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I CERTIFICATE OF
Cirf OF �'Ri-
�C,cicaCuPar�rY �
f lERryll T #. w , , . . . s MST9se...•i7.►096
+ DATE l SSUED G OS/219/45-
COMMUNITY
_./219/ _5
COMMUNITY DEVELOPMENPA3PNT
13125 BW Hall Blvd.Tigard,Oregon 07223.8199 (503)639-4171 PARCEL: S 1048A--0417l0 �'
SITE ADDRESSn . . s 139132 SW NORTMV I EW r;P
SUBDIVISION. . . . s CASTLE HILL #2 Z ON I NG s R-12 PD
BLOCK. . . . . . . . . , s LOT. . . . . . . . . . . . . .0ia
------------
CLASS OF WORK. s NEW
1 YPE OF USE. . . s SF
OCCUPANCY GRP. s R3
OCCUPONCY LOAD s 225 4 pp
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Tr:NAN'f NAME:. . . s �
C+emark3 s PATI-1 I►«,
Owner: .._________-___.....___._.___—________----_-.,.__
NORTHLAND 140MES
1834 SW 58TFI AVE
iLl I TC fit 202
PORTLAND OR 97221
Phone #: 292 -3973
i.;antrartors
CONTRACTOR NOT ON F I L.E
Phone #s
This Certificate eertifips that the above refprenr_ ed building Or portiorl r
thereof t)as treen inspecrtad for compliancp asith the Tigard Bmilding Code
fear the grol,ip ani-I (Jivigion of oCCIApiAncv and usp for whicm the Pbove r
referenced permit, we's i.srsueci, arnd or.ctipanr-y is h�weby granted.
?LIl_DINCIPIf)PECTf)R BUILDING OFCI
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POST IN CONSPICUOUS PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE �' ++ `� � �1;•
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j Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 L tip, �Mr�,�a�
Inspection: rror` ff
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL '+{
Post/Beam Mech. San. Sewer Gas Line ` I vi
Plbg. Underfloor Rain Drain Framing Plumb:
Water Line Insulation ec ( M
Alarm /
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requested: /L� ,' I�l S lirra: A PM
Address:_
Builder: h — G� ' — Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec
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Inspection 639 4175 Business Phone: 639-4171
a rl Inspection: —
Footing Susp. Ceiling Sprink. Rough-in Dppr/Sdwlk
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Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough in FINAL:
Post/Beam Mach. San. Sewer Gas Line
Plbg Underfloor Rain Drain Framing 5125-Plumb /�-
Alarm Water Line Insulation M
Unded1r. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requested: 5-, Timer AM PM
Address:
Builder: Permit#: 9S GSC)7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
_ Date: 1f Z ��
_APPROVED .�41SAPPROVED _APPROVED SUBJECT TO ABOVE
(/_Gall For Rainsp.
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CITY OF TIGARD BUILDING INSPECTION NO110EFis, r � 4?,
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. "39-4171
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Inspection: �� r �'r.+Jp�if.,
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Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain /_GF-amin
Alarm nn�� afar LI Insulation - e"l0f ch. �
c1�
Underflr. Insul. �Wall Gyp. Bd. -Elect.
Date Requested: O �' .�Time: AM PM
Address:
Builder._ Permit #: /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1 <�
Inspector: Date: �`2� �
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_APPROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: A F-� x
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Rough-in
Sus
p. Coiling Footing P 9 P rink
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gvp. Bd. -Elect.
Date Requested: .2-2—n-$' Time: AM PM
Address: 395 Z .SAJ 616c4h ,
Builder., A jnN-yStAgj� 116 _Permit c jj s'-66 CO
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insppctor:_� Date: U '�
XIAPPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Z� Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41
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Inspection:- LSA-
IH� h
Footing Susp. Ceiling Sprink. Rough-in p pr/Sdwlk
Foundation Plbg. Underslab Mach. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldgs
P!bg. Underfloor Rain Drain Framing w
Alarm Water Line Insulation (Ce
Underflr. Insul• Shear Wall Gyp. Bd. -Elect.
Date Requested:_ h ( I C� Time: AM PM 1
Address; I•� IVB" �.�`{ e c .) - z
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.
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_APPROVED XQISAPPROVED —APPROVED SUBJECT TO ABOVE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection--
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Unders'ab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Ou' Elec. Rough-in FINAL:
Post/Beam Mech. San. Sower Gas Line -Bldg.
Plbg, I..nderfloor Rain Drain Framing lumb.��
Alarm Water Line Insulation -Mech.
Undorflr. Insul. Shear
Wall Gyp. Bd. -Elect.
Date Requested: G D Z ` `� �� Time: AM PM
Address: 7�
Builder: Permit #: `y SJC?
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_'/CSL/"� Date:
_APPROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
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TOTAL O//ICK PRODUCTS—2L-ptl �•
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CITY OF TIGARD BUILDING INSPE:TION NOTICE
Inspection Line (Roc-O-Phone):639-4175 Business Phone: 639-4171
Inspection: _—
Faotr,►g Susp. Ceiling Sprink. Rough-in Prppr/Sdwlk r i
Foundation Plbg. Underslab Mech. Rough-in Fire lace
\� Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb.
r Alarm Water Line Insulation -Mec
Underflr. Insul. Shear Wall Gyp.Bd. lett,
Date Requested:
f -Time--AM RM
Address._
jBuilder: Permit 00_;10
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I THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:Tm, Date:_
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PPROVED —DISAPPROVED _—APPROVED SUBJECT TO ABOVE
—Carl For Reinsp. f
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec
-0-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fire�11a..cePost/Beam Struct. Plbg. Top Out Elec. Rough inFIN },
Post/Beam Mech. San. Sewer Gas Line -BTag•
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm
Water Line Insulation -Mec �►
Underflr. Insul. Shear Wall Gyp. Bd. EIecL I
Date Requested: Time: AM RM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: r C' Date:
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/PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp. da tti
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C,QS Crry OF TIGARD BUILDING INSPECTION NOTICE °
Inspection Line (R9c-O-Phone): 639-4175 Business Phone: 639-4171
spectionVYV
:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlkt-
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Sari, Sewer Gas Line Bldg• ��
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation _ech c �,
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: c� -Time: PM
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Address: f G �- 2 '"-�
Builder:1aQa' 1_P Permit #- _
THE FOLLOWING CORRECTIOa ARE REQUIRED: O 0
Inspector: Date:
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
,all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE ��
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ---
Footing Susp. Ceiling Sprink. Rough-in /p r/
cl
Foundation Plbg. Unders'ab Mech, Rough-in Fireplace
PostiBeam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Reyuested:
�. Time: AM PM
I
Address: J
Builder.
Permit ti:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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--La� Dater
Inspector:_
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_APPROVED IPAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Imspection Line (Rec O Phone): 639-4175 Business Phone: 639 4171
Inspection:
I Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
F;,undation Plbg. Undarslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
7i
Post/Beam Mech, San. Sewer Gas Line -Bldg. ;(
Plbg. Ucdertloor Rain Drain Framing -Plumb,
Alarm Water Line InsuWknMech.
Underflr. Insul. Shear Wall yp. Bd. -Elect. •
Date Requested: _Time: AM _ PM
1
Address: -'S� �- �• `1�C'//��' a
Builder: Permit#:`_� d /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: -�— Date:
_ APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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.1 CITY OF TIG.ARD BUILDING INSPECTION NOTh:E
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Inspection Lira (Rec-O-Phone): 639-4175 Busin,,�s Phone: 639.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sewlk
Foundation Plbg, Underslab (4� ech. Rough i FireplacePost/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing x -Plumb. F
Alarm Water Line -Insulation Mech.
Underflr. Insul. Shear Wall yp. d. -Elect.
Daie Requested: (��S- ! Time: AM PM
I
• Address: _Zf—2—
Builder:
2Builder. . Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ ��_� Date: /C/r
_APPROVED _DISAPFROVED XAPPROVED SUBJECT TO ABOVE '
_Call For Reinsp. �'+^
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-inr/Sdwlk.
Foundation Plbg. Underslab ��. ou APP
9 �� Fireplace
Post/Beam Struct. Plbg. Top Out ough-in FINAL: ^�
Post/Beam Mech, San. Sewer GasLine
_ -Bldg. UU
Plbg. Underfloor Rain Drain Fr /
umb.
C
Alarm Water Line
l �
( InsulationD
Underflr. Insul. Shear Wall
Gyp. Bd. -Elect. 1,
Date Requested:_ Time; AM L PM
Address:—� f�0 i��`7
Builder; r Q vlG( 414-EC7 Permit #` Gf��j
THE FOLLOWING CORRECTIONS ARE REQUIRED: 50
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Inspector-_
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^APPROVED ZISAPPROVED _—APPROVED SUBJECT TO ABOVE
all For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit #: 1 Q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: vim, �' _ Datp,10
APPROVED _/ISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Heinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Me�ou h-ic p
g 2N Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain �
ramie -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ C' S� Time: AM -+XPM /
Address: 3�,
Builder:
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L4�—
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Inspector:
- Date: �—
_APPROVED 'DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab gib. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth. w
Undorflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ /�/j� Time: AM PM
Address:
Builder: /1, _ fi1 Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� Z7 YE<-d'•�
(� Vii+ -.i�� ����.. �/1„�"�; z,c.�✓t
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Inspector:_ "-�-_2 Date:
_APPROVED l'O-DISAPPROVED _APPROVED SUBJECT TO 4BOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Ibg Top Qj Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
•
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:__ � �
'y) —Time: AM PM
Address:- 2
Builder: 'T
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In pector. � �''a` Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. �fliTo�slui Elec. Rough-in FINAL:
Post/Beam Mech. San. Sower Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulatiun -Mech. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Re'-_ested: q '-�3 f Time: AM PM
Address:
Builder: _ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phon(.): 639.4175 Business Phone: 639-4171
Inspection:_ Y�, C
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
PILg. Underslab Mech. Rough-in Fireplace
qnntruct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Insulation -Mech.
Underflr. Insul. rShear Gyp. Bd. -Elect,
Date Requested: Time: AM PM
Address: �. �� L- �-'lX—l�1
Builder: Permit #: /n,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Injsp'ector: _! _ Date: 7 "�1 �✓
vAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Re3insp.
CITY OF TIGARD BUILDING INSPECTION NOTI
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ ,
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk 3'
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
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Underllr. Insul. Shear Wall Gyp. Bd. -Elect. { e
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Date Requested: �/i 1�1 5 /Time:---AM PM
Address: �i C,� Z d� ���! L LA-e-{.(—) G�
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Builder: Permit #: -L'C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector. Date: _
~ APPROVED ' DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY 12AR0 BUILDING INSPECTION NOTICE
Inspection Lir 1-Phone): 639-4175 Business Phone: 639-4171`
Inspection.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
•
Plbg. Undertlocr Main Drain Framing -Plumb.
Alarm Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: S Time: AM PM
Address:_ Z �
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: w Date:
_APPROVED '---DISAPPR VED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: Q — �'�/` r, --� L---
Footing
--Footing Susp. Ceiling Sprnk. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Strums. Plbg. Top Out Elec, Rough-in FINAL:
�ost/Beam Me San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: G� - 2 5 " I c N s Time: ✓SAM PM
Address: sb Z �+ `.C •'�, . c.�J II __
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ! l+ L� ��'�.__ Date: 2-
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
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� CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection:
Susp. ailing Sprink. Rough-in Appr/Sdwlk
Footing P
Foundation Plbg. Underslab Mech. Rough-in Fireplace
n
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
1
Post/Beam Ivte^f. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing Plumb. ,
' Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: Time: AM PM
Address:
Cl
Builder:
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
5 -
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Inspector:
�Af�P VED DISAPPROVED _APPROVED SUBJECT TO ABOVE
�--� Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mec San. Sewer Gas Line -Bldg.
bg. Underfl Rain Drain Framing -Plumb.
Alarm Water Line Insulation
-Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
_77
Date Requested; �y - Time: AM PM
Address: �.-3 9 O 7— M �� �l ��,C���
Builder:_ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
1 `
t
Inspector.N�L _
APPROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
r
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639-4171
Inspection:_ (L,�� �
fl
Footing Susp. Ceiling S�rink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
ost/Bea—Ym Si Plbg. Top Out Elec. Rough in FINAL:
osfl6eameh. San. Sewer Gas Line -Bldg.
Ibg. Underf�r' Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �� ,
e9 Z � Time:_�_AM PM
Address:_/,?j
Builder: Permit #: J �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
{ �ezzdc� c.rw -1..+x+1 2.r ��r'• r�,t.r►
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Inspector:
Date:
_APPROVED '-DISAPPROVED APPROVED SUBJECT TO ABOVE
1
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a}§' n i,• ��Call For Reinsp.
' � •' ' �x'riy ✓ - y�1 b r. I - s , .,. _"'{5 ,r�1'>�!SL,Jyh
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CITY OF TIGARD BUILDING INSPECTION NOTICE Y
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: •
Footing S p. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Ibg. Underslab Mech. Rough-in Fireplace
Post/Beam struct. ran.
. Top Out Elec. Rough-in FINAL:
ost/Beam Me c ' Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. _
F,
Alarm Water Line Insulation -Mech. a
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: X12 j' Time: AM PM
Address: /`_� u Z UK
Builder:
_ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J'
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Inspector. �. L �.' `—^ Date:��
_APPROVED _DISAPPROVED ✓APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
1 N Lit—
CRY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (R.c-O-Phone): 639-4175 Business Phone'. 539 4171
Inspection:_._ q r/Sdwlk
5usp. Ceiling 5prink. Rough-in PP
Footing Fireplace
Plbg. Underslab Mech. Rough-in P
Foundation FINAL:
Elec. Rough-gin
Post Baam Struct, Plbg. Top Out Bldg
San. Sewer Gas Line
Post/Beam Mech. -Plumb.
Plbg. Underfloor �iain brain Insulation
•
Insulation -Mech.
Alarm Water Line -Elect.
Undedir. lnsul.
Shear Wall Gyp. Bd.
L—PMTime: AM i
uested: `-�
Date Req
Address:
Permit #:
Builder. �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
—'"—` Date:
Inspector:
/ DISAPPROVED APPROVED SUBJE T TO ABOVE
�[ .APPROVED -_ --'
//J""""` Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lineec -Phone): 639-4175 Business Phone: 639-4171
r.
Inspection:
LFooti Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
' ounce Pibg. Underslab Mach. Rough-in Fireplace
r Ifs+ Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: +
Post/Beam Mach. San. Sewer Gas Line -Bldg.
�n4i>
�:-•• Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mach. •
Underflr. Insui. Shear Wall Gyp. Bd. Elect.
Date Requested: - ` s Timer. AM C ev PM "
Address: / .? I u c_ �� - I`" r`)
( tLi � � l
Builder: Permit#:
THE FOLLOWING COR9ECTIONS ARE REQUIRED:
C.;
Inspector: Date: Z
_APPROVED _DISAPPROVED ✓APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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11 74i;
6TY OF TIGARD PLUhI1:+1Nv PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT FERMI 'I 0. . . . . . . : MST95-00196
12126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 DATE. ISSUED: 0a/20/95
(PARCEL: 2S104BA-04000
SITE ADDRESS; . . . : 13982 SW NORT'HV..EW DR
SUBDIVISION. . . . : CASTLE HILL #2ZONING: Ft- 1. FAD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :073
_-----------------------_-
CLASS OF WORK. . :NEW GARBAGE DISPOSPLS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : i BACKFLOW DREVNTRS. . : 1
OCCUPANCY GRP. . :R:3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
ST'UR I E.S. . . . . . . . :G WA"T"ER HEATERS. . . . . . . CATCH BAB I NS. . . . . . . :0
LAUNDRY TRAYS. . . . . . :k7 SF RAIN DRAINS. . . . . : 1
SINKS. . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
a. TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :. WATER LINE (ft) . . . . : LOO
b1bH140SHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
1
Remarks: PATH I
UWNEk: ----_-____._..._._..-____.___.._... ..____.__.___ _______.______ _.__- -FEE'S"---------------
i NUR fHLANU HOMES SWM $ 180. 00 JF 03/20/95 -
18,.34 SW 58TH AVE SWM $ 100. 00 JF 03/20/95 -
SUITE # 202 BPRT $ 498. 00 JF 03/20/'",5 --
PORTLAND OR 97221 BPLC $ 323. 70 KAR 02/24/115 95
j Phone #: 292-:3975 B5PL $ 24. 90 JF 0:3/�91 ")5 -
II PARK $ 500- 00 JF 03/2:0/ a5 -
Plumbing Cantractar:•......_____...._._.._ ___._._.__ MPRI' $ 43. 50 JF 03/20/95 -
/� MPLC $ 10. 88 JF 03/2:0/95 -
Name: / r' LU/7X/OO _._..._ . . M5P(: $ c. 18 JF 0,31e0195 -
Ncicir^ass: _� .Q SIJ Ca9'�'` - '— - 399TH $ 225. 00 JF ► 3/20/95 -
LrtY=._._._ ur iLv : Q�P,:;FC $ 1. 1. 25 JF 03/2.171/9;'3
-._�
lip:_ L�T 3 Nhnnt'� �- 9�f ERG:3 $ 8+4. 00 ,1F 013/cK1/ 9`r
Reg #s—�E.g �... _ OL3-2'>P3P� Additional flees not shown here. . . . . . . . .
REUUIRED INSPECTIONS -_......___--
1 This permit is issmed subject to tFYe r•eg•-
1 ulations contained in the Tipard Municipal Footing Insp Insulation Insp
Code, State of (Ire. Specialty Codes and all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post/Beam Struct Rain drain Insp
in accordance with approve.l plans . This Past/Beam Mechan Water, -ine Insp
I permit will expire if work is not started Crawl Drain Water Service Iv
I
within 1801 days of issuance, or, if worl< is I-Ilm/undslab Insp Appr/Sdwlk Insp
4 suspended 'For, more than 180 days. FILM/Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final
Framing Insp Erosion Control
i '�
Fireplace Insp
x *ie�cdi
_ _ _ / /' !•�C-4 th flas L:inF I n s p�luthoF ing Contractor Signatv+F,e
Call for inspOCt ion - 6 39 -4175
1 Contractor Notes:
1
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TIGARDOF PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT SUED . . . . s MST95-0087
DATE ISSUED: 03/20/95
13125 SW Hall Blvd.Tigard,Oregon 97223.5199 (503)530-4171
PARCEL- 2S 104BA-•04300
::;I TF_' ADUh1E.Sia. . . : 1 c4'_ a4: 14 l'-- r F L
SUBDIVISION. . . . s CASTLE HILL #2 ZONING: R 12 PD f'
1.1LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :076
_,.---------------.-------------------------------------.--------------------------------
' ,ASS
_______---_________..___._---_—_' ,ASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
l YPL. OF USE. . . . 3 S WASHING MACH. . . . . . . : 1 BACKFLOW PRE:VNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . ..0 s;
STORIES. . . . . . . . ..2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES--•----••--------•- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : i GREASE TRANS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :O
IUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 J
WrITC tt CLOSE TES. . :3 WA'."ER LINE (ft ) . . . . : 100
�i
DISHWASHERS. . . . sl RAIN DRAIN (ft) . . . . :0 I
Remarks: PATH I r,k
,J
OWNER: -____.-______---____...-----______..._ ------------------
NORTHLAND 1-10ME:S SWM $ 180. 00 JF03/20/95 _
1834 SW 58TH AVE SWM $ 100. 00 JF 03/220/95 -
UUI1-E 202 BPRT $ 496. 00 JF 0.3/20/95 - �
PURTL.AND OR 9722.1 BPLC: $ 323. 70 KAR 02/24/95 95-262176
F''hone #: 292-3975 B SPC S 24. 90 .JF 03/20/95
F'PRK $ 500. 00 .JF 03/20/95 -
Plumbing Contractor,: _._._.___..__.._.__.__._.._._ 0IF'RT $ 43. 50 JF 03/20/95 -
/ MPLC $ 10. 88 JF 03/20/95 -
Name:_ _1PGI,C,90' ' 115h'C $ 18 JF 03/00/95 -
t.)ddress, : �.� G2.Q.SC.s.�_ �Gt-1.�'._`.. F 313T1-1 $ 225. 00 ,JF 03/2121/95
C,t
Y 1 ...__. `�t-Ate :._ �2 ,JF Dir/20/9.`."i --
_._.Phone#: -!-�'}R� --- EROS $ 64. 00 JF 03/20/95 -
Reg #.. L,......._.._...._ Ir .-_2`-kc3Pg_._ Additional fees not shown here. . . . . . . . .
- --- --
REQUIRED INSPECTIONS
- --- --
T'his permit is issued !;ub.ject to the reg-
ulAtions contained in the Tigard Municipal Footing Insp Insulation Insp
iaode, State of Ore. 'Specialty Codes and all Foundation Insp Gyp Board Insp
ather applicable laws. All work will be cone Post/Feam Struct Rain drain Insp
in accordance, with approved plans. This Post /Biam Mechan Water Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 190 days of issuance, or if work is Plm/undslcab Insp Appt-/Sdwlk Insp
suspow-lecl for more than 180 days. PLM/Underfloor Mechanical Final.
Mechanical Irl ala P11.:.ab Final
Plumb Top Out Bui ls.',ng Final
i� Framing Insp Erosion Gantrol '
/�- Fireplace Insp
Gas Line Insp
Author ze4.61 ,4, ny Contractor Signo;*.1re
Call for inspection - 639•-4175
Lontractor Notes.:
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CITY QF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13126 BW Hall Blvd.Tigard,Orogon 97223.6199 (603)639-4171 PERMIT #. . . . . . . : MST 95-0096
�1 DATE ISSUED: 03/20/95
wlTr ADDREa:i. . . : 1,3982 SW NOf�TIiViEW DR PARCEL: 2S104BA-04000
SURD I V 15I ON. . . . : CASTLE :-4 1 L.L. #2 7ONI NG s R-12 PD
y
BLOCK. . . . . . . . . . . t_Ol . . . . . . . . . . . . . :073
BUILDING ---------------------------------_
IRE I SSUE s DWELLING UN I TS s l BASEMENT. . . . . . . . :0 s f-._._--
CLA85 OF WORK. :NEW BEDRMS:4 BATHSsS GARAGE. . . . . . . . . . s400 sf
TYPE OF= USE. . . :SF FLOOR AREAS-------____._.._ REQUIRED SETBACKS---------.-•---- ■
TYPE OF CONST. :3N FIRST. . . . 1816 sf LEFT. . : 10 ft RIGHT. x20 ft
OC'C'UPANCY GRP. :R3 SECOND. . . : 1029 Sf FRONT. -.20 ft REAR. . x46 ft
SFUR IKS. . . . . . . :2 FINBSMENT:O sf REQUIRED---__._______________
HEIl3Ml'. . . . . . . , e25 ft TOTAL---.----: 1845 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . 140 psf VALUE~. . . . . #s 125806 PARKING SPACES— : 1
Remarks- PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . 10 BACKFLOW PREVNTRS. . : t l
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :rL�
IUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . i o
WATER CLOSET'S. . :3 SEWER LIN= (ft) . s0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 ')ATER LINE (ft ) . sift OTHER FIXTURES. . . . . .V, ,.
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . s0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL -_ --- -.__.________.______.____.________ FEES ---------
FUEL TYPES ......._.._.- _-.- UNIT HTRS. . :0 type amoi.:nt by date recp!
/GAS/ / / VENTS - . . . . :1211 SWM $ 180- 00 JF 03/2:0/95
MAX INPUT:0 BTU VENT r?NC. . :4 SWM $ 100. 00 JF 03/2-0/95 y
FUHN ( 100K . . : I HOODS. . . . . . : 1 EIPRT $ 498. 00 JF 03/20/95 -
F URN ) -100K . . :0 WOODSTOVES. :0 81-'I_r= 9, 323. 70 KAR 02/24/95 95
FLOUR FURN. . . . :0 CLQ" DRYERS. : 1 B5PL $ 24. 90 JF 03/20/95 -
BOIL/CMR' ( 3HP:O OTHER UNITS: 1 PARK $ 500. 00 JF 03/20/95
GAS OUTLETSsi MPR7 $ 43. 50 JF 03/20/95
Owner: ___..__._______._.__...____•__..______.___.__.__HPLC $ 10- 88 JF 0.3/20/95 -
NORTHLAND HOMES
MSF'C $ 2. 16 JF 03/20/95
1634 SW 58TH AVE 3871.1 $ 2'25. 00 JF 03/2'0/95
SUITE # eok; P,`"PL i; 11. 25 JF 03/20/95 -
F'OR7'LAN1.) f)f2 972211 ERO1-- $ 54. 00 JF 03/20/95 -
Phone #: 292-3973 ERPC $ 20. 80 JF 03/20/95 -
Contractor: --__...._._..____.______..___M.__.__.______...FRPC 1 20. 80 JF 03/20/95
NORTHLAND HOMES
1834 SW 58TH
I
NUH TLAND OR 97221 0
Phone #: 292-:3975
I
Reg #. . : 13727 __-.______________________--..____.______-__...
$ 2Od5. 01 1 U'rAL.
This perait is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -----
Tigard Municipal Code, State of Ore, Cpecialty Cedes and all other Footing Insp P1 Limb Top Out
applicable laws. All work will be done in accordance with apprved Foundation Insp Framing Insp
plans. This persit will expire if work is not started within le8 POSt/Beam :Strutt Fireplace Inst,
days of issuance, or if work is susper Bore the IN ys. Post/Beam Mer-han Gas 1_ine Insp W
Crawl Drain Insi.:1ation Insp
F-,ermittee rignatui 1LN. '/ E'lm/t.�ndt,lah l.rISGyp yp Bogard InsF.
FILM/Under Floor Rain cJrtain Insp
Issued !;►>' : . _ _.._._.______._._ _.•.._.___... . IYie -halllv..al Insp Water L.ins! Insp t
;i
P1 I'lllll''11 1111111' l !11 ir� 1111
III INS Ill I
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNE.i T UN
13125 SW Hall Blvd.Tigard,Oregon 97223.61 N (503)830.4171
IDERM I T
PERMIT #. . . . . . . : SWR95--0096
639--417 ISSUED: 1213/--20/95
PARCEL: 25104BA-0401210
SITE AI)DRF.:5f1. . . 139825W hdUF?71-fVIE'tJ DR,
jUl'DIJIt.r•'ION. . . . : CASI'LE: HILL #c ZONING: R--12 PL)
.-s
T'L•'NAN T NOME. . . . .
1 USA NO. ' ' " " " ' ' • ' ' FIXTURE UNITS. . .
i
CLASS OF WORK. . . :NEW
D4JC-:I-LINL7 UNIT'S. . : 1
TYPE OF USE. . . . . :SF NO. OF BU.I LD I NGS: 1.
INSTALL_ '1'YF'C.. . . . :BUGWR IMFERV SURFACE. , : : sf
Remarks: PAI'H I
Uwner: - _ -_ ._.______..__..._______.___-._ FEES
NUHIHL.AND HUMES type A.Mo _Int by date � �rec,pLY_...
18.54 SW 58TH AVE V'RMI s 2200. LAO JF 03/20/95 -
SUI VE # 201=: 1N5 $ :35. LAO jr 03/20/95
PORTLAND OR 97221
PtlOne #: 272--:39'75
C:ontractur:
$' COhll R0 C1'1:1R hlO-1 ON 1-- ILL. - _-
Phone �. ______.__.______._._______--•--__.__._______._
Npg It. .
S. 2235. 00 T O'T 11L
This Applicant agrees to comply with all the rales and regulations REQUIRED INSPEL-11UNy
fewer InSper_tion
of the Unified Sewage Agency. the permit expires 130 days from
the date issueo. The total amount paid will be forfeited if the
Permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the eeasureeent
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer seal) purchase -
a "Tap and Side Sewer" permit and +. enc will in all teral.
E r'm i t is ea p :a:i r3 n a t U)
1s 1..tpd Dy
Call •Por inspection 639-4175
30 8-
.,,ear-... ,.,,-;r,—�.-�.............._�..,....,,..,.�..,N...,..,
,.I:?!,�{ •h/""A'rl'�'MII1.M.4j1gw'•'.M*,."".'-..,wn4u.n.M.yyy,y.MiM4�g11i,,
4'
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Residential Buh ng Permit Application J ��
`b \
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
�Jobsite Address
Office
I Sc'rJ/ V'C?
Office Use Only:
/Subdlvlsion: Lot # �.
Planck/Rec #
Valuation: �ysf� }
Corner Lot? N Permit #
Q
Flag Lot? Y N Reissue of
Map & TL #
/Owner: lVai�rivL.n:�•f� r"TO/`1L�St
Approvals Required
Address: , L � S.. crG S zva Planning T
rk/PN/.7 .�.rr-��.✓ `->71 Z/ Engineering
Phone: `7 2 3% '7S Other
t
Contractor: Bari r,o,41-)ryiJ /�cylyG�y
Items Required _
Address: l '3 •! S G v y e 2ciE Subcontractors +� .
�an rte)/✓!7 ``17'22/ Truss Details
Phone: l C9 L — 7'7S
Contractor's License # GS/ 3 71. 7
i (attach copy of current Oregon license)
Contact Name & Phone L��c r /oLLDC. h _7'37S �, 3
Subcontractors: �� Archltect/Engineer:.OL'Ri2y
Plumbing:_ �, C_ I Address: G 2 1 i✓ /"IG/1/L is c�v s.r'/E'r�/�31
Mechanical: ��� t-� ? _ o,:i 4.a�••�f D.� 9'7Ln'f
(attach copy of current' R Contractor's License)
Phone: G'`1 S - L 2. G/
JOB DESCRIPTION: /ca,v ti �n✓D„ A N L S'Tv.�N L ✓. �+r� �/'/a r7 t
4r1
Applicant Signs ire & hone number
Recelved by: Date Received: ' ? J/h t
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' Permit# Account Description Am"%unt Amt. Pd. Bal. Due
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Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 3
State Tax ('fAX) ' i 3d,3 3---
Bldg: .;4 /
Plumb: , Z
Mech:
�
Plan Check (PLANCK) .3 -s oy i �- � 7
Bldg: 3 2
Plumb:
Mech:
Sewer Connection (SWUSA) ��� __ �� �i
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) S 0 Sw/
Residential TIF (TIF-R) ._ F
Mass Transit TIF (TIF-MT) T F D X
Commerclal TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
I'
Office TIF (TIF-0)
Wator Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
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TOTALS:
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CITY O - TI!:ARD RP'CF lPT LIP' VlAYMF'N1 RECEIPT NO. 05-2630A8
CHECK AMOUNT 4010. 01
1,4:VE t NORTHLAND HOMES CASH AMOUNT : 0. Oki
silA)RESS o PAYMENT DATE a 03/00/95
SUBDIVISION
t
PURPOSEc, OF PAYMENT AMOUNT PA 11) PURPOSE: OF PAYMENT AMOUNT PAID ,.
13U I L D I NG PEc F(M .._._.._. ��y 496. 00 PLUMBING PERM
MECHANICAL PE 43. SA ST. BUILD PER 38. 33
Pl..AN CHECK FE 84. 58 SEWI:'R USA c '01N. 00 OF
cl WE R INSPECT 35. 00 PARKS SDC 500. Ftql
FIr:CI QUAL I TY FAC:I I._I TY FEF t F10. 00 HRCT QUANTITY FACILITY FEE t OQI. 00
EJdISION CONTROL.- PERMITFE:E: 64. 00 EROSION CO1':TROL PLAN CK Flo. SO
CROSION CONTROL 20. 80
1 ,
MS T95-•0096
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TOTAL AMOUNT PAID
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