11333 SW 91ST COURT ..._,....�.„.,......__.._>,...m..,..»;».w.,.:a.:».,,,..:+„wrc.,c�w�r...dn+�dcr�..r.:cti.rwr+tM►wa � w4`dwiw✓',1++.w`+�kWs1.9�%�fASr�l ". iAdr�:.�w,...
r
W
L.)
w
kD
Cn
ra
H
6
1033 SW 91ST COURT
CITYOFTIGARDCERTIFICATE OF
CFIYCFMS;4RD
OR OCCUPANCY
COMMUNrlY DEVELOPMENT DEPARTMENT offew
13125 SW Hell Blvd. P.O.Box 23397,TOW,Oregon 07223(503)63"175
DATE ISSUED: 916/02/92
'3I TE ADDRESS. 11333 SW ?I ST cT PARCEL.: 3135OB—GR7
!--'iUBDIVISION. . . . : DAKOTR GROVS0 70NINGi R -4. 5
BLOCK. . . . . . . . . . p I.OT. . . . o . . . . . . . . 17
CLAS-j' OF WORK. :NEW
TYPL OF" USE. . . :SF
OC.:UPANCY GRP. -R3
OCCUPANCY LOAD: 116 4
TENANT NAME. . . .
Remz�rk% : adult foul-v ci-are 11nme limit 5 or fpwpv- ptv-sons plus supervisary staff
Owner": _._---.--_--•.._..__._.__..__..._--_.._..---•-_--
TUNLY
-----------
TUNLY PROPERTIES
PO BOX 414
HILLSPOR0 OR 97123-0000
Phone 0c 503-648-1643
Contrectorl
TENLY PROPERTIES
PO BOX 414
HILLS13nRO OR 97t23 -0000
Phone #1 693-0165
Peg *. . 1 52511
Orr- upskncV nf the abo,,,e t ef erenced but Iding i s hereby gi veti, aind cert i f i es
the compliance with the '-3tate Of Oregon Specialty Codes for the gro'-Ip,
occupancy, and ose ktndp�- which the refereanced permit w i0scled.
FIRE DEPARTMENT
ef F17T 70
E%U I L 11D)i OFF 1C.1t4L
PM,T IN CONSPICLOUS PLk,7E
INSPECTION NOTICR
City of Tigard Building Dep+'tz-nt
�- 13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line jRec-O-Phoney: 639-4175 Business Phone: 639-4171
inepectioc•___ —
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PIAL'
Poet/Beam Struct. San. Sewer Framing
lost/Ream Meeh. R..in Drain insulation -Plumb.
Pl.bg. Underfloor Mater ane Gyp. Bd. --_Hoch.
Date Requestods_yz_C� CZ __� Times ---PH
11 — Permit
Aaaraee• —
Buildors THE FOLLOWING CORRECTI ARE REQUIRED:
Inspector: : --------- nates
APPOMD ►IISAPPFtOVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION N-TICS
city of Ti;ard 'A:Llding Department
23125 SM BaV. Blvd. Tigard, Or:xlon 972:!3
Inspection Line (Rec-O-Phone): 639-417° Buuinesa Plone: 639-4171
Inspection:
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Pibg. lo ) Out Gas Line FINAL:
Poet/Bee... Struct. San. S awer Framing -Bldg
. 1
Po:at/Beam Hoch. Rain Drain Insulation
Plbg. underfloor Plater tine Gyp. B!.
Date RoquestedtTimet _AN + PH
Ad lreno:_x/333 Permit
Hullder:
THE FOLLOWING 00RRZCTj001Mz MMIRRV I
44,
Inspector: 09
APPROVED ✓DISyAPPROVED APPROVED SURJPrT TO ABOVE
/ _Call For Reinsp.
INSPECTLO-INC-9_ICE
City of Tigard Building Department
13125 911 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phorc): C39-4175 Business Phone: 639-4171
Inspection:_____ ---- ---
Footing Plbg. Urderslab Mech. Rough-in Appr/Sdwlk
Vccund. Plby. Top Out Gas Line FINALS
Post/Beam Strt- San. Sewer Framing C Bldg.
Pont/Boom mec1• Rain Drain Insulation -Plumb.
Plbg. Underfloc Wate )Liinnne� Gyp. Bd.
DaLoRequested: _y�Jy //�! / _ T1.i AM PN
Pddress:_ �,f>- � ! [_ Permit /Z/-
Builder:
THE FOLLOWING CORRECTIONS ARDS REQUIRED:
�/1.1i^--•..e s/-L. ? � .�,..P ;�Odt.-fit- —
Inepeotor: .a _ _ Date:
1P a/ DISAPPROVCD APPROVRD 9UBJRCT TO ARMIE
�/ Call For Reinap.
l�wvv
"-E—cj"—E— ION_NOTICE
city of Tigard Building Departw&mt
13125 BM Hall Bllyd. Tigard, Orogen `37223
Inspection Line (Rec-O-Phoryer: 639--4,1175 Business Phone: 639-4171
Inspection: - ��
Footing Plbg. .(slab Mech. Rouqh-in APP(/Sdwlk
Found. Plbg P Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beate Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. r
Date Requested: r� -C/ -�G4— Time: AN PN
Addreso:__�� _..—
Builder:
THE FOLLOWIN6 CORRECTIONS ARE REQUIRFD:
i
Inspectors At 1EC( ` Date: Z __
( �?PPROVDISAPP _ APPROVED SUBJECT TO ABOV11
—Y�' Call For Reinap.
TNS ECTION NOTIQ^E
City of Tigard Building Department
13125 SH Hall Blvd_ Tigard, Oregon 97223
Ins-,action Line (Aac-O-Vhone): 639-4175 Business Phon't: 639-4171
Incl action:,__ - —
Pootiag Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct, SaA. Sewe: Framing Bldg•
post/Beam Mech. Rain Drain Insulation //jyCJ-P1
Plbg. Onderfloor Eater Line Gyr. Bd. J -Hach.
Date kegL estwds ��
Address: _ �_r--- Perrd1. M:.�L��
Builder: -
THE FOLLOWING CORRECTION RI lLIIAED t
(I J
Date t
Inspeccttort_f
T APPROVED PISIIPPROVED AADM
SUBJECT TO AB
ll `Call For Reinsp•
I-NS-9-90 ON NOTICE - t.
City of Tigard Building Deoartmpnt
13125 SR Ball Clod. Tigard, Oregon 97223
Inspection Line (Rer.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 'f / 'jo „i
Footing P1bg. Underslab Mach Rough-in Appr/Sdwlk
Found. Plbq. Top out gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -^ldg.
Pont/Beam Mech. Rain Drain Insulation -P.umb.
Plbg. Underfloor
Water Line gyp. Bd. -Mech.
Z-/'- -% '
Date Requesteds / / �Cj�- 1,ime= AM _—cj4
Addre�s:_J /3� vJ /✓� Permit
Builder:
THE FOLLOWING CORRECTIONS RSIIUIRED:
Dater Zp 1
t'—APPROM DISAPPROVED - APPROVED SUBJECT TO ASWN
Call For Reinsp.
IMSfCTION NOTICE
0 City of Tigard Building Department
1.7125 Sit Hall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. U,derslab Mech. Rough-in �App,/Sdwlk
Fund. P1 x, Top Out Gas Line lIItl1Lt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Much. Rain Drain Inaulation --Plumb.
Plbtj. Underfloor Water Line Gyp. Bd. -Moch.
Date Requestedt_ i� ��-- _Timet AM _,_PM
/7 i o-
Address: // — Permit #t�jr,,���
Builder:__
THE FOLLOWING CORRECTIOMB ARE4;,RE'
c,�1�°r�(
l, l co
Inspectors �. -7u l Uc 4ti N c Da..es- c-_
_APPROVED -12 DISAPPR4 _ APPROVED SUBJRCT TO ABOVR
all !'or Reine,p.
IHSPerrzoN NcrrzcE
City of Tig. rd snil.dlmg Departont
13125 BW Ball Blvd. Tigard, Oregon 97223
inspection Eine (Rec-O-Phone): 639-4175 Bueineee Phone: 639-4171
Inspection: _
Footing Plbg. Underalab M&A. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oas Line FINAL:
Post/Beam Struct. San. Sewer 'rrming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Pl:unb.
Plbg. Underfloor Water 7Line Gyp. Bd. `-/Noah.
Date Reques
ted: L, Z` 1� Taj QAM PH
Address:- ` �^ _ Permit #: / o ZS3
HuIlder:_
THE FOLLOWING 0ORRECTION11 ARE REQUIRED:
Inspectors--se��= —f Date: C'
APPROVED nI3APPROV6D APPROVED SUAJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTA:^
City of Tigard Building Departtoent
13125 SW Hall Jlvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Incl action:_
Footing Plbg. Underalab 1Mech. Rough-in .ppr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer lrmLn -Bldg.
Past/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line pyp, ad, -Mach.
Date Requestedtl�`_ � ` Z Timet XAN PM
Address: I I �1�rr�� n lt _q (�
d PerwLt #&
Builder: //
__j0 �(V 23
(1�5
TNR FOLLOWING CORRECTIONS ARE REQUIRED:
Inepectort, Dnta: _ _
APPROVRC �DIBBP}ROWSD APPR0IRD SUBJECT TO ABOVE
Call For M p.
INSPECTION NOTICE
city or Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223 J"
Inspection Line (Rec-O-Phone): 639-4175 Business Fhone: 639-4171
Inapectiont_
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out / pas Line FINAL:
r-
Post/Beam Stntct. San. Sewerraining -Bldg.
XL
Pont/Beam Mach. R-A n Drain Instal ation -Plumb.
Plbg. Underflror Nater Line Gyp, Bd. -Mech.
Date Requostel: y_ �,�,�C Tit �J___hm PH
Address: �� `�� Permit
Builder:
t.
THE FOLLOWING CORRECPI ARE VXQUIREDt
t
r
Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVR
Call Por Reinap.
1NsrRc�ION NOTICE.
City of Tigard Building Departseent
13125 SA Hall Blvd. Tigard, Oregon 9722316'2
Inspection Line (Rec-O-Phone)s 539-x'.175 Business Phone: 639-4171
Inapaetion:
Footing Plbg. Underslab Heel-. R^ugh-in Appr/Sdwlk
Found. Plbg. Top out Opts Line FINAL:
Post/Beare Struct. Sen. Sewer Framing _ -Bldg.
Pent./Beam Mech. Rain Drain Insulation -plumb.
Plbq. Underfloor Malar Line Gyp. Bd. -Mech.
Da'..'� Requested: -1 Times —_AM PM
Address: Permit s�'li S.3
Builder-._-
THE FOLLOWING CORRECTIONS 'kRE'*EQUIRED:
' c
Inspectors Dat^is _ / Cr
11PPpOViD DISAPPROVED APPROM SUBJWr To AN"
___call For Reinsp.
... ..,._.- _..�...-_ .,,........,.�_...................n....w-�:W.+r.wwwuWu.wvu�/.YI►'mYhWM�a4'�.,.r��OwMiWMLin'WW�bM.+44 �Y WiAK�E
INSPEC ION_NOTICE J'
City of Tigard Bui.ldiog V*part rant
13125 SW Full Blvd. Tigard, Oregon 97223
Inspection Line kRec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:—
Footing Plbq. Onderslab Mech. Rough-in Appr/Sdwlk
i
Found. Top Out Gan Line FINAL:
Post/[Team 9truct. San. Newer FrwAng -Bl.dy.
Pont/Beam Mecll. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. --!loch.
Date Roquesteds ^� -�e.�� Time& )wM
�( P
Addreass //_3�� C,�l J� Permit P:�1 �C��•S�
Builders
THE FOLLOWING CORRECTI ARt RIQDIR=Ds
1
f
- I
Inspectors Date$�1��/L
APPNO'"M - - DTSAPPPOVRD APPFAMM BOBJNM TO ARM
_,Call Por Reinep.
iNSEICTION CE
City of TigaLd Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out eas Line FINALt
,-P66—thiaamstruct San. Sewer Framing -Bldg.
Beam Mach Pain Drain l.isulation -Plumb.
Plbg. Underfloor Yater Line Gyp. Bd. -Mach.
Date Requested: S �1 —Timet -AH _PM
-11
Address: > Pe3r/m/it �t`1L �� �
Builder:-.
THE FOLLOW.,-, l.��RRECjTI 11RE RBQUIRZDt
L ?L
Inspector t Date s
APPROVlO �DIBIIPPAOVED APPROVED 6UBJEC'r To ABOVE
Call For Reinap.
�r1 11111111111111111 I=
INSPECTION NOTICE , a
City of Tigard Bn.ilding Department
13125 SN Hall. Blvd. Tigard, Oregon 9'/223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footi.nq Plbg. Underslab Mech. Rough-4n Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL=
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
lilbg. Underflo6r water Line Gyp. Bd. -Mech.
Date Requestedt �2 Time:
Address: // 5 Permit
--T
Builder:
:`FIE FOLLOWING CORRECT S ARE REQUIRED:
� 44�
r
Inspev:tor� ----- - -- Date:_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSP"fifTON
City of Tigard Building Departsent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inepection Line (Rec-o-Phone)s 639-4175 Bueineue Phone: 639-4171
Inspeat.ion:
Footing Plbg. Undersleb Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strutt. San. Sower Framing -Bldg.
Foot/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor `il er Line �) GYP• Bd. -Hoch.
T lme PN
Date Requested.�
Addreees �
e-
Builders r
i
THE FOLLOWING CORRE NS ARE REQUIRED:
1
Inspectors _ Dates
71PVROVED DISAPPROVED APPROVED SUWZCT TO 1A M
Call For Reinsp.
l
N�SPEION NOTICE 2-
City
City of Tigard Building Department
13125 Sir Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec--o-Phone): 639-4175 Business Phone: 639-4173.
Inspeationr.
Footing _iog. Underalab Mech. Rough-in Appr/Sdwlk
Found. P1 Top Out Gas Line FINAL:
Post/Beam Struct. Framing -Bldg.
Post/Beam Mech. > Insulation -Plumb.
v
Plbg. t :derfloor t i Is Gyp. Bd. -Mech.
Date Requested: _�� �— _Time: AM +
Address: / I_� ` P..it .�L
Builder.__, 7-
TB= FOLSd7WING CORRECT NS ARE RBQUIRISD:
/ _
Inspector: / `----...--- ---..___ nate:_
APPROVED DISAPPROVED APPROVED SUBJECT 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 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underelab Mach. Rough-in Appr/Sdw).k
/Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: c �'� L �jTiime: / AM �-PM
Address: /!
Buildar• l^ X2Zaa ,L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
oatet
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
0411 For Reinsp.
PLUMBING PERMIT.
y Tmm
CRYOF71FARD c"4m IERMIT #. . . . . . . : MST91--141253
COMMUNITY DEVELOPMENT DEPARTMENT r7�0*�190N
13126 SW Hodl Blvd P.O.Box 23307,TOW,Omgon 97M(GW)83"175 T)ATE ISSUED: 012" 10/9jR
1 TE ADDRES5_ 11,333 13W 91.ST' CT PORCEL: 1S135L)B--GR7
�)UBD'IVISIUN. . . . -!DAKOTA GROVES .1. ZONING: R-4.
BLOCK. . . LOT. . . . . . . . . , . . . .t7
CLASS OF WORK. . sNEW GARMGE DISPOSALS. . :
'ryPF of" USE. . . . ,sF WAG)HINO MACH. . . . . . . .. I C�ACKFLOW PREVNTR'3. . : 1
OCCUPANCY 3RP. . rR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . cl WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
1:* 1 LAUNDRY TRAYS. . . . . . : 1 9F RAIN DRAINS. . . . . : L
'31 NKS. . . . . . . . . . .. I CRF ASE rRAPS. . . . . . . ..0
LAViJORIES. . . . . 17 OTHER FTXTURES. . . . . .0
T'UB/SH0WERS. . . . 3 !':;EWER LINE (ft ) . . . . :0
WATER CLOSETS. . c7 WA)ER LINE (ft ) . . . . : 1.00
DISHWASHER S. . RAIN DRAIN ( ft ) . . . . :0
Rem,4r4s : PrIlult fost4r- care'*H61ne limit '3 or^ ' fpwoty- persons plus supeovis�xy staff
[JWNER.
TENLY )ROPER,rIES TIF $ 1380. 00 JLH 02/10/9c
BPRT * 460. 50 JLH 02/10/9a -
f:10 BOX 414 BPLC t 299. ,',3 JLH 12/23/91 22t 107
HILLSBORO OR 97123-0000 85PC $ iF:3. 0,--, JLH OFF t0/92 -
'180. 01A JLH 02/10/91, -
Glhotle #- 503-646-1645 SSDC $ i- -
PARK ; 500. 00 JLH 02/10/92 -
Plumbing MPRT 4 5 2. 50 JLH 02/10/92
MV,LC $ 13. 13 JLH 02/10/92
Name : M5F-1C * 2. C,3 JLH 02/10/9c-.
Iddr-e S JPR T $ 15. 0 0 JLH 42/10/92
i t y -State: P5PC 4 1 Vj. 7b JLH 0e/ 10/9 2
7ip:
17eq #
ftl ------- REAUT RED
This 'Permit is issued subject to the req-
lartions ii) the 'figs-rd Mun:icipAl Foot/found Insp Rain drain Insp
"ode, State of Ore. Specialty Codas and all Flost/1.4eam Gtruct Water Line Insp
.1ther applicable laws. All work will Ogg. done Post/Beam met-han Appr/Sdwlk Insp
in acIcni'dance with approved plans. This Plm/undslab Insp Mechanical Final
v)ermit will Pupit-e if work is not %tar-ted PLM/Ovider-Floot- Plumb F-itial
within 180 dayti of issi.iance, or if work is Mechani,,.al Insp B'Ai Idi I ig Final
Aspended for more than 180 LJAYS. PlUmb Top Out Ero,,id"'Colit)-ol
Framing Insp Crawl Fl-ain
Fit-eplace Insp
Gas Ltne In%p
Insul at ion Insp
t3yp Boatd Insp
_1thf;t4jZj!Krj r-1j1.j4bh1f9 Contractor Signature
Call fur inspection 639--4175
a n t r a c i,o r N o t e s I
17YOF T1�54 MASTER F'ERh1I 1
C
COMMUNITY DEVELOPMENT DEPARTMENT
IT1f ►-ERM I T #' ' ' " • • ' = Iv15791 0 53
13126 SW HWI BNtt. P.O.Btu 23397,Tlp W,Orpun 97223, 603 fl�3Q 4176
t�_ s T7 DATE ISSUED: 02:!10/92"
I TE ADDRESS. . , 113,33 SW 91 ST (-T PARCEL: 1 S 135DB-GR7
:3UBDIVISIUN. . . . : DAKOTA GROVES ZONING: R-4. 5
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 7
___._______._.___._.________._----•-____-- BUILDING -------
IRE I SSUE: DWZI_.L_I NG UIJ I TS: 1 BASEMENT. .. . . . . . . :0 -.:f
CLASS OF' WORK. .NEW BEDRMS:6 BA"FHS:7 GARAGE. . . . . . . . . . :200 s f
T'YP'E OF USE:., . . :SF FLOOR AREAS------•--•-----• REQUIRED SETBACKS--._-_..__._.----_
TYPE OF CONST. :5N FIRST. . . . :2330 sf LE:FT. . :6 ft RIGH"F. :6 ft
OCCUPANCY GRP. :R.' SECOND. . . :0 :f FRONT. :c-,'O ft REAR. . :40 ft
'.-.-')TOR 1 ES. . . . . . . : I THIRD. . . . :0 s f RFQU I RED----------------------
HEIGHT. . . . . . . . .
----__------.-.-__---
HEIGHT. . . . . . . . . 16 f t TOTAL-- ---_.---:j'33@ s f SMOKE DETFC FURS. :Y
FLOOR LOAD. . . , :40 psf VALUE. . . . . $ : 111.780 PARKING SPACES. . :0
Remarks: adi.Alt foster c:ar•e home limit 5 or fewer persons ple_is si_tpervisary staff
RLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW i-,REVNTRS. . : 1
LAVATORIES. . . . . :7 WATER HEATERS. . . : I TRAP'S. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :.', LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :7 FEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :Q
FiI SHWA1:311ERS. . . .. : 1 WATER LINE (ft ) . : ,100 OTHER FIXTURES. . . . . :0
GARBAGE= DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF-- RAIN DRAINS. . : 1
.-.--.-------__-- MECHANICAL -- --__ _-- ___ ----------------- FEES -•--------------
FUEL UNIT HTRS. . :0 t ype amol.Jnt by dat e recpt
/GAS/ ! / VENTS . . . . . :0 TIF $ 1360. 00 JLH 02/10/92 -
!1AX INPUT:0 BTU VENT FANS. . :8 PPRT $ 461. 50 JLH 02/10/92 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 299. 33 JLH 12/23/91 212 11 e17
'lJRhl ) =] l►1Z11', . . . 1 WOOD�3TOVE5. :0 B5PC * :='-_,. 0?, .II.,.H 02/10/92 -
V'LOOR FURN. . . . s0 CLO DRYERS. : 1 SSDC $ 280. 00 JLH 02/10192 -
BOIL/CMP ( 311P:0 OTHER UNI1-5:0 F'ARK 1, 7500. LAO JLH 02/ 10/92 -
GAS OUTLETS: 1 MF,RT 52. 50 JLH 02/10/92 -
Owner: - _____..__._._________--__------___._________ MPLC 1.3. 13 JLH 02/ 10/92
TEN!Y PROPERTIES M5F'C 1 ,.'. 63 JLH 02/10/92 -
PF'RT 1x:15. 0 . JLH L712/10/92
10/92 -
P'O BOX 414 P5F'C 1 10. 75 JLH 02/ 10/92 -
HILLSBORU OR 971:3-0000
1=1hone #: 50;.3-648-164=,
r ontractar: -----------_--_...___-__----•-____--
TENLY P'ROP'ERTIES
!=O BOX 414
I4ILLSBGRO OR 971223-0000
'hone #: 693-•0185
Reg #. . .- 9, 2511 -------------------------•----
$ 3236. 87 TOTAL
This persit is issued subject to the regulations contained in the ------- REGUIRED INSPECTIONS ---- ---
Tigard Municipal Code. State of Ore. Specialty Codes and all other Foot /found Insp Fireplace Insp
applicable law;. All work will be done in accordance with approved F7'ost/Beam Strr.Jct (gas Line Insp
clans. This Jerait will expire if Mork is not star .t within lae Post/Beam Mechan Insulation Insp
days of iss-.once, or if work is suspended or aore h'a^ " days. Pim/undslab Insp Gyp Board Insp
PLAI/Underfloor Rain drain Intip
-a•,•miti ee Sinflatqre : � l60,4�� Mechanical Insp Water Line Insp
P'iJ.imb Fop Out Appr/S:iwlk Insp
r_.I-Jed By : Framing Insp MechATiical Final
Call for inspection - 639-4175
W W
�
CITYOFTIFARD
� SEWER CONNECTION
PERMIT
CMRD
j COMMUNITY DEVELOPMENT DEPARTMENT M OFT
ooei PE RM IT #• • • . • • •
13125 SW Hrl Blvd. P.O.Sa ZM.',TOW,Onpon 47223(603)839-4175
i q-4171
T F 1'��SUED• Gr t
SITE ADDRESS. . . : 11333 SW 91ST CT PARCEL_: 1S135DB-GR7
SUBDIVISION. . . . : DAKOTA GROVES ZONING: R-•-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :7
TENANT NAME.. . . . . :
US" NO. . . . . . . . . . . FIXTURE UNITS. . . .
.'LASS OF WORN.. . . :NEW DWELLING UNITS. . : 1
-TYPE OF USE. . . . . :SF NO. OF' BU I LD I NGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE=•. . : : sf
Pemarks : ad�-tlt foster care home
(J w n e r-- -------------------------------------- __________.__._.__.__. FEES ---------------
ThNL-Y PROPERTIES type amount by date reccpt
PRMT $ 1900. 00 JLH 02/10/92 -
PO BOX 414 INSP E ? . 00 II. 1A 02.'10/9c' -
HILLSBORO OR 97123-0000
Phone #: 503-648-16�i*5
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 1935. 00 TOTAL
Reg #. .
------- kEQU1RED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Acency. The permit expires 18@ days from _
the date issued. The total amount paid will be forfeited if the _
permit axpires. The Agency does no .----.-------_.._._.___._._..._.___..._ _--_--•-.--__-__-_ —
t guarantee the accuracy of the -
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase w
a "Tap and Side Sewer" Permit and the A encv will Inst 1 a literal. _
Permittee Si gnat ure : f��t tl,�
ssi_1ed Pv.
Call for inspection - 639-4175
K ivillul)lu
Em!Lgpqsm
CIT`! OF TIG-ARD RECEIPr OF PAYMFNT REC.E I PT NO. 392-2230812
CHECK AMOUNT : 4921. 87
CASH AMOUNT c
A wlE TENLY PROPERI 0. 00
DDREGS a VIO BOX 414 PAYMENT nA"rE o 0 10/9e''.
SUBDIVISION
1-4 1 LLSBORO, OR 97183—
PORPOSE- OF PAYMENT AMOUNY PA I D PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM _ ...._460. 50 PLUMBING 1-71ERM 2 15. ov,
ME'CHANICAL PE 52. 50 ST. BUILD PER 36. 41
PLAN CHECK FE 62. 46 SEWER USA 1900. 00
SEWER '&'NSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 1280. 00
PARKS SDC 50wl. 00 STORM DRAIN ',33DC 280. 00
MASS TRANSIT TIF FEES 100. 00
11333 qW 91ST CT
JClTQ(., AMOUNT PAID — — — —1 4921 . 97