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CITE' CSF TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503�;839,-,4171 PERMIT 4#. . . . . . . e MST9,l
639--4171 DATE iSSUED9 03/01 /9h
FARCE!a 2S104AC"-09900
S I TC ADDRESS. . . s 12567 SW 131.01' AVE
SUBDIVISION. . . . a MORNING HILL. ,JO 9 ZONINGrR-25
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . . 224^
CLASS OF WORK. sNEW
TYPE OF USE. . . a SF
OCCUPANCY ORP. a R3
OCCUPANCY LOADeG27 4
TE'NAN'T NAME. . . e
Remarks : PPTH I
Gwner a
JilY MILLER
P O Pox a3291
T I GARD OR 97223
Phone Ms 68-'- 75
Contract c r e
JAY MILLER
PO 80"9' '23291
TIGARD 0.1 97Ldl
Phone #1 684-7543
Reg #. . c 30109
Occupancy of the e�bovel referenceo building is hereby given., and c:ertifiet
the compliance with the Statti Of Oregon Specialty Cndes for the group,
occupancy, and uae under which the referenced permit wa% issued.
FIRE DECARTMEN7 `J Dj N( I ECTOV
°' POST IN PLACE
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CITY OFTIGARD PLUMBING PERMIT
1='--RMIT #. . . . . . . MST93-9565
DATE ISSUED: 11/10/93
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hail Blvd.Tlgard, )rsgan 97'223*811,) (503)839.4171 PARCEL: 2S 104AC-0990@
SITE ADDRESS. . . : 11-567 SW 1.31ST AVE
SUBDIVISION. . . . : MORNING HILL NO 9 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .242
--------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS— : 1
: 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F'REVNTRS. . :O
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . :0
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F I X'TURES----•-•- ----- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . : 1 GREASE TRAP'S. . . . . . . :0
LAVATORIES. . . . . :5 G'THER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LIr"F (ft ) . . . . :0
WATER CLOSETS. . :.?, WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
I
Remarks : PATH I
OWNER:
JAY MILLET; TIF f 1520. 00 JH 11/09/93 -
P O BOX 23291 SPIRT $ 443. 00 JH 11/09/93 -
BPLC $ 287. 95 JLH I I/02/93 93--245---
TIGARD OR 97223 85PC $ 22. 15 JH 11/09/93 -
Phone #: 684-7543 SSDC f 280. 00 JH 11/09/93 -
PARK t 7-00. 00 JH 11/09/93 -
Plumbing Contractor^:----- ----------- MPRT f 45. 00 JH 11/09/93 -
1 MPLC $ 11. 25 JH 11 /09/93 -
Name : M5F'C � 2. 25 Ta 11/09/93 -
Address : _ PPRT $ 155. 00 JH 11/09/93 -
City : Stats: P5PC $ 7. 75 JH 11/09/93 -
Req
------- REQUIRED INSPECTIONS -------
This permit is isso_ted subject to the reg-••
ulations contained in the Tigard Mi_tnicipal Fant/found Insp Rain drain Insp
Code, State of Ire. Specialty Codes and all Post/Beam Struct Water, Line Insp
other applicable laws. All work will he done Post/Beam Mechan Appr/Sdwlk Insp
in accordance with -tpproved plans. This F'lm/undslab Insp Mechanical Final
permit will expire it work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. P:umb Top Out Erosion Control
Framing Insp CrFAwl Drain
Fireplace Insp
Gas Line Insp
Insulation Ins
, 1 P
X - '� GYP Board Insp
J AWh-ori .ed Plumbing Contractor Signature
Call for inspection - 639-4175
Contractor Notes :
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CITYTIGARD
MASTER PERMIT
OF PERMIT #. . . . . . . . MST93 9565
COMMUNITY DEVELOPMENT DCPARTAMT DATE. ISSUED: 11/10/93
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)839-4171
PARCEL: 2S104AC-09900
iITE ADDRESS. . . . 1c'�67 5W 131ST AVE
SUBDIVISION. . . . : MORNING HILL NO 9 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :242
BUILDING ---------------_------_--_------__--_-__ I
REISSUE: DWELLING UNITS: ]. BASEMENT. . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRNS:3 SATHS:3 GARAGE. . . . . . . . . :486 sf
TYPE OF USE. . . :SF FLCOR AREAS ___.---____.. 9E0U I RED SETBACKS--------------
TYPE
ETBACKS .---.-.__._--_TYPE OF CONST. :5N FIRST. . . . : 1038 sf LEFT. . : 13 ft RIGHT. : 12 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1012 Sf FRONT, :2'0 ft REAR. . :45 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REG!LIIRED
HE I GMT. . . . . . . . :27 ft TOTAL---------!-'=_050 s f ISMOKE DETEC TORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . f 103048 P(�RKING S;PACES. . : 1
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 RAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSE:TS. . :3 SEWER LINE ( ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE ( f t ) . : 100 OTHER FIXTURES. . . . .
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
MASHING MACH. . . : 1 a`r" RAIN DRAINS. . : 1
----------------- MECHANICAL --____..,______.. ___ _______._____.__-_-- FEES
FUEL TYPES------------ UNIT HTRS. . :0 type amount by date r^ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 152'0. 00 J1-( 11/09/93 -
MAX INPUT:O BT'J VENT FPNS. . :4 0PRT $ 443. 00 JH 11/09/93 -
FURN ( t00K . . :0 HOODS. . . . . . : 1 FPLC $ 287, 95 Jl_H 11/02/93 93-245-
FURN ) =-100K . . : 1 WOODSTOVES. :0 B5PC $ i22. 15) JH 11/09/93 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 .SDC $ 280. 00 JH 11 /09/93 --
BOIL/-.MP l 3HP:0 OTHER UNITS: 1 PARE! b 500. 00 JH 11/09/93 -
GAS OUTLETS: 1 MPRT $ 45. 00 JH 11/09/93 -
Owner: ----------------------------------------MPLC $ 11. 25 JH 11/09/93 -
JAY MILLER M5PC: $ 2. 25 JH 11/09/93 -
P O BOX 2-13291 PPRT $ 155. 00 JH 11/09/93 -
P5PC $ 7. 75 JH 11 /09/93
TIGARD OR 97223
.`h�,n e #: 684-7543
Co.rtractor:
JAY MILLER
PO BOX 2_3291
TIGARD OR 97281
Phone #: 684--7543
~ Reg #. . : 30109 ------_--_---_.__--.----.--------___----____.
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> f 3274. 35 TOTAL
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This permit is issued subject to the regulations contained in the -•------ REQUIRED INSPECTIONS --------
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Foot/for_1nd Insp F: ir•,eplace Insp
applicable laws. All Mork will be dont in accordance with a '
approved post/Beam Strutt Gas Line Insp
LU plans. This permit will expirt if work is not started Othin 168 Post/Beam Mechan Insr_ilation Insp
days of Issuance, or if work is suspended,for more tha 188 days. Plm/r.(ndslab Insp Gyp Board Insp
11 PLM/Underfloor Rain drain Insp
I' r mittee Sign tr_rre : /` L�._.- _._ Mechanical Insp Water Line Insp
, ll Pl:tmb Top Out Appr/Sdwlk Insp
issr-red By : v _ F'.,aming Insp Mechanical Final
Ca+.11 for inspection - 639-4175
CIT O� � � ��� f SEWER CONNECTION
PERMIT
FERMIT #. . . . . . . : SWR93-0491
COMMUNITY DEVELOPMENT DEP#JWMRNT DATE ISSUED: 11/10/93
13125 SW Hall Blvd.Tigard,Oregon 97223.8169 (503)839-4171
PARCEL: 2S104AC-09900
SITE ADDRESS. . . : 125E+7 SW 13iST AVE
SUBDIVISION. . . . : MORNING HILL NO 9 ZONING: R-25 I
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :245
---------------------------------------------------------
TENANT NAME. . . . . :
USA h!n. . . . . . . . . . : FIXTURE UNITS- -
CLASS
NITS. . . :CLASS OF' WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I
Owner- _..________________------------.---------_____..__________._._ FEES
JAY MILLER type amount by date recpt
P 0 BOX 23:91 PRMT t 2200. 00 JH 11/1219/93 -
INSP 8 35. 00 JH 11/09/93 -
TIGARD OR 972,:3
Phone #: 684-7543
Contractor: -------------------------------
CON1'RACTOR NOT ON FILE
------------------------------
Phone #: 2235. 00 TOTP'_
Rb g #. . .
------- REQUIRED INSPECTIONS
- ----This Appl�cant agrees to comply with all the rules and regulations Sewer Inspection _
of the Unified Sewage Agency. The permit expires 180 says from _
V� date issued. The total amount paid will be forfeited if the _
permit eyplrQs. 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 flet in all directions from
the distance given. If not so located, the installer shall purchase _
a "Tap and Side Sewer" Per►it and the A ��ncc�y "111 in alll a l,.teral.
Permittee Signature:
I s s u e d Bye _-- --- - —
Call for inspection - 639-4175
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INSPECTION NOTICE
City of Tigard Building Department
1312S SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 6.39-4175 Business Phone. 639-4171
Inspections_
Footing Plbg. Underelah Mach. Rrugh-in Appr/edwlk
Foun3. Plbg. Top O,t Gas Line nlfM).
Poet/seam Struct. San. Sewer Framing -814q.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
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Date Requestedt - I I r Times
Addreses I2' Permit #1
Builders` -7��
THE FOLLOWING CORRECTIONS ARE REQUIP%D:
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Ieepwtors _` Date: 3— �- / X
'k- APPMMD DtSAPPROVFD AP.`'ROVRU SUB.-ECT TO ABOVE
—Call ?or Reinnp.
INSPECTION NOTICE
City of Tigard Building Department
1.3125 SM Hall Blvd. Tigard, Oregon 97'23
Inspection Line (Rei--O-Phone): 639-4175 Business Phone: 639--4171
Inopection
:__^��_�.__._
Footing Plbg. Underrlab Mech. Rough-in Appr/Sdalk
Pound. Plhg. Top out (;as Line /FFIINALs�
Post/Ream Struct. San. Seger Framing , 6_id9
Poet/Ream Mech. Rain Drain In�ulatlon
Plbq. Underfloor Water Line Gyp. Bd. Noah.
Date Requested: Z z j 1 Times AN PM
Address2J10 1 1 1 Permit 01 �lal�S
Builder:
THF. FOLLOWING CORRECTIONS AM RRQUIRRDS
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Inspector: ___'/ ___ Datax_ -6-
—_APPROYEO —v DTSAPPROVBD APPRann SURjiKcT TO A00VF.
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INS[ECTION_NOTICE
.
^ity of Tigard Building Department.
13715 EW Ball Blvd., Tigard, Oregon 97223
Inspection Line (Ree-O-Phonelt 639-/4175 Business Phone: 639-417
Inspection:_______..___. to v `
Footing Plbg. Gnderelab Rech. 2o,:gh-in ,A_ r/Sdwlk 1
Pound. Plbg. Top Out Cas Line lIrt)lL:
Pont/be-,m b;truct. San. Sewer Framing -Bldg.
Poet/Beaa, .'iech. Rain Drain Insulation -t'lumb.
Plbq. underfloor �jWater Line Gyp. Bd. -Meeh.
Date RequaoteCd::� Z"Zt l `� Timet FAM PM
Addreae:_1� 7 1p / I - _` _ Permit s
Builder:
THE FOLLOWING OORRECTIONS A" REQUIREDs
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APPROVlD DIBAPPROVRD �+ APPROVRD BUHJECT To Rom
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departor_nt
13125 EV Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
?ound. Plhg. Top Out Cas Line FINAL:
Post/Beam Struct. San Sewer Framing /-Bllddg..�
Post/Beam Mech. Rain Drain Inaulationl Plumb
P1bg. Underfloor Water Line Gyp. Bd. -Mach.
Date Rerp.ieste.i: Time:
Addresea / LSA7 Permit I: 12- 7
Ruildera
TNR FOL:.ONINO CORRECTIONS ARE MUIRZD:
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Inepectora_____ Date:
APPROVED � DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
NSPECTION NOTICE ('
City of Tigard Building DepartsKmt
1312S• SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Par-O-Phone)s F39-4175 Business Phone: 639-4171
Inspections _
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PIlfl►L ,� p
Post/Beam Struct. San. Sower Framing ( ldg.
Post/Beam Mech. Rain Drain Inaulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
Date Requested: � _ Time: 111 �PH
Address t / Z�JJ� •— Permit
Builders if Po j2
THE FOLLOWING CORRECTIONS ARE nEQUIRED: "--& 0 ��LP✓J
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Inepaotor:^
APPROVEDy DISAPPROVED APPROVED SUBJECT TO ABOVE
�� Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Deparbmewit
13125 SW Hail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Her-h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Be&m Struct. San. Sewer Framing -Bldg.
PostiReam Hoch. Rain Drain Insulation -Plumb
Plbg. Underfloor Rater Line Gyp. Bd. -Hech.
Date Requestod: Time: n AH PM
Addrean: 7(S �.� Permit
Builder:
THE FOLLOWING CORRECTIONS ARE R6QUIRF.D:
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DISAPPROVED APPROVED SUBJECT TO r,AOVE
_Call For Reinsp.
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ISPEGfION NOTICE
City of Tigard Building Da trtment /
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Unders,lab Hoch,. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Inculation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requaateds I rI _Times t z ANq�'7II
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Addreassr__ I Permit #s `'L3 .. 1 �(SJ7
Builders' f-�1 plate
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THE FOLLOWING COUNCTIONS ARE REQUIREDs
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Inspectors � � .__ _ Dates
APPROVED DISAPPROVED � APPROVED SUBJECT TO ABOVE
Call For Reinap.
NSPECTION 11 ICE
City of Tigard Building Department �4
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Iine (Rec-o--Phone): 639-4175 Business Phone- 639-4171
Inspection:_
Footing Plbg. Undsrela�z Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Stnnct. San. Sewer Framing -Bldg.
Meth. Rain Dtnin insulation -Plumb.
Plbg. Underfloor Mater Line /Gyp. Sd. -mech.
Date Requested: �] �f ( –_Time: —.—AM e�PM
Addresst 1-2I, Permit 1:
Builder: \- z 1 MA ey
THE FOLLOWING CORRECTIONS ARE REQUIRED
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Inspector- � Date-
I.-1PPROVED DISAPPROVED APPROVEC SUBJECT TO ABOVE
' ,_Call For Reinep.
11199ECTION 'NCXfICB kyr
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City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inapection Line (Roc-O-Phone): 639•417.5 Busineee Phone: 639-4171
Inspection:__
Footing Plbg. Undar-1 b Hoch. Rough-in Aper/Sdwlk
Found. P1Eg. Top Out Cas Line FINAL:
Post/Beam Strur_t. San. Sewer /Framing /' -Bldg.
Poet/Beam Hoch. Rain Drain ( Insulation 00-01,
-Plumb.
Plbg. Underfloor Water Line Dyp. lld. -Hoch.
Date Requested: 1 I r / Timet �Q'T ( R!1 PH
Addrose: j 1Mr*Lt
Builder.— Nn\�
( THE FOLLOWING CORRECTIONS A" PXMIRMN
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inspector! >,/ y d — Dates
ATF110V10 DISAPNROVED _v APPROVED SDBJRCT TO AL WE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 ON Ball Blvd.. Tigard„ Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspections ', �� \ > l
Footing Plbg. Underslab Hoch. !tough-in Appr/Sdwlk
Found. Plbn. Top Out Gas Nin``e�� / FINALt
Post/Beam Struct. San. Sevar lir=LnQ1/ -Bldg.
i
Post/Beam Hoch. Rain Drain Insulation
Plbg. Underfloor WaterLine
// Gyp. Bd. -/Mach.
Date Requestedt 1 - I L4 �-
.}._� /7 TISMt .L AM / PH
Add,-Ret n7I PnnBrOit #t / G/5 LLQ
Bu i j ter i,V+
THE FOLLOWING CORRECTIONS ARE R6QUIREDt
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Inspectors ✓"'�--�— _ Dates
APPR0VBD DISAPPROVED S1" APPROVED SUBJECT TO ABOVE
�/�� ` Call For R-rinsp.
INSPECTION NOTICE U
Cit? of Tigard Building Department
1.312S 811 Bell Blvd. Tigard, Oregon 97223
*.nspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk.
Found. Plbg. Top Out / Gas Line FINAL:
Post/Beam Struct. San. Sewer ` qty remina -Bldg.
Post/Beam Mach. Rain Drain — Insul-action -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: — L� �� Timer AM pM
t
Address. \ Z �j ,) _� S t Permit #s e7
Buildor:
THE Fc'LLO"ING CORRECTIONS ARE REQUIRED:
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Inspectors �/ l_ t1 — Dates
APPROV=D DISAPPAOVSD APPROVED SUB.7ECT TO ABOVE
l /��` Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
' 13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171
Inapactiont
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Ont Gas '.!.no FIMALs
Poet/Ream Struct. Ban. Sewer ( traa►inq ' i' -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ed. -Mach.
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Date Regvesteds I / Time: AM PM
A-CAres.as���� I ( �\ Permit 1s
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Buildort_
TRE FOL.L404UNG CORRECTIONS ARE REQUIRED,
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Inspectors i _ natwT ` y
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
CA L.-Ca11 For Rein.p.
SPBCPIOf1 po tLqB
city of Tigard Building Department �.
' 13125 9M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Businees Phones 639-4171
I nspe-A ion t
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beams Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Undorfloor Nater Lino oyp. Rd. -(tech.
Date Requestetit` ` - \ -� Ci ,Timet __AH / PN
Addresses 1 J t ( S i Permit 1 t 9 —
Builders -�
THE FOLLOWING CORRECTIONS ARR REQUIRED:
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Inspector: l� y � � "� Dates !Z
APP?XrM 1/6I5APPROVED �^ APPROVED SUBJECT TO ABOVE
For Reinsp.
MUM ON NOTI(E
city or Tigard Building Departaeat
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection tine (Rec-O-Phons)t 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab VACh. Rough-in Appr/Sdwlk
Found. P119. Top Out ,Oai1__Line \ FINALt
Post/ueam struct. San. Sewer Framing -Bldg.
Foot/Beam Mach. Rain Drain insulation -Plumb.
Plt-9. Underfloor Nater Line Gyp. Rd. -Meeh.
Dale Requentedt J� Times Z, AM PM
Addresser ��C.J�"� � Permit #t--'r7;5
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THE FOLLl1W2NG CORRECTIONS ARE REQUIREDt
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inapact orsDates
+ APPROVED DIs"PROVRD APPROVED BUBJEGT Ta ABOVE
Call For Reinap.
INSPECTION K—MCE
City of Tigard Building Department
13125 SW Mall Blvd. Tigard, Oregon 97223
Inspection Line (Aec-O-Phons)t 639-4175 Business Phone% 639-4171
Inspection: ___� _
Footing Plbg. Underslab Koch. Rough--ir, Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation --Plumb.
Plbg. Underfloor / Water Line
Line Gyp. Bd. -Koch.
/
Data Requested: S _%l Timet AK �px
Address �� �+ /�i�/�. Permit t
Bu'_lderr I'LlC �I
THV FOLLOMING CORRECT?GNB ARE REQUIRED%
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Inspecto : Datet �--J=-�--
11lPL10M DISAPPROVED ""my n SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depsrtasat
13125 BO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Pec-O-Phons)s 639-4175 R•_sin,)es Phones 639-4171
Inspection: _.
Tooting Plbg. Underalab Koch. Rough-in Appr/Sdwlk
Found. Pl.bg. Top Out Gas Line FINALS
Poet/Ream Btr::ct. Sasn. Sewer Framing -Bldg.
t/Beam Kech.� Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
Date Requested: Z Timet AN pq
Addreans_�� J�"1 I�1'1 Permit #s613- Gly( s
Rutlderts
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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11PPIIGViD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rsinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec1-O-.Phone)t 639-4175 Business Phone: 639-4171
I nsy u,ct ion:- `a c
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Pound. I. Plbg. Top Out Gas Line FIMALt
Pont/Ream Struct. San. sewer Framing -Bldg.
Pon ./Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Rd. -Mach.
Date Requested: �I �� _Timet AM pll
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14ddreeet owrmit ft
M ' i1A1^ �d�i 7di
Builder:
"it FOLLOWiIMO CORRECTIONS ARE RTIREDt
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�or: LJ�-'�� �- �"- Datet 1 1�
V 1\PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE--'*7
Call For Reinsp.
INSPECPIOp $OTS 2---
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4x75 usiness Phones 639-4171
Inspections _ I I.,--Us W -1-G4 --
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
F-mnd. Plbg. Top Out Gas Line FINAL:
Post/Beam Stru San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulatior -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested: �I Times AAM C PK
Address s (Z� l D� -J _ Permit 9 t—L, / 7�
Builders u r
THE FOLLOWING OORRECTIONS ARE R*.QUIREDs
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InspActors_ �---- Dates ?�
.X_APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
1312.5 ON Ball Blvd, Tigard,IO-regon 97223
Inspection Line (Ree-O--Phone): 639.417! .- sines Phone: 639-4171
Inspect Lon: \�J1�_ -�
Footing Pltg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Ou Gas Line FINAL:
Post/Beam Struct. a 5 Framing -Bldg.
Post/Beam Mech. MuLi2ioll insulation -Plumb.
Plbq. Underfloor 1ft �!' A Gyp. Bd. -Mach.
Dn:e Requested: :J - / _ TiMt Q AM \� PM
Ad.iresss/�5� / � Qt.Q/ ParOst 1196-
Rei I lderf
T311T POMOWNG CORRECTIONS ARE REQUIRED:
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Inspectors �� -- _-- -- - Dating—
APPROVED DISAPPROVED -- APPROVED SUBJECT To ABOVE
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart_er.+nt
13125 SB Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
inspections
�ootinD Plbg. Underslab Koch. Rough-in Appr/Sdwlk
r Plbg. Top Out Gas Line FIN.1L:
Poet/Beam Struct. San. Sower Framing -Bldg.
Dost/Ream Hoch. Rain Drain Insulation -Plumb.
Plb9. Underfloor Nater Line Gyp. Sd. -Koch.
nate Requested: - J /-�P-3�/�,- Time:�AK PH
Address:,._ Permit
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Builders1
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspectors._��__—
�/ APPwOVlD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Retnep.
Ul I OFF lJ(3A4D WrEIPT OF PAYMLNI" WCE'l PT NO. a y 3--1`4!5893
CHE.(."'K AMUUN 1* 35
NAME. a 011LI—C"R, JAY ("ASH AMOUNT a 14. 00
ADDRF'189 c PAYWNT DWF
UJIM)I V I S I ON
iRPOSE OF r",AYMF.NT AM01INT PAID PURPOSE OP 1--,AYMENJ' AMUUNT PAW
443. 00 PLUMS(NG Pr-.RM 155. 00
CHANICAL PE 45. 00 ST. SUILD PER 5
AN UIECK FE 59. RO 1.43EWFR USA ow
WFR 315. 00 PARKS SLIC ti00. 00
IOR14 DRAIN RMC ;:60. 00 RIS SIDF-.NTlAl,. ] RAF-F11, 1410. 00
TRANSIT 11F F'r-A'S 110. 00
jr P42 MORN IN(i H11A..
C,14 13,197
TOTAL AMOUNI PAID bpb9. 311,
Al
Residential Building Permit Application
City of Tigard
13125 SW Miall Blvd.
Tigard, OR 97223
(50.3) 639-41171
I S/
Jobsite Address: c�
Office Use Only
Subdivision: L wl i �_ Lot # yz kjjf
#
Valuation:
Planck/Rec �
C G _
Permit# ,1 '
Owner: JCU-A VI-) Reissue of
Address: I7.L�• 1'a oy q
I Cj0.Vd 7 Z Z-13 Approvals Rpgj!lred
Phone: CC Planning S-w,.
Engineering
Contractor: J Q. � hA -'I LFr I�I �� Other _
Address: 11. I�C,Y �1
1 I�l 0 t�• q,-j Z 1 �� Items Required
V Subcontractor--
Phone:
ubcontractorsPhone: �J �� T5 41
Truss Details ;
Contractor's License #
(attach copy of current Oregon license) .: ;} t ' ,$
Subcontractors:
Plumbing: iLL
1 L k l
Mechanical: I c
(attach copy of current OFI tontrr,;tors License)
Architect/Engineer:_
Address:
►— Phone: _
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COMMENTS: �S d dlnl LlIA&�
ice t Signature "hone ronber
Received by:,CJI Date Received:
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Permit # Account Description Amount Amt. Pd. gal. nue
Bldg. Permit (BUILD) �3.
Plumb. Permit (PLUMB)
Mech. Permit (MECH) ,S
State Tax (TAX) •r� 3�' 15
Bldg:
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Plumb. _
Mech: 1.
Plan Check (PLANCK) �U9 °`U
Bldg:
Plump:
Mech: z 5�
Sewer Connection (SWUSA) �rJ / .2yU
Sgwe. Inspection (SWINSP) 3 '/ / 5
Parks Deu Charge (PKSDC) �o' / doop
Storm Drainage Chg (SDSDC) � , a�
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
a- Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
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Fire District (FIRE)
TOTALS: J,50G� 3 5
I
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EXEMPT-UN F-BOM MAUHUM_,EHAD$ FQ1—MT HEI IHT STUDARD
I./we, the undersign,24. ag legal owners of record of the property
described ass
Lot # P'll!L of I rd rn 1 04 11 Ale . _ _r, Subdivision
Tigard Address /3Qc '�
Tax Map and Lot Number C?S �
do hereby release the property owners of adjacent Lot
of Ornt04 f' Subdivision, also known as Tigard
address
and as Tax Map and Lot Number
from complying with Community Development Code Sectinn 1Q.88.050.
(Maximum Shade Paint Neigh* Standard) ; and agree that the structure
may have a shade point height of feet, thereby allowing shade
on an area otherwise protected by ode Siction 18 .08.050.D.
In addition, 1/we also release the City of Tigard from liability
for damages resulting from this adjustment.
Signature
State of Oregon )
County ofC
This instrument was signed or attested tobefore me b
mark, ?. P..U LAL W C�L'
on N0140�iA* (f�--- , 1993 . 1ENNELLE N, ZORNADO
NOTARY PUBLIC•OREGON
►- M�Commission Expires
Signature Cf Notarial Of icer
(Notary Seal) My Commission ExpirE a e 0G)-'?-) -q4
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