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12669 SW 133RD AVENUE
CERTIFICATE:: OF
OCCUPANCY
'ClTf OF TIFA E:f1YC�F llia7lRD FSC ftM T T' �!. . . . . . . a hEi�T9�3,..Q1O ?5
COMMUNITY DEVELOPMENT DUENT
13125 BW Hd BWd.P.O.Ba 23307,Tow,Or@W 07223(5W)S39-4175
SITE 6lUDRFSt3. . » e 12869 SW 133RD AVE PARCELS 2f.,104AC—MH184
BURnIVTs1CIN. . . . a MORNING lilI_L 8 7.C)NTNC�a R �5
BUOCK. . . . . . . . . * I LOT. . . . . . . . . . . . . I Sdd
C:LPg9 OF WORI4» :NEW
TYPES Of- USE. . . ASF
OCCUPANCY GRP. % R3
OLC;UPANC:Y I_GAL):223 4
TE'NAN'T NAME=:. . . e
Reem,'Rrka i PATH I
NORI;ILWNU HOMES"
1834 ! W 58TH
P(.1RY LAND OR 972E31
Phone it% i'92•-3475
Cuntraact nr a
NORTHLOND HOME'S
1834 SW 581H
PORTI..,AND OR 97:�"c 1
Phur)n i1r 292-_3975
R@y 1#. , 13727
Ocrupoc►cy rf the above re f-eretnced b►ti lding is I er-phy y.t4 nn. Orld certif ►en
the c,e mpliaetr:e wi,;h the State of OreUnn Specialty C'ucles f'ar the yrui..►p,
nc:cli_epatnc V, and ucP under which the reffarernc�ed Permit weal, i %e►_te d.
FIRE [)EPARTME:NT� 1N%?Kv' R00 �
J
FlL.I T I_U 1 CIFF
PnST IN CONSPICUOUS PLACE
City of TLgwd IMeLLdLrg Bepart—t
13125 ON Ball Bled. Tigard, Orev^a 97223
Inspection Line (Rec-O-Phone): 639-4175 Builn-ss Phones 639-4171
Inspection:
Footiag Plbg. Underelab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer. Framing -Bldg.
Post/Beam Mach, Rain Drain Insulationf`.^a 'Plumb.
Plbg. Underfloor Water Line Gyp. Bd. �- -Nech.
Date Requestwds -,Io -je-'. Z- Time: AM PM
Address: "�� y Permit R:
Builder:__ /1l:�G�/tf /iC�
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors_ ✓ __ Date: /O '19 2--
APPROVED DISAPPROVED
"PROVED SUBJECT Ta ABOVE
Call For Reinap.
w1.
INsyEC.'TION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)t 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulatlon -Plumb.
Plbg. Underfloor water Line Gyp. 8d. Hoch.
Date Requested: Time: AH �-PH
Address: Z53 permit 1 e!�i
Builders_T/J r tC
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
_ f
. .,,a�.�i�-r_� L✓.� ►�^'t✓,i ([�..,.ti vLs'r o� ,.�..,�L-�V�y�- 1. .,4/J}
L
I
Inspector:_ , '�+ � Dote: 7'2 � /2-
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 eA Ball Blvd. Tigard, Oregon 97223 \
Inspection Line (Rec-O-Pho )s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. gderslab Hoch. Rough-.nppr/Bdwlk
(
Found. Plbq..Top Out Gas Line � CI«Lt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
9
Date Requested s .,� - l Times _ __PN
Address: �� � f 3�j Y-d __ Permit
Builders
TRE FOLLOWING CORRECTIONS ARE REQUIREDt
Inspectors_ Dates 7'Z&" -97
APPROVED D1SAP APPROVED SUBJECT TO ABOVE -
__gall For Reinsp.
City of its
13125 SM
IM Bell B:sd. Tigard ��"-L/
Inspection Line (Roc-O-Phone): 639 . 23
-4175 Business phone: 639-4171
4171
looting
Plbg. Underslab Koch. Rough-in
Found. Appr/Sdwlk
Plbg. Top out Gas Lina
Post/Beam Struct. lIKALt
San. Sewer
Post Framing -Blej.Be
/ am Mech. Rain Drain
Insulation (/-,,lumb.'~'1
Plbg- Underfloor Water Line �
Date Requested, _ GYP. Bd. -Koch.
---�f Z—
Address• _ — Tom' AK
—PK
Permit
Builders
TBE FOLLOWING cORREcTIONS ARE REQUIRED: --i—
r'
//�� ----_--
Inspectorf f ��
--- Data:_
APPROVED DISAPPROVED -
APPROVED SU"CT TO AOM
Ce11 For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart-ant
13225 Be Ball Blvd. Tigard, Oregon 97213
Inspection Line (Rec-o-Phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. .'lbg. Top Out Gas Line FINAL:
I Poet/Beam Struct. San. Sewer Framing -Bldg.
t
Poet/Beam Mech. Rain Drain Insulation -Plumb.
i
Plbg. Underfloor Nater Line GYP. i•� ✓ h'
Date Requested:__,. 4�� Time: AM PM
Addresee _1 /33 ✓ _ Permit
Builders__ ,%' �Zlz/zi�
TBE FOLLOWING CORRECTIONS ARE RMUIREDI
i
i
I 1
i
- i
It1BpBotOl1 _fir-.� �_ Date:
G�
APPROVED DISAppROVED APPROVED SUBJECT TO A801i1
Call For Reinsp.
JUPECTIQN NOTICE
City of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone): 639-4175 Business Phone: 639-4211
Inspection: — —
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumu.
Plbg. Underfloor Nater Line 1_L'--2' Gyp. Bd. -Meeh.
Date Requested: l 0 � ( Timet _)�._AN PN
Address: 4 S le G Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f
i
i
i
i
i
I
Inspectors i Dater p L
APPROVED l'/DISAPPROVED APPROVED SUBJECT TO ABOVE
r Call F^r Rsin"P.
INgIMICN WrICE
City of T19=6 Building DePertwmt
1312S BN Hall Blvd. Tigard, Oregon 9'7223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:,_ --
Footing Plbg. Underelab Mach. Rough-in Aper/Sdwlk
� e
Found. Plbg. Top Out Gas Line �'IN1lts' -
Post/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line / Gyp. Ed. -7-4 y -Meeh.
Date Requested: / !//? -�'1 Time: —K—Ay _ PM
AddresS: �p /�J r ci _ Permit f:
9 /
Builder: !
THE FOI.I.ONING CORRECTIONS ARE REQUIRED:
-�-- . ---
-/•^pin—c_ �/7 n
Inspector: fid+-J��-c-t-14 r Date:
APPROVED DISAPPR 'APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTIC'S
City of Tigan. Huildinq 'Dapartssane=
13125 SW Hall Blvd- Tigard, Oregon 97223
Inspection Lines (Rae-o-Phone)s E19-4175 Auai.nens Phones 639-4171
1
Inspectiont— -- ----" ---
Footing Plbg Underelab Much. Rough.-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino. F,CNAL%
i
Post/Beam Struc.. san. Sewer Framing -Nldq.
Post/Beam Mach. Rain Drain Irtsulatlon /)
_p:nmb.
Plbg. Underfloor stater. Line/ � GXP• ad. -Ilech.
Date Requesteds� timet PH
Address z , c�'G_�____— --� PerR it s L
Builder: —
TNM FOLLOWING (foR1UlCTIONS ARE REQ(*IRECt
i
r
Inspectors` Dates (= -6-, L'���✓
—
__�PPOOVND DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinep.
i
��Mii 111111111
r'
INSPECTION NOTICE
City of Tigard Baildinq Departasmt
13:L2S BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing 111bg. Underslab MO.. Rough-in Appr/Sdwlk
Pound. I11bg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower '� lramin� -Bldg.
Post/Beam Mach. Ritin Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ed. -Mach.
Date Requested: Time: _ AN PM
Address: / 7-C /3 Permit #: 9 L a0 7
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
OF
Inspecto'r's Dates -010
�' 11PPROVED DISAPPROVED "PROVILD SUBJECT TO ADM
Call For Reinsp.
INEP=CTION NOTICE
City of Tigard Building DePart—t
13125 BW Hall Elyd. Tigard, or"= 97.223
Inspection Line (Reo-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech..
Date Requested: -) 1 11- Time:
Addrese: � � Permit {:
Builder: p` )`( Ivd'V"vt"�Ud ��'•. S
THE FOLLOWING CORRECTIONS AAE RSQUIRSD:
Ii
1
f
i
i
Inspector: / /� ' _ --�— — Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO AEONS
Call For Reinsp.
IMsymigR NOTICE_
City of Tigard Madding I)epartseotI
13125 SW Ball Blvd. Tigard, Oregon 97223 /
Inspection Line (Rec-O-Phono)t 639-4175 Business Ph 6 9-41 ��
Inspections t
Footing Plbg. Underalab MecR. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lins FINALS
Post/Beam Struct. San. Sewer Fraininn -Bldg.
i
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Hoch.
Date
Date Requested t - ( �` 1T Time: ^ AM PM
AddsesetULL ML1 �7)&1" Permit 1t M�7T �rZ-�ZS
Builders [` ` - �x��C��7 1) f' 775 y( &q
TEM FOLLOWING OORR3CTIONS ARE REQUIRF.Dt
P
Inspector L'r' -, Date
:!!�,,._APPROVEJ DISAPPROVED APPROVED BUBJECT TO ABtWE
Call For Reinap.
w.
11111 Pill� 111 11111�
I"SMCTIQ NOTICE ,
City of Tigard Building Deparlumt
13125 811 Ball Blued. Tigard. Oregon 97223
Inspection Line (Rec-O-�Phone)s 639-4175 Business Phonsf� ' -4171
Inspections
Footing Plbg. Underslab Kech. Rough in Appr/Sdwlk
Found.
Plbg. Top Out Gas Line FINALS j
Post/Beam Struct. San. sewer Qraminq -Bldg.
Poet/Beam Koch. Rain Drain
Insulation -plumb. .
Plbq. Underfloor Nater Lino Gyp. Bd.
-Koch.
Times _ _AK PK
Date Rsque.�st/e-dsQ
Addrosa:�.
lF UJ / Permit #s qZ
Builders ju( ,L�
THE FOLLONING CORRECTIONS ARE REQUIRED:
for
i
t
i
Inspectors _ Dates ,__1_�"
APPROVED _^ DISAPPROVED AP"ROVED SUBJECT TO ABOVE
call For Reinsp.
4 iv
IY8lBI.r= NOTICE
City of Tigard Building Departaeot
13125 811 hall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phones 639-4171
Inspections _ r
Footing Plbg. UnderalabMach. Rough- n Appr/sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch-
Date Requested: _yT,immee:7 1AM
Address s �d /Perms£
Builder: U_ —
TIDY FOLtA WINO OORRZc7 0 ARE REQUIRED:
L
In-Ppnctors_ i Dates L-/'e -
APPkOVED DISAPPROVED 11PYNOVED SUBJECT TO ABOVR
Call For Reinsp.
1
E
x
1+ ,
� i
}f
i�
i
iNspBCPION NOTICE
City of Tigard Buildlaq Department !
13126 M Ball Blvd. Tigard. Gregon 97223 1
Inspection Lina (Aea-C-Phone): 6397.u- ��ness Phones 639-4171Inspection& 14, I
looting Plbg. Underslb,`i / Neoh. Rough-in Appr/Bdwlk
Found. Plbg. Top Out Gas Lina FINALt
Post/Beam etruct. Ban. Better Framing -Bldg.
Post/Beam Mach. Rain Drain I�tion -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -moch.
Date Requested t e�� - _ �— Timea AN PM
Address; _T �� /3.�y� _ Permit #.�Zi
Builders_,
TBE FOIS.OMING CO'ARECTIONS NMI REQUIRED3
I
Inrpertor:, A Datei}, �3 y
_k__1/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainap.
INSPECTION NOTICE
City or Tigard Building Deparb=Dt
17125 90 Bali Bled. Tigard, Oregon 97223
Inspection Line (Rae-O-Phons)s�6j399-4178 Business Phones 639-4171
Inspections '—
looting Pibg. Underslab Mach. Rough-in Appr/sdwlk
round. Plbg. Top Out Gas Line IIMALs
est Baam s Ban. sewer framing -Bldg.
st/Besam Mach. Rain Drain Insulation -Plumb. l p e
Plbg. Underfloor Mater Line Gyp. ad. -Mach.
Date Requested I�� Times _�AM P11
Address.L7 Permit
Builders
TB= lOUAWIRG OORRECTIORs ARE REQUIRED:
1
:,Inspectors Dater '
APPROVED DIBAPPROVtb APPROVED SUBJECT TO AOOVE
Call For Reinsp.
INSP2=1go NOICE
Ci+tr of Tigard Boildiog Department
13125 on Hall Blvd. Tigard, Oregon 97223
Inspection Line (Floc-o-Phons): 639-4175 Business Phones 639-4171
Is.shaction s
looting Plbg. Underalab Hoch. hough-in Appr/Sdalk
!bund. Plbg.• Top out Gas Lino FINALt
Post/Beam Struct. 9 �s�tes Framing -Bldg.
dost/Beam' ich. in Dra insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -!tech.
Date Requested: _Times
Address I rL tto/f,1 - Permit is
Builders 7�21"1
- LIZ
THE FOLLGNING CORRSCPIONS ARE REQUIRED:
i
Inspector Dates
APPROVED YZ DISAPPROVED APPROVED BUBJBCT TO ABOVE
i
Call For Relnap.
TMRD_ }CT�ION NOTI�
or
13115 go 9a1� Y ig_-d. or"on 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171
i
Inspections
!Doti
Plbg. Underslab Meth. Rough-in Appr/Sdwlk
round.
Plbg. Top Out Gas Line rINALs
Post/Beam 8truct. San. Sewer
Framing -Bldg.
tion -plumb.
post/Beam Mech. Rain Drain Insula �
Plbg. Underfloor Nater Line
Gyp. Bd. -Mach.
Times / AM PM
fate Requested:
� Permit •s`,�-�'1'' �'�7 �
Address✓/�C�-� 9 �` L✓ -J J -
Builders
TBE FOLLONIMo CORRECTIONS ARB REQUIRED:
4
inspectors
Dates
APPROVED DISAPPROVED "PROvat) SUBJECT TO ABOVE
Call For Reinsp.
® � 4
CITYOFTIFARD � � MASTER PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT oemeeon PERMIT #. . . . . . . . MST92-0025
119125 eW wI Blvd. P.o.e«29907,Tipnd,Oregon 9(SM)ear 75
->ITE ADDRESS. . . : 12669 SW AVE PARCEL: 2S104AC-''r 84
SUBDIVISIONI. . . . : MORNING HILL 8 ZONING: R-25
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . . 184
--------------------------------- BUILDING
t?E I SSUE:MST 9 c-0001 DWELL.I NG UN T.TS: 1 BASEMENT. . . . . . . . :0 ti f
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :380 of
TYPE OF USE. . . :SF FLOOR AREAS- ----- - -- REQUIRED
TYPE OF CONST. :5N FIRST. . . . :904 s f LEFT. . :6 ft RIGHT. : 17 ft
OCCUPANCY GRP. :R3 SECOND. . . :952, s f FRONT. :20 ft REAR. . :30 ft,
STORIES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED--------------------_.HEIGHT. . . . . . . . .23 ft TOTAL---------- : 1.1357 5f SMOKE. DETECTORS. :Y
FLUOR LOAD. . . . :40 psf VALUE. . . . . `<: 92262 PARKING SPACES. - :0
Rnmar•ks : PATH I
--------------------------------------- PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :V
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
1 UB/3HOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH UASIhJS. . . . . . . :0
WAT'E:R CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
;ARSAGE: DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
-------- MECHANICAL I CAL --- ---- ----_-- -___________.____-_ FEES ---------------
ULLaTYP'ES------ -----_ UNIT HTRS. . .0 type amount by date r•er_pt
/Glias/ / / VENTS :0 TIE- S 1380. 00 JLH 04/e9/9.:: -
11It=4X INPUT:0 BTU VENT FANS. . :4 SPRT 41,'. 00 J!._H 04/29/92 -
FURN ( 100K . . : 1 Hf-IODS. . . . . . : 1 BPI-C x 41A. 00 JL.H 02/18172
',URN > =100K . . :0 WOODSTOVES. :0 R5P•C $ O. f,0 JI_H 04/29/92 -
LOOR FURN. . . . :0 CLO DRYE:'RS. : 1 S(-;DC $ F1Q�. 00 JLH 04/29/92
BOIL/CMP ( 3HP:0 OTHER UNITS:O PARK $ 500. 00 JLH 04/29/92 -
GAS OUTLE=TSi 1 MPRT $ 39. 00 JLH 04/29/92 -
Owner: _____.___1____1____1_____1_____________ MPLC $ 1). 75 JLH 04/29/92 _
NORTHLAND HOMES M5PC $ 1. 95 JLH 04/29/92 -
1834 SW 513TH PSPC $ 7. 00 JLH 04/29/92 -
PPRT• $ 140. 00 JLH 04/29/92 -
PORTLAND OR 97221
Phone #: 292-3975
Cont rart r.r. -__--.___-______________________
r-inRT I-1LAND HOMES
18:34 SW iaTH
PORTLAND OR 97221
Phone #: 292-3973
Reg t1. . : 13%'-':7 _________._________-•.-----•-..--_--. _. . ___11_11__. _ ..-_
$ 2830. 30 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRE'D INSPECTIONS -- --
Tigard Municipal Code. State of Ore. Specialty Cods and all other Font/found Insp 1- 1r,eplace Insp
applicable jails. All work will be done in accordance with approved Post/Beam Str^l_cct Gas Line Insp
clans. This permit will expire if work is not started within 180 Post/Beam Meehan Insulation Insp
days of issuance, or if work is suspended for more than IN days. Plm/undslab Insp Gyp Board Insp
,o. PI_M/Underfloor Rain drain Insp
Permittee Signature : - _ Mechanic_a+l Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
ISsIAed By: __-•-.__- Fr-aminq Insp Meclianir;,a1 F incl
Call for inspection - 639--4175
ERAMRALM
SEWER CONNECTION
CITYOFTIFARD FSERMIT
COMOAUNITY DWELOPMEW DEPARTMENT74RD
PERMIT #. . . . . . . : SWR92•-0088
1310 8W HOP MA P.O.B0X NW,Tlpmid,Onpon 9M(603)6304176
DME ISSUED: 0412' 1jiz
SITE ADDRESS. . . : 12669 SW 133RD AVE PARCEL: 2S104AC-MH184
-IUBDIVISION. . . . : MORNING HILL t3 ZONING: R•-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 184
1ENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS UIQ WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BU WR IMPERV SURFACE. . : : s'F
Remarks : PATH I �
Owner: --------------------------------------- ------------- FEES --_--_____-_._.__.
1,4ORTHLAND HOMES type amo�.tnt by date rerpt
1834 SW 58TH PRMT b 1900. 00 JLH 04/29/9: -
I NSP $ .x`;. 00 JLH 04/29/92 -
PORTLAND OR 97221
!
F-1h o n e #: 2922-3975
Contractors --------------.----------------
NORTHLAND
-_--_-_--_ -__NORTHLAND HOMES
1834 SW 58TH
-ORTLAND OR 97221
F11-ione #: 292-•-3975 1935. 00 TOTAL
rleg #. . : 13727
- - -_ - REQU?l RED INSPECTIONS
--
'his Applicant agrees to comply with all the rules and regulations Sewer Inspection
cf the Unified Sewage Agency. The permit expires 188 days from , __...___.__the date issued. 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 measurement
oiven, the installer shall prospect 3 feet in all directions from
the distance given. if not so located, the installer shall purchase
"Tao and Side Sewer" permit and the Agency will install a lateral.
r-r-m i t t e e S i g n a t i.r r
-,_rad By:
Call for inspection - 639-41.75
EARMEM-UPW
CITYOF TI
CARD 'PLUM'BING PERMTT
i
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . MST92-0
DEPARTMENT
.02-,j
131258W HiM BW P.O.0M 23M.TIMd.OrW 97 (SW63441175
SITEZ: ADDRESS. 12669 SW 13.3 RD AVE PARCEL:
S ADIVISION. . . . : MORNING HILL 6
,jUL 2S104r-C--MH184
BLOCK. . . . . . . . . . : LOT. . . . . . . . 1184 N
ZOING:
CLASS OF WORK. . :NEW GARBAGE DIGPOSALS. . : 1
TYPE OF USE. . . . :SF' WASHING MACI-4. . . . . . . . I BACI-�FLOW PREVNTRS. . .n
OCCUPANCY GRP. . :Ru FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . .. . . . . . . . . . . . .
STORIES. . . .. . . . . :; WATER viEATERS. . . . . . .. I
FIXTURES-------------- LAUNDRY TRAYS. . . . . . !0 CATCH BASINS. . . . . . . :0
SINKS. . . . . . . . . . .. ISF RAIN DRAINS. . . . . : 1
LAVATORIES. . . . . :4OTHER FIXTURES. -0 GREASE TRAPC . . . . . . 0
TUFj/SHOWER8. . . .
SEWER LINE (ft) . . . .
WATER CLOGETs. , WATER LINE ( ft ) . . .
T)TSHWASHERS. . . . RAIN DRAIN (f t ) . . •
. .
Remarks PATH
OWNERt
NORTHLAND HOMES
1634 SW 56TH TIF 0 1380. 00 JLH 04/29/%!-
BART $ 412. 00 JLH 04/22"'9/92 —
PORTLAND
PORTLAND OR 97E'21 ' FPLC s 40. 00 JI-H 02/18/72
Phone #.- E%F` 3975 B5PC t 1"'0. 6 1A JLH 04/29/9L?
SFIDC f L80- 00 JL F1 04/29/92
PlumbingContractor: PARK $ 500- 00 JLH 04/29/92
MPRT $ 39- 00 JLH 04/1.219/92
MPLC
Name: m5pc 9. 75 J1JJ 04/29/9C.-,
Addt sz 1. 9
s Fj JLH 04/2 !
'ityl
S PSPC $ 7. 00 11-H 04/29/9�.,
Zipi PPRJ $ 140. 00 J1 1A 04/21/9-,
---P--r-1 a L
#
REUUlt',�ED INSPECTIONS
!h" Perttlit, is is5ued esub
I jact to theationt contained in the Tigard Municipal Foot/found Insp
Code, State of Ore. 'iipecialty (,'.0des and all Post/Seam Struc:t Rain drain InEp
Water Line Insp
other 4PPIicAble laws. All work will be done Post/Beam Merhart A
in ae(zordaiice witl-j ad PPr/SdwIk RP"Ov" plans. This Plivi/ i-idelab IInsp
Permit W11- 1 0),Oir'e if work is ri
. ot st,�t-�trd V't M/V
' Uin d'44,f I a nsp Mechanical Final
within 180 (Jays 3F igsjjance, or if work i is Ple,chanical ' Insp Building Final
Finotl
15014PPrided for morp than 180 ciayy.
Plumt, Trip Okit Erosion Control
F-'reming Insp
Firtapla(7e Insp
Gas Line Insp
Insulation Insp
fir(t. zld
0ri0rz d Pl 13YP Board In,;
rActor Signature p
contractor Notes. C4111 for inspection 639-4173
z
' ........«.,r...w....ar.«..r.u4.+.n.r.+3.,lF �Y.•d. i, ....,_.....vwroxwrnsYriWxr .wa"wwu.w..........._..
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CV I r'Y nF T I GARD .� RECEIPT OF PAYMENT RECEIPT NO. 02-226649
—226649
CHECK AMOUNT s 4725. :30
NAME t NORTHLAND HOMES CASH AMOUNT z 0. 00
ADDRESS ►""-PAYMENT DATE. z 04/29/92
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE: OF PAYMENT AMOUNT PAID
BUILDING' PERM _..m..__ 412. 00 PLUMP I NCS PERM�_ .._ 140. 00
MECHANICAL PC 39. 00 ST. BUILD PE 29. 51.91900.
fl-AN CHECK FE 9. 7'51 SEWER USIA 1900. 00
i INSPECT 35. 00 RES I DENT I AL TRAFFIC FEES, 1 L;lE30. 00
('ARKS SDC 5100. 130 'STORM DRAIN 8DC 280. 00
MASS T BANS I I TIF FEES 100. 00
L13T 184 MH#8
12669 SW 133RD AVE
TOTAL, AMOUNT PAID - — - - > 4725. 30
REtF-IPT C'F PAYMENT RECEIPT NO.
.T I G ARC CHECK AMOUNT 740. 00
' r pSll AMOUNT s 0. Oki
NAME r, NORTHL.AND H01186,i INC
PAYMENT DATE a Oa/18/9iF,
1934 SW 58TH4'tlko,*-
f
SUITE 202
PORTLAND, OR 9W:121-
AMOUNT PAID
NW14t4l' PAID PtmPUSF OF PAYMENT
FlURPOSE OF PAYMM " L!
PLAN CHECK FE
'-"L.qNCHF-(',K I)EPOSITS --- MORNING HIIJ
1_Or8% 177, 179v 178, 186, i8b, 18"#, 185, 1(39
TOTAL AMOUNT PAID - '740.00