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13644 SW TAMAWAY LANE y0, ADDRESS: -Tamawa�j Lane Ii:\records\rnicroflm\targets\building.doc l CITY OF TIGARD CERTIFICATE OF -OCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . s MST94-0447 13125 SW Hall Blvd.Tigard,Orpon 97223.6199 (503)639.4171 DATE ISSUED: 12105195 PARCCL_: 2S 104CA-09300 SITE ADDRESS. . . : 13644 SW TAMAWAY SUBDIVISION. . . . : HILLSHIRE ZONING:R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :093 CLAfiS OF WORK. :OEW TYPE= OF USE. . :SP OCCUPANCY GRP. N+k g'� OCCUPANCY LOAD:2 Remarks; ! POTH I Owner•. BRUCE ALLEN 16890 NW WATERFORD WAY PORTLAND OR 97229 r°hone *: 614-0545 Contractor-: BRUCE ALLEN WOOD HOMES INC 168 `0 NW WATE=RFORD HOMES PORTLAND OR 97229-1876 Phone Is 220-1175 Rep #k. . : 9A821 Th i. s Certificate chants occupancy of the above referenced building or^ port ion thereof and confit-ms that the building has been inspected r compliance with the f:9tate of Oregon Specialty Codes for the grou,�, cec�.,pancy, -1 1. se imder which the referen ed permit was issued. BUILDING INSPE OR BUILDING OFrICIAL POST IN CONSPICUOUS PLACE:. rr CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-)-Phone): 639-4175 Business Phone: 639-4171 3� Inspection: � _ _ �Ik" II Footing Susp. Ceiling Sprink. Rough-in 5 r ppr/Sdwlk Foundation Plbo. Underslab Mech Rough-in Fireplace Post/Beam Struct. Plbg, Top Oui Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line �d , 'f� Plbg. Underfloor Rain Drain Framing �� Plumb. Alarm Water Line Insulation ec f Underllr. Insul. Shear Wall k-3Yp. Bd. l / Date Requested:__ Z�)., ( ' ( 4' S _Time: AM PM , Address_ ��� F� ✓!�L 4'' e " Builder: _Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector._ ' r �-�- Date: APPROVED DISAPPROVED _APPROVED `.'�;B)FCT TO,A3OVE Call For Reinsp. K WASHINGTON COUNTY INSPECTION CARD PROJECT NO. DEPARTMENT OF LAND USE /SND TRANSPORTATION PERMIT NO. y11(2 FOR INSPECTIONS CALL: 640-3561, 24 HOURS FOR INFORMATION CALL: 640-3470 DATE Z ADDRESS _��J / 1 S /f�i� �r1` PERMITEE >C(-J�/ U7fj�� DIRECTIONS _ _ _ PHONE NO. jO Lr / /Z7 PjUILDING _ MISCELLANEOUS PLUMBING _ ELECTRICAL ftq post/beam nail mobile home around rain drain temp service fdn frame apron/ wood stove post/beam storm sewerrover 6 ser sidewalk slab insul FINAL HVAC top-out FINAL FINAL (JAS test sewer IDSA No OTHER APPROVED RDA A NPPROVEDECT DANPEPROVEDPRESTEH INSPEOWEVER CTION E] WORK UNTIL: INSPECTED BY !�/ / �1 `��" -�._ DATE DEPARTMENT OF LAND USE 8,TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INGPECTION REQUESTS: 503/640-3581/693-4415 OREGON -,XXXXXXXX o41.) 3,ti0 I.,al.4F a 1 U.h 1 Urate c 02/2 /', 5 I iris(_- a 08aa9 Fc iinit Type a E.Etx+ idc:itt '. I l: ler. tr ic,cil f't I PlornOt # o 05064404 HFPRU', h..0 Rp I Ie,-1 a U�./ 21"Y5 [111ljI 1.'+h44 :,W I fil"II1WWI` LN 1 .1 1r; ;ue11 a 02/17/'2l� 1'tt2r riiit 1 t t Ie a :-i I• R L.LLL/11LW I•IU(J5I. I:c)n)p Iet•trzrJ a I-'I:�rIII it Ur:� cI, TU (exp •ire _ 0EJ/Z6 Y!.) 1-'1 U je:rr..t 1 I -t. Ie ,I. 1•i I:.I..E L./N1. „I hiI1U:1L Pr u iec^ t 4 a 1"004/862 1'rU je(rt: 1.)e ,cr a I:_RU51lJly C I•'arce I Nariibe,r a l.':) I. 1 1 I_ar J IJ t_ D 'I tr ict a V 1 u a t i Ori n U Leila a I llesur , is lJWIitz,r a I HIJlILL I L L;''I 1 I.G,I-IRU Curi:.truct i Ori a U 1 11 I I p p I i c a n t Wattle e 5(.,11L1) 111*1F11IA, L . EI. (:f: Ih1C UIaM:,sii iceit •iUn + ` 00 [.11,,1., I icarit 11ddr , e 568U til:. I-`ULI.;I...0 0c::cuparic5i a li 3 I111.1_FJ:I1JR(J , OR y/I Z3 Vial idated tiv KI. 111 1. I I carit, Ph(lne 6,41) • 4V/ I ri pec for Arc.-?a Ire sae •c,r II..#tic)n IIri ''It: Fee/Uriit L x t tllle D ata :),:luare h Ootage L_ri'tt r '11:1 . 1 t . J 300(: 1 a U , U ubt,uta i L le:ctr i c:a l F e ez. . ' 210 . 0(1 Ic)'tCil L Iec;tr Ic,a1 1— ens Z20 50 e 3 ti m q i_I i t t:•!.:J u n ► * it.r. I'a F,.,*, 1,o I I e r.:t e,i:1 N 11 r e g i t, I`It Lc:)0 I.,Best.:k tl h'c,, t: i 1 't Nu , I.1t9t.e Paviiieri t 111IHi- IIA1 `.i 1)ILIIL. 220 , IJ;0 al ra 'I L.I t;riI v rl t x, a . U t) I r, t,run I L.,I`ell i r: 00 ICil:ill I1".t;?;e;l O (1 Iott91 Priyrrit.:11"It,5a 22U , 1)0 H' a I a r I c e DuF 00 NOTICE This permit becomes null and void If the work or construction for which It is Issued Is not commenced within 180 days Once construction has started, the permit becomes null and void If constructlon is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or PU- t-In support of this permit Is tr•a and correct to the best of sur knowledge. I acknowledge that the Building Department's reliance upon false and misleading information may Invalidate this permit. All provisions of apullcabie laws and ordinances governing the construction and use of this building or structure will be compiled wlt:i whether or not specified on the plans or noted on the pians correction sheets I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the-tructure or building permitted depends upon my calling for Inspections at various times during the pror.oss of construction end thn building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the a,ollcant and such use or occupancy Is revocable until all inspection requirements are satisfied and approval Is given by the Building Official. I furthe P-knowledge that a lien may be placed on the title of th,t property upon which the permit Is israed specifying that the use or occupancy of the bulldin, or structure Is provisional and revocable until the satisfaction of all Inspection requirements ,ti c,t (ftptf?A•tt tx �/.PPUCAJ S SIGNATURE WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical Inspection Section APPLICATION 155 tJorth First Avenue, 1!350-12 Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 Permit '�J NPLEASE PRINT ". umber ��nc/ Date •�" �` ( - !C 1 Please coniplete all sections, I through 5. 4. Complete Fee Schedule below 1. Location of Installation Number of Imoectlons per permit allowed Address 1 3 t,'>''>< , Lc, Tet hod Wct Service included: Items Cost(ea.) Sum Build' g A. Residential- per unit City T I t( f;(� Suite oo, -- — .-- 1000 sq.n.or less — { $110.00 _ �//� — 4 Tenant Narne Each additional 500 sq.n (if commercial) or portion thereof — $25 00 Limited Energy $25.00 1 Map No.. Tax Lot Each Manuf'd Home or Modular Thomas Map Book: Page' Section: ')welling Service or Feeder _— $66.00 —. 2 — Directions —._—_ —_—_ __—_ _ B. Services or Feeders Installation,alterations or relocation 200 amps or lass -- $60.OU — 2 Commercial ❑ Rosidential 201 amps to 400 amps —__ 5,60.00 --_—._ 2 401 amps to 600 amps $120.00 —. — 2 2a. Contractor Installation only., 601 amps to 1000 amps --- $160.00 -- 2 Ya Over 1000 amps or volts -- $340.00 2 Electrical Contractor '1�-1 1l ci i T M ANN E'eC R I(, Reconnect only -- $50.00 2 Address E U lit City t-1 I i_l.S jjci►t'ti State ZIP� 7 C. Temporary Services or Feeders Date_. /I Job Nurn r Installation,alteration or relocation Property Owner V�a(C Lit a c-D 200 amps or less $50.(0 2 Contractor's License No. 2.1- 3 7 t� 201 amps to 400 amps $75.00 _ 2 Contractor's Board Reg. No 11 /_S 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1000 volts sea'B'above Signature of Supr. Eleun ,, t ;, Y1- D. Branch Circuits License No. 'L- ; Phone Wo. (st1 y - %11 7 New,alteration or extension per panel a) The fee for branch circuits with 2b. For owner installations: purchase or service or feeder lee. Each branch circuit $5.00 2 fsrint caner s ame — --Phone No. — b) The fee for branch circuits without purchase of service or feeder he. Address---- — _--- -- ---- First branch circuit $35.00 2 Each add'nl branch circuit $5.00 2 -- ----- �--�-- --- --- - E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40,00 _ 2 The installation is being rnade on property 1 own Each sign or outline lighting $40.00 _ 2 which is not intended for sale, lease or rent. Sig ial circuits)or a limited energy par at,alteration Owner's Signature _--_—.`—_—A—_____.____________-._- or extension $4000 2 F. Each additional inspection over the allowable in any of the above 3. Plan Review section (if required) Per inspection _ $3C 00 Per hour $55.00 Please check appropriate Rem and enter fee In section 5B. In Pent __ $5500 4 or more residential units in one structure Service and feeder, 800 amps or more 5. Fees _System over 600 volts nominal A. Enter total of above fees $ Z�• .--Classified area or struraure containing special 5% Surcharge (.05 X total fees) $ _1f occupancy as described it N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review it required (Section 3) $ above apply. Not required for temporary construction Subtotal B services. ❑ Ti usl Account a --J Balaace Due $ 23l, For inspections call This permit becomes null u,d void If the work authorized by the permN Is no!commenced 640-3561 or 693-4415 -vithin 160 days from dale of iesusnca of such pot mil or It the work authorired Is suspended or abandoned at any time after work Is commenced fw a period of t:,n day& 24-hour recorder, one working day in advance of need Elecirical permits e ,non refundable and non-tranderable. 6"94 Page No. 1 CASE HISTORY FOR CASE NO.: MOT94-0447 BRUCE ALLEN 13644 SW TAMAWAY ? 08/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 11/28/94 PASS KAR 12/08/94 BLT MSTA010 Plan check deposit paid / / / / 11/28/94 PASS KAR 12/08/94 BLT MSTA020 Plan check by 12/08/94 / / 12/08/94 PASS RT 12/08/94 BLT MSTA030 Check for prcl. restrict. / / 12/08/94 12/08/94 PASS .JLG 12/08/94 BLT MSTA092 (T) Issue combination permit / / / / 12/12/94 JF 12/12/94 JF MSTA097 Issue plumbing signature form / / / / 12/12/94 JF 12/12/94 .IF MSTA705 Foot/found Insp / / / / 12/30/94 USA INSPECTION; POST ADDRESS; HORI7.CjN',AL FAIL RB 12/30/94 Re FOOTING PARS NOT IN PLACE; CRAWL LRAIN PLACEMENT REQ'D; PROVIDE ADEQUATE VENTILATION; PLACE GROUND ROD; MAINTAIN SEISMIC RESTRAINT. MSTA705 Foot/found Insp / / / / 01/03/95 PASS RB 01/03/95 RB MSTA710 Post/Beam Structural / / / / 01/12/95 DIS KS 01/13/95 KBS #-1- see inspections nuces MSTA720 Post/Beam Structural / / / i 01/13/95 0-1 submit to building dept revised A/N KS 01/13/95 KBS plans from structural enginneer indicating that ledger supporting floor and roof load. this needs to be approved prior to framing inspection MSTA711 Poet/Beam Mechanical / / / / 01/12/95 APP KS 01/13/95 KBS MSTA717 PLM/Underfloor / / / 01/1C/44 PAS Me 01/11/91 MRS MSTA720 Mechanical Inep / / / / 02/15/95 exhaust. ducts need to be hooked up PASS MS 02116191, MRS MSTA720 Mechanical Insp / / / / 02/15/95 SOFFIT DUCTWORK IN GARAGE, UTILITY, EAST FAIL RB 02,15/95 RB LIVING/DEN; CHASE DUCTWORK IN EAST LIVING/DEN; EXHAUST VENTING INCOMPLETE; FIREPLACE NOT INSTALLED AT THIS TIME; GYP, BD. REQ'D DIRECTLY BEHIND FURNACE MSTA720 Mechanical Inep / / / / 03/10/95 seal exhauxt vent at fan housing PASS RA 03/3:/95 RB MSTA722 Plumb Top Out / / / / 02/08!95 PASS MS 02/09/95 '4RS MSTA726 Framing <REINSP> / / / / 03/10/95 pending mech approval PASS RB 03/14/95 RB MSTA735 Gas Line Inap / / / / 02/15/95 PASS MS 02/16/95 MRS MSTA'740 Insulatiin Insp / / / / 03/17/95 BONUS RM NOT INSUL, I DON'T KNOW IF THIS APP GS 03/17/95 GES RM IS UNFINISHED OR NCT rN( i Page No. 2 CASE HISTORY FOP. CASE NO.: MST99-0447 BRUCE ALLEN 13644 SW TAMAWAY LN 08/25/98 Acton Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent lone Done Datt By MSTA745 Gyp Board Inep / / / / 03/20/95 0-1- glazing above jacuzzi ( appears not DIS KS 03/20/95 KBS tempered) M-2- 7 if bonus rm is unfinished ( walls adjacent to condition space needs insulated # 3 seal open space between furnace plenum and fdn provide min; of one inch clearance nt to b vent penetrating ydrage ceiling MSTA745 Gyp Boar] Inep / / / / 03/23/95 #-1 glazing above jacuzzi ( fixed A/N KS 03/24/95 KBS panel) nerd¢ to be tempered 0-2- if bonus room ii unfinished walls adjacent to condition space needs to be insulated M 3- seal open space between furnace and fdn wall MSTA755 Rain drain Insp / / / / 01/09/94 PAS^, FIS 01/10/95 MRS MSTA760 Water Line Inep / / / / 01/09/94 PASS MS 01/10/95 MRS M.STA765 Appr/Sdwlk Inep / / / / ;,3;18/95 1. Remove 3" pvc pipe and replace with PEND LT 05/23/95 NL 4" and replace street sign. 2. Expansion joints (1/2" felt) required at all cold joints and every 40'. 7. Sawcut curb on west sides cf aplor.dch completely through. 4. Be prepared to protect finish. MSTA770 Misc. lnepection / / / 02/15/95 SHEAR- STUD MISSING AT KITCHEN; 4X6 FAIL RB 02/15/95 RB POSTING FJR HD'S ARE TKIMMERS AND NEED TO BE AT'T'ACHED TO PLATE ABOVE; MISSING HD S'S FWD EAST CORNER; IIAIL SHEATHING IN ACCORDANCE W/ ENGINEERING- MAIN 'FLOOR AND UPPER LEVEL; C, D, E WAIL NAILING INADEQUATE NAIL ACCORDING TO SPECS; INTERIOR 671EAR PANEL REQ'D AT KITCHEN. MSTA770 Misc. Inspection / / / / 02/22/95 GEE RE°ORT S 15 RB 02/24/95 RB MSTA770 Misc. Inspection / / 1 03/10/95 PASS RB 03/14/95 RB MSTA795 Mechanical Final / / / / 06/29/95 0-1 see correction notes UIS KS 06/29/95 KBS MSTA795 Mechanical Final / / / / 06/30/95 see report FAIL RB 06/30/95 Rb Page No. 3 CASE HISTORY FOR CASE NO.: MST94-0447 BRUCE ALLEN 13644 SW TAMAWAY IN os/25/9B Action Description Req/ Schd; End/ Action Notes Disp By Update Upd Code Sent Done Done Dare By MSTA795 Mechanical Final 12/05/95 / / 12/05/95 PASS RB 12/05%95 V.B MSTA797 Plumb Final / / / / 06/19/95 access to jucussi FA 11, MS 06/19/95 MRS no hot water clean nut C,jr L4ewer'7 MSTA797 Plumb Final / / / / 06/29/95 PASS MS 06/29/95 MRS MSTA799 Buildino Final / / / / 06/2H/95 #-1- see correction notes DIS KS 06/29/95 KBS MSIX799 Building Final / / / / 06/30/95 see rr ,ort FAIL. RB 00/24/95 RB MSTA799 Building Final 12/05/95 / 12/05/95 PASS RB 12/05/95 RB MSTA960 (F) Issue Cert. of Occupancy / / / / 12/05/95 JF 12/11/95 JF MSTA970 Case Finaled / / / / 12/05/95 PASS RB 12/05/95 RB MSTB706 Erosion Control / / / / 96/30/95 :ASS USA 06/30/95 RB i CITY OF TI GARD COMMUNITY DEVELOPMENT DEPARTMENT PIASTER PERMIT 13125 SW Hall Blvd.Tlga►d,Oregon 97223*8199 (503)838.4171 PERMIT #. . . . . . . : MST94--044 . * 171. DATE ISSUED: li°/12/94 PARCEL: 2S 104CA-09 300 >11'E_ ADDRESS, . . : 13644 SW TAMAWAY LN 3UBD. VISION. . . . : HIL-L.SHIRE ZONING: R--7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :09;3 BUILDING RE I SISUE: DWELLING UN I'T-S: 1 BASEMENT.. . . . . . . . :0 s f CLASS OF WORK. =NEW SEDRMS:3 BATHS::3 BARAGE. . . . . . . . . . :462 sf. TYPE OF USE. . . :SF FLOOR ARi_AS REOU I RE_D ----- l'YI-'E: OF L:UNST. :5N FIRST. . . . : 1236 r- f LF:F T. . :20 ft F?IGNT. :5 ft OCCUPANCY GRP. :R3 SE=COND. . . : 1390 s f FRONT. : 30 'Ft REA t. . :24 ft STORIES. . . . . . . :2 FINBSMENT:O sf ! rI:.IC3HT. . . . . . . . :30 ft sf 5MOKE" DETECTORS. Y FLOOR LOAD. . . . :40 p s f VALUE. . . . . f : 177314 PARKING SPACF_5. . : 1 Remav-ks : PATH I INKS. . . . . . . . . . : 1 F--l_OOR DRAINS. . . . :0 BAC:I'.FLOW E'I,EVNTRS. . : l LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 IUB/SHOWERS . . . . :3 LAUNDRY 1"BAYS. . . : l CATCH BASINS. . . . . . . ..0 WA I LR CLOSETS. OLWER. LINE:. ( ft ) . :0 GREASE 'TRAP'S. . . . . . . :0 DISHWASHERS. . . . : 1 WATI•_R I__INE ( ft ) . : 100 OTHER FIXTURES. . . . . .0 (3AHBAUE DISP. . . el RAIN DRAIN (f't ) . :0 WASH I NO MACH. . . : 1 SF= RAIN DRAINS. . i1 MECHANICAL ___.__..__.._._._.--___._____.._.--_-_.______..._._._._____ FEES l=1JFL TYPES-_..._____._.._-.._. UNIT HTRS. . :O type amot_int by d,-.At recpt /GAS/ / / VENTS . . . . . :fit TIF= f 1`50. 00 JF 12/18.'/94 - lr)AX INF'UT:O BTI VENT FANG. . :4 SWM f 1,30. 00 JF 1x'/1.2/94 - r-URN: ( 100K . . :0 HOODS. . . . . . : 1 5WM $ 100. 00 JF 12/12/94 i URN ) -i 00K . . : ) WOODSTOVES. :0 BPR T t 6,.'B. 00 JF 11:/18_'/'34 - I LUUR FURN. . . . :0 CLU DRYERS. : 1 BPL.0 f 408. 20 KAR 11/28/94 94•--2509"3. Lilt_/CMP' ( 3HF-':0 OTHER UNITS. I B5PC f :.31. 40 JF 12/liR/94 - GAS OUTLET'S: l PARK f 500, 0111 JF 12/18,/94 - ]wner : ....._ -.-•---..._. ..__________..__.__.--M1'RT f 45. 40 JF 1;:_/ 12/94 3RUC[_ ALLEN MPLC 11. 25 JF 12/12/94 - 16E390 NW WATERFORD WAY M5PC f 2. 25 JF le/12/94 :3BTH f 225. 00 .JF LE/12/94 - PORTI_ANI-) OR `371:29 F-15PL f 1 1. E5 JF 12/ 12/'34 Phone #: 614-0545 EROES f 64. 00 .TF 12/lE/94 - Corltr•ar_tot-: -- -_- -__.._____._ ...___.___._.__..___..._ _._._ERPV f ."0. 80 JF 121/12/94 BRUCE ALLEN WOOD HOMES INC ERPF..; f . 12. 80 JF' 12/12/94 :_.927 5.1 TIERRA DFL MAR W--AVERTON OR 97007 1hone #: 98£3c1 f 3797. 95 TOTAL his pereit is issued si,blect to the regulation, contained in the - ------- REOUIPE D INSPECTIONS - -- - `igard Municipal Code, State of Ore. Specialty lodes and all other Foot/for.lnd In�-10 Fir,eplac-e Insp aoplievIe lawt. All work will be done in accordance with approved Post /beam Str!'ct bas Line Insp plans. This pereit will expire if wo-k is not stared within 188 Pact/Ream Mecman Inst.ilation Insp days of issuance, or if work is suspended for Bore than 1�0 days, Plm/'Ancis;lab 111sp Gyp Soar-d Insp PI. M/Underfloor Rain drain Insp t'er•mitteanicaI InRsp Water 1_ine Insp r - pl,.imb lop U!1t Appr/Sdwlk Insp F. raminq Insp Mechanical F incl MITI ret !Mt-pect !011 CITY OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PERM I T 13125 SW Hall Blvd.Tigard,Oregon 97223481199 (503)639-4171 PERMIT SWR94-0-401 --41 1 DATE ISSUED: 12/12/94 PARCEL: 2SI04CA-09300 TE ADDRESS. 13644 SW TAMAWAY LN SUBDIVISION. . . , : HILLSHIRE ZONING: R-7 PI) LAI UCV1.. . . . . . . . . . : LD T. . . . . . . . . . . . . :09 31 TENANT NAME- - : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NFt4 DWELLING UNITS. . : I I-YPE. OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. -.sf I-lemarkst PATH I Uwner,: FEES BRUCE ALLEN type AMOIAnt by date v,e c.,p i (181io Niel WOTERFORD WAY PIRMT $ 2200. 00 JF 12111 /94 - INSP $ 35. 00 JF 12/ V,OHILAND (-.;IR 97229 Pl-iorie #: 614-0545 CONTRACTOR NOT ON PILE --------------------------------------- #- $ 2235. 00 TOTAL REGMIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewet, Ir)spection of the Unified Sewage Agency. The permit wires 160 days from the date Issued. the total amo-int paid will be forfeited if the cervit expirps. The Agency does not guarantee the accuracy of the side sewer laterals, If the sewer is not located 6t the measurement given, the installer shall prospect 3 feet in all directions from the distance given, If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. Oev—riittee biijt ,ti.tv,e isslie(I t3y : Call for inspection 639-4175 INU City of Tigard Residential Buildina PermitVp�licatic a -- 13125 SW Hall B;vd. l/(� I �l�� Tigard, OR 97,'23 `j (503) 639-4171 Jobsite Address: 12. TAr-Aw fY I-A Subdivision: Lot # _ 93 Office Use Only Planck/Rec # _ Valuation: I /V Permit # Corner Lot? /-�� N Flag Lot? Y N Reissue of Map & TL Owner: /3,eucAE /aeC.r.-j w000 AI&M,-s, z,..c . — Approvals Required Address: Plannin o.�T �dr1O O/- �- Engineering Phone: G `/ - 0,)~Y-) `_.� _ Other Contractor: A s — -- ------ Items Required Address. — Subcontractors - ------- --- Truss Details Phone: Other Contractor's License # (attach copy of current Oregon license) Contact Name & Phone: 132u CSC GJ000 (12( j 0 CPI l'e'i � 2 1 Subcontractors: Architect/Engineer: d-x,)7A (Plumbing: T�^ 1 �'� ^��Z-J� _ _ Address: a� lYMechanical:S",-3G4 �_._. (attach copy of current OR Contractor's License) Phone. JOB DESCRIPTION •5/::X cx �- l�pplicant Signature & Phone cumber Received by: L4,�U,� Date Received: -- N WORDTOMDW MESAPP Permit# Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) 6.2Y -,(./ /1 Plumb. Permit (PLUMB) 2)' 71� ✓ Mech. Permit (MECH) State Tax (TAX) N o Bldg: Plumb: Mech: Z Plan Check (PLANCK) /q' S 1(P.3"'. Bldg: Plumb Mech: Sewer Connection (SWUSA) u�� `� pZc� U Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) D $vu Storm Drainage Chg (SDSDC) _ Residential I-IF (TIF-R) _ Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) " j aqv_ Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Y Water Quality (WQUAL) _ A-V Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion PlanckJCOT (EROSN) ,I 1 LI 1-11.1 1-1 11 1_1 11 Ll I 1 `1 i I f- l �•- w i i Mumcimucli _ _ ■ r./c�•s �wwMr�i■w�iw■:■ wtM\��tN�ii�ii■■ii�t■��li Ar ` f ■ws�■■■■■ �/ wtw ■ ESS � _fit■tNI_N tw1�N7■q�■ , \N�NMM■ w■M� ■ �~ f�//\w■w■%■moi■■ j �■q�■■�_�����; N■/wOwwM■■w rM ■� w■N■ f r ■ ■M/HN■w■■■\/'�Hw H■w/w■■■ Mom w■■■1IMwwr� ■■ IM r � ■ IloMmo :::ii" \ pm :sw win mom ■ 1 ■i �IN/M■■�!M■ -. ■ i ■a ■ /■"u� .. . i Vii..... " .......��:.. 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