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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503;c99.4171 PLUMBING PERMIT
PERMIT #. . . . . . . : PLM( 4-01.=_'7
639--4171 DATE_ ISSUED: 07/01/94
PARCEL: 231 1.0AA--•00200
:SITE ADDRESS. . . : 1406VI SW 101TIA CT
SUBDIV?SION. . . . : ZONING: R--11 '
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLANS OF WORK. . :ADD GARBAGE DTSPOSA S. . : MOBILE HOME SPACES. :
TYPE: OF U:E. . . :SF WASHING MACH. . . . . . . : BACKFLOW F'REVNTRS. . :
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIE=S. . . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . .
LAUNDRY I-RAYS. . . . . . : S1= [RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINAL_S. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . . OTI-1ER FIXTURES. . . . . : 1
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . .
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN ( Ft ) . . . . :
Remarks : SOAKING TRENCH
IOwner- .- __.._.__.----_ _._____..___________--.--.___._______ FEES
HARRIET—SKEI- __. - type a,,o1-rnt by date r^e1-pt I
t4060 3W 105TH PRMT $ 25. 00 JF 07/01/94 —
5PCT $ 1. 25 JF 07/01/94 —
T 16i'iRD OR 97224
Phone #:
Cont1"elct C'.": _..._...- ---...__---....._.__—_.--_......__—.....---
OWN1.R
Plionp #: $ 26. 25 TOTAL
Reg #. . :
-------- REOU I RED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plan.. This permit will expire if work is not started
withir 180 days J issuance, or if work is suspended for more
>— than 190 days.
F"e r m i t t e e S i g n a t 1_i r e : ( .�
I _red By
Call ror inspection - 639-4175
I 1 u lI 11 1 1 If. pit 111 Fit. 14 t 1, I N(
G"Ill-A.-K (INIAINI A
14 1 t I K 1: 1 11 r 14 H I El (;1:1141 Alyll AR-I r 1. W. le
POYME NI 1411 - 4`1 1 0i %9,,
;11F;11.1 I V t,i I ON I
F)UPPOSU.' OF PAYMI-NT WOLIN I I'H 11.) 1 POYMEN'T ON10114T PAID
CL
1-11JAMIAINO PFMM 0 0
CC
joll'Al. AMILAINT P14'1 T.)
City of Tigard PLUMBING PERMIT APPLICATION Planck/',ec. #
13125 SW Hall Blvd. Permi, #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N ^ of o•••b~ New Single Family Residences Only
Ad* • ^ ❑ 1 RATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job '�- ❑ 3 BATH HOUSE$225.00
AddressN& as Fee includes all plumbing fixtures in the dwelling and the first 100 feet
_71 "�, �-t Tof water service, sanitary sewer and storm sewer. See fees below.
N•^»\\ FIXTURES QTY PRICE AMT
t�f�t ,.' Sink 9.00
M.619 Ad*-. Lavatory 9.00
Owner Tub or Tub,Shower Comb. 9.00
�•• na Shower Only 9.00
Water Closet 9.00
-_ "•^• ^•m•^��^•�•� Dishwasher 9.00
Garbage Disposal 9.00
Occupant M fto AAk„• Ra. Washing Machine 9.00
Floor Drain 9.00
ceylmc. zip Water Heater 9.00
Laundry Roam Tray 9.00
N.^• Urinal 9.00
Other Fixtures (Specify) 9.00
M.Wg Am... F1- 9.00
Contractor
9.00
cnyrsm. 1�p 9.00
Sewer 1st 100' 30.00
'Y«•R.Q..-W N. CY an T..WSPWer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 2.00' 25.00
information given is correct, that 1 am the owner or authorized agent of
the owner, that plans sutmitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 3000
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Horne Space 25.00
Back Flow Prevention
Device or Anti-Pollution Devica 9.00
y0^^"^^ ^^^« •�•^� �- °•• Any'Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition Q alteration 'J repair Catch Basin 9.00
to be done residential Q non-residential O Insp. of Exist. Plumbing 40.001hr
Specially Requested Inspectiai:s 40.001hr
Existing use of
R= Rain Drain, single family dwelling 30.00
r- bu,'ding or property
to Residential backflow prevention
�- devices 15.00
-- Proposed use of
building or property
'(Except residential backflow
r Y prevention devices;
U-1
J NO TICE 'Minimum Fee $2500 SUBTOTAL
PEROITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS, OR IF 5%SURCHARGE.
CONSTRUCTION OR WORK IS SI ISPENUED OR ABANDONED - -
FOR A PEPIOD OF 180 DAYS ATANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 250b OF SUBTOTAL.
TOTAL
Special Conditions _
Dale Issued _ by
INSPECTION EgICE
City of Tigard Bvi.ldl q Departaent t(�
13125 SN aall Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-Phone)s 639-4 '15 Duainess Phones 639-4171 /
Inspection:
Undoral.ab Mech. Rough-in Appr/Sdwlk
(�J Top Out Gas Lina PINALt
ewer Framing -Bldq.
�} rain Insulation -Plumb.
TL t' Line Gyp. Bd. -Mech.
/
Time: _AM PM
Address: 1 U (� �►'�. - r Permit
Buildez: AJC VVI Y,/13-L-4--� "�'1(NQ./�l�.
53� - Zo
THE FOLLOWING OORREC'CIONS ARE AEQUTAEL: z -7
v
ti 1 cJ
`�^ '"u�—✓ S �" �--'STT
w
Inspector._ =
"PAMD DISAPPROVED APPROVRD 8!RJEc'T TO ABOVE
mall for Reinsp.
INSPECTION NOTICE
City of Tigard 80Iding DeP&rtnent
13125 8N Hall Blvd. Tigard, Oregon 97223
Inap:r Line (Rec-o-Phone): 639-4175 Business Phorn: 639-4171 --
Qoot4.ng P1bg• Underslab Hech. Rough--in Appr/Sdwlk
Found. Plhg. Top Out Gas Line FINAL:
poet/Beam S£rlsCt. San. sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation
plbq. underfloor Nater Lina y Gyp. Bd. -Hoch.
IAte Requesteds� ` �1�—TLme= - -- -/-/AM — � PH
Adareee: s/ L n ._ Permit
Builder• �—__... --
TFM FOLLOWIIIG CORRECTIONS ARE REQUIRED:
_J
Inspectors
Dates
iAPPRQ{RD _
0I8& PROVXD "PROVED SUBJECT TO ABOV2
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building DepartAke_nt
13125 SM Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 39-4171
Inspection: �l�:l.LZ —
Footing Plbg. Jnderelab Mech. Rough-in Appr/Sdwlk
?-und. Plbq. Top Out Gas Line FINAL }
Post/Beam Str:x:t. San. Sewer Framing -Bldg.
Pont/Berm Mech. Rain Drain Insulation -Pl
Pibg. Underfl,..or water Line Gyp. Bd. -Her%
Date Requests-`: Z2v_ Times _—AM 11 J PM
Address: �/ i `DG`sL Permit �:�1r�_ 06) 3-it
Builders_ �—
THE -OLLOWING CORRECTIONS ARE REQUIRED:
by o 5c�
Inspector: Detes_._�__L•,�-_
APPNOVZD DISAPPROVED APPROVED SUBJECT To AAOVE
Ca11 For Rninap.
a��at
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Balt Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:T_--_
Footing Plbq. Underalab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -81dq.
Pont/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water. Line Gyp. Bd. �jjJJ -Mech.
Date Requested:_—�— rimel-'L�" AM PH
Address: /-//C/) C/ Permit 1:�� 0�✓�
Builder:._ — --
TNS FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect :�--- _ Date: /�
APPROVED DISAPPROVED APPROVED SUBJECT TO AABBOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223 ` `-
Inspection Line (Rec-O-Phone): 6 -4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Under• Mech. Rough-in Appr/Sdwlk)
Found. Plbg. Top t Gas Line FINAL:
root/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfi-or Water Line Gyp. Bd. -Mach.
i
Date Requested: Time: AM )_ _PM
Address: �- �J� �!, Permit 1: C
J
Uuilder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A G PA 6,EM CJ�17 /Q�LAC�M�iVT_Ae!�L//,zelp f)(Divvy
CAI-L- Fat- 2Ej,.Isala:rIQAJ.
J
CA]
LL!
J
Inspector: Lf iJA "T/I inf S Date: 2-24—_�l
APPROVRD _�ISAPPROVRD APPROVF.n SUBJECT TO ABOVE
—V—"Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department Q
13125 SW Hall Blvd. Tigard, Oregon 97223 "{
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in (�Appr/Sdwlk,
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Meeh. Rain Drain Inaulatior -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: /- P-2 - i` 3 _ Time: _AM V___PK
Address: I `! ,51 0 Permit #:�b[ -
Builder:_ 1/1 n7 S�_, C U , /NG
THE FOLLOWING CORRECTION ARE REQUIRED:
S� JON^ C/, i9 N
5c
Bin
Inspector: C�C �] ���}S DACe:�G-_- --
__APPROVED DISAPPROVEb APPROVRD SrIRJECT TO AROVE
__ _call For Reinap.
IFSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buaineas Phone: 639-41':1
Inspection: _—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. lbg. Top Out Cae Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -blumb.
Plbg. Underfloor /Nater Line Gyp. Bd. -Mesh.
Date Requestedf /v �)7��- Times �j AM /PM
Addreset Permit
Builders
THE FOLLOWING CORRECTIONS ARE RdQUIRED:
oe
1--
__ _ 1000, �� -
co �l+i
b. -- - —�
Inepectort
MfMDISAPPROVBD ,/ APPROVED SUBJECT TO ABOVE
^ _Call For Rei"-nap.
CITY OF TIGAR® C E-'Wl*i f I G k i
COMMUNITY DEVELOPMENT DEPARTMENT Ot A.:L.4*,i-)1qC-y'
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-071 r1l"P.M I I 141"J"TI)."" Olo
DATE TSUEI)t 04f0jb/1'1,.3
r. :'14 1.Olt)i I I CT
1)0 n
C)I. -tit ;1h() r, 1--pf I.-r-e nc-pd bu 3. 1d.1 rim i s hereby 111 von, ,Rnd cev-txi
I
lict, f'otilpl JAw.. t, vilkh thr (3t 0vm-ge.m '.':33pecialty Lodps for the gi
,— ri,incy, x1111 w(i 111WvI., wh-101 the t,eftwellrod pel-mit wav, isst,ted.
1- T 1-" 1 or r,OP r,hfl.,t-I r SU I L.DI N(:- INSPLUMIR
4L
I.AJUDINU OFf"IC10...
IN r (111-11111 tllll.jlPl .tWl-
C'7Y OF TI A RD - MASTER PERMITRMII. #. . . . . . . : msTq2 &.-_
--00 '
Cny TWARD
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13125 SW Hall Blvd. P.O.Box 23387,TjpM.Orgq0n g7223(503)&V4175 DATE ISSUED: 05/22/92
'DITE ADDRESS. 1-t _ :,0 &A 114 -TH Cl PARCEL: 2SI10AA--00200
�3UBI)I V I S I ON. . . . : ZONING: R-12
PLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . .
BUILDING __.______w____..__.___.___________---._.___._..-..___._
R P I_,5 U P. liNi,rs: I PASEMENT. . . . . . . . ib S,F
GLASS OF WORK. :MOV SEDRMS:O BA,rHS:0 GARAGE. . . . . . . . . . :0 Sf
TYPE OF USE. . . :SF FLOOR AREAS----- REQUIRED
T'YPE OF CONST. :5N FIRST. . . . :0 S LEFT. . .- I@ ft RIGHT. : io ft
,1
]CCUPANCY GRP. -.R3 SEC'OND. . 0 f FRONT. : `O ft REAR. . :20 f;t
-.:iT CJ R.1 E S. . . . . . . : 1 THIRD. . . . :0 S REQU I RED---
HEIGHT. . . . . . . :20 ft TOTAL--- - 0 S f SMOKE DETECTORS. :
1-:LOOR LOAD. . . . :40 psf VrILUE. 2000 PARKING SPACES. . :0
Remarksi - moving in dk_tplex
-------------------------------- PLUMBING
I NKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. 0
!, r4VATORIES. . . . . ..0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :0 L.AUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . ;Vi
WATER CLOSETS. . :0 SEWER LINE (ft ) . :0 F4'EASE TRAPS. . . . . . . :0
DIG31AWASHERS. . . . .0 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :O
WASHING MACH. . . :0 SF RAIN DRAIN�.i. . I
------------- MECHANICAL ------------------ FE-Es
FUEL 1*YPES-----.-------- UNIT HTR 5. . :0 type amotmt by date rerpt
VENTS :0 BP RT ll 32. 50 NCR 05/22/92 -
MAX INPUT :0 BTU VENT FANS. . :0 IAPILC $ 21. 13 JLIA 0:x/09/92 -
PURN ( 100K CA HOODS. . . . . . :0 B5PC $ 1. 63 BCR 05/2121/92 -
FUPN ) 11110K . . .-0 140ODqTOVES. :0 PPRT s :3`3. 00 SUR 05/22/92
FLOOR FURN. . . . :0 CLO DPYERS. - 0 P5PC $ 1. 75 BCR 05/22/92
SOIL/CMP ( 3HP:'O CITHER UNTTS:17)
GAS CUTLETS:0
Owner:
EMMERT INTERNATIONAL
11811. SE HWY 21.2
CLACKAMAS OR 97015
Pt)ona # :
EM1v,1ERT INTI.: PNATIONAL
11811 SE HWY 12
CLAcKAmAs On 97015
Phone #: 655-7191
Req 00A01J
$ 2. 01 TOTAL..
'his persit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fn�_tnd lnsp Erosion Cclntr)l
applicable laws. PII work will be done in accordance with approved Posit/Seam Strtict Crawl Drair,
plans, This pervit will expire if work is not st-rted within IV Insi.ilation In- p
days of issuance, or if wo-1, sUsvfnded �fnoth AP divs, Rein drain ln,p
Line 111sp
t--,*rrftittPe /
Sitq4)m,3i, �.,dwlk ITi-,p
nat,pre
Plumb Final
Call for insPectict, 639-4175
INSPECTION NOTICE �\ `
City of Tigard Building Department
13125 SN Ball Blvd_ Tigard, Oregon 972.23
Inspect:ion Line (Rec-o-Phone• 639-4175 Business Phone: 639-4171
Inspection: � Du �
Footing', Plbg. Underslab Mech. Rough-in Appr/Sdiolk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Bd. -Mech
_ I 1
Date Requested: ` Timm � / "I�AM _ PH
Address: �� 1� L((05t� ^n f () Peermmi(t�#:W }2- -0632--
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
All
<
rc
Ln
O�
Uj
J
Inaroctor: �r~ Date:
APPROVED _i DISAPPPRROVED APPROVED SUBJECT TD ABOVE
Call For Reinap.
INSPECTION NOTICE
y(��
City of Tigard Building Depart—
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection• _ _� ---
�17ting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
\Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: - (/ �� TivAs: -AH - PH
Address: Permit
`—
6UL1:leY: —
J /
THE F01.I.OWING CO CfIONS ARE REQUIRED:
dam/'
_!✓;
LC-
inspector
2 — n F U ,OP < 0" S i"
Inspectors Datot
APPFMM DISAPPROVED APPFAMM !tail.RM TO ADM
Call For Reinsp.
INSPECTION NOTICE `J
City of Tigard Building Department \^
13125 SN Ball Blvd. Tigard, Oregon 97223 r
Inspection Line (Rec-O-P ne): 639-4175 Business Phone: 639-4171
Inspectiont
Footing P1 /Underalab Mech. Rough-in r/Sdwlk—�
i
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Innulation -Plumb.
Plbg. Underfloor Water//Line Gyp. Bd. -Mech.
pato Requested: :�2 - L/ J Time: _-_AM PM
Addroas: -/L)to D / ` Permit
Builder:
THP: FOLLOWING CORRECTIONS ARE REQUIRED:
r
CLI
J
Inspectors._.l.Yrj7/7 ��(C.� ------.. -- Data: _e ---J�--
APPROVED APPROVED SUBJECT TO ABOVB
L- 11 For Reinsp.
bLWER CONNECTION
CI1YTI
rR11 I T
'EOF 6A RD �WYOFTIM7
IV ER M I T #. . . . . . . .. SWR92-0094
COMMUNITY DEVELOPMENT DEPARTMENT WA
13125 SW HWI Blvd P.O.Box 233g7,TignW,OrsoU=(503)&V4176 17 : L)PiTE ISSUED: IZ15/22/92
1-31TE ADDRESS. . . . 14060 SW 105TH CT PARCEL: 2S110AA-00200
SUBDIVISION. . . . : ZONINC7: R--12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..
VENANT NAME. . . . . :
!JSA NO. . . . . . . . . . : FIXTURE UNITS. . . :
!LASS OF WORK. . . :MOV DWELLING UNITS. . :2
IYPIL OF USE. . . . . :SF NO. OF BUILDINGS: l
INSTALL TYPE7. IMPERV SURFACE. . : f
Pemat-ks : Onc-, DU credit from exisiting SFD Demolished ( 15020 SW McDonald)
owner: FEES
EMMERT INTERNATIONAL type amol..tnt by date rer-nt
11811 SE HWY 212 INSP $ 5- 00 BCR 05/i=2/92 -
PRMT $ 1900- 00 BrR 05/22/92 -
CLACKAMAS OR 97015
Phone #:
'Antrac.,tot-: -----------------------------------
INrERNATIONAL
11811 SE HWY 212
(11-ACKOMAS OR 97015
0 : 655-7191 9 193tj. 00 TOTAL
REQUIRED INSPEcTIUNS
-----
This Applicant agrees to comply with aij the rules and reoulations Spwev, Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. he 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 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 lateral.
FlfwmitteL- Signati.we :
B
1. y *
Call for, inspection 639-4175
CITY OF 11GARD RECFlPT OF PAYMEN't RECEIPT NO. m9a— 7 15
CHECK AMOUNT a 88
NAME m Elvilli.-RT DEVE.L.FlIPME'.19T CASH AMOUNT x 00
ADDRESS m PAYMENT DATE! m 05,/26/92
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF r'AYI**iF-.NT AMOUNT PAID
3i'. 50 PLUME. 11\10 PERM 35. 00
3 -8 1900. 00
'11 . I'LlILD VIE'P . 3 SEWER USA
WE R INSPECT 35. X7.10
Ll
111+060 C13W lo-llll 1: 1
TOTAL AMOUNT PAID 1?0015. 80
Amen"Spe& HOME WSPECTION SERVICE
6617 S. 193rd Place, Bunte P-103, Rent, WA 98032
6700 8W 105th Ave. , suite 311P, Beaverton, OR 97003
19689 7th Ave. NE, Suite 1301 POUla3bo, AA 98370
1-800-925-2238
Inspection No 04930041 inspector: Gary Holt
Inspection Date: 04/12/93 Client Florence Lower
Address 14020 SW 1.05th
Tigard, OR
The house is a multi family, 2 story structure built on a
sloped lot. Estimated age is approximately 15 to 18 years old.
Weather at time of inspection was cool and cloudy.
100 EXTERIOR
Our exterior evaluation is visual in nature and is based on
our experience and understanding of common building methods
and materials. Our review does not take into consideration
the normal wear associated with virtually all properties.
101 Driveways Concrete.
102 Walks: Concrete.
103 Fence/Gates: N
104 siding: Wood.
105 Trim: Wood.
106 Window Frames: Metal.
107 Electric Fixtures: S
108 Gutters/Downspouts: Metal.
109 Sprinklers: N
109a Hosebibs: Located at Right Side.
110 Exterior Doors: see interior comments.
110a Bell/Chime: S
111 Chimney: UNIT #A: Prefabricated. A spark arrester
is installed as a safety feature.
ilia Chimney 02: UNIT JB: Prefabricated. A spark arrester
is i.neta:alled as a safety feature.
112 Lot Grade/Drainage: Home is built on a sloped lot. Grade at
foundation appears to be adequate. We
recommend regrading uneven areas to
assure positive lot drainage.
11.3 Gas Meter: N
114 Foundation: Concrete. Raised construction.
'.J
f.+
11J
Anarispec Hone Inspection service
This Ia A confidential Report, Any Una By Unauthorised Persons Prohibited
(e)1919 AnwOpw,re.,Orops.CWO"
Each company independently owned and Operatamd
1
r` 13125Sw11all Blvd. PLNCK/RECT #
CITY OF T`IGA�RD PO Box 23397 PERMIT # M 50 z- 0U ..
COMMUNITY DEVELOPMENT DEPARTMENT Tigard.Oregon 972D
(503)639-4171 DATE ISSUED
JOB ADDRESS: TAX MAP/LOTSl-i'���- QoZud
SUB: Duel.,A, LOT: _ LAND USE:
VALUATION:
OWNER �i SPECIAL NOTES
NAME: �N�����- 11.S-� ZcJlai1 o• .�Jc_ REISSUE OF:
ADDRESS: LAST REISSUE:
CaA�aa\V A o C �G r , FLOOD PLAIN/
PHONE: SENSIT[VE LAND:
CONTRACTOR APPROVALS RE UIIRED
F��ti� Z 1 1� ' c I I o rJ� �_ PLANNING:
NAME: — -_– --
ADDRESS: _ ENGINEERING:
FIRE DEPT:
PHONE: OTHER: --
CONTR. BOARD #: �� EXP DATE: —
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS: _
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: '�'S "J Cr,
co — —
� COMMENTS: -
APPLICANT SIGNATURE
Received By: '' _ Date Received: -/
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
lei �l-au3L 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 3)
10-431 01 Mechanical Permit Fees 96my_
10-230 01 State Building Tax (5%)
/r/s' ;i
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee - � —
Building lAw6w,
Plumbing
Mechanical
10-230 06 Fire
5u,?-9.?-&L' 30-202 00 Sewer Connection !
30-444 00 Sewer Inspection _ _ >./
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 C;fice TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PUC) _
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)
' N 1
TOTAL
nm/3587P.WPF