14167 SW 133RD AVENUE F M
,1
C1rf0F T'GrARD CE:RTV7(CATS OF
RD OCCUPANCY
COMMUNITY DEVELOPMENT DEPAFRMENT o oon PERMIT #. . — , . . t MOT 91-0065
13125 8W Hell Blvd P.O.Banc 23307,Tlpnd,Oregon Qr40uj603j q"75
At'.r"RESS. . . s 1416*7 SW 133RD AVE- NAPCELs 2SI09AB--.05000
SUBDIVISION. . . . s THREE MOUNTAIN r:STATEG IONINGx P-7
BLOCK. . . . . . . . . . t I_nr. . . . . . . . . . . . . s43
C:1__ASa OF WORK. eNEW .•._...__.._..._..._..._._...___.
TYPE: OF USE. . ., t SF
OCCUPANCY GFlP. s R3 �
OCCUPANCY i_OAD s 230 4
TENANT NkME. . .
Reiiarka ,
WESTGATE CUSTOM HOMES
I.0 BOX 230339
TIGARD OFi 9722.3
Phone Ot 684--3793
Contractor:
WE'STGATE CUSTOM HOMES
PO BOX 23033ci
TIGARD OR 971?P3
Phone Ms 684•-3793
Reil li. . : 47707
UCC-13pancy "r9f the iAbove referenced building is hereby riven, -Anti certifies
tho coarliance with the State Of Or-egon Specialty Codes for the gros.Ap,
oc.cupan::y, Mrscr LISP under which the referenced permit was issued.
FIRE DEaAiITME NT BUtt-DINPI NgPE'CUIR
8UIL,DINI3 OFtAC'IAL
POST IN C ONGP I C:UOUS PLACE,
r
INSPECTION NOTICE
City of Tigard Building nepnrter3nt
13125 SA Ball Blvd. Tigard, Orvrgon 97223
Inspection Line (Rec-O-Phone): 639-4175 Luninesa Phone: 639-4171
Inepectionr
Footing P1bg. Underalab Mech. Rough-in Appr/Sdwlk
f
Found. Plbg. 'Top Out Cat Line FINAL:
1 I
Poet/Beam Struct. San. Sewer Framing -Bldg. �
Post/Beam !tech. Rain Drain Insulation -P1ualb.
Plbg. Underfloor Water Line ; Gyp. ',.d.
Date Requestede // PK
Address: �L�� s-7 � � r� Permit #s DD{O S
T /
Builder• ��S'`3 7
THE Foo owINO cORRKcwO1M8 ANE N=Q UND:
Inn{v+ctorr _.- ✓'r /_ --- Deter �C.' �' 1
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinep.
f
I
I
INERBCTION_14 TI_CE
city of Tigard Building Department
13125 Bit Ball Blvd. Tigard. Oregon 97123
Inspection Line (Rec-O-Ph3ne)s 639-4175 Business Phone: 63'-4:71
i
Inspections
Footing Plbg. Underslab [tech. Rough-inppr/Bdwlk
o t
Found. P1bg. 'rop ovt Gas Line HIN11Lt
Post/Beam Struct. San. Sewer Framing -Bldg.
s
Post/Beam Mach. Rai.i Drain Insulaticn -Plumb.
—�`
Plbq. Underfloor Water Line GYP• Bd.
�7
Date Request/wd�sTimes
.J'// �
,darenn:
-1- 14" 3 r Permit f s �� Z'r�
THE FOLLOWING CORRECTIONS ARE REQUIREDt
i
R
r
r� 1
Inspectors _ * J Date$_ A2 JL �
KPPROVED '00 DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinap.
M,SPECTION NOTICE
City of Tigard Building Dep--t-ent
13125 SU Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-P,)sone)e 639-4175 Business Phone: 639-9171
Inspection
Footing Pkbg• Underalab Mech. Rough-in <ZJkppr/Sd-lk
Found. Plbg. Top Ou Gas Line FINALS
Poet/Beam Struct. San. Sewer Braming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb
Plbg. Underfloor water Line Gyp. Bd. -Mech.
Date Requestt�e//ds /Li ��z� Time: AN/�7� PM
Addresss1'7�1G / `'J r d Permit
Builders """"" v
TRY FOLLONINO 00RRNCT1ONt'ARE RtQUIRSDs
Pec - -- — /
Ins tor: _._ t.� !�-_. L.[i W Date: (-L_
�kPPROVtD DISAP D APPROVED SUBJRCT TO ABOVE
v
Call For Reinsp.
;NSPECTION NOTICE
City of Tigard Bni.ding Department
13125 SB Ball Blvd, T:.gard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Bebm Hoch. Rain Drain Insulation I- Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
r
Date Re:pieate'd:/ ��y `-7� 2 (Jr Time: _ AM PM
Address:_ Permit O> _
TILE FOLLOWING CORRECTIONS ARE REQUIRED:
-Z- Z-
-f - -- -----
Inspector:'/ - — Dates
APPROVED
APPROVED __- DISAPPROVRD APPROVED SUBJRCT TO ABOVE
_Call For Reinap.
SPECTION NOTICE f
City of Tigard Build Lnn Pepartment
13125 SN Bal Blur".. Tigaro, Dregon 77223
I Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspections
Foot+.ng Plbg. Underelab Mech. Rough-in _ ( Appr/Sdwlk
Found. Plbg. Top Out Gae Line lINAL: /
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Pd. -Mech.
Date Requeste/dt__,E/ ,l2 Ti ae: _,�AM
Address: l /(C 7 f �J "' Permit #t
Bu i I der
i
THE FOLLOWING CORRECTIONS ARE REQUIREDt
�-��� Lam. .� c�►�::,_
Ins store taatea�
APPROVED DISAPPRO4 Z APPROVRD SUBJECT TO ABOVE
Call For Reinep.
i
i
1�iSPECT!ON NOTICE
City t.f Tigard Building Department
13125 sm Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rer.-O-Phcne): 639-4175 Busineas Phone: 639-4171
Inspection•_
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk r
Found. Plbg. Top Omt Cas Lino FINALt
Poet/Beam Struct. San. Sewer Framing --Bldg.
Post/Ream Mech. Rai❑ Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Re -- -
quwatede_-7Timet ic17—AM PM
Address:�7l,f(� / I7)3Y Permit f:���
Builder: '7�L1Y
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
It jcP
f'ZIL
r Y } `
el so ill vb U.0
i
LQ C
t �1
O 1-6
Inspector: ,`--' '� , M '�--
�►FL _-_- Deter �-
1
__APPROVED IEAPPROVED APPROVED stjR.nsrP TO ABOVE
For Reinsp.
I �
INSPECTION NOTICE
City ct Tigard Building Department
13125 BM Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection•
Footing Pl.bg. Underslab Mech. Rough-in :ppr Sdwl
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ TLme: —Am
Addreas:__� `;0 ►7 J^ �'`' 1 Permit 1:
Builder: Y!
el ----- -- --
TNS FOLLOWING CORRECTIONS ARS REQUIRED�`�� -7--
ot
Inspector: / � f Date:�__�__��,_
APPROVED --� DISAPPROVED PROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departommt l
13125 8W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonej: 639•4175 Business Phone: 639-4171
Inspect i.rtt:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb. y
Plbg. Underfloor Water Line Gyp. Bd. -Mach. x
Date Requested: _ , ' f
,Time. '�� __PM
Address: 14// Permit #s
r
Guilders
i
THE FOLLOWING CommonIIiQtlIRiDt
i
k
Inapaatorf
Dotal�l
_APPROVED DISAPPROVED APPROVED aUBJECT TO ABOVE
Call For Rolnep.
F
S
I
INSMiLO—JR—NM CE
City Of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 87223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
InuL,E+ct ion:
rooting Plug. Underslab Mech. Rough-in A
ppr/Sdwlk
Pound.
Plbq. Top Out Cas Line
PINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
POWBO" Mech. - - -
Pain Drain Insuletigp-- -Plumb.
i P1bg. Underfloor Water Line Gyp. Bd.
-Mach.
Date Requested: 6;7 2-A- G+/
Times _AM PM
Address: /y/(p / "7, 'c-0- _
Permit t:
Builders,.,_
THE ?OLIA)WING CORRECTIONS ARE REQUIRED: I
i C ui C.tiiLL :fes eJf
u z /)40.� r�
Inspector:.
Dates��
—APPROVED DIeAPPROViItp APPWMD A --�-c—
v11JWT TO Arum
Gli for Aginep.
i
r
i
INhPECTIar7 NOTICE
City of Tigard Buildi ag Department
13115 SW Ball Blvd. Tigsrd, 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 -BLA
g•
Post/Beam Mech. Rain Drain
,Insulates' -Flumb.
Plbq. Undorfl.00r Water Line Gyp. Bd._ -Mach.
Date Requested:
Time: _AM — PM
Address:
Permit E: 4//-
THE FOLLOWING OORRECTIONS ME REQUIRED:
vlSr1AL C7��rr'QAcL"�`7 'wiG.C_ lligrt tt=y l--
Inspector:
Hata: - Z— T/ i
APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
i
Call For Relnap.
NXN
INSPECTION NOTICE
City of Tigard Building D-partatent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Susinese Phone: 639-4171
Inspection:
Footing Plbg, Underelabh,
` as ROugh-ln Appr/Sdwlk -
Found. Plbg, Top Out
� "� � FINAL:
Poet/Beam Struct. San, sewer /tJ� Framing
/ 9
Poet/Beam Hach, Rain Drain nsulat.ton -Plumb.
Plbg, Underfloor Water Lina Gyp. Bd. -Mach_
Date Requested: /,' -�.[(p 9� Tuna - AN /r
lv 7 -:zAddress: � C/
Permit it�
Bull der:
THE FOLLOWING CORRHCTIONS,f1RE REQUIRED:
i
T'd ✓silt.,
Inspector:-- -`
Date:
-_---APPRovpv DISAPPROVED pyED SUBJECT TO ABOVE
—Call *or Reinsp.
i
19M49T_LU? NOTICE
City of Tigard Building Department
13275 SK Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 630-4171
Inspection: -
J
Footing Plbg. Underalab Mach. ;tough-in Appr/Sdwlk
Found. Plbg, Top out Ca FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
_.
Date Requesteds4 ' 49/ �TLme: AH /_� p(�(
Addr_oses 9'167 Permit A:��_ 0(/„�r1�5—W
Builder: 1
THE FOLLowINO OORR=CT.IONS ARE REQUIRED:
/y l i_P.Lse /S_ /.I?iw1i iT• S
I
Inelxtctrr: Dates
...
t
APPROVEn DISAPPROVRD _L..#A4M0ytp SUMCT TO ASS
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Bled. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underslab Mech. Rc •gh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beem Struct. San. Sower Framing -Bldg.
Post/Beam Rech. Rain Drain j Insulation _Ply,
Plbg. Underfloor mater Lisle Gyp. Bd. _Mach,
Date Requested: /Z, j / _T�= AN _'PH
Address: 1 !S / f 3 'i rd Permit
Builders J 7 l
THE rOLLOWING CORRE IONS ARE REQUIRED:
17
AI
Inspector: E _ Dates Ic
APPROVED DISAPPROVED APPROVED SUBJBCT TO ABOVE
__Call Par Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 9722.3
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:
r Poet/Beam Struct._ San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
G-'
Date Requested: _� -/_-3 !1 Times AM _PM
Address: rd
-/L//Y � f� � Permit
Builder:
TB= FOLIAMING OOBAB IONS ARE RRQUIREn-
a
Inspectort Date:
_APPROVED DISAPPROVED APPROVED SUBJXL'T TO ABOVE
—Call For Reinsp.
N,SPEr710N NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-D-Phone): 639-4175 Business Phrns: 639-4171
Inspection:____
Footing Plbg. Under lab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor 1 Water Line Gyp. Bd. -Mech.
Date RequeetedtI//� Times AM PM
Adlceees Z, J .4 � r= Permit
7 _
Builders �, e
THE InDLLONINO CORRECTIONS ARE REQUIRED:
Inspector:, --- Datet
0
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Depsrtaent
13125 SW Hall Blvd. Tigard, Oregon 97223 I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 f
I
Inspection:__
r
Footing Plbg. Undorelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out oas Line FINAL:
Poet/Beam Struct. San. Sewer Fram+no -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
lbg. Underfloor 1 Watar Line Gyp. Bd. -Mach.
Date Requested: ) J ! / Time: AN / pM
Addreee: /z/ /lla 1-3,a Fermit �s � zzZli k
Builder:
THE FOLLOWING C7ORRRCTI iS ARE RRQUIRED:
i
Inspector: f Date i !/
APPROVED /\OISAPPROVRD _ - APPROV$D SUBJECT TO ABOVE
/�� �Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN' Ball Blvd. Oregon 97223
Inspection Line (Rec-O-Phonv;: 639-4175 :usiness Phone: 639-4171
Inspection:
Plbg. 'lnderelab Mech. Rough-in Appr/Sdwlk }
Com.
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb,
Plbg. Underfloor Water Liinnej G,sp. Bd. -Mech.
Date Requested: / Time: AN/�/LJ PM
Address s_��/ (! Permit is W C
Builder: L /17sJ`-F
THE FOLLOWING CORRIMPTONS ARE REQUIRED:
i
Inspectors Dates ., L
_APPROVED �� DISAPPROVED - APPROVED SUBJECT TO ABOVE
Call For Reinsp.
yiff
LEI
IN rN
C TYOF TIGARIDMASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT ,C"FOFT"RD� PERIMI-r #. . . . . . . .. MST91-0065
13126 SW HWI Blvd. P.O.Sm 23W,T19W.Oregon 97223(5W)6304176
_DiA1_EISSUED. 04/29./q
51TE ADDRESS. . . : 14167 SW 1-:3RD AVE PARCEL: 2S109PB-07000
SUBDIVISION. . . . : THREE MOUNTAIN ESTATES ZONING: R-7
BLQCK. . . . . . . . . . .. LQ1.. . . . . . . . . . . — .43
BUILDING
REISSUE: DWELL T 11JG UN I TS- I BASEMENT. . . . . . . . CO S f
CLASS OF WORK. :NEW BEDRMS:4 BATHS.-3 GARAGE. . . . . . . . . . ..937 sf
TYPE OF USE. . . :5F FLOOR AREAS------ REOUIRED SETBACKS-
['YPI: OF CONST. :5N FIRST. . . . .. 1584 sf L E FT. . -5 ft RIGHT. : 10 ft
OCCUPANCY GRP. : R3 �3LA10ND. . . : 190, f
FRONT. -210 -Ft REAR. . - 36 ft
STORIES. . . . . . . .2 THIRD. . . . :0 sf REOUI RED---------------------
HEIGHT. . . . . . . . :30 ft TOTAL —— ------ :34B7 S SMOKE DETECTORS. :Y
FLOOR LOAD. . . . .-40 psf VALUE. . . . . $ j 177268 PARKING SPACES. . -0
Remarks
PLUMBING
-i I[qv
'S. . . . — . " . , : 1 [_-'L0OR DRAINS. . :0 BACKFLOW PREVNTRS. . 'O
LAVH1UH1ES. . . . . sb WATER HEATERS. . . -. 1 TRAPS. . . . . . . . . . . . . . :0
11JB/SHOWERS. . . . -3 LAUNDRY TRAYS. . . : 1. CATCH BASINS. . . . . . . :0
WATER CL.OSETS. . :S SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . ! I W(-]TER LINE (ft ) . - 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . -. I RAIN DRAIN (ft ) . :0
WASHING MACH. . . C1 r3F RAIN DRAINS. . : 1
MECHANICAL FEES -------
11:(JEL TYPES UNI V HTRS). . :0 t ype amount by date re(zpt
/6H S/ VENTS . . . . . 0 PPRT $ 628. 00 JLH 04/29/91
MAX INPUT.-O BTU VENT 17ANS. . 4 131='1_.(; $ 40(. 20 JL H 04/;--!Q/91
FURN 100K . . :0 HOODS. . . . . . : 1 B5PC $ 31. 40 JLH 04/29/91
FURN =100K . . - I WOODSTOVES. :0 SS D C' $ 379. 00 JLH 1b4/c::9/91
FLOOR FURN. . . . -0 CLO DRYERS. : I PIARK $ 500. 00 JLH 04/29/91
N)IL/CMP ( 3HP-0 OTHER UNITS-0 1v1P11T $ 40. 50 JLH 04/29/131
GAS OUTLE15: 1 MPLL $ 10. 13 JLH 04 91
–
Owner: -.--- - --- - - - - - - M51-,I-, S . 0,6 J04 04/t"1/"D I
-
14F 1GATE CUSTOM HOMES PPIRT $ 162. 50 JLH 04/29/91
Q(] Box ?30339 P5PC $ S. 13. JLH 04/09/91
TIF $ 1350. 00 JLH 04/29/91
I OR 97223
:hone 111 684-3793
t,ontractor:
WE3TGATE CUSTOM HOMES
WU BOX EISOIS39
11GARD OR 97'223
G-,honp #1 684-3793
Peg 44. , : 47707
$ 3515. 89 TOTAL
This pewit is issued subject to the regulations contained in the REPUIRED INSPECTIONS
Tigard Municipal Code. State of Ore. Specialty Codes and all other Filot/found Insp Vireplace Insp
applicable laws. All wo0 will be done in accordance with approved Post/Spam Strutt Gas Line Insp
plans. This ptreit will expire if work i not started within lb$ Post/Seam Mecham Insulation Insp
days of issuance, or if work is susrendi or ort than
181 days, Plm/undslab Insp Gyp Board Insp
VILM/Underf I oar Rain drain ITISP
4 he
Mel'."11-AnirAl. Insp WAtwr Line Insp
• Plumb Top Out Prior./Sdwlk Insp
y Framinq ly-15'a Mechanical F i tia i
1 f t i v, 639-4175
SEWER CONNECTION
CITYOFTIFARD PERMIT
CffYOFTM PERMIT #. . . . . . . . 9WR91-0071
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd P.O.Box 23397,TOW,Oregon 97SP(503)636-4175 ;7- I)ATE. I SSUED: 04/29/91
,i-)I)RESS. 14167 SW 133RD AVE PARCEL: 2S109AB-05000
`3USDIVISION. . . . : THREE MOUNTAIN ESTATES ZONING: R--'/'
BLOCK. . . . . . . . . . . L.o,r. . . . . . . . . . . . . .43
T ENANT NAME. . . . . :
USA NO. . . . . . . . . . :43622 FIxTURE UNITS. . . :
(-LASS OF WORK. . . :NEW DWELLING UNITS. . : 1
i"YPE OF USE:. . . . . :SF NO. OF BUILDINGS: 1
I N"jT411.1, TYPE. . . . :SUSWR ihIPERV SLJRF-'PCE'. f
FEES
WESTGATE CUSTOM HOMES type a M 0 U T1 t by date I-,e f.:p I
PO BOX E`:s0339 PRMT $ 1500. 00 JLH 04/29/91
I NSP $ 35. 00 JLH 04/29/91
TIGARD OR 97223
0hone #- 684-3793
- mitr-mrtor—
ONTRAf-"TOR NOT ON FILE
---------------------------------------
$ 13535. 00 TO TAL
Reg #. . I
REQUIRED INSPECTIONS
This Appljcjrt agrees to -ooply with all the rules and regulations Sower, Inspection
of the Unified Sewage "gencv. The nermit expires 120 days from
the date issued. the total amount oaid will be forfeited if the
pervit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is ^ot located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, t installer shall purchase
a "Tap ane Side Sewer" Ptreit and the A cy will install a lateral.
i L tee Si4rlirltf-We
Issi.ted By
Call far- inspection 639-4175
aw► err
F fm PE rw Im
1:,1-UMBING PERMIT
-CITY OF 11GA . .CrrYOF TMWrjr-RMIT #. . . . .
COMMUNITY DEVELOPMENT DEPARTMENT
W26 SW Hjdj Blvd P.O.Bw 23M,TOW,Or"m IrM(6W)&M-4176 DATE 1SSUED: 04/29/91
-
31TE ADDRESS. , . : 14167 SW 133RD AVE PAR(-EL: 25109AS07,000
stjsDivisrON. . . . .. THREE 'MOUNrAIN ZONING. R-.7
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . t43
CLASS OF WORK. . -NEW GARBAGE DISPOSALS. . - 1
TYf-'E OF USE. . . . iSF WASHING MACH. . . . . . . : 1 i; BACKFLOW PREVNTRS. . :Il
OCCUPANCY URP. . iR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .14)
.STORIES. . . . . . . . 12 WATER HEATEPS. . . . . : 1 CATC14 BASINS. . . . . . . :0
FI X TO RES-------------- LAUNDRY *rnAY,.,. . . . . . it SF RAIN DRAINS. . . . . ' .',
SINKS. . . . . . . . . . it GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . 15 OTHER FIXTURES. . . . . 90
TUB/SHOWERS. . . . I SEWER',LINE (ft ) . . . . :ID
WATER CLOSETS. . i3 WiqTER LINE (ft ) . . . . 2100
DISHWASHER . . I RAIN DRAIN (-Ft) . . . .,10
R marks
flWNERs
WESTGATE CUSTOM HOMES BPRT $ 628. 00 JLH 04/29/91 -
P0 BOX 230339 BPLC f 408. 20 JLH 04/2r4/91. -
PSPC $ 31. 40 JLH 04/29/91 -
T' IGARD OR 97,223 GSDC $ 375. 00 JLH 04/29/91 -
t::horie #: 684-3793 PARK $ 500. 00 JLH 04/29/91 -
!" lurching MPRT $ 40. TO JLH 04/29/91
MPLC $ 10. 13 JLH 04/29/91
M5PC $ 2. 0.1 JLH 04/29/91
Name C �KAA'� Ir PPRT $ 162. 30 JLH 04/29/9t
-
Address i I k 111t aLl PrjPC * 8. 13 JLH 04/29/91
City : St ate I I ? TTF $ 1;350. 0121 JLH 04/29/91
A"i P: V-1h one#a
X(or
RFQUiREE) INSPECTIONS
Vhis permit is issued sul5ject to tne
tlatiot,s contained In the riqiirci mtmiuipal Font /found Insp Rain drain Insp
('.ode, ".hate of Ore., Gpecialty Godes and 41-1 Post/Beam Struct Water Line Insp
nther Ariplicable laws. All work will be done Plost/peam Mechan Appt-/Sdwlk Irsp
in accordance with approved plans. This Plm/undsl..*b Insp Mechanical Final
permit will expire if work is not started PLM/Undevf loot, Plumb Final
1-ji.thirl 180 days of issuance, or if work is Mechanical Insp Building Final
A:,K,%p,endvd for mnre thaTi 180 day%. Plumb Top Out Fr-osion Control
Framinq Insp
Fireplare In5j)
Gas Line Insp
I n v u I Ait i on I n ri.ry
Gyp Duard Insp
Outhorizod Plumbing Contr-actor Signattire
Call for inspection 639-4175
contravtor Note%i
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :91-2125YI6
CHECK AMOUNT s 4950. 89
NAME WESTGATE CUSTOM 1.10MES CASH nMOUNT t 0. 00
ADDRES a PAYMENT DATE c 04/29/91
SUBDIVJGION
PURPOSE OF PAYMENT Amou*r PA I D PURPOSE OF' PAYMENT A1401JNT PAID
T GII..DINGPERMT'31- O16°;__j .0 ---. -- �
- 4IC—00 1 MTj NC3 piiiw" 16L. 50
MECHANICAL PE 40. G;0 ST. BUlt-D PER 4 1. !16
P-11-AN CHECK f-E 318. 33 Sr=WFR USA 15071. 00
SEWER INSPECT 3P;. 0 Q I RESIDENTIAL, TRAFFIC FEES 1250. Oki
PARKS SDC 11-100. 00 STORM DPA IN SDC 3 75. 01A
MASS TRANSIT TIF FEES l00. LA41
J -4167 SW 133RD
'if,llfll F)MOUNT VIA ID 4950. 89
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