 1St 100' 30.00
I hereby acknowledge that 1 have read this application, that the Water Service ea. Addit. 200' 25.00
in!onnation given is correch'. that I am the owner or authorized agent of
the owner, that plans subrr itted are in compliance with State laws, that Storm &Rain Drain 1 st 100' 30.00
I am registered with the C instruction Contractor's Board, that the r
e9 Storm !i Rain Drain Addit. 100' 25.00
number given is correct. tlf exempt from State registration, please --••—
give reasonbelow.) Mobile Home Space 25.00
Clack Flow Prevention
Device or Anti-Pollution Device 9.00
.`i�.� i Zl a• Any Trap or Waste Not
Connected to a Fixture 9.01)
Describe work new W addition Q alteration Q repair Catch Basin 900
to be done residential 0 non-residential Q insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property _ � Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices / 15.00 j
_.
Proposed use of
building or property __ _
'(Except restdendal backflow
prevention dev, es)
I
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions _^
�V_ Y Date issued _ by i
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CITY GF TIGARD
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cERTIFIcP7%- OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPQNC Ir. '
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503�.q"71 PERM I.r #. . . . . . . t M13193-12132k.'
__.4 171 DATE I SSIJED v 12/01/9,3
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PARCEL: GSt 400- 2-1300 `
f11)tatSS. . . 1,1,66: i+;J �'W r<.ENT CT
�,'UBDIVISION. . . . a RIVERVIEW E:STATE;'S NU. 2 ZONING:R-- 7 Pr)
13LOCK. . . . . . . . . . L.gT. . . . . . . . . . . . . s 057
CLASS�OF'�WURK: tNEW�_.___...__..__._.._._.__..___..__._.._._M_._..,__�._____._._..........._._..._.�....._,_...._....._.........__......,....__. i
TYP OF USE. . . :SF i
OCCUPANCY GRP. t R3
OCCUPANCY LOAD a 231 4
T'F:NAN'f PIF'iME. . . �
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Remarlq%: BATH I
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Owners
KELLY SPE►.:R NOMf=S INC
540 SW 119TH
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PORTLAND UP 97
C-1hone Mt 684-3396
Contractors
KELLEY SPt.EwR HOMES, INC
540 SE 119TH
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PDRTLAND OR 9781C �
Phono #s c5F-3966
58192 r
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(Jcr_•upanc:y of the above rPf'errAnced tv!-A tding is hrareby oivetl, and rortifles i
11le compliancy! With the Stat;(' Of Oregon Cadpq for the group,
uct:upanr..y, and use under whit.-ti thr, r•efcr•pnc:ed permit was iSSLke_i. �
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P0931 IN C ION S1-?1 CUOUS I-rLAC.f',
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;1gard ION NOTICE
cite of Tigard Building Department "
' 1312S BW Ball Blvd. Tigard, Oragoc 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phot •-4171
Inspections — -
Footing Plbg. Underslab Hoch, Rough-in Appr/8dwlk
Found. Plbg. Top Out (Sas Line FIWAL!
Post/Beam dtruct. Jan. Sewer Framing Bldq�~
Port/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Una Gyp. Bd. -haoh.
Date Requested: �Z -Times
Address s �l/1-.-l Permit f, .
Builders �Q � FC4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector 3" �— Dates 4 -/- 27
`APPROVED -- - DISAPPROVRD APPROVED SUBJECT To ABOVE
_`Call For P.einap.
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INSPECTION NOT cE j
City at Tigard Building Departs
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in r/8dwlk1
round, Plbg. Top Out Gas Line F1 M I
Post/Beam Strurt. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
plbg. Underrloor Neter Line Gyp. Bd. -Hoch. X
Date Requested: �D —Time''
Address., i (CQ Gln Cy Permit #:
8uildert �1 — 2t
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED l APPROVED SUBJECT TO ABOVE
Cell For Reinep.
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INSPECTION N0710E
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 9724Sk
Inspection Line (Rec-O-Phone)t 639-4175 Business Phnne: 639-4177
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Inepect'on:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found, Plbg. Top Out Cas Line FINAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation _Plumb, *t�„(y161A P
Plbg. Underfloor Nater Line Gyp. Bd,) _Hoch.
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Date Requested: Timet AM PM �� ��1 �(���'Y +,;
Address: (I�- r
Permit #t
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Buildert_rl��X� .�-1/ 1ti�x� �` •
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THE FOLLOWING CORRECTIONS ARE RBQDIRBDt rrN1Fiix+ P�� e�j'ry
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Inspector:_ __ v DataY__--
APPROVED
DISAPPROVED _ APPROVED 8UF !,(T TO ABOVE
Call For Reinsp.
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LECTION NOTICE l..
City of Tigard Building Department
13115 SW Hall Blvd. Tigard, Oregon 972231
Inspection Lino (Rec-O-Phonfe))s 639-4175 Business Phone: 639-4171
Inspectiot,:
Footing Plbc. Underslab Hoch. Ttough-in Appr/Sdwlk
Found. P1Dg. Top Out Gas Line FINAL!
Post/Beam Struct. San. Sewer Framing -Bldg.
lost/Beam Koch. Rain Drain Insulation -Plamb.
P!.bg. Underfloor Mater Line Gyp. Bd. -roch.
D&,e Requested! J�1 -�� �� Times zJ1N PN
Address:_� r��j�i I�.ti -� _ Permit is J a L 2w
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Builders � L� 9a Y (�5
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector-
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Date:
�APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE ^—
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Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departrent
13125 SR Ball Blvd. Tigard. orogen 97223
y .. Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
rooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. SewerFraming -Bldg.
Post/seam Mech. Rain Drain Ins::lation -Plumb.
Plbg. Underfloor Water Line Gyp, Bd. -Mach.
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Date Requasteis PM
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Builder:
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TBE rOLLC.IINO CO IONS ARE REQUIRED:
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Date:
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APPROVED SUBJECT TO ABOVE
---Call Por Reinsp.
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INSPECTION NOTICE
City of Tigard Building Dnpart=ant
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspec, ion Line (Rec-O--Phone): 639-4175 Bueineee Phone: 639-.171
Inepw-tion:
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Found.
Fl.bq. Top Out Cas Lino FINAL:
Poet/ ,n Struct. San. Sar"r < Framing -Bldg.
Post, un Hoch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
-Hoch. .
Date Request-ed: _) � � ?)
Permit
Bui.ider:� �7L� � S
THE FOI.LUWI"G CORRECTIONS ARE yREQUIRED- J
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APPROVRD _if""DIS�AP�PROVED APPROVED SUBJECT TO AA'BO%'E�
Call For Reinsp.
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)INSPECTION NOTICE
City of '.,igard Building Department
137.75 SR B&II Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phono)s 639-4175 Busidesa Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-in
9 Appr/Sdwlk
Found. pgbg, Top Out \ Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing
-Bldg. ,
Post/Beam Mach. Rain Drain
Insule4lon _plumb.
Plbg. Underfloor hater Line Gyp. Bd.
-Mach.
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Data Regssestede - A?
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Timet —.PM
Addre
—7 Permit t e `� , 'Lti > t h
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THE FOLLOWING ODRRECTIONS ARE REQUIREDs
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- APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
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INSPECTION NC:ICE
City of Tigard Build ng Departisent �
131-25 SW Ball Blvd. Tigard, Oregon 9722,1—,,"
Inspection Line (Rec-O-�Phons): 639-4175 Business Phonet 639-4171
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Ine,)ectian: I_ �( \V\ ) -- —�
*:otinq Plbq. Underalab ,_y�ech. Rough-in Appr/Sdwlk 0
Found.
Plbq. Top Out Ga:- Line 1 .';NAL:
Post/Beam Struct San. Sewer Framing l/ -Bldg.
Post/Beam Mach. Rain Drain Insulation -Ply,
Plbg. Underfloor Nater Line Gyp, Bd. -Hoch. .
Date Regveetsde (/ - 24,-'j Time: PK ktb %y'' talo ,tib+
Address:: . D � Permit
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Builds d 4
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TBE FOLLOWING ODFRECTIONS ARE REQOIRBDt
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APPROVRD DISAPPROVED APPROVED SOBJSCT TO ABOVE
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—Call For Reinsp.
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INSPLCfION NOTICE /
City of Tigard Building Department
13125 aR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
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Inspections
Footing Plbg. Underslab Hoch. Rough-in) Appr/Sdwlk
round. Plbg. Top Out �'—Oas Line FINAL:
Post/Beam Struct. Ban. Sewer framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lirw Oyp. Bd. -Meeh.
i Date Raquesteds/�/ Times __Y-3AM PK
Address: C`1` r _ Permit
Builder:
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Inspectors bIK�A ,-r--C I- Date: �-v 3
APPROVED DISAPPROVED _�� APPROVED SUBJECT TO ASOV!
\'—Call For Reinep.
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;NSPECTION 'OTICE
City of Tigard Building Department
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-its Appr/Sdwlk
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Found. Plbg. Top Out Cas Line PINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
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Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requeoteds Time: ,_AM PN ■
Address: � �� � Permit rF' ' Z-
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Builders r
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THE FOLLOWING CORRECTIONS ARE REQUIRED: �_,�wr r
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Inspector: �' LN ✓`� _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE � [
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INSPECTION NOTICE l �\j
CitY of Tigard Buildlnq Department \�V �
13124 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-OL-Phone): 639-4175 Business Phones 639-4171 I
Inspection:
Footing Plbg. underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oa Line FINAL=
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater Line Gyp. Bd. -Neth.
Date Requested: 19 ( 2 ')3 Time: AM ___PM
Address s _ 1
Permit �a��: � z
Bciilder: CL1LJ`7 Mkdy0_ Iu�
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TBR FOLLOWING CORRECTIONS1ARR :.`,ZoIREDt
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Inepectors�_
Dates_
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_APPROVED DISAPPROVED APPROVE() Su8.7ECT TO ABOVE
c , t Call For Reinep. I
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INSPECTION NOTICE
I City of Tigard Building !
�) 13125 8w Ball Blvd. Tigard, OMM90 g72 I �
Inspection Line (Rec--O-Phones 639-4175 Business Phone: 639-4171
� Inspections
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rooting -- + 1
;Ibg. Underslab Mach. Ro-sgh-in Appr/Sdwlk
Found.
Plbg. Top Out Can Line
FINALe
Post/Beam Struct. Sewer Framing -81.d
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Post/Beam Hoch. Rain Drain
-� Insulation -ply.
Plbg. Underfloor —` Line 7 Gyp. Bd.
—7 -Meeh.
Date Requesteds Times —Am �C .cYM •
t Permit ts � U�•�
Builders
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TBR FOLLOWING OORRRCTIONB REQUIRED:
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Inspector= -
- Date: �J
APPROVED DrSAPPROVED
APPRMMD SUBJECT TO ABOVE
Call For Reinsp.
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INS ECTION NOTICE
City of Tigard Building Departaent
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (ReC-O-Phones 639-4175 Business Phones 639- 71
G 41 I
'r Impactions � 1
Footing Plbg. Underslab Mach. Rough-in Appr/Sdsrlk
Found. Plbg. Top gut
Gas Line FINALs
Post/30am Struct. -
Framing -Bldg.
Post/Beam Mech. n Drain Insulation -Plumb.
Plbg. Underfloor
Gyp. Bd.
-Meeh.
Date Requesteds - Times
Addrgs:_ /5 d_=r6J�r , _ Permit ts` 1. L
Builders
■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
' t
i
Inspectors --
1 Dates
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
i
Call For Reinsp.
"•�f�1�dM.+1�!� ��4'.k�i�@MdYdF•¢5;�+".Ydh+3rr,s.r}; . , , :..
INSPECTION NOTICE
999 Cit? or Tigard Building Dep�9722
Yr
13125 8w Ball Blvd. Tigard, Or
Inspection Line (Rec.-O-phone): 639-4175 Business Phone: 639-4171
i
IInapectlon: _
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
`Mound. i Plbg. Top Gut Can Line FINAL: d
d
Post/Beam Struct. son. Sewer Framing -Bldg.
Post/Deem Hoch. Rain Drain Insulation -Plumy, '
Plbq. Underfloor Water Line Gyp. Bd. -Hoch. •
Date Rpueoted: L� D � ��
(� Time: AH 4 PH j
Address:
Permit
���l l ��
—1.L.� 2� �' ��0
Builder: �_ ,
TEBZ FOLLOWING CORRECTIONS AAE REQUIRED:
Inspector:
_ Oat
\ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
c
INSPECTXON NOTICE
i City of Tigard Building Department
1312S BA Ball Blvd. Tigard• Oregon 97223
Inspection Line (Aec-O-Phoneys 639-4175 Business Phonet 9-4171
t Inspections
Footing ) Plbg. Onderslab Kech. Roucth-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Hoax struct. San. Sewer Framing -Bldg.
Post/BeAm Nnch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Kech.
Date Requested s
Address: ,i��� L7 f/: , Permit #s
Builders
TEM FOLLOWING CORRECTIONS ARA RapUI.ZDs
r
Inspectors 1 / _ Usti-ot
11FPR011ED DI9APPROVRD APPROVED BJWRCT TO ABOVE I
J Call For Reinsp. I
1�
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CITY OF TIGARD . xt
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,O►agan 97223•C109 (603)E3g-4171
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TIGARD
CITY OF
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Nall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 W r S -,
't
t�IJt�RE 35- F'f
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^� CITY OF TIGARD � '�i,r
zn
COMMUNITY DEVELOPMENT DEPARTMENT '�''a`'w ' ^ « • • =
13125 BW Hal Blvd.Tigard,Oregon 97223.81gi1 (503)830-4171 o
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SW '�l:i' i ►
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l Y SPI:k::+ it' 1;_ li',C- t9asfswpt
540 5W 1 113 1 r I 1' e;riT100. 00 JH 06, 21 l9 3
d h'Y.1f;' ;k_,�al\�►.) 111 '.
tione #Yn taF34 �,'rc•
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! e�ti €Y 44 ,_. 35. ted W T 011:4.
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REQUIRED INSPEI'TIOMS
! M' Applicant agt-eeS S,, %;D$Piy N10 all the and r5gulativit , >+hv ns,pec'u orl
of ttie lT(iiEi9<i faeNgf Agency. The per•Rlt ln a ae _.__ _ »
_k !�.. ± y
1 tl ? 4'Ifs iSswd' !lf total a4aunt ''--;i:i Kill C@ fcrtvited It trf'
{ partlt P�pires. The Agency does not gsaranter ►' accu►-acl of thr
aide :,ever iaterala. if the Sewer is not :urates at the 1ia5ureaNn;
sli ver, tbor- nstal ler shall pr+osperi ,,i directions t k ae
1 ,he ti.t'tat�76 five?;. if not 5A 10r, 1 fpr ;r p1+rf+hai
1 a 'au -And Side arid" Persit
P t `aid, �
y
i:rz:ll f ci► irs :�,e'c� �un F,,�:ct.. .�►l -r'";
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CITY� A j� 13125 SW 14A RML PLNCVRECT rt �S Z)
' OF TIGARD PERMIT N M.5t 3 -0,' 22-
COMMUNITY DEVELOPMENT DEPARTMENT T9b��d.Ur.6on97223 '
(503)63¢"" DATE ISSUED
JOB ADDRESS: ���Z Y���=�-� � TAX MAP/t.01, � ���✓as
SUB: �2ri _ LOT: _ LAND USE:
_ F
VALUATION:
OWNS R SPEC IAL. NQT.FS
NAME. �! �''Ec ��E Izla REISSUE OF:
■
ADDRESS: -re- //Jp LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING:
ADDRESS: � U S-� fl� — ENGINEERING:
FIRE DEPT: —_
PHONE: OTHER:
CONTR. BOARD #: EXP DATE: �� z
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: ,, %�'1t � .y LIST/SUBCONTRACTORS: —
MECH: L�ls' , e BUS TAX: _
ARCHENGINEER CALCULATIONS:
NAME: — — TRUSS DETAILS: —_
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
�AWLAN SIGNATUI J '✓� _t
Received By: �,� Date Received:
i PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
l
>113 w ZL 10-432 00 Building Permit Fees .53�,►Z S. SV
`-- 10-431 00 Plumbing Permit Fees >7)
10-431 01 Mechanical Permit Fees '� > Uj�
10-230 01 State Building Tax (5%) 37,
Building
■
Plumbing �./3
Mechanical 2,Z5-
10-433 00 Plans Check Fee U �
■
Building 3 vel -"
Plumbing _
Mechanical _�• L i `
10-230 06 Fire _
3-v-(h 30-202 00 Sewer Connection .-2�_
30-444 00 Sewer Inspection
25-448-92 Commercial TIF Fees
25-948-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
i
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 Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL
I
nm/3587P.WPF
i
CITY OF T I GARD - RF C:E I P'T OF PAYMENT RECEIPT NO. :93-2414 9 8
CHECK AMOUNT 5264. 4D
AME s KELLEY SPEER HOMES CASH AMOUNT » 0. 00 �
�DDR�'S5 PAYMENT DATE: 06/21/93
SUBDIVISION
'URPO yE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM 5_;5. :10 PLUMBING PERM 162. 50
(=CHANICAL l='Ei 45. 00 5T. BUILD PER 3-1. 16
•
-,E_AN CHECK. FE
109. 33 ,EWER USA 2100. 00
`—�EWER INSPECT 35. 00 PARKS SDC 500. 00
`STORM DRAIN SDC -180. NlT RESIDENTIAL TRAFFIC FE~E".a 1;35'lA. 00 �
,LASS TRANSIT TIF FEES 110. 00 I
i
i
i
LOT ".'7 RI VFFtVIh'W EST
10246 SW KENT f
TOTAE... AhIOUNT E_'A'C E? - -> 5264. 49
l
C'I'TY OF T I GnRE? RECEIPT OF PAYME N1' RECk 117,11' NO. i 93._;=.,40..694
CHE'Cii AMOUNT t 250. (1-10
J'AAMl KELLEY-SPEER CASH AMOUNT 1 0. 00
AL)DRESS PAYMENT T►A'TE
Sl.lBD I V 161 ON x
�4
PUPPOSE OFPAYMEN`C AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAIL)
F'I (IN CE-EI::CK FF: .,..w...__... .._........_..-250. 00
-_—._.._.....�..____,....._�__..�._._.....__.,_ ......._.___.�._._.._........
a
I
t
I. OJ 57 RIVRRVIF:W USTr..l., 1...
I '
TOTAL... AMOUNT PAID77
"07
771
s"'t
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