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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SW Hstll Blvd.Tigard,Oregon 97223.8199 (503)839-4171 OCCUPANCY
x x x x PERMIT #. . . . . . . : MST` 4---V,
DATE ISSUED: 1c`.'/15/94
F=ARCE!_: 2S101DC _05'7k'0
ITL ADDRESS. . . : 13495 SW 74TH AVE:
tJUBDIVISION. . . . : PACIF"IC RIDGE. ZONING:R--3. 7,
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :001
CL_AC5 OF WORK. ::NEW
TY0E= OF USE. . . :SF
OCCUPANCY GRP. :R3
OCLjUPANCY LOAD:226 4
TENANT NAME. . . :
Remark,, : PATH I
Owner: --•_._.__.._......____-.__.__.__..._._.._----___._._
MAJESTIC HOMES
25 O?ND DR
lal_FIDSTONE OR 970
Phone #: 655--6263
Luntor: __._.._._._... ____... __._._..._...._...._.___...__...._...,..
MAJESTIC 1-40MES INC
25 88ND UR SUITE 100
G;1_AD,TONE OR
Phonp #: 503--655-6iR63
R--4 #. . . 39286
Occup&ncy of the :above referenced building is hereby given, end certifies
the compliance with the Shits_ Of Oregon Sperialty Codes for the group,
occupancy, and use under which the referenced permit wain i site-^i.
_.._ BUILDING I -Et-CT'OR BUILDING OFFICIAL_..__.._ .__......__.__.
.. �
POST IN CONSP I CUOUS3 PLACE
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INSPECIION N ri. D /
City of Tiyaz� Building taepartsent
13125 SW Hall Blvd. TLgard, Oregon X17223
Inspection Line (Rec-O-Phone): 639-4175 Bueinesia Phone: -4171
Innpeccion:_
Footing Plbg. Underalab Merh. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Ling. INA7�?
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain Instilution -Plumb.
r-�
Plhg. Underfloor Water Line ( Gyp. Bd. - ech.
Date Requested: �` � / _ Time: AN r� PM
Addreea:_ C _ L Permit f: •-[_`__!_�3
Builder:
THE FOLLOWING CORRECryONS ARE REQUIRED:
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InspectorDate:
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-APPRCNaD DISAPPROVED APPROVED SUBJECT TO ABOVE
�Cal1 For Reinsp.
INSPECTION NOTICE
City of ^igard Building Department �
13125 SM Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: -4171
Inspection:
Footing Plbg. Underalab Mech. Rou3h-in Appr/Sdwlk
Found. Plbg. Top Gut Gas Line FI AL:
Post/Beam Str.uct. San. Sewer Framing -Bldg.
Postr`ioam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line LGyp. Bd. -Mech.
Date Requested._ _? __Time: AM PM
Address: ( / Pnrmit
Builder: 7 Z _S �533
THE FOLLOWING CORRECTIONS ARE RF.QUIRfiD:
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ROVED _, DISAPPROVED APPRJVED SU9JECT To ABOVE
---Call Call For Reinnp.
INSPECTION NOTICE
City of Tigard Building Departsent
13125 RQ /Jail Blvd- Tigard, Oregon 97223
Inspoction Line (Rec--(3-Phone)= 639-4175 Hiiainese Phone: 639-4177
Inspection= -- -- -—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL=
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line �7 q�p. Bh. ; -Hoch.
Date Requeoteds V Z / —TimobP -- -- PM
m_ �t fir, C+
Address= 1� -` ` Y Tv Permit i= 'nl3
Builder= —
THE FOLLOWING CORRECTION'S ARE REQUIRED=
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Inspectoii i --.—! - Datos
AppppyEp IISAPPROVED _�/ APPROVED SU9.IECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE r
city of Tigard Building Departsent `
13125 SW Ball Blvd- Tigard, Oregon 97'2 3
Inspection Line (Rec-O-Phone+): 639-4175 Business hon : 35-4171
Inspection:— ----- -- -- '-
rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Pltg. Top Out Gas Line FINA•
Poet/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain
.nsulation -Plumb.
Plbq. Underfloor _ er Limp � G Gyp. Bd. -Mech.
c
r 3 119 L_1_ Times AM —_PH
Date Requested:_--- �_( / ,,,M1 -�- (/ J
Address:1 71(/(1�___— Perm"it�s� �[_-0 1 I
Builder: J�_�
THE MLLOWING CORRECT1017S ARE REQUIRED:
Inspector._._
APPROVED DISAPPROVED ——_ APPROVED SUBJECT TO ABOVE
call For Re.nsp.
INSPECTION NOTICE
city of Tigard Building Departnent
1.3125 SM Hall Blvd. Tigard, Oregon 4722
Inapection Line (Rec-O-Phone)• 639-41.75 Business Ph e: 639-4171
nspaction:— __--
Forting Plbg. Underslab Mech. Rough-in hppr/Sdwlk
Found. Plbg. Top Out GAs Line FINAL:
Poot/Beam Struct, San. Sewer Fr.am�ng -Bldg.
Fort/I Tara M--ch. Rain Drai.n ` Tneulation -plumb.
t t
P'.bg. Underf;oor Water Line Gyp. Bd. -Mech.
Date Requested: / TL:._.s AM f<PM
Adc:reeA:� � __ PerWlt 11 1.1__.=�.
Builder:ING
THU TOL6611"CTIONS ARE REQUIRED:
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—L�QmADVED DISAPPROVED _ APPROVED SUBJRCT TO A
_ Call For Reinap.
INSPECTION NOTICE
City of Tigard Guilding Departsrant
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phcnerfg9-417,2
Inspection:___
Footing Plbq. Underelab �Mech. Rough-in Appr/Sdwlk
Found. Plb7. Top Out �Zse� Lin a�} FINAL:
Poet/Beam Struct. San. Sewer rik; nq�> -Bldg.
Point/beam Mec':. Rain Drain Insu:dr.ion -Plumb.
Plhq. Underfloor Water Line Gyp. ad. -Mach.
Date RequesteJ: '�,r.--+� Timet _X—AN PN
Address:- L3 Permit 1tn'S
Builder: ---- 3 �/
THL► FOT.IOWING CORRRCTIONS ARE RE()UIRED:
�/gr' �.�.�•._L�� G-cra !.Y-s�IO;•, f3Els..�►12
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Inspectors, T Date:
PPROVEC DINkPPROVRD APPROVED SUB.IEr'T TO KB(�
i _Call For Relnep.
INSPECTION NOTICE
City of Tigard Building Department `
13125 SW HA11 Blvd. Tigard, Oregon 97123
Ir:spec.-tion Line (?ac-O-Phone: 639-4175 Bun iness Phone: 6.1q-4171
I ns pact i in•__
Footirg Plbg. Underslab Mech. Rough-in Appr/SrJWlk
Round. Plbg. Top Ou Cas Line FINAL:
Post/BAam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Flbq. Underfloor Water Lie Gyp. Bd. -Meeh.
Dato Requested:___^ 11 A!1 7 _
Time: PM
Address:-� lc 7- /� PermLt 1s'/(5 i 1
Builder: — j/ 5�— Iq7 `J
THE FOLLOWING +XIRRECTIONS ARE RNMIREbs
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Iaspector: Dates,
D(—APPROVID
DISAPPN(rnrD APPROVED SUBJECT To ABOVE
—Call For W.nep.
INSPECPION NOTICE
Cl.cy of Tigard Building Department
1=125 SA Ball Blvd. Tigard, Orngon 47273
I.1spection !.inti (Rec-o-Phone): 639-4175 Business Phone: 539-4171
Inspection:_
Footing Ping. Undevilab Meoh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oas Lino FINAL.,
post/Beam Struct. San. Sewer !taming -Bldg.
post/Berm Mach. Raln Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Hoch.
PN
Date Aequestedr_ �A AH
1 114. Permit 1,�T
Address: --
Milldam
THE 1lOLLON1:I0 CORRECTIONS AR.F. REQUIRFD:
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Data: --
APPROVED �JDISAPPROVED APPROVED SUWZCT TO ZM
_�or Aelnap.
INSPECTION NOTICE
City of Tigard Building Departs:'-nt
13125 SN Ball Blvd. Tigard• Oregon 97223
Inspectio/n Lina (Roc-o-Phone): 639-4175 Business Phone: 639-4172
Inspection: r
Plbq. Underalab Moch. Aough-i Appr/Sdwlk
Footing
Found.
Plbg. Top Out Gas Lind FINAL:
Poet/Beam 8truct• San. Sewer Framing -816g.
Poems/ am K�
��Rain Drain Insulation -Plamb.
plbg. Underfloor Nater Lino Gyp• Bd.
-Kech.
Tom= Ax PK
Date Req:uested � —' -�
Permit
Address
Builder
TAE FOLLOWING CORRtCTiOKB ARE REQUIRED:
Inspeetor:�
Date
;APPROVED DI811PPROVtD _�APPROVND SUBJECT TO ABOVE
-�- Call for Relnap.
INSPECTION_NOTICE
City of Tigard Building Departar_nt
13125 SR Ball Blvd. Tigard, Oregon 91223
Inspection Lina (Roc-O-Phone: 639-4175 Buai�nte�as Phones 639-4111
Inspections t �u /
Footing Plbq. undezelab Mach. Rough- Appr/SdwLk
Found. Plbg. Top Out Gas Line FINAL:
st/Boam Struc San. Sewer Framing -Bldg.
et/Beam Mach: Rain Drain Insulation -Plumb.
Dnderfloot Water Line Gyp. Bd. -Mech.
Date
Data Requesteds Times / AM
/ PM
Addreoe s Petah s / Ll.-
Builder 62W3
TBE FOLLMNG COp.RECTIONS ARP. REQUIRED:
R'
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➢RciVED DISAPPROVED ADPROM) SURJRCT TO !►DOVE /
Call For Rainsp.
INSPE Noaic�
Cis w
T of .igard Builr'aioq Department
13125 13W Hall 91rd. Tigard, Oregon 27223
Inspection Line (Roc-O-•Phone). 639-4175 Business Phones 64 9.4171
Inspection:__
Footing Plbg. Underslab KEch. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Can :.ins PINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
/PPost/Beam 11sch. Rain Drain Insulation •Plumb.
Plbg. Underfl`---r Nater Line Gyp. Bd. -Koch.
Data Requested: I Tis1es ^_-AH PK
IWdrossaC� _ �f -1L1 , Permit tq4 - 6 , 5
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Builders_yy� A
TBE POLL0WING CORRECTIONS AAE REQUIRED:
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Inspector: Dates
APPAOVlD DISAPPROVED APPROVED RUBJRI-P TO ABOVE
Call Por Reinap.
INSPECTION NOTICE
City or Tigan! Building Department �J,✓
13125 SM Hall Blvd.. Tigard, Oregon 97223 V
Inspection Line (Rec-O-Phone): 639-4175 Business Fhone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Ro,:gh-in Appr/Sdwlk
Found. Plbq. T�op—Out Gas Line FINAL-
Post/13-am Struct. San. Sower Framing -Bldg.
Poet/Roam Mech. Rain Drain Inoviatioa -Plumb.
Plbg. Underfloor Water LineV p Gyp. Bd. -Hoch.
Date Requested:._ CD' O - ! Tittlet 1W PM
Address: 1.3 9.'`? g/,— Permit i `7��/ 0/,3e/ _
Builder: Ma e r _ rlrntz
THIS FOLLOWING CORRECTIONS ARE REQUI_tED:
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Inspector: i. _----------��`_ Data: , i�
APPROVED DISAPPROVKD APPROVRD SUWNL'r To ABOVR
"Call For Rvinap.,
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INSPECTION NOTICE
City of Tigard Building Depart—t
13125 SW Hall Blvd. Tigard, Oregon 97223
iaspection Line (Rec-O-Phones 639-4175 Businees Phone: 639-4171
1nnpe^tion:__
Footing Plbg. Underr ab Hoch. Rough-in Appr/'Sdwlk
Focnd. Plbg. Tip Out Gam Line FINAL:
Pent/Beam Struct. San. Seder Framing -Bldg.
Pont/[ream Rech. C Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
nt+s-s. Requesteds ,u ) /- / �� Timet AW �YPM
Addroas: � [ �� f Permit !e
� 1.
Builder:_ 1�t r5 S�_ �� 1 CCS �✓� ��� �0_3
I'Mr FOLLOWING COPRECTIONS ARE REQOIRROt
Inspector /_.�---- --------_._._ --- ----- Date:
"PROVED i DISAPPROVED APPPOVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171
Inspection:-
!rooting Plbg. Underelab Hoch. Rough--in Appr/Sdwlk
!round. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp Bd. -Mach.
o
Data Requested: �` / Y Tim (�
e: �_AM - PM
Address: ! ��___�Yy e Permit
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Builder: -� `� �1 l#n-"tvs —
THE POLL(W NG CORRECTIONS ARF, REQUIRED:
!G-s s Ti
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Z ILI
Lit
Inspsc*.orfDatsl
APpROVlD DISAPPROVED I/ APPROVED SUBJECT' TO ABOVE
��l Call For Reinap.
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INSPECTION NOTICE
city of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rac-0-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Aper/Sdwlk-)
Found. Plbg. Top Out Gas Line FINAL-
post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Boam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Waster Line Gyp. Bd. Ly ch•
Date Requestedt �l11-2_q —Times h �j PM
Addr-eee s ( I r l Permit #t �q�LJ I f ._
Builders�A A _
THE FOLLOWING CORRECTIONS ARE REQUIRED,
G &AL,A/ 7 -Q) 3___
PPAA C-A 6_ __aJ 7-
VAJ
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CM
wF� �---
_ nl AWF
Ins ctort O O Dates 4?
APPROVED DISAPPROVED __ APPROVED SLLArT TO '.,'nVE
—T
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departxwot
1312S SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Hoch. Rough-in ("Appr/Sr d-wlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldq.
Post/Ream Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line yp. Bd. -Nech.
Date Requ.-uted:_ ��3G� Time: IN—AN !PM'
Address: �3 q��.� � 7 4 Permit I:
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nuilder:
THE FOLLOWING CORRECTIONS ARE RECUIRED:
> ,c zd
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[O
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Inspector:! ,�.(cT,CCDate:__�;��� -
__,APPROVED DISAPPROVED _- ROVRD SURJXrT To ABOVE
Call For Reins .
F',-UMB I NG PEwRlyl l T
CITY OF TI:ARD 'I E: L E 1 V 11 DATEIl ISSUED: 06/03/94 '
COM!(UNITY DEVELOPMENT DEPARTMENT 7 1994
131'5 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 JUN PARCEL: 2S 1 01 DC--F'R4.'09
..a IL,L'i'L3,.,, . 1 1'a. cw r'; 1 FIJI_
SUBDIVISION. . . . : PACIFIC RIDGE ;-.ITN pF 'iGA�' ZONING: R-3. 5
GLOCK. . . . . . . . . . . LUT . . . . . . . . . . . . . :009
ULASS OF WORK. . :NEW GARBAGE DISPOSALS— i l
TYVE_ OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F'REVNT'RS. . :0
OCCUPANCY GRP. . :R3 FLOOR DPnIh,S. . . . . . . .o TROPS. . . . . . . . . . . . . . :LA
STORIES. . . . . . . . :E.' WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES.--------------- LraUNDRY TRAYS. . . . . . :0 SF PAIN DRAINL,. . . . . : 1
SIriKS. . . . . . . . . . : 1 GREASE TROPS. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTUR S. . . . . .0
TUB/SHOWERS. . . . : SEWE=R LINE (ft ) . . . . :0
Wr,TER CLOSETS. . :3 WA T w R LINE ( f L ) . . . . ' 100
f!I SHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Liemarks : PATH I
OWNER -__._______.___ _.___-----___._____...___FEES-___.__-__--_._-_._.
MAJESTIC HOMES TIf- $ 1'320. 00 JP 06/03/94 -
25 82ND DR BP'RT $ 473. 00 JF 06/03/94 -
BPLC $ 307. 4b JI_H 04/01. /1)4 y4-250
GLADSTUNE. UR 9YO B5F'C $ 3. C75 JF 06/03/94 -
Phone #: 655-62ba SSDC $ x£30. 00 JF 06/03/94 -
PARK $ 500. 00 JF 06,-0j/94 --
F11 ..tmbing Contractors -- _._... __.__..._ IhPRT $ 4';. 00 JF 0(,/0.3/94 -
MPLC $ 11. 25 JF 06/03/94 -
Name%_.._.._5- -- � - •j-���---- M5PC $ 2. 25 JE= 06/03/94.
Add -
rP
ess : r�'D �3�c�L Y _ ERT $ 147. 5x1► JF 06/03/94
t .� , 'it�ltr iP F' iP[ 'l 7. 38 JF Ob/03/94
Reg Iry
-_---- RE:QUIRLD INSPECTIGNS
Thi -; permit is iss;ued subject to the reg-
ulations contai-sed in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. `specialty Codes and all. Post/Beam Strur_t: Water '. ine Insp
other applicable laws. Al ! wor'< will be done Post/Beam Hechan Appr/Sdwlk In -:p
in acco"dance with approved plans.. This; Plm/undslab lni:p 11punanica,l , inal
permit will expire if work is not started F=ILM/Underfloor Plumb Final
within 1.80 days of issuance, or if work is Mechanical Insp Bf.iilding Final
suspended for more than 180 days. Plumb TOP Out Errosio'i Contra '.
Framing Irsp Crawl Drain
Fireplace Insp
Gas Line Insp
..�- Insulation Insp
Gyp Hoard Insp
i'1 Iorized Plumbing Gni ractor Signature
Call for inspput inn - 639-4175
- L, L r a C t o r Notes
F
MAST
CITY, OF TIGARD PERMIT #. .ER. .PERM1. . . :7'MSI-94-013"l
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 216/03/94
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: 2S101DC-PR009
SITE ADDRESb. 13495 SW 74TH AVE
SUBDIVISION. . . . : PACIFIC RIDGE ZONING: R--3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :009
BUILDING
REISSUE: DWELLING LIN ITS: 1. BASEMENT. . . . . . . . :0 s
ULHES LIF WORK. :NEW BEDRMS%5 LA"I'THS:3 GARAGE. . . . . . . . . . :700 S f
iVPE OF USE. . . -SF FLOOR ''iFUUIRLD
IYPE OF L;ONST. :5N FIRST. . . . : 1105 sf LEF'T. . :6 ft RIGHT. :8 ft
OCCUPANCY GRP--'. :R3 SECOND. . . : 1140 s FRONT. -.20 ft REAR. . :69 ft
ST'QRIES. . . . . . . :2 THIRD. . . . -O s REQUIRED--------
HEIGHT. . . . . . . . :26 f TOT(.)L-- ---- - - :r'-:245 -;f SMOKE DETECTORS. .Y
FLOOR LOAD. . . . :40 p s f VALUE. . . . . $ : 1 156 70 PARK I NG SPACES. 1
Remai-lis : PATH I
PLUMBING -------
SINKS. . . . . .. . . . . : 1. FLOOR DROINS. . . . :0 BACKFLOW PREVNTRS. . .'0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/al TOWERS. ., . . :3 LAUNDRY TRAYS. . . :li) CAT(:l4 BAS 1FIS. . . . . . . :IZI
wA,rE.R CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DI SHWASHL7VIS. . . . - I WATER LINE (ft) . : 100 DTHLR F I XTURES. . .
r3nRBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASH I 14G MACH. . . : 1 SF RAIN DROINS. . : 1
------------- MELHANIGAI.. FEES
FUEL TYPES- UNIT HTRS. . :0 type amol-knt by date k,ecpt
/GAS/ VENTS . . . . . :0 TIP t 1520. 00 JF 06/03/94 -
MAX INPUTob STU VENT FANS. . :4 LAPR T $ 473. 00 JP 06/03/94 -
PORN < .1,00K . . .-0 HOODS. . . . . . : 1 BPLC 4, -7107. 45 JLH 04/01/94 94-25vi
FURN > =100K . . : 1 WOODSTOVES. :0 B5PC $ 2,3, 65 JF 06/03/94
FLOUR TURN. . . . il@ ULU DRYERS. : 1 SSDC $ E!80. 00 JF 06/03/94
DOIL/13MP ( 3HP:0 01-1 IEN UNI FS, I PAI?K 1. '300. 00 JF 06/03/'i4
GAS OUTLETS: 1 MPRT' 1$ 45. 00 JF 06/03/94
Owner,: $ 11. '.`b JF' lZAE,/03/9 4
MAJESTIC HOMES M5PC $ 2. 25 JF 06/03/94
`7 82ND DR PPRT 11 147. 50 JF 06/03/94
P5PC K 7. 38 JF 06/03/94
ULAD:iTONE OR 970
0hone 0: b5b-()�63
contracto'.. '
MAJESTIC HOMES INC
25 BEND DR SLJI'TE IL&_
ULODSTONE OR
Phone #*
Help #. . : 59286 ----------------------------------------
$ 3_317. 48 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTInNS -------
Tigard Municipal Code, State of Ore. Specialty Codeeapd\ai I other Foot/found Insp Fii,eplace Insp
applicable laws. All work will be n P da W't a ved Post/Beam Stv-1.1Ct Gas Line Insp
plans. This permit will expire if o k ri � a t d
I n )8 PoFt /Be,--%m Mechan Insulation Insp
-11ml, - I ab -d
days of issuance, or if worl, so a *s -tnd5 Insp p Gyp Boat Insp
PLM"'Under-f Irut- Rain drain Insp
Permittee Siynats.tr,� Chan i ca 1 Insp Water- Line Insp
Plumb lop _bit Appt,/Sdwlk Insp
l ped By - Pt-aming Insp Mechanical Final
Call for inspection 639-4175
SEWER CONNECT'IUN
CITY OF TIGARD PERMIT T #PERMIT
. . . . . . . : .)wR94-0138
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/03/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PNRCEL: `S101 D',--PR009
!TE ADDRESS. . . : 13"495 SW 74rH AVE
.JBDIVISION. . . . : PACIFIC RIDGE ZONING- R-3. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . .. . . . . :009
TENANT NAME. . . . . :
UBA NO. . . . . . . . . . : FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
'(YPH OF' USE. . . . . .6F
NO. OF £AU I LLi I NGS: 1
NS'FAL!_ TYPE. . . . :BUSWR IMf,I_iRV SURFACE. . :
Remarks : PATH I
Uwner,: ---___._____________._______._________ FEES
Mi1JESTIC HOMES type amoi_rr)t by date recpt:
25 G2ND DR PRMT 2200. 00 JF 06/03/94 -
IN'I;P 32.. 00 JF- Vi(,/03/94
GI_nDSTnNE UR 970
Phone #: 6;,5-6263
Con t Tact or e -
CONTRAr1'UR NOT ON FILE
---------------
ph a n e #: $ 2e3b. 00 I Li I NL
Reg #. . .
REQUIRED INSPECTIONS
This Applicant agrees to rooply with all Ce rules and regulations fewer InEipect iori
of the Unified Sewage Agency. The permit expires 160 days from
the date issued. 1he 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 a' the measurement
given, the installer shall prospect 3 feet i all directions from
the distance given. If not so locate t i lle s hase _
a "Tap and Side Sewer" Permit and th A v Irl 1 a is eral.
P a r-m i t t e e Sign0a,t i-r r,e :
-File
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Call foi- inspection - 639--4175
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Residential Building Permit AWlication
City of Tig rd
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
vJobsite Address:
'/- Office Use OnlySubdivision: ` '� c I � - Lot#--
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PlanckJRec#� �-
Valuation: /SSD• 5�(/
/ Permit #� �–` OZ3
Zwner: — A4 4u. Reissue of
Address: �S `¢' Map & TL#
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Phone: Approvals Required
y ��L�� _ —_
Planning ��// " �' f✓7
i--"'6ontractor. Engineering
Address: Other
Items Requlred
Phone:
'--'Contractor's License #
�y Z g Subcontractor.,
(attach copy of current Oregon license) Truss Details
Subcontractors: // Other
'Plumbing:
�-'Mechanical: vaQc S f f r'� y� r AlC
(attach copy of current OR Contractor's License)
ArchitectJEnglneer: /✓1�t y(v �(�
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c~n Address: ��
lod 2- 6
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°' Phone:
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COMMENTS: ,_�"`��'�' c 2 1 � �-2-sem=- � __-.�►
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Applicant Signature 8 Phone number
Received hy: L1, Date Received:
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Permit # Account Description Amount Amt. Pd. Bal. Due
/js j9 - /3 Bldg. Perinit (BUILD) 0
Plumb. Permit (PI-IJMB) v 7.
Mech. Permit (MFCH) z��� o�v
State Tax (TAX) 33 ?,,Y ✓" 33
Bldg:
Plumb: 7, 3
Mech.-
Plan
ech:Plan Check (PLANCK) 3/f. JD✓ ?`J v�✓ � ,
Bldg: O 7, Yj
Plumb:
Mech: ��• L�� ��
Sewer Connection (SWUSA) G U Z>,V ✓
Sewer Inspection (SWINSP) •3� �>
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TSF-R)
Mass Transit Tt, (TIF'-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-11)
R
N Institutional TIF (TIF-IS)
Office TIF (TIF-0)
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Water Quality (WQUAL)
w
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Water Quantity (WQUANT)
Fire District (FIRE)
10-1 At 5': SS 1 0 ✓ =1 53 6?, , p��