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CITYOFTIFARD
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CRYOFIIGARDMASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT \omooN/ PERMIT #. . . . . . . - MST91-0282
131250W HM Blvd. P.O.Box 23397,Tgud,Orbpon 97223(603)6394175
---` -�- .S -STI- ISSUED: 10/09/92
SITE ADDRESS. . . : ! 1292 SW 91ST CT PARCEL: 1S135DB-GR4
SUBDIVISION. . . . : DPKDTA GROVES ZONING: R- 4. 5
BLOCK. . . . . . . . . . . LOT. . .. . . . . . . . . . . :4
--------------------------•------- BU I L D I ISG
REISSUE: DWEL!_I NG UN 1 TS r 1 BASE14ENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . -484 sf
TYPE 01 USE. . . :S(-* FLOOR AREAS----- ------ REQUIRED SETBACKS ----------
TYPE OF CONST. :5N FIRST. . . . :974 sf l E:FT. . -6 ft RIGHT. :6 ft
OCCUPANCY GRVP. :R3 SECOND. . . .-646 sf FRONT. :25 ft REAR. . -.62 ft
STORIES. . . . ., ., . :2 TH I RD. . . . :0 s f REQU I RED-------
HEIGHT. . . . . . . . ..22
ED------HEIGHT. . . . . . . . ..22 ft TOTAL------: 1620 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . , :40 psf 'JALUE. . . . . s: 83232 PARKING SPACES. . :@
Remarks:
-------- -------------- - ---------- PLUMBING
---------
SINKS. . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :@
LAVATORIES. . . . . :3 WATER HEATER-,i. . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY TRA '.i. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURE5. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : ]
--------------- MECHANICAL -------------- ---•------------- FEES --------------
FUEL TYLES----- ------- UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 PPRT f 385. 00 JH 10/09/92 -
MAX INPUT:@ BTU VENT FANS. . :4 BPLC f 250. 25 JLH 12/31/91 221353
FURN ( 100K . . : 1 HOODS. . . . . . : 1 B5PC $ 19. 25 JH 10/09/92 -
FURN )=100K . . :0 WOODSTOVES. :O SSDC t 280. 00 JH 10/09/92 -
FLOOR FURN. . . . :0 C'-O DRYERS. : 1 PARK f 500. 00 JH 10/09/92
BOIL!CMP ( 3HP:0 OTHER UNITS:O MPR'T s 39. 00 JH 10/09/92
GAS OUTLETS: 1 MPLC f 9. 75 JH 10/09/9c -
Owner: ---------------------------•---•---- M5PC t 1. 95 JH 10/09/92
M & F DEVELOPMENT CO. PPRT t 132. 50 JH lk'/09/92 -
17707 SE OATFIELD P5PC •. 6. 63 JH 10/09/92
GLAD STONE OF 97027
Phone #: 652--7092
Contractor: ------------------------._-----
M It F DEVELOPMENT CO.
t 7 707 SE OATF 1 ELD
> GLADSTONE OR 97027
Phone #: 652-7092
.-, Reg #. . : 57484 ---------------------------_______-----
"' f 1624. 33 TOTAL
This permit is issue) subject to the regulations contained in the ---- --- REQI.IRED INSPECTION13 ----- --
-' Tigard hbimpal Coie, State of Ore. Specialty Codes and all other Foot/found nsp Fireplace Insp
applicable laws. All work will be done it ccirdance Math approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Machan Insulation Insp
days of issuance, or if work is suspend#�i* more than 188 days. Plm/undslab Insp Gyp Board Insp
/ PLM/Underfloor Rain drpin Insp
Per-mittee Signature : - �� �: Mer-haniLal Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By: _.-_-,____ Framing Insp Mechanical Final
Call for inspection - 639-4175
FAMIKAFMA
C17YOFTIfirARD SEWER CONNECTION WYOFT ARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT omeawa PERMIT #. . . . . . . : SWR92-0062
13125 SW Hdl Blvd. P.O.Box 23397,Tipand,Orapon 97229. (603)63"176
0f193i 92�--
SITE ADDRESS. . . : 11292 SW 91ST CT PARCEL: 1S135DB—GR4
SUBDIVISION. ,. . . : DAKOTA GROVES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :4
------------------------------------------------------------------------------------------
TF_NANT NAME. . . . ,. :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILD7NGS: 1
INSTALL TYPE. . . . :BUSWR I MPERV SUp�-ACE. . : :s f
Remarks:
Owner: ----------------•----------------•-- . --------------- FEES --------------
M & F DEVELOPME;4T CO. type amount by date recpt
17707 SE OATF I ELD PRMT $ e:i 00. 00 PLL 10/09/92 —
INSP $ 35. 00 PLL 1'6/09/92 -
GLAD STONE OR 97027
Phone #: 652-7092
I
Contractorr -------------------------------
CONTRACTOR NOT ON FILE
----------------------------------------
Phone #: $ 2135. 00 TOTAL
Req #. . :
------- REQUIRED INSPECTIONS ------ -
This Applicant agrees to comilly with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency, l e permit expires 189 days from
the date issued. The total imount paid will be forfeited if the _....-
permit expires. The Agency does not guarantee the accuracy of the
side sewer lAt—Als. If the sewer is not located at the measurement
given, the instaPtr ;hall prospect 3 feet in all directions from
the disti,ice gi:•r. !` ,at so located, the instailer shall purchase _ — _-
a 'Tar and Side Sewer" Permit and the full ty, 1 install a lateral.
!'r_ •► i ti Pe Signature
Issued Bym _.
Call for inspection — 639-4175
131 SW Iiau Blvd. PLNCK,/RECT
CITY OF TI GA RD PO Box 23397
COMMUNITYUf��GL,01'��[Biti'I'llEl'AIZ'1'111iN•I'
Tigard Oregon 97273 PERMIT # 5r� U•—
(503)63'.4171 DATE ISSUED
JOB ADDRESS: 11 $',',� ��� y/ 3� ClI TAY. MAP/L('I L- -35DO
SUB: ��Q/ cr/_ , �1' LOT: �_ i_!kND USE:
VALUATION: - �3 23Z-
OWNER
32OWNER ,�i� SPECIAL NOfr�
NAME: /�/ c/ z -ems' „�_ _ e!50 . REISSUE OF:
ADDRESS: ,7G2 S Ll-'; eWZ-,� �? ,G',� LAST REISSUE:
Cn1' FLOOD PLAIN/
PHONE: SFNSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ _� _ PLANNING: Okl L--
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: _ OTHEF(:
CONTR. BOARD Q: S)`1*y EXP DATE: ��� Z _
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: ��s'� ,` LIST/SUBCONTRACTOF _.
MECH: ��l/i G�fQh BUS TAX:
ARCBLENGINEER / CALCULATIONS:
NAME: _ rn��/Lc �/1�C�G�r _ TRUSS DETAILS:
ADDRESS: _ ,2�0 D S Gy f-'/�' La a� OTHER: M_
97 LL 3
PHONE: a
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.. PROPOSED BLDG. USE: S Al
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COMMENTS:
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*CANT
APPLIGNATURE
Received By: �— J �{ Date Received: /'� hi _�
PHMIT n ACCT n DESCRIPTION AMOUNT AMOUNT PD. BAL. D-'_
Mf9l-041 10-432 00 Building Permit Fees
10-431 00 Piumbing Permit Fees
10-431 01 Mechanical Permit Fees ✓�� � _ 3�•
10-230 01 State B,,,llding Tax (5%) a�•b'3'' 3
Building .
Plumbing j-6 Mechanical "
I0-433 00 Plans Chec ee -Sam /U
Building So, Z!
Plumbing
Mechanical
10-230 06 Fire
Sw r •�.aL 30-202. 00 Sewer Connection
30-444 00 Sewer Inspection -3
25-448-G2 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 institutional TIF Fees
G
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees 1,.0_ — o v
52-449 00 Parks System Dev Charge (PDC) Joe
31- 450 00 Storm Drainage Syst Dev Chrg
2 ( WC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 anter Quantity (Fee in lieu of)
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nm/3581P.WPF q 0 , 3 3�
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;NSPECTION NOTICE
City of Tigard Building Depart-went
13125 811 Hall Blvd. Tigard, Oregon 97223
I^speCO-on Line (Rec-o-Phone)o 639-41'75 BuaLnese Phone: 639-4171
inspection:,
Footing Plbg. Underelab Mech. Rough-in Appr/Sdw`.k
Found. Plbg. Top Out Gan Line INALs
Post/Beam Struct. San. Bower Framing
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. 4d. -MeC
L
Date Requested:, Time: AM
Mddrese: I I�C/ �C__ Permit I= V
Builder,
THE FOLLOWING CORRECTIONS ARE R"Vlr=1 r
ft
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Inspectors v Dates 1
ROVED DISAPPR(rMD _ APPROVED SUBJECT TO AM"
J/ , Call For Poinap.
jNSPEC7'ION NOTICE
City of Tigard Building Departsent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab leech. Rough-in Appr/Sdwlk
Found. Plbg. Ton Out Gas Line FINAL:
Post/Beam Struct. Sar.. Sewer Framing -Bldg.
Post/Beats Hoch. Rain Drain Inculstion Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. lgCh.
i
I.st t kequestedt_ ._.� Timl,t -14AM _PN
Addrenat =� _ Permit 1s q Z-
Builders
THE FOLLOWING 00RUCTIONN ARS REQUIREDs
� 4
Inspectors _ _— Dates
APPROVED DISAPPROVRD NPPROVRD SUBJECT TU ABOVE
_'_ Call For Reinap.
MW
INSPECTICV NOTICE r
City of Tigard Build>_ng Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain !nwilation -Plumb.
Plbg. Underf?oor Watar Line Gyp. Bd. -Mech.
Date Requested:_ j� _Time: AM ' PM
Address: �_� _ � Permit
Builder-,_�
THE FOLLOWIN9 CORRECTIONS ARE RE/QUIRED: 420V
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Inspectors_—_
_APPROVED APPROVED APPROVED SUBJRCT TO ABOVE
For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SSI Ball Blvd. Tigard, Or"gc,n 't—,
Inspection Line (Rec-o-Pho ): 639-4175 Busi,c.ss Phone: 639-417
w
Inspections
Footing P1bg.i derslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Undoi:floor Water Line Gyp. Bd. -Mech.
Date Requested s�_ �! c /��� Time s AM _ PM
Address: ��. �` l J 1. Permit
Builder:
THE FOLLOWING CORRECTIONJ AAE REQUIRED:
-7 '7naelb
3 5 L/6&E S 1'0 ,0'AJ - C e crl 'Q, V.07_21-- _
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Inppectors Lett f1 rM&gAS bates
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/1PPROVEbDI8APPROVED "PROVED 8MUM TO Man
For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underelab Mech. Rough-in ��Appr/Sdwlk-
FINFound. Flbg. Top Out Gas Line
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: __2 —✓ _Times _'Z' AM PM
Address:_'.)_4 1 / S Permit t: -Z
Builder:
7'BE POLLOWINO OORRECTIONS ARE REQUIREDt
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7 Apectors/ 4:� /� �5 _ Dat-aI
V APPROVED DISAPPROVED AP"ROVED SUB.Ta(-T 'A) AROVF.
Call For Reinep.
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
Inspect'.on:
ootinq Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Bean, Mech. Rain Drain Insulation -Plumb.
Plbg. UnderfloorWat'er/Line Gyp. dd. -Mech.
Date Requested= /1//�� J 1.� _Time: AM PM
Address: � �— �',1 Permit f=�L�—
Builder= n_ L' / I
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspectors
APPROVED DISAPPROVED I APPROVED SUBJECT TO AhOVE
__Call For Reinsp.
INSPECTION NOTICE
Citi. of Tigard Building Department
13125 SH Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4173 Bu-ineaa Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Seam Struct. San. Sewer Framing -Bldg.
Post/Seam Mech. Rain Drain Insulatioonn -Plumb.
Plbg. Underfloor Water Unne gyp. Ed. J -Mach.
Date Requested: 4.13
� Time: lPM
Address:�c / �- _ Peirmit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
U
70
Inepectors_; ' ^_ Dates
APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
—Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 pusiness Phone: 639-4171.
Inspections_ _
Footing Plbq. Onderelab Mech. Rough-in Appr/Sdwlk
Found. ` Plbg. Top R�.IY Cee Line FINALS
Post/Beam Struct. Sar. fewer Framing -Bldg.
Post/Beam Mc-n. Rain Drain insulation -Plumb.
Plbg. Underfloor WateLr Line Gyp. Bd. -Mech.
Dae Requested: _ / / I '
Dat ______Time: AM PM
Address &ZL -'�,� — Permit #(2
Builder:
TRE FOLLOWING CORRECTIONS ARE REQtsTRFD:
Llapectors_
i
APPRQVED —_ DISAPPROVED APPROVED SURJV(7T TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
city of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineas Phone: 6:9-4171
Inspection: _ ----
Footing
_^Footing Plbq. Undorelab Hoch. Rough-Ln Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL-
Post/Beam Struct. San. Sewer / taming -Bldg.
:0
Poet/Beam Hoch. Rain Drain Insulation 1> -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeated: Time: AM PH
Addrea®: 5� `-�! Permit �:�� �� a cam►-+_ _
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED1
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1
Inopectorf _ Data: /Z-- 511-2-Z--
APPROVED DISAPvA0VED APPROVED SUBJECT TO ABOVE
roll For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart-went
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phore: 639-4171
Inspection:
F(-)ting Plbg. Underalab Mech. Rough-in Appr/Suwlk
Hound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer ./ Yeming -Bldg.
Poet/Beam Mech. Rain Dra+u Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requeetedt 462t 22' a- Times AM _PM
Addreeas � � C Permit #:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: _
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Inspector:.__
APPROVED *-,DISAPPROVED APPROVED SUBJECT TO ABOVE
��� call For Reinap.
INSPECTION NOTICE
City of TigaA Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Irspection: —_—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framin� -Bldg.
Post/Beam Mech. Rain DrainInsulation ) -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested. I/�/- Time: _AM ___PM
CJ/ Permit
Builder•_�__(�'-� _
THE FOLLOWING CORRECTIONS ARE RFQUIRED:
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CC
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Inspector:_�� Date: l 9
APPROVED 70-01vi"r
APPROVED SUBJECT To ABOVE
or-Re insp.
INSPECTION NOTICE
City of Sig Bu ng Depert—nt
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspection: - — `
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Ineu a on -Plumb.
rlbg. Underfloor Water Lino Gyp. Bd. -Hoch.
Da �.�t�� Requested: AM PM
t9l / Time:Address: / Permit i:Ftuilder:� " f:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ f ,�/ Date: ZZ— 2�`�Z
APPROVEDDISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab ` Mech. Bough-Ir Appr/Sdwlk
Found. Plbq. Top Out �(-`Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underflour Water Lined Gyp. Bd. -Koch.,-"::�/tl4
Date Requesteds� Z- Time: _AM �BM
Addree0s� - _ /_ 1 Permit � 12,2J-A
Builder: J�
THE FOLLOWING CORRECTI S ARE REQUIRED:
Inspector:..._ -_�✓ -_ v Dntol
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
33125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (hec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --- -
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found, Plbg. Top Out Gas Line FINAL:
Post/Beam Stt:uot. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date eequestedt (dp� -� 04Times /� 11M _ PN
nddrene; Z 7i 1 �L ` " Permit #t -I �y2-h Z _
I'ntr. FOLLOWING CORRECTIONS ARE REQ7IRED:
Inspector: ✓P-� DAte: ���.1
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab N6cg. Rough-in Appr/Sdwlk
Found. Plbg. Top Out a ne FINAL:
Pant/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ IfA Time AH _ PH
Addreres1 Permit tsCJl
Builders 7
THE FOLLOWING, CORRECTIONS ARE REQUIRED:
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Inspectors ,�`-y
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
CITY DF T I GARU — RECEIPT OF` POYMENT RE CF I V,T NO. :92-232!"151
.
CHEGA<. AMOUNT a 3509. 33
Ni 414E : M & F" DEVELOPMENT CASH AM(UNT a 0. 00
ODDREwSS a 1.7707 SE OATF"IEL,T) PAYMENT I)A'CF a 10/09/92
(3-1_.AD i-TONF!, OR SUSO I V I S I 01\1 a
PURPOSE OF PAYMENT f•ImOIJN•f F'A I D PURPOSE OF PAYMENT AMOUNT PAID
E�UILllINCaI F'FRM -10')R ~� 3s . 00 PLUMBING PF:'RM � 132. 5)o
MECHANICAL PE 39. 00 ST. BUILD PFR 27. 83
`f FLAN CHFCK F=E 10. 00 `;EWER USA c"'100. 00
Sk::WER INSPECT" 35. 0171 PORKS SDC 500. 00
r(.IRM LIRA T N SDC 'Pti Z1. 001
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TOTAL AMOUNT PAID 3509. 33
CITY OF r 1 r (aw) - RE"CF.l P T OF POYMENT RECEIPT NO. :91 1 3
CHCCV, AMOUNT ,.1150. 00
NAME e M & F DI:VL'I_UPMF.NT CO COSH AMOUNT 0. 00
ADDRFSS+ 0 107'70? 5F. OATF X rt-T) RD PnYMUNT .DATE 1 c'131 1
GLADl-.3TC314k, OR '3lJE�r)'l V Y'.iI01! c
�3 70i'7
101413SE OF POYM NT AMOUNT PAID PUF2POGE OF=' PAYMENT AMOUNT PAID
• t-'F•!F.(:K FF 1 r•'•• 1 t1�k ESQI. 0Ch
�.I�llt7f� 1100 ]TO 6RU11,11 ,,i I..0T 4
PLUMBING PERMIT
PERMIT #. . . . . . . : MST91-0282
DATE ISSUED: 11/23/92
SITE ADDRESS. . . : 11292 SW 91ST CT PARCEL: 1S135DB-GR4
SUBDIVISION. . . . : DAKOTA GROVES ZONING: R-4.5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
-------------------------------------------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . :1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . .. .:1 CATCH BASINS... .. . . :0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . :1
SINKS. . . . . . . . . . :1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft) . . . . :100
DISHWASHERS. . . . :1 RAIN DRAIN (ft) . . . . :0
Remarks:
OWNER: ----------------------------- -----------------FEES-----------
M & F DEVELOPMENT CO. BPRT $ 385.00 JH 10/09/92 -
17707 SE OATFIELD BPLC $ 250.25 JLH 12/31/91 221353
B5PC $ 19.25 JH 10/09/92 -
GLAD STONE OR 97027 SSDC $ 280.00 JH 10/09/92 -
Phone #: 652-7092 PARK $ 500.00 JH 10/09/92 -
MPRT $ 39.00 JH 10/09/92 -
Plumbing Contractor:----------------- MPLC $ 9.75 JH 10/09/92 -
M5PC $ 1.95 JH 10/09/92 -
Name: PPRT $ 132.50 JH 10/09/92 -
Address: P5PC $ 6.63 JH 10/09/92 -
City: State: TIFF $ 1380.00 JH 10/16/92 -
Zip: Phone#:
Reg #-
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the reg-
ulationB contained in the Tigard Municipal Foot/found Insp Gyp Board Insp
Code, State of Ore. Specialty Codes and all Foot/found Innp Rain drain Inep
other applicable laws. All work will be done Post/Beam Struct Water Line Inep
r.. in accordance with approved plans. This Poet/Beam Mechan Appr/Sdwlk Insp
permit will expire if work is not started Plm/undslab Inap Mechanical Final
within 180 days of issuance, or if work is PLM/Underfloor Plumb Final
suspended for more than 180 days. Mechanical Inep Building Finel
Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Inep
�l 1 f _ Gas Line In
sp
XIn
(_�� �- Insulation Insp
Authorized Plumbing Contractor Signature
Call for inspection - 639-4175
Contractor Notes: