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14297 SW 133RD AVENUE ?t ADDRESS: qA cl"I (w u. c� F- J 1:lreco tisVlllcroffm\targets\building.doc J CITY OF TIGARD C,EF�OC ICANC �r arcU��ANw-:Y PERMIT #. . . . . . . .. I+IST93- 9544 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDi 06/02/94 13125 SW Hall Blvd.Tigard,Oropon 61724308108 (503)830-4171 PARCEL 2 S 1 Q+9AT3 -09:100 I T'L. ADDRE.S . . . 14:'9'7 SW 1 33RD AVE -;UNDIVISION. . . . : THREE MOUNTAIN ZGTATES ZONING:?-7 BLOCC'K. . . . . . . . . . . LDT. . . . . . . . . . . . . ::46 ------------- C'-RbS OF WORK. :NEW TYPE: OF USE. . . :GF OCCUPANCY GRP. :R3 OC:C;UF ANCY L..OAD:iR28 4 1"ENANT NAME. . . « Remar-l�s : PATH I Owner. DAVID AND KATHY BERG Phone #: Contractore CHARTER HOMES 10705 SW 15-7-n FAL LAEAVERTON ("IR 97007 Phone #t 579-121i='16 Reg #. . : 64938 This Certific,ste cet-tifiixs that the above r-efer,enc:ed uiicljr)g or- pcwtion thereof has t5er>n inspected for compliance with the 1" para Building Code for the group and division of occupancy and its for hir.h the above referenced pot-mit was issued, a!,d occupancy is hereby 'g;ranted. BUIL.DINQ INSPECTOR (`.�_ UI DI 16 OAF. C_'IAL f=Pt iT IN CONSPICUOUS PLACE J L 0 W J PLUMBING PERMIT CITY OF T I GA►RD DATEPERMIT ISSUED: 11/ 17/S93T93--9544 COMMUNITY DEVELOPMENT DEPARTVENT 13125 SW Hall Blvd.Tigard,Oregon 97223*Bi99 (503)639-4171 PARCEL: ES109AB-05300 SITE ODDRESS. . . -. 14297 SW 133RD AVE SUBDIVISION. . . . : 'THREE MOUNTAIN ESTATES ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :46 ------------------------------------------- CLP,SS OF WORK. . :NEW GARBAGE DISPOSALS. . : l TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . . I CATCH BASINS. . . . . . . :W FIXTURES-- ___.__._.__._____.. LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 SI14KS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :,?, WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remarks : PAI-H I WILL NEED A STREET OPENING PERMIT FROM ENGINEERING OWNER: --------------------FEES------------------- DAVID AND KATHY BERG TIF $ 15`0. 00 JH 11/17/93 - BPRT $ 493. 00 JH 11/17/93 - BPLC $ 3920. 45 JLH 10/08/93 9 3-24 4 9 7 1_11 B5PC $ 24. 65 JH 11/17/93 - Phone #: SSDC $ 280. 00 JH 11/ 17/93 -- PARK PARK $ 500. 00 JH 11/17/93 - I 1 1.1-t al b i n g C o nt ract o r ,iPRT $ 45. 00 JH 11/17/93 - 4MPLC 1 11. 25 JH 11/17/93 -- Name Name : 1&Ww C6 Ct M5PC $ 2. 25 JH 11/17/93 - 0ddr,e s s : � PPRT $ 155. 00 JH 11/17/93 - City Ul"lle Sti . 7 : P5PC $ 7. 75 JH 11/17/93 - Zip: 7 Zip 74) Phone#:&%2--(.2�2F_-, _ Reg REQUIRED INSPECTIONS This permit is issi-ted subject to the reg - ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all, post/Beam Struct Water Line Insp utner applicable laws. All work will be done Post/Beam Meehan Appr/Sdwlk Insp in acccrdanue with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is riot started PLM/Underf 1 uor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Fin suspended for more than 180 days. Cllumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp Gyp Board T n s p Au- Contt-7a*orr Signaturg Call for inspection 639-4175 CuriLractor Ncites :_____—_ MASTER PERMW . . . . . . ;IT MST93-9544 PERMIT CITY OF 1 '��R� COMMUNITY DEVELOPMENT D#-#'AF(TM14NT DATE ISSUED: 11/17/93 13125 SW Hail Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 2510900-05300 SITE ADDRESS. . . : 14297 SW 133RD AVE SUBDIVISION. . . . : THREE MOUNTAIN ESTATES ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . : 46 ------------------------------- ------ BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 yf CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE . . . . . . . . . :748 sf TYPE OF USE. . . :SF FLOOR AREAS-------..-._._. REQUIRED GETBACKS- TYPE OF CONST. :5N FIRST. . . . : 1 172 s LEFT. . : 16 ft RIGHT. : 12 ft OCCUPANCY GRP. : R3 SECOND. . . : 1214 sf FRONT. :26 ft REPR. . :45 ft STORIES. . . . . . . :2 TM I RD. . . . :0 S f REQUIRED--------------------- HEIGHT. . . . . . . . :28 ft TOTAL-•------:2386 So SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 123221Z PARKING SPAC!S. . : 1 Remarks : PATH I WILL NEED A STREET OPENING VERMIT FROM ENGINEERING --------------------------------- PLUMBING - ---------------------------------------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :O BACKFLOW PREVNTRS. . .O LAVATORIES. . . . . :5 WATER HEATERS- 0 TRAPS. . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 100 OTHER FIXTURES. . . . :0 GARB GE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL ---------------------- Ft:.ES FUEL TYPES----------- UNIT HTRS. . :O type amount by date recpt /GAS/ VENTS . . . . . :0 TIF $ 1520. 00 JH 11/ 17/93 MAX INPUT:0 BTU VENT FANS. . :4 BPR'T t 493,. 00 JH 11/17/93 FURN < 100K . . :0 HOODS. . . . . . : 1 BPLC $ 320. 45 JLH 10/08/93 93-244970 FLMN ) =100K . . : I WOODSTOVES. :O B5PC $ 24. 65 JH 11/17/93 - rUOOR FURN. . . . :0 CLO DRYERS. : I 3SDC $ 280. 00 JH 11/17/93 - ROIL/CMP ( 3HP:O OTHER UNITS: 1 PARK $ 500. 00 JH 11/17/93 GAS OUTLETS: l MPRT $ 45. 00 JH 11/17/93 ---------------------------- -------MPLC $ 11. 25 JH I 1,'17/93 DAVID AND KATHY BERG M5PC $ 2. 25 JH 11/17/93 PFIRT $ 155. 00 JH 11/17 93 P5PC $ 7. 75 JH 11/17/93 Phone 0: Contractor: ----------------------------- CHARTER HOMES 10705 SW 153RD PL BEAVERTON OR 97007 LK Phone #: 579-0216 Reg #. . : 64938 $ 3:359. 35 TOTAL >- This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable lawy MI work will be done A accordance with approved Post/Seam Struct Gas Line Insp plans. This pvAt will expire if worm is not Caked within 188 Post/Beam Meehan Insulation Insp days of issuance, or if work is suspended for more than 180 days. PlM/Undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Permittee Siguature : Mechanical Insp Water Line Insp Plumb Top Out Appt-/Sdwlk Insp issued By : Framing Insp Mechanical Final. Call for inspection 639-4175 It al SEWER CONNECTION f--.,E R M I T CITY OF T I CARD PERMIT #... . . . . : . . . . . . . : SWR93-0470 COMMUNITY DEVELOPMENT E*01AMINNT DATE ISSUED: 11/17/93 13125 SW Hall Blvd.Tigard,Oregon 97223*8119 (503)639-4171 PARCEL: 2SI09AB-05300 SITE AI)DRESS. . . : 14297 SW 133RD AVE SUBDIVISION. . . , : THREE MOUNTAIN ESTATES ZONING: R-7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .46 TENnNT NAME. . . . . USA NO. . . . . . . . . . , FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMP-_"RV SURFACE. . : : sf Remarks : PATH I WILL NEED A STREET OPENING PERMIT PPOI,*, ENGINEERING Owner: FEES DAVID AND KATHY BERG type am a f.tnt by date r-eept PRMT $ 2200. 00 JH 11/17/93 •— I NSP INSP $ __35. 00 JH 11/17/93 - Cc).-stractor-: ------------------------------- CONTRACTOR NOT ON FILE PI-lane #: t 2235. 00 TOTAI, Reg REQUIRED INSPECTIONS This Applicant agrees to cooply with all the rules and regulations Sewer- Irispection of the Unified Sewage Agency. The persit expires 180 days froo the date issued. The total acaunt paid will be forfeited if the pet-tit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the seasuresent given, the installer shall prospect 3 feet in all directions frov the distance given. If nut so located, the installer shall purchase a "Tap and Side Sewer" Pereit and the Agency will install a lateral. Pr-t-mittee Signati_tt-e: + Luc Issl..ke(j Fly '. Call fat- inspection 639-4175 4 INSPECTION NOTICE City of Tigard Building Department 13125 Sit Bn1I Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineae Phone: 639-4171 Lnopect Footing Pl.bg. Underslab Merh. Rough-in Appr/Sdwlk Found. P11>g. Top Ouf. Gan Line FINAL- Post/Beam Struct. San. Sewer Framing -81dg. Poet/Ream Mech. Rain drain Inoulation -Plumb. Plbg. Underfloor Wate/rr Line Gyp. Gyp. Bd. -Meeh. Date Requested: 1 U- "1`4 Time: /� AM PM Address: 1`) G� D ~ Perm-t t:`;?� Builders` THE FOLLOWING CORRECTIONS ARE REQUIRED: . 1, ,� �-�• 1. c�� e r � .. N , p Q_ c � CL VI Uj J APPROVED DISAPPROVED APPROVRD SUB.IECT TO ABOVP. Call For Reinap. sww INSPECTION NOTICE City of Tigard Building Departam 13125 SA Hall Blvd_ Tigard, Oregon 97223 Inspection Line ;Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underalab Mech. Rough-in Appr/84alk Found. Plbg. Top Out Gas Line PIMALt Poet/Beam Struc_. San. Sewer Framing �,__-Bldg.1"� Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -M ah. Date Requested: (!J / ' 9 -1/ ,Time: AM PM Address: d?`7 7 33/ -9' Builders /)C-C�"L THE FOLLOWING CORRECTIONS ARE REQUIRED: U �.-•�.z.� \ Ste, � � £_e,_C_` y-.r--�_-�" �.Z� --- Inspector:` L _ Dates APPROVBD DISAPPROVEDAPPROMD BUBJRM TO ABOVt Call For Reinsp. INSPECTION NOTICE City of Tigard Building Depart Ant 13125 SW Hall Blvd. Tigard. Oregon 97223 Inspection Line (Re("--O-Phone): 639-4175 Business Phone: 639-4171 Inspecti ms_, ----- Footing Vlbg. Onderslab Mech- Rough-in Appr/Sdwlk Found. Plbg, Top Out caq Line FINAL: / Poet/Rep-,-, Struct. San. Sewer Frriming QBld%!, Post/Beam Hoch. Rain Drain Insulation ,--plumb. 111bg. V.iderfloor Weterr Line 9 Gyp. Bd. to )411111111111'w Date., RequesteVst/��] w�vT••yy1��.met � ]W PH Address. /y,2 V 7 /3-3 /7y� Pes�Lt #-Q- - 25-VtV Builders __♦ ,-ha,t Ti. TAE VOMMIM VORRECTIOKS AR.E RNWIREU. 44 WX A 2 (N -� r VAJ _1 J r-. Inspectors. �./Z. 1lPPl10NED DLSAPPROVED APPROVED SVB.7ECT TO AROVE IP F Call For Reinep. IMPPSC ION NOTICE City or 1ri9ard Building Department 13125 SR Hall Bled. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4.171. Inspection: T Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINAL: Post/seam Struct. San. Sewer Framing -Bldg. Post/Beam !tech. Rain Drain Insulation -Pli,mb. Plbg. Underllonr Water Line oyp. ad. -Meeh. Date Requested& �+ Time: AM PM Addreess l / / 7 J ,S Permit f: �3- lsYy7 Builder:. THEFOLLOWINGCORRECTIONS ARE REQUIREDt 7' 47-, f rN J C7 41 J Inspector: ] Date:_ci '"t J APPROVED I DI D APPW"D SUB-THCT TO ABOVE Call For Reins&.. INSPECTION NOTICE city of Tlyard Building Department 13125 SW Ball Blvd. T.gard, Orogon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections --- — — Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gap Line FINAL- Poet/Beam Struct. San. Sewer. krsming -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Hoch. Date Requested: /Ci _—Time: _ _ _ _AH PH Address:1/ / �3_ �y ./PBrmist `�I Builder: ( _I7Q.2 if t �(/UY� s�— THE FOLLOWING CORAECTIONS ARE REWIRED: PX10,02_722 62 --- IMS P466 1L____ 2—- r�c/�»,P-��cash• Inspector:_ _1 (l .plS � Date;_ _�.� APPROVED "s _ �[ DISAPPRUVXD APPROVED SUBJECT TO ABOVE TTT —)(—Call For Reinep. INSPECTION NOTICE City of Tigard Building Departaent 13125 SM Ball, Blvd. Tigard. Jregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection-_____ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINALt Poet/Beam Struct. San. Sewer Framing Poet/Beam Mech. Rain Drain Insulation -Plumb. P1bg. Underfloor Water Line Gyp. Bd. -Mech. Date Ro,;se 3teds J/1-) /?/ / ! Tl�me�iAN (� PN Addreae:� -) p L�J`J ��✓L M�rmit�s -3 9,5 / y Builders /`)Q-'t-/C-(- 5-72- O d TBR YOWAwiler. CORRECTIONS ARE A ul"Ds �. C1,1 s Inspector:_ `' � t- �-� Dates J T 1 APPROVRD _A11-1168APPROVE0 APPROVED SUB.IErT TO ABOVE .��Call For Reinsp. INSPECTION NOTICE ` City of Tigard Building Department 13125 SIN hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171 Inspection:__-_____-_____ Footing Plbg Underslab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/seam Struct. San. Swwer Framing --Bldg. Poet/Beam Mech. Rain brain Insulation -Plumb. Plbg. Underfloor Mater Line G Gyp. Bd. -Meeh. Date Requestjeds Time: —AN �y ` PM Address:_!l� ?� 1 -3 v"L Permit 1:! Builder: THE FOLLOWING CORRECTIONS A:iE REQUIRED: (9, �i inspectors Date: APPROVto - DI8APPROVID APPROVED SURJXrT TO ABOVE Call Por Reinep. 1NSPECPT9N N ICE City of Tigard Building Departaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspoction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_—` — --- K- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Use Line FINALS Posh/Beam Struct. San. Sewer Framing -Bldg. Post/Roam Mach. Rain Drain /Insulation -Plumb. Plbg. Underflooc Water Line y`p, Dd, -Me-h. Date Requested: 77 C} Time! x _M PM Address: ( 1, ze-i ttI l?Ll� T!=V: #1tA15j �� e1i )il THE FOLLOWING CORRECTIONS ARE REQUIRED: �Q C-4— yLe (Z- Inspector: `� V Date: — I APPROVZD �DISAPPRC"D APPROVED SUBJECT TO ABOVE ✓ Call For Reinep. INSPECTION NOTICE City of Tigard Building Departs t 1.3125 BN Hall Blvd. Tigard, Oregon 97223 Inspe�-tio?, Line (Rec-O-Phone s 639-4175 Business Phone: 639-4171 Inspection: .- --- Footing Mg. Qnderelab Mmch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam 8truct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain insulation -Plumb. Plbg. Underfloor Nater LineBd• i� -Mech. D-Le Requested: L y L` Tom= AM Address: C _ ! 1�`L Permit E Builder: ,�� TSS 1oLi.ONIR.O CORRRCTIO148 ARE REQUIRED: / d- v a Cx N 1— YN J C9 W J Inepwtor _. Date?, f APPROVED UISAPPROVRDy' APPROVED RUB.2EGT TO ABOVE Call For Re imp. 1 i INSPECTION NOTICE � City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection)Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Ir'spection: // LC/ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. `fop Out Gar Line FINALE Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plby. Underfloor Water Line (� Gyp. Bd. -Koch. Date Requested:_ 1/ I�f C� / Time= Address:/C/ (y ZI ? R 1` Permit #I- Builder: / G` Builder: I ,In � . 1 AT), tg-o �J �� 2- 02 Z THE FOLLOWING CORRECTIONS ARE REQUIRED: Q e <A, L.ti.i u 6 - LL cc cA - w Inepwtors ..__ Date:__ APPROVED DISAPPROV'Rr SUBJECT To ABOVE v e Call For Reinsp. INSPECTION NOTICE City of Tigard BuiidiM Department 13125 BN hall Blvd. '.: gard, Oregon 97223 Inspection Line Mec-O-Phoneys 639/-4175 Business Phone: 633-4171 Inspection%_ ! v\15 ! Footing Plbg. Underelab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Stract. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Nech. Date Requesteds ) ., Times Addreses `i 1 1�7 ` -- Permit Builders. C W(- <% t�CiW�r`� _ ;- THE FOLLOWING CORRECTIONS ARE REQUIRED: J L W J Inapector: / Dates G s APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTA City of Tigard Building Department 13125 OW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O--Phone)t 639-4175 Business Phone: 639-4171 Inspections_ Footing Plbg. Onderslab h. Rouq 11� Appr/Sdwlk Found. Plbg. Top Out gas Line FINAL: Poet/Ream Struct. San. Sewer ruing -Bldg. Poet/Beam Hoch. Rain Drain naulation`l -Plumb. Plbg. Dnderrloor Nater Line gyp. Bd. -Meeh. Data Requested: II Times I'-AMi PH Address:_ H21-1 l ��((Y Permit f s o-1 Builder: OkLect 'lY� \t�1�>:^� THE FOLLOWING CORRECTIONS ARE REQ"T'?F.D: OL c[ N a- F- - J Co W J Inspectors v Dates APPROVED DISAPPROVED APPPO"D SDRJECT TO ABOVE call For Rainsp. INSPECTION NOTICE City of Tigard Building Departaent 3.3125 SW Hall Blvd. Tigard. Oregon 97223 Inspection Line (Roc-O-Phon(e))�e 639(-4175 Business Phone: 639-4171 Inspection: ( _, 4)• Footing Plbg. Underslab ;,doh. Rough-in w,�,Ippr/Sdwlk Found. Plbg. Top Out gas Lint _ FINALs Poet/Beam Struct. San. Sewer -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Koch. Pato Requested: 1 / 1 ✓�� Time: _ AM PN Address: 11 {�` l� Permit 0 (VVJTi3lyt 1 / Builder: ( '` 5 l7 THP. FOLLOWING CORRECTIONS ARE REQUIREDt L_^ C Z•_41 I% LA, rs J -�, l a c-� ��- . � � � c.� t--•-✓t s ` 7 v�F s �--�,,yrs i r uuyy�, c—, Inspectors Datee /APPROVED DISAPPROVED APPROVED SUBJECT TO ADOVE .� ,A L"� Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone; 639-4171 Inspections Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam M4k-h. Rain Drain Insulation -Plumb. Plbg. Underfloor `Water Line �j Gyp. Bd. -Meah. Date Requeetedt J-�� ` ,Time!: �j AM PN Addresses CIZ �\ ` J Permit ft Builder: TRa FOLLOWING CORRECTIONS ARE REQUZRZDt `Q 2 r� ell - wt Y3 Lt,J e I �tn.✓� cs� C_. ` `r2N l C �� r �C Inspector: \ z'L/l L APPROVED _��DIDAPPROVRO APPROVED SUBJR/_'T To ABOVE v- � Call For Rsinep. INSPECTION NOTICE City of Tigard Building Department \ -- 13125 SW Ball, Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I nsrec:.ion:_ Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Pont/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line /' Gyp. Bd. -Koch. trete Raqueeteds ` - � 4- TiAss t9 A _ PM Permit !iq*3 Builders---- THE uilder:_ _TEE FOLLOWING CORRECTIONS ARE REQUIRED! Z- COY #Q --rs Ujw Ln L . w L Inspector: v✓f✓ / APPROVED J DISAPPA0vRD APPROVED SMINCT To ABOVE Call For Neinsp. INSPECTION NOTICE City of Tigard Building Department 1.3125 BA Ball Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-o-Phone)s 639-4175 Business Phone: 639-4171. Inspection:_ ` Footing Plbg. Onderslab /M**ch. Rough-in l�� Appr/Sdwlk Found. Plb-. Top Out `Oas LSM K� FINAL. Post/Beam struct. San. Sewer (Framing �� -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Meeh. Date Request d: �� l' 1 Time: . ( c� fpfM Addreas: I �Jy - Permit fi 3 Builder:_ , •� � I/ �' S ) -1 Nl9 THF. FOLLOWING CORRECTIONS ARE RXQUIRED: I� `LIC — cIAJ -- Innpt+ckor: �'V L Date _APPROVED V pISA?pwOVRD APPROVSD SUSJVVT To ASDys—� L A (� `Call For Reinsp. INSPECTION NOTICE v City of Tigard Building Department _..- 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phtne)s 639-4175 Business Phones 639-4171 Inspections_ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwl.k Found. Plbg. Top Out Gas Line FINALS C_Post/Beam etrult)_ San. Sewer Framing -Bldg. Post/Beam Meeh. Rain Drain Insulation -Plumb. Underfloor Nater Line Gyp. Bd. -Mach. Date Requested: Time: f ��M `c`-� -PH Address. Address s f L' ( -7 Permit #t Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: ;mak a �,--c s 1 L—k-S w � 11 , Inspectors v .� Dates C. APPROVED DISAPPROVED ,V APPROVRD SUBJECT TO ABOVE Call For Reinep. INSPECT12H NOTICB /• It City of Tigard Building Depaxtaent 23125 SW Baa.il Blvd. Tigard, Oregon 97223 Inspection Lina (Rec--o-Phone): 63S-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Por /Beam Struct. Sewer�' Framing -Bldg. Post/Roam heech. Jin Draio� Insulation -Plumb. Plbg. Underfloor ter Li/M Gyp. Bd. -Nech. Date Requeste d: 7 ! Ci / Time Address:_� �((L / 7peral it er( Builder: (� V'?1 (, Y l `( 'I -C, lL7q -L12 I& THE FOLLOWING CORRSCTIONS ARE REQUIRED: LL ct H- r1 J :fl :J Ui J Inspector Date: �/__APPROVED _ R D79APPR0VED APPROVED AUB,7ECT TO ABOVE Call For Reinap. INSPECTION NOTICE► .� City of Tigard Building Depsxtuent 13125 BM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-o-Phone): 639-4175 Business Phone: 639-4171 Ine,poction'� � s Plbg. Dnderslab Koch. Rough-in Appr/Sdwlk Plbg. Top Out Gas Lino FINAL: r Poat/fleas struct. Saa. Sewer Framing -Bldg. Post/Beam Kech. Rain Drain Insulation -Plumb. P.R,g. Underfloor Nater Line Gyp. Rd. -Koch. Date Requested! L- _Times i AM (,-1_PM nddreest L�j� ��3� Permit fe' t%VI` �3 U7 /y Builder( C.I ? a � - C1�1 (p TRE FOLLOWING CORRECTIONS ARE REQOIREDa r A. —A� ✓ l'�� In <.,ti_r `t-� 1r P Inepectort Dates __APPROVED DISAPPROVED F_=pp' V SVRJEGT i'O ABt1VE \� Call For Rainep. A'I V CITY OF TJGARD RfLA "I (IF PAYMENT REC A PT NO. s93—PA6003 CHECK Amoui\rr s 53:34. 3` NAMI-- BERG, DAVIU V4491-4 AMOUNT 21. 00 A 1 1)D R 1',PYMEN1 DATF s 11 /17/9,111 WAPAD I V 11:31 ON ,'ARPIOSE OF PAYMF.,Nl* AMOLIN f' PA 11) PURPOLit-. (if-" PAYMEN t' $4M(.)I.1N r Ps-4CFI CL oJILDING PE.RM 443. 01A PI )MAINHY f-4-.RM 15115. 00 1; (,:HAN I CAL. PE 45. 00 61 . )M j.11 1) PFR 24. 6�1 i ON CHELA F F a 1. 72+ owl WF R I NSPI.--(,'I* 3`;1 CAIA PARKH' 1-31n; `100. l'Ao mkM DRAIN 00 WAS DEN I 101 . 1 RM,I- 1 1: 1 1-+!-1 010 TRANSIT 11P FF.F.S 110. 00 THREE MTN I-AT(ATFS C-;W 13, RI) 11-1141 . (IMOUNT t-JOID > `;334. :35 t-1 I Y Ul- I 164ARD — PEAI--.11-14 OF PAYMP-N) Rl,-A,+.1Pl NCI. 9 93—?,449 10 LJAELK (4MOUNT : #250. 00 CHARTERH, WILBUR CASH flMl 11 IN't a 0. 00 A 1)1)R F S s PAYMI 111 1)"1,V IO/os/93 I 501-11)1 V I - 1.11N PUNPOSCE OF P A Y M t,*.-.N T AMOUN t PH I D PURPOSE LIF P14YMFNTA011,0141 PH I li PIA44 GHE"CK PF. 2bo. 00 1 4�-*?g 7 SW t 33RD L.(lr 46 THRFE MTN FSt j-oTAL AMOUNT PAID 00 _Residential Building Permit Application Cr; of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: 11-12 q / 89146 Pf 00 Q-7 Subdivision: itI cr►�� Lot# OtflCa Use Only_ Plan&JRec# Valuation: 1 — I Permit# r l Owner: Reissue of Address: G/$ - App rgvals'Aequired Planning x7'f,C Phone: , E rlgiheering , Contractor: t_e Other Address: CCe v items Reyulred Phone: s ��-/��,�� _ Subcontractors Contractor's,ticense # y Truss Details — (attach copy of current Oregon license) Othet Subcontractors: Plumbing: Mechan(cal: V (attach copy of current OR Contra 1-1 ease) Architect/Engineer: Address: a r Phone: �� J ►r COMMENTS: /O S relrrrt TiVA/k g'S/n 7 titW7,#!i The P6_ S ,�yE w J 611cant Signature & Phone tSumber Received by: Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due Bidg. Permit (BUILD) Y •cy / 43'�✓ Plumb. Permit (PLUMB) /SS•°" / SS -= Mech. Permit (MECH) 43 State Tax (TAX) a i a Bldg: a i• Plumb: 7, 7 Mech: 'l,1 Plan Check (PLANCK) 331. 70 5 � g�' 7V_ Bldg: Plumb: Mech: ,5 c,Rq ' -0 U Sewer Connection (SWUSA) d2"-- Sewer 2"-Sewer Inspection (SWINSP) 3)— Parks >—Parks Dei•Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) to 0 Commercial TIF (TIF-C) Industrial TIF (TIF-Ij _ Institutional TIF (TIF-IS) _ Office TIF (TIF-O) Water Quality (1NQUAL) Water Quantity (WQUPNT) Fire District (FIRE) TOTALS: 'S APPLICATION - STREET IMPROVEMENT/EXCAVATION J ) COPY TO: ORDINANCE NO. 74-14 ` LX (WRITE)-FILE C ® (YELL OW) -INSP. (INSTRUCTIONS ON SEPARATE SHEET) v" �X (PINK) -OTHER AGENCybldg, (BLUL)-APPLICANT APPROVED A APPLICATION NO.: NOT APPROVED ❑ CI I l O!' TIGARD, OREGON FEE AMT.: S 377.95 PENDING FEE. PMT. ❑ CI�!N' IiAll, RECEIPT O : . _94-251473 PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY __?W DATE 5 / 1F:/ 94 PENDING AGENCY "OK" C] Application and Progress Record MAINTENANCE BOND ik PENDING INFORMATION INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED ANNUAL U PENDING VARIANCE A EXPIRATION DATE: . - I - ! r PERMIT NO.: '1_'-"�_�� DATE ISSUED: f',L� J 9a_� BY: _ _ ._.' -_ " __ (1) APPLICATION IS HE S CON..RETE� SI EWALK` AND HEREBY MADE TO EXCAVATE FOR AND IN5TALl. ._ _ _ APPROACH AS DESCRIBED HEREIN, IN r ULL ACCORDANCE WITH CITY REQUIREMENTS. Kathy & Dave Berg 17925 SW Chippewa Tr. lualatin, OR 97062-9411 692--0264 APPLICANT _ NAME ADDRESS CIIY"_--_-- --- - PHONE-"�---"- CONTRACTOR__ MY HSM Concrete 4500 S.W. River Rd. Hillsboro OR 97123 4 NAME -- ADDRESSCITY — ---- - PHONE PLANS BY Per City Standards/specifications NAME ADDRESS CITY PHONE — ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ W3.70 DOLLARS (2� EXCAVATION DATA: �- FOR OFFICE USE: MIN 0.04 x s_2400.Q._ STREET DESCRIPTION PROGRESS & INSPECTION STATUS^ NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY STREET NED (33rd Ave. iee attached - IN EC- R TION E Q U LSTIMATED STREET OPENING DATE: [ I g ESTIMATED STREET CLOSING DATE: _ — / L E - .. D (3) SECURITY NO. - SECURITY AMT.: S_ 948.70 STREET_ CLOSED SURETY CO.. ._. yy�ryt __ _ FINAL Ce•RT�T�CH ECK CASH D 90ND ' INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICALSPECIAL PROVISIONS /CONDITIONS: FEATURES, EXCAVATION LOCATION AND EXTENT. _ - :3ee attached 31 H LL 1 � 1 r nx r.( _ I I work area I I LiJ SITE: 14297 SW 133rd A . � (5� NOIE THL CIT TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDI~(r OF-WASHINGTON COUNTY OR THE STATE OF OREGON, THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO S .VE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE. T. DATE / V / I LLZ�I I fLZ£I L9Z4I I I g9ZE1 I I I LJ _J _ _ geZEl ILZ£I 69241SLZ£I LLJZ £ 6LZI �c, J 6L££I Q 1p 05ES o d a 18££1coM w a v ro to v —56££1` tr Is 4 uito c — 14bE1 V K ►- N 1` r N M /sbb/ 654£1 W W ~ M N N b/ 0'.. O `D `� c N LL4E1 Q N T d / J N Z Q O !Z d . 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