14777 SW 80TH AVENUE ADDRESS:
14777 Sw 0 A"-twz
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i:\records\microflm\targels\builaing.dm-
CITY OF TIGARD BUILDING INSPECTION DIVISION 1 J �'� OL
24-Hour Inspection Linc: 639-4175 Business Phone: 6394171
Q �BEIWGE�J MOM-3
Date Requested: r �.- �J A.M. _ P.M. 1� w MST:
Location:_1_4-7 -7 '] Stn/ BUR
Tenant: Q10 SE 6AN Suite:
Bldg: MEC: ''(v ' 00q0
Contractor: , - Phone: 9 Cl" �p 3 3� PLM:
Owner:�l71V I M Phone: v ELC: 4
ELR:
_ SIT; _
BUILDING BLDG(coni) PLUMBING ECNANICAL ELECTRICAL SITE
Site Post/Bcatn PosUl3cwn Ios Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ce+ling Water bine
Slab Framing Top Out Gas Linc/ k//Pf—` Reug4-In U(i Sprinkler
Foundation Insulation Sewer Ilood/Duct ecot Vault
Bsmt Damp Drywall Stonn Furnace Set vt a MISC.
Masonry Ceiling Rain Drain A/C
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I lent Pum Low Volt
Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Iipmvcd Not Approved Not Approved
FINAL FINAL, FINAL FINAL FINAL
T
01
F'
L3 Call for reinspection O Reinspection fee of Srequired tx brc next tion C3 Unable to inspect
Inspector:__ _ Date: _ l�� Page of
From: "Jeanne Temple"<JEANNE.COT>
To: SUSAN
Date sent: Mon, 9 Feb 1998 14:42:51 +0000 \
Subject: RESEARCH PROJECTtJJ
Send reply to: jean ne@ci.tigard.or.us
ROSE BANTA, OWNER, 14777 SW 80TH, 97224, 968-6338 �p
V'1. MAKE COPIES OF APPROVED FINAL BUILDING/PLUMBING/MECHANICAL
INSPECTIONS, ALSO A COPY OF C/O. MAIL TO HOMEOWNER.
2. MEC96-0090. TRYING TO FIND OUT IF EVER INSPECTED. IF NOT
INSPECTED, CALL HOMEOWNER AND MAKE ARRANGEMENTS FOR INSPECTION, WRITE
AN INSPECTION REQUEST (WE NEED A 3 HOUR WINDOW OF TIME WHEN SOMEONE
WILL BE HOME). IF MEC96-00,90 WAS INSPECTED, ENTER INFO AND CASE
FINAL.
THANKS! /N 6y*-MCaJ
--11) 2-
LA I
1) 2-LI
Susan Weber 1 - Mon, 9 Feb 1998 1528.25
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Piumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation - lect
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas tine Appr/Sdwlk Reins.
Other:
Date: _7) 19 CP— A.M. K P.M. Entry:
Address: _"%, d-14—
Tenant:
—Tenant: Ste: MST:
BUP: —
Con/Own: yj�,1 � MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: `-
t/1
h
m -
C7
..J
OC
Inspector: Date:
APPROVED —_DISAPPROVED/CALL FOR REIN SP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lin^ (Rec-O-Phone: 639-4175 Business Phone: 639-4171
p
Ins ection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation PlbC. Underslab Mech. Rough-in Fireplace I
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Fain Drain Framing -Plumb.
Alarm Water Lii 4 Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _ 6, Time: AM PM
Address: 0 7 7 7 JLL)
Builder: v _ Permit q: PL-44 S
THE FOLI,OVYING CORRECTIONS ARE REQUIRED:
3 3 S-
F--
N
J
CJ
1'
Inspector: Dale.
APPROVED _DISAPPROVED _APPROVED SUB J T TO BOVE
_Call For Reinsp.
F
CIS! OF TIGARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT P E:R"I T
13125 SW Hall Blvd.Tigard,Oregon 07223*8169 (503)839-4171 PERMIT #. . . . . . . : MEC96017iCil�i
DATE ISSUED: 04/08/96
PARCEL: 2S11J_'BC--09100
SITE ADDRESS. 14777 SW 80TH AVE
SUBDIVISION. . . . : RAZE MEADOWS ZONING: R--4. 5
BLOCKs. . . . . . . . . .. : LOT. . . . . . . . . . . . . : 14
CLASS OF WORK. . :ALT FLOOR FURN. . . . 0 EVAP COOLERS: 0
TYPE DF USE. . . . :SF UNIT HEATERS. . : IA VENT FANS— : 0
OCCUPONCY GRP- 133 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . ., . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
1--'UEL TYPES-------------- 0-3 HP. . . . - 1 DOMES. INCIN: 0
: /GAS/ 3-15 HP. . . . : 0 COMOL. INCIN: 0
MAX INPUT- 0 11A T U 15-30 HP. . . .. : 0 REP1,1IR UNITS: 0
FI RE DAMPERS?. . : 30-50 HP. . . . -. 0 WOODSTOVES. . * 0
GAS PRESSURE. . . : 50-1- HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNI TS OTHER UNITS. : 0
TURN < 1.00K BTU: 0 1.0000 C.-fin: 0 GAS OUTLETS. - 1.
TURN ) =100K BTU: 0 > 10000 Qfm : 0
Remar-ks :
Owner-: ------------------- -------------------------------------- FEES
MARK BANTA type emcl'.tnt by date r•ecpt
14'177 SW BOTH PRMI $ 25. 00 ..TSD 04/08/96 96--277918
5PCT $ 1. 253 JSD 04/08/96 96-277918
TIGARD OR 9*72c24
Phone #:
Cont i-act ot-
JACOBS HEATING 8: P/C
1421 SE HOLGATE BLVD
PORTLAND OR 97202
1:.-.,hone #. 234-7331 E 26. 25 TOTAL
Req #. VI01441
REQUIRED INSPECTIONS
This permit is issued subject to the regulations _ntained in the MeC-hEAP iCERl ITI S P
Tigard Monicipal Code, State of Ore. Specialty Codes and all other F i n a I Inspect i.on
applicable 13"s. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended fat, more
than 180 days.
P-,-inittee Sipat;A
Trclted BY :
Call lot- inspection 639-4175
I It I it I till-
till , il, titAtillill
11 Wit
Wl A i A 141- 14 1 f-Iml.11 JIA I t
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639•4171
Table 3A Mechanical Code QTY PRICE AMT
Job r ji 'l 1) Permit Fee -0- -0- 10.00
Address ��
►'.� M � 2) Supplemental Permit 3.00
• > •^ ••• Furnace to
1) incl. ducts &vents 6.00
I urnace LBTU +
Owner / l k�C -1 2) incl. ducts &vents 7.50
�>^• oFloor Furnance
3) incl. vent 6.00
•m• •h•m• �^•••
Suspended eater,wall (eater
4) or Floor mounted heater 600
ent nc' me
Occupant I �\! °�` �n
V ) 5) appliance permit 3 uU
•• Repair of heating, re ng.
6) cooling, absorption Unit 6.00
^•
Boiler or comp, Real pumr. air con
r l 7) to 3 HP; absorp unit to 1001: BTU 000 -
•I ••• of er or comp, seat pump, air con .
t � /, 8) 3-15 HP; absorp unit to 500K BTU 11 00
contractor w ffe
or or comp, eat pump, air conn.
9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
•• •o•• Un WA.T.. ^ Boiler or comp, heat pump, air cond.
t z� 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
hereby acknowledge that I haVdea this application. t at t eoT or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 mJ BTU 37 50
agen' if the owner, that plan„ %ubmitted are in compliance with rran ing unit to
State laws, that I am registered vith the Construction Contractor's 12) 10,000 CFM 4 50
Board, that the number i,iven is correct. (If exempt from State Air handling unit
registration, please.tve r son below.) 13) 10,000 CTM + -50
Non portable
/ 14) evaporate ccoler •150
en', an connecte
15) !o v single duct 300
F nt a is system nct
16) included in appliance permit 450
• —P Hood serve y
17) mechanical exhaust 450
scribe worX new U addition t_) aeration repa r 1. Commercial or industrial
to be done residential t) non-residential Q 18) type incinerator 3u 00
Existing use of I 1 �— her i e., woo stove, water
budding or property 1��`1 ��� ! 1 19) heater, solar, clothes dryers, etc 4 50
Proposed use of 201 Gas piping one to four outlets 2 00
building or property
n 21) More than 4-per outlet (each) 200
Type of fuel -oil O natural
gaass{0 LPG electric Q
J
NOTICE ..__
i Minimum Fee 525.00 SUBTOTAL
D PER10ITS BECOME VOID IF WORK OR CONSTRUCTION _
1' IT
AUTHORIZED IS NOT COMMENCED WHIN 180 DAYS, OR
J 5"o SURCHARGE
IF CONSTRUCTION OR WORK IF SUSPENDED OR
ABANDONED FOR A PERIOD O' 180 DAYS AT ANY TIME
PLAN f .FW 25';o OF SUBTOTAL �
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
_ Cate issued __ by
H LC0IMD9I9%MEC"PQ1T
FRo.vf.
1 - , ,
PERMT
CITE( OF TIGARD PERMITELECTRICAL#: ELC96.-I0218
'COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/11/9677
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL: 2'S112BC-09100
SITE ADDRESS. . . : 111-777 SW 801H AVE
SUBDIVISION. . . . : RAZE MEADOWS ZONING:R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14
ProJect Description: Install one branch cirel-tit.
--RESIDENTIAL UNIT---- ----TEMP ESRVC/FEEDERS---- ------
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION....: 0
EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . .- 0. 601+amps-1000 volts. ; 0 MINOR LABEL ( 10) . . . : 0
------SERVICE/FEEDER---- ..-----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS—-
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVG OR FDR. : 1 PER HOUR. . . . . . . . . . . : Vi
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION-------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: FEES
ROBERT HERNDON type amol-tnt by date recpf
5630 SW WINDSOR PIRMT $ 35. 00 CJS 04/11/96 96--2. ,1087
5PC7 $ 1. 75 CJS 04/11/96 96-278087
OORTLAND OR 97221
Phone #: 297--5930
Contractor:
PHOENIX ELECTRIC CO $ 36. 75 TOTAL
FII BOX 1432
REQUIRED INSPECTIONS ------
1-UALATIN OR 97062 Wall Cover Elect' l Final
Phone #: 503-692-5582 Elect' 1 Set-vice
Reg #. 51 ,288
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signatl.(re
applicable laws. All work will be done in accordance with
approved plans. This permit will empire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. Iss�ted By
INSTALLATION ONLY--
T'he installation is being made on property I own which is not intended for
,rale, lease, oi rent.
UWNERIS SIGNAT URE: DATE:
'RAC1OR
--CONT INSTALLATION
co GIGNAJURE OF SUPIR. ELECIN: DATE:
I-ICENSE NO:
Call for, inspection - 639-4175
fill it 11A I
I if 11,11, ! '114 11 i I x 1-.1; 114 I. 1 I Wil it)I I I
I II 'l l I. I I 1 .1 111 11 1 A III I I I; k i ,. I
IM 1(111-4 t It Pf-I y I'llf I i 1 0 111H.It IN I I'1-1.1 1 1'111"1 4 V:A fII I'f.IYttt.III OIAI 11114 1 1
I I I fJ`I I f it f -3-0. 00 ,.1 1 W 1.11 1 Y 1'1 P
co
CD
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # c4C96-03L1 R
»: Date Issued _ 41
Phone (503) 639-4171
CITY OF TI�3ARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development_ ®}�— Number of Inspections per permit allowed
Address _ Service included Items Cost(ea) Sum
City/State/Zip �_ r.__C r _ 4a. Residential -per unit
1000 sq. ft, or less $11000 4
Name (or name of business) Each additional 500 sq ft or 125 00
portion thereof
commercial ❑ Residential — Limited Energy X25.00
v✓✓�'� Each Manurd Home or Modular
Dwelling Service or Feeder
2a. Contractor installation only:
4b. Services or Feeders
r� Installation, tion,or relocation
Electrical Contractor v ` 200 amps
or les or less $60 00 � 2
Address 201 amps to 400 amps $8000 2
401 amps to 600 amps $120002
City t State Oe, Z 601 amps to 1000 amps $18000 _ e 2
Phone 7 Over 1000 amps or volts $34000 v _ 2
Job NO. J Reconnect only $5000 2
contractor's license NO. sa 4c.Temporary Services or Feeders
Contractor's Board Reg. No. .� s� Installation,alteration,or relocation
Signature of Supr. Elec'n 4, 'Yrl 200 amps or less Z
201 amps to 400 amps $5000
License NO.G//e C5 _ one No 401 amps to eo0 amps $�5 00
Over 600 amps to 1000 volts s 1 on 011
2b. For owner installations: see"°„above
4d. Branch Circuits
Print Owner's Name__ Now,alteration or extension per pane
Address - a)The fee for branch circuits with
purchase of service or feeder roe
City State ZipEach branch circuli $500
Phone No. __ b)The fee for branch circuits without
/ QU
The installation is being made on property I own which is purchase oservice or feeder fee.First branch circuit $35 00
not intended for sale, lease or rent. Fach additional branch circuit $5.00 -
owner's Signature - 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump orlitigation circle $4000 -
Each sign or outline lighting $4000
Signal circuit(&)or a limited energy
Please check appropriate item and enter fee in section 5B panel,@Notation or extension $4000
~ 4 or more residential units in one structure Minor Labels(10) $100 ori
NService and feeder 225 amps or more 4f. Each additional Inspection over
System over 800 volts nominal the allowable in any o/the above
Classified area or structure containing special occupancy Per inspection $3500 _
.- as described In N.E.C. Chapter 5 Per hour _ $5500
J in Plant $5500
Submit 2 sets of plans with application where any of the above
LD apply. Not required for temporary construction services. 5. Fees: 4 0_
Il
5 i Enter total of above fees $
NOTICE 5%Surcharge (05 X total fees) $
5b. Enter Subtotal $
_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION i of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review li required (Sec.3) g
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS - --
COMMENCED .�mr�mn�rM. ❑ Trust Account 0
$
Mm MP
Balance Due $
CITY OF TIOARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639-4171
PLUMBING PERMIT
PERMIT #. . . . , . . : PLM04-0007
639--4171 DATE ISSUED: 01/13/94
PARCEL: 2-S112BC-1119100
E.)ITE ADDRESS. . . : 14777 SW BOTH AVE
SUBDIVISION. . . . : RAZE MEADOWS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14
------------------------------------------------------------------------------------------ --
CLASS OF WORK. . :ADD GARBAGE DISPIOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . , , . . : BACKFLOW P,REVNTRS. . : l
OCCUPANCY GRP'. . : R3 FLOOR DRAINS. . . . . . . . TRAPS. � . . . . . . . . . . . .
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . .
F=IXTURES------------- LAUNDRY TRAYS. . . . . . : ',31-: PAIN DRAINS. . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAP'S. . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUR/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :
DISHWASHER;. . . , RAIN DRAIN (ft ) . . . . :
Remarks :
Owner: ------------------------------------------------------ FEES
MARK BANTA HERNDON type amol-int by date reept
14777 SW 80TH AVE PRMT $ 15. 00 JH 01/13/94 -
5PCT $ 0. 75 JI-I 01/13/94 -
TIGARD OR 97223
Phone #:
Contractor:
STACEY WERNER
TRYON CK LANDSCAPE
IV1400 SW BOONES FERRY RD
PORTLAND OR 97219-0000 ------------------------------------
Ptione #- 503-244-8140 $ 15. 75 TOTAL.
Reg #. . - 11525
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RPI/Backflow Pt-ev
Ticard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than IN days.
C.0
LLI Permittee Signaturel;
-J
Issi-ted By :
Call for inspection 639-4175
y
_ INSPECTION NOTICL
Cita of. Tigard Building Departm3nt �+
13125 SR Ball Blvd- Tigard, Oregon 47223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections
rooting Plbg. Underalab Mach. Rouqh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line (TINAL:
Poet/Beam Struct.. San. Bower Framing
Poet/Beam Hoch. Rain Drain Insulation +Plumb-,)
PIL,j- 'Underfloor Water Line /f Gyp. Sdi. - ech.
Date Requeetedt / _Time: A`N,r,_�� �1+M
Address: � 1 /� l'1'7 r)_),p Permit/ #s 13 y-i l
Builder:
THE FnLL0.4ING CORRECTIONS ARE REQUIREDs v�
h-
cn
I—
c.D
W
Inspector: _ Datet-1-1
APPROVED DIBAPPROVRD APPROVND SUWTtCT To ASOIR
4—Call For Reinsp.
IRSBBCTI N Noug6
City of Tigard Building Department /
13125 811 Ball. Bled. Tigard, Oregon 97223
Inspection Lire (Rec-O-Phones 639-4175 Business Phvna: 639-41.71
Inspections
Footing Plbg. Underslab Mach. Rough-in ( lAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam St.'.uct. Ban. Bower Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg- Underfloor Mater Line Gyp. Bd. -Hoch.
f �l'
Pats Raqueatedx 7 Times ✓ AM lz _ PM
•7 r� l
Addroers /'y'7 7 7 Permit
Builder: -Z
THE FOWAWING CORRECTIONS 11RE R%XIREDt
_... 4yI no&l
f Al'VL rIT' L7 T At7 ,,Z A>c-
- - -/466 2 IT
a /.JERE���E Tc . s ! �)/S
V
L L"
/
�/
Trxe�x+cfor: L ��'1�,(� Dates. c�
---APPROVED -- DISAPPROVED l"' op-p OVED SUBJECT 740 ABOVE
Call For Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SW Hall Blvd.Tigard,Oregon 972.23@8199 (503)639-4171 OCCUPANCY
PERMIT #. . . . . . . : MST93---0441i
639--4171 DATE ISSUED: 01/ 12/94
PARCEL: 2S112BG---09',00
11 C ADDRESS— : 14777 sw MOTH AVE
JBDIVISION. . . . i RAZE MEADOWS ZONIN6iR--4. 5j
. . . . . . . . . . . LOT. . # . . . . . . . . . . .. 14
1 'ASS OF WORK. :NEW
( YPE OF USE. . . tSF
UCCUPANCY 014P. i R3
OCCUPANCY LOAD: 126 4
TF.NANT NAME. . .
Remarks : PATH I
Owner:
ROBERT HERNDON
5630 SW WINDSOR
PUPTLAND OR 97221
Phone #.- 97 ."i930
Cont rant or i -
SUNBEAM CONSTRUCTION
56 MA SW WINDSOR
POPT[-OPID I..')P D72.21
Phone 0-
Re ill #. . 3 .37 762
OCCIApancy of the above referencoad building is hereby given, and
the complianup with the State Of Oregon Specialty Cocies for tt-,e
our-.11pallcyl and use under which the referenced permit was issued.
FIRE DEPARTMENT N CTOR
Bul DING OFF CIAL
DING
P057 IN CONUPICUOUS PLACE=
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8108 (503)839-4171
I
IA7 010
5395 L
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V
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 BW Hall Blvd.Tigard,Oregon 87223.8199 (503)538.4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 44'
13126 SW Hall Blvd.Tigard,Oregon 07223.6100 (603)420.4171 U L
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INSPECTION NOTICE
City of Tigard Building[ Deparb—t
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phones 639-4171
Inspections --
Footing Plbg. Underslab Heck. Rough-in Appr/Sdwlk
Found. Plbg. lr�,, Out Ors Line FINALt
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/[seam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line (�Oyp. Bd. -Hoch.
Date Requu /I — I(�
tedi I J Time: AM PN
),ddress. L - -7 �n h PBruit to bl (cE
Builderi �l 6'N-i`t M Oliva , •, to 3
TBE FOLLONINo cORRECTIONS ARZ RMWIRM
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Inspectors Date,/(/
J APPROVED niSAPPROVED APPROVED SURJECT TO ABOVE
Call For Reinap.
1 i1 3PECTIO NOT CE
Citi of Tigard Building Department
13125 69 Ball Bled_ tigard, Oregon 972 ��-
Inspection Line (Rec-O-Phone): 639-0175 Bu®+.neon Pho 639-4171
Inapectiont
Footing Plbp. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Bea.i Struct. San. Sewerhal�itlq } -Bldg.
Poet/Beam Mach, Rain Drain neulat'On1 -Plumb.
Plbg. Underfloor Water Line Gyp. ad. -Mech.
Mete Requested: 1 i {-ti �l 3 Time: rA1N(�c,) FIL
Address U'� 7 Q�}Per/mit #:
Builders 1 1 ( �Q i Lk
THY FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ �-- —-- - Data:
APPAOVEb DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
L312S 90 Nall Blvd. Tigard, Oregon 972,7.3
Inspection Line (Rec-4-Phone)s 639-4175 Business Phone% 639-4171
Tnspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line OINALs
Post/Beam Struct, Ban. Sewer _-Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. � 1 4gch.
Data P�_*wsteds/ - /^t ' `( �� _Time: \ AM PN
Aedreess ((/���/ / Cosll` ( Mnoit 1s 00-2` 7 o ({ _
Builders
THE FOLLOWING CORR!'CTIONS ARE REQUIRED:
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Inspectors ZY Dates /�- Y~ 9-3
APPieVM /--DISAPPROVRD APPROVED SUWRCT TO ABOVR
�"~'� Call for Neinsp.
NI SPECfIO NOTICE
City of Tigard Building Depart
s�ent
13125 SW Hall Blvd. Tigard, Oregon 9722.3
Inspection Line (Roc-O-Phone)e 639-4175 Business Pho �9-Wl
Inspection:
Footing Plbg. Underslab h. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Gas Line_!� FINAL:
Post/Beam Struct. San. Sewer "i _Bldg.
-Bldg.
Post/Beam Mach. Rein Drain Insulation -Plumb.
Plbg. Underfloor JWaJter Line Gyp. Bd. -Koch.
Dote Requesteds I r// G�(� imaj AHS/?L,s
A d d r e a a s i ' 17 11I �,- ![x' Permit #s
Builderr -)Lk--1/\IUY/�dV� I �n°j1 / ' tp�
TUB FOLLOWING COMMONS ARE REQ RED2
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Inspector: _ Dates
APPFA)M DISAPPROVRD APPROVED SU"CT TO ABOVE
r�Call For Reinop.
INSPECTION NOTICE /
City of Tigard wilding Department
13125 SR Hall Blvd. Tigard, Oregon 97223 v
Inspection Line (Rec-o-Phoneys 639-4175 Business Phones 639-4171
Inspections
Footing Mg. Underslab Mach. Rough-in Appr/Sdwlk
Found. plbq. Top out vias Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
post/Beam Much. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
`� 3 _ (aha —
Date Requesteds7 cam_-1 Times C� AM(/�// PM
Permit
Buildert�?�1�N�KkQ-^V1/� l_r31�h`
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ieapmcto� Dates (/U
APPAOYtb Dis"PROVRb APPROVED SUBJECT %BOVt
Call For Reinsp.
1"SPECTION NOTICE ~�
City of Tigard Building Departnent
13225 SW !Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone)f 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Pibg. Top Out Cas Line FINALt
Post/Beam Struct. San. Sever Framing -Bldg.
Post/Beam Hoch. Drain Insulation -Plumb.
Play. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Raquest(e'df q--- Timet �AH / _PH
Address f I `1 7 Perrmit f i -p 1�t
Buildersa ✓\�` 09'�� ZV7
THE FOLLOWING OORRECTIONS ARE REQUIRED:
LIZ
Inspectorsl/�-- hater i
APPROVED DISAPPROVED APPROVED SUBJECT TO A30VE
Call For Reinep.
INSPECTION NOTICE
Citi or Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (((Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: MUA6 '
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
post/Dead stru San. Sewer Framing Bldg.
Post/Dens Meoh.:/ Rain Drain Insulation Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requef ted: ��7�1^� -�� Tu �
Times ry_A1M' PM
Address 1q-1 -71 �f" PfrGsit #s
Builder:�jU,��15� ��
TTPZ FOIXONING CORRECTIONS ARE REQUIRED:
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Inspector: Y✓��� '-__ Dstef �' ��1 ��
��APPROVED DISAPPROVED APPROVED SUSJF.CT TO APAWF,
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departnent � ✓
131.25 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone t 639-4175 Business Phone: 639-4171
t aspec:tiont_
Tooting Plbg. Underelab Hoch. Rough-in Appr/Sdwl.k
Tound. Plbq. Top Out Gas Line FINALt
Poet/Beam Strict. San. Sewer Framing -Bldg.
Poet/Beam Meeh. Rain Drain Insulation -Plumb.
Plbzg. Underfloor Nater ,L/ino) Gyp. Sd. -mech.
Date Requostedt ) �" 17 `Timet j 1��c`,' AN PN
Addreess I(� 1 / n _ Permit is '13...pytl&
Ruildert t tiA6') 0-9- eel -2tp
TIM FOLLOWING CORRECTIONS ARE REQUIRED-
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Inspector Datae0
APPROVED DISAPPROVED APPROVED SU6I'--RCTTT TO AWME
Call For Rainsp.
INSPECTION NOTICE ^
Citi. of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon 97223 , l
Inspection Line (Rec-o-Phona): 639-4175 Business Phone: 639-4171
Inspections
tooling Plbg. Underslab Mech. Rough-in Appr/Sdwlk
tound.l Plbg. Top Out Gas Line FINAL:
Pott/Beam Struct. San. sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
G i F
Date Requested: Q 7 r Timms � ' AM PM
Addreset /� L1 Permit 1:'
t
Builders Ck V\ IPA W\ l¢�7`
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C7
L�
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Inspectors / Data:
APPROVED DISAPPRnVRD APPROVED SUBJECT Tf) Anow >
Call For Reinsp.
INSPECTIO14 NOTICE
City or Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 91223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:. ��a.aa P �G�
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg.. Underfloor Nater Lin
e
Gyp. Rd. -Hoch.
Data Requestedt ✓�7% _ Time:
Address• ) f eD Permit
#:93—
Buildert I „ -obis. 2 ,� -?�- v-45
THE FOLLOWING OORRECTIONS ARE REQUIREDt
I .
ins re Dater
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Relnup.
CITYO1 T�� T1GARD »>uu
swt�� nnva. PLNCK/RECT #
COMMUNITY DEVELOPMENT DEPARTMENT Tiprx*.ck`6«,97M PERMIT # M5fJ3
(503)639-4171 DATE ISSUED
JOB ADDRESS: l S = 4 TAX MAP/LOT X23 I !,Z (3c - U Wo U
SUB: X',W LOT: r LAND USE:
VALUATION: /0-5.0 y4,
OWNER SPEC_IAL NOTES
NAME: e- �rici6 , REISSUE OF:
ADDRESS: �� 3 ,0 SCS/ O.'s 07— LAST REISSUE:
�/_�r ?-t.Z'r ,r ol zf,- L i 7 �' FLOOD PLAIN/
PHONE: � _i'- 511 O SENSITIVE LAND:
CONTRACTOR qll"APPROVALS RE UQ IRFD
NAME: PLANNING:
ADDRESS: Sr(; ,J O 4S ��' L� i h rX S G", ENGINEERING: _
f f . ee ( 1-� 4 , q '><%v- FIRE DEPT: — --
PHONE: ,�' S OTHER:
CONTR. BOARD #: ,-3 % %'� EXP V-
ITEMS REQUIRED
SUBCONTRACTORS: P KIST/SUBCONTRACTORS:
M I: ._jQ C.mN► ,�,�! -- BUS FAX:
ARCH ENGINEER ��!`�!�e-tl�JCALCULATIONS:
NAME: _ --- _ _ TRUSS DETAILS:
ADDRESS: _—_—�- — _-- OTHER: -- —
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11IiONL:
PROPOSED BLDG. USE:
c�
COMMENTS:
APPL[CANT_SIGNATURE
Received By: Date Received: _ L _
A
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
irl;/y c�ytG 10-432 00 Building Permit Fees 41
10-431 00 Plumbing Permit Fees Z• Su /GZ J�
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%))+ > �' ��►7
Building A.2,t0 /
Plumbing
Mechanical .2.2-)
10-433 00 Plans Check Fee / ��l �� - l `l
Building
Plumbing
Mechanical
10-230 06 Fire
r
30-202 00 Sewer Connection Uo
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees _
25-448-04 Industrial TIF Fees -
2.5-448-06 Institutional lIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /�!�' / to
25-448-05 Mass Transit TIF Fees _1I U l�'
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storni Drainage Syst Dev Chrg
(SSDC) 3 �'�/ f–V _
F--
`� 2.4-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
iD ��6
TOTAL SS L5 3 3
nm/3587P.WP(
CITY nF TICARD -- RECEIPT OF PAYMENT RECEIPT NO. t93—.243690
CHECK AMOUNT 5275. 73
NAME s SUNBEAM CONSTRUCTION CASH AMOUNT s 0. 00
ADDRESS a PAYMENT DATE a 08/30/93
SUBDIVISION
r,URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
N 11011—DING PERM 448. 00 PLUMBING PERM 162. 50
MECHANICAL PE 45. 00 ST. BUILD PER 32. 78
PLAN CHECK FE 5R. 45 SEWER USA 2200. 00
SEWER INSPECT 35. 00 PARK; SDC 500. 00
STORM DRAIN SDC 280. 00 RESIDENTIAL, TRAFFIC FEES 1410. 00
MASS TRANSIT TIF FEES 110. LAO
LOT 14 RAZE MEADOWS
14777 SW BOTH
TOTAL AMOUNT PAID 5275. 73
CITY OF TIPARD RECEIPT OF PAYMENT RECEIPT NO. o93-243207
CHECK AMOUNT a 250. 00
AME a SUNBEAM CONSTRUCTION CASH AMOUNT a 0. 00
IDDRESS a PAYMENT DATE a 08/12/93
SUBD I V I S 10114
DURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
LAN CHECK FE 2,50. 00
14777 SW 80TH
.OT 14 RATE' MEADOWS
OTAL AMOUNT PAID 250. 00
No 27-14. Y
RECEIVED FROM-
ADDRESS--/g--'2
ROM_ADDRESS• •Z " --
�1� DOLLARS
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FOF� CONSTRUCTION CONTRACTORS B0
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