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11423 SW 107TH PLACE-1 I ,p N W Co E N O v H w r n r� I i I 3DVgd HZLOT MS E? TT f I r� CIIYOFT167ARD OF CrIYOF7WARD "I COW"IUNPrf DEVELOPMENT DEPAR'(M ONOM OCCUPANCY 13125 SW Heil Blv&P.O.Sm 233W,TigaM.Or"m I.r4'31 HfvI I I t*. . . . . . . VAV7.150 5 1 1 E ADDRErSO. . . s 114e'-', t:M 107TH wt- PARCF-:L: 151:340)) -01, 4�'ULAD I V I S I ON. . . . : AIT.X LSTWES Cniv1NCn R-4. 5 BLOCK— . . . . . . . . LOT. , CLASS OF W(JRK. INEW T YPE Or-, Us'L". . . -SF OCCUPANCY QRP. IR3 01"(-'IJPI-)N('Y /4 RT 3 Brix 259 V SHE-r-tWOOD OR 97140 OWNFIR !'Ihcjllp 0! c1ccupancy of 1:11e mbrive ref"rem-'ecl building it hereby piven, wid the compliance t. the State Of Oveyon Sip"cialty ( wf "; for, the Nro".1p, r-tpancy, and t. lmdev which the releranced per nil t was In%t'led. __.._.._........____.._.__ s-fry. F I RF Dr-PART0,CNI I BUTI U1116 INSPLCTOR 117.4 AL POS? IN �NSP�CTIUN.NOTICE �� City of Tigard Funning Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl,k Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer framing /y�_/ -Bldq� L Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloo:c Water Line Gyp. Bd. -Koch. Date RtK]uos�t�o�d�,—�1 ��- _Times AN ______PM Address //'7 may _ �O � Permit #3 11U�L Builders .�. . TMa FOLLOWING CORRECTIONS ARZ REQUIRED: d l Inspectors _APPROVED D.'SAPPROVED ?� APPROVED SUBJECT TO A30',E ��Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Ball Bled. Tiqard, O-egon 9723 Inspection Line (Rec.-O- hone): 635-4175 Business Phone: 639-4171 Inspection; -- �..- Footing PL /Underslab Nech. Rough-in C2,L�/Sd-lDk Found. Pl.bg. Top Out GAs Line P.INAL: Post/Beam Struct. San. Sewer Framing -Bldg. Pont/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. DAte Reque&tedt /D �i � Times AM —�PM Permit it THE FOLLOWING (MRRECTIONS ARE REQUIRED: ,yam ego 8 i�-r►'1 S i i cT EU w i T,9 L ) 1)C L — Inspector:__ i! H TIfOM�J �— Datet_ APPROVND DISAPPROVED APPROVED SUBJ1'CT TO ABOVE Call For Reinsp. LNSP$CTION NOTICE city .)f Tigard Building Depart—Int 13125 Sit Ball Blvd. Tigard, Oregbn 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• _ -- footing Plbg. Underslab Much. Rough-in Appr./Sdwlk Found. Plbq. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer. Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation Plumb. Plhg. Underfloor Wat*r Line Gyp. Bd. Date Requested:—/ 17.2 Time: //Gice7 --PH Address-_L� / Permit Builder: ���//►/tee-Alm—/ _ THE FOLLOWING CORRECTIONS ARE MQOIRROt .✓✓tom / _ �rM 01 Inspector:� Dates APPROVSAy DI8"PROWD APPROVED SUBJECT TO ABOVE call For PALnep. .._ INSPECTION_NOTICE �'" city of Tigard Building Department 13125 SM Mal Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171. Inspections ----- —— -- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing -Bldg. post/Beam Mech. Rain Drain Insulation Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Koch. Date RaTiested:J�v 7 Timet AK _�M Addrefln:_�/�� �U / �� Permit is ! Bvilder:_----1 THE ., '.LOWING CORRECTIONS ARE REQUIRED: Inspectort, �i �' —_ Datel APPROVED DISAPPROVED APPROVED 8U&MCT To ABOVE Call For Reinsp. LIN INsercTION NOTICE City of Tigard Building Departweuc 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busincon Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out. Gas Ltne FINAL: Post/Ream Struct. San. Sewer Framing -Bldg. Post/Ream Mech. Rain Drain �MnlatiOn -Plumb. Plbg. Underfloor �1 Water Line a". ad. -Mech. Date Requeotedt / 5- t�-- q, ,^ Times --------AN PM Address:,��7��q} ` I Q�+ I`1p /_-Permit is 1",5T-(Z Di � d BuiIders Qj- / THE FOLI.UWING CORRECTIONS ARE REQUIRED: Inspector: C/�' Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. iNSPECTSU�NOTICE City of Tigard Building Department 1.3125 SW Nall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: __ Footing P'bg. Underslab N3ch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cat Line FINALt Post/Beam Struct.. San. Sower Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plby. Underfloor Water Line Oyp. Bd. -Koch. Date Requested: AK --M Address: A-Mv, 7 —/ Permit _J/ � Builders THE FOLLOWING CORRtCTIONS ARE REQUIRED: Inspectors__ Dates / - ' Z� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinep. INSPECTION NOTI=E City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inupection 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: poet/Beam Struct. San. Sewer Framing 1 Post/Beam Mech. Rain Drain InWlation -Plumb. Pltg. Underfloor Water Lime DYp• Bd. _ G -Hech• le Date Requested: - TWee99L�ry AN --PH Address• Builder.: ���`;�!' � TBE FOLLOWING CORRECTIONS AR6 REQUIRED: !r/� ,��-""�� yL— ��,^C� til. ,•,.-,.% �.� Inspectort - r 1 _ net.. APF,h'1VED DISAPPROVED E ArPROVED SUBJECT TO ABOVE Call For Rel_nsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blwd. Tigard, Oregon 97223 Inspection Line (Rec--o-Phone): 639-4175 Business Phone: 63 Inspection: Footing Plbg. Underelab Nech. Rouqh-in Appr/S Found. Plbg. Top Out Gan Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor. /Water �Line � Gyp. Bd. -Mach. Date Requesteds (� X7"7 y�J�_� Timms /'PSN Addres": � / �1[ Permit /:C- - V Builder: /h iaee 1 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors JAPPROVED DISAPPROVED XPPROVR6 r,110JrCT TO ABCMZ _,Call For Reinap. IMIRCTION NOTICE City of Tigard Building Departsssrnt 13125 SM Qall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--o-Phone): 639-4175 Buainess Phone: 639-4171 ------- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out GasLine > PINAI,: Poet/Deem Stnict.. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Pibg. Uncerfloor Water �Lino Gyp. Bd. -Mech. Date Regr eeteds —I,.�� c�7 —� Time= _ AM _PM Addreae s Permit 1: L-21 L Builders THE FOLLOWING CORRRCTIONS ARE REQUIRED' Inspector -- -- -.-- Date-4 _�_`� Z �_APF'ROVED DISAPPROVED APPROVED SUBJRCT TO AROVF. / Call For Relnap. � ase INSPECTION NOTICE -^J City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oragon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business PhooP• Li5-4171 Inspection: Pooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Fouad. Plbg. Top Out Gaa Line FINAL: Po!gt/Oeam Struct. San. Sewer Framing Poet/Posm Mech. Rein Drain ) Insulation _Plumb. Plbg. Underfloor water Line Gyp. Bd. -Mech. Date Requesred: 4�2 Time: _ AM PM Address:_�� PermltT�: � -Y Builder: aa T THE FOLLOWING CORR.pCTIONS ARE REQUIRED: Inspector: -� _ Dats: APPROVED 018APPROVED APPROVRD 80MCT TO AD Call 1br Reinep. s r.. INSPECTION NOTICE city of Tigard Buildiog Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 633-41'/S Business Phone: 639-4171 Inspection• _,--_ -- Footing Plbg. Underelab Mech. Rough-in Appr/^awlk Found. . Top Out J Gee Line FINAL: Poet/Beam Struct. San.=8---" Framing -Bldg. Poet/Beam Meeh. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Koch. Date Requested:_- - -` .v Timet JL-� AM _PM Address: Z4 ,7 Permit #ta_ Builder: - TNY FOLLOWING OORRECT104S ARE REQUIRED1 1 _ inspector: / �`-�� _— Dates APPROYLD D'LSAPPRovED _- APPRown sutmRvT To AD(rvE Call For Relnep. INSPfiCTZUN NOTICE `'.--y-._..,L�.. City of Tigard Building Department 13]L25 SW Hall Blvd, Tigarde Oregon 97223 Inspection Line Rec-O-Phone): 639-41755 Business Phone:: 639-4171 Inspection: Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. ?lbg. Top Out Gas Line FINALt Poet/Beam Struct. San. Sewer Framing -Bldg. Pont/Beam Mech. Rain Drain insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:` —1� _Time: _ AM _T_PM / Address:, �/� � t i� Pe-mit f: Builder:. _ THE FOLLOWING CORRECTIONS ARE REQUIRED: inspectort�_ Dltet 1 ���g1 APPROVED DISAPPROVED — APPROVED NUBJRC1' TO ABOVE Call For Reinep. .._,.......,.y,.........,.ww...cwra.++.r...., .,..,-...u..uw•.wnawu.rWwrG�.wX+w.oia-e.-as,•^•ufle�MY7dYYyaaltiwawmwoncww�.:aww�,�++�ncwan+w'Ywurwadcwwtwrw.�YMwbrO�IM�Yw.vM IKare�OR NOTICE City .:f Tigard Building Department 13125 SN .all Blvd. Tigard, Oregon 97223 InepecCion a (Rgec-O-Phone: 639-43-75 Business Phone: 63'9-417 inspection � f" Z Z i Tooting Plbg. Underslab Mach. Rough-in Appr/ dwlk Found. Plbg. Top Out Gas tine FINAL: Post/Beam Struct. Sen. Sower Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. t Plbg. Underfloor Water Line Gyp. Bd. - ech. Date Request(edd:_ �_� Time- AN PM � ll-7 3 �� � Permit, !: Address: -- Builder:— /�- -- - �►— —" THE lOLLOi'.'iNG C.ORRBCTION3 ARE ARQUIRBD: `■-t72�9 n //��_'/c �� �( Data:inspector:—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOV3 ---Call For Reinsp. INBPECPION NOTICE City of Tigard Building DepartsOnt 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Lino (Rec-c-Phone): 639-4175 Business Phone: 639-4171 Inspection: ---' FootingPlbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS I et/Beam t't�uct.` San. Sews Framing -Bldg. Post/a­; acheaM , Rain Drain Insulation -plumb. Plby. Underfloor water Line Gyp. Bd. -Mach. Date Requested: �`Z- — T _ _PN Address: Builder:,_ i_r•��r�' -- TRH FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: L-_--- '- — --- - Date:! �2— !' APPROVED DISAPPROVED APPROVED SURJRCT TO ABOVE Cm11 For Reinsp. 1K jNSpX 61LON NOTICE City of Tigard Building Departsaut L7125 ON Ball Blvd. Tigard, oregon 97223 Inspection Line (RaC-O-Phony): 639-4175 Business Phone: 639-4171 Inspections -— Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg.�Vnd-.fl Water Line Gyp. Bd. -Hoch. c.- Date Requested:_ L,~ �� Z -Timet AN PM Addrese•_ Permit ':q Du l.lder: Z --- TAE FOLI.OWI'AG CORRECTIONS REQUIRED: Inspectorty� APPROVED _ DI^APPROVED -� APPROVED SUBJECT TO ABOVE Cell Por Reinap. . ._.. .:_.:... y�,+ns+.m.':uw.tis'wkuY:M�:Y�W�.NMxsYllfiibl�. �, 'HfiYmMWt.NN1idVYgYa3YL'fN�>�AI. jg¢UgXj011 NOTIC City of Tigard Building Department 13125 811 Ball Blvd. Tigard. Oregon 91223 Inspection Line (Rec-O-Phone)t 639-4175 Buninnes Phone: 639-4171 Inspectiont _ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found./ Plbg. Top Out Gas Line FINAL% "mat/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Under:loor Wqter Line Gyp. Bd. -Mech i Date Requested: Time: / AM ,_PM Address: ��1-4 • armit !s f Builders— i i THS FOLLOWING CCRRECSIONS ARE REQUIRED: i r � 1 Inspect,)r: net P: APPROVED DISAPPROVED APPROVED SIMIF.CT To ABOVE _--call For Relnnp. CITYOFTIGARD rPERMIT Cff � MASTER � ERPr I T #. . . . . . . : MST9`--14)0`,0 COMMUNITY DEVELOPMENT DEPARTMENT 0111001141 13126 sw Hall Blvd. P.O.Box 29997,TOW,Oregon 97223(edo)639-4175 DATF P t - ITE ADDRESS. . , 11423 SW 107TH P1_ PARCEL: 1S134DD-ALX&' UBDIVISION. . . . : ALEX ESTATES ZONING: R-4. 5 11_.00K. . . . . . . . . . . LOT. . . . . . .. . . . . . . : BUILDING ---- _-- ,.E.I SSUE: DWELLING UNIT'S: 1 BASEMENT 0 f _ASS OF WORK. :NEW BEDRMS:3 PATHS:3 GARAGE. . . . . . . . . . :700 sf . YF', OF USE.. . . :Sr FLOOR AREAS-•____-__._..___ REOUTRED SETBACKS------ TYPE OF (:ONST. :5N FIRST. . . . - 1074 sf LEFT. . : 15 ft RIGHT. : 12 ft OCCUPANCY GRP. :R3 SE=COND. . . :B86 s f FFRONT. :i`'Q) ft: REAR. . : 10 fi; ::lORIES. . . . . . . :2 fHIRU. . . . .0 sf REG?UIRED--___.--____.._.______- HE I GHT. . . . . . . . :21 f:t TOl AI_•- . - --- 1960 s f SMOVE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VAL.UE. . . . . 6 : 102760 PARKING SPACES. . .-0 kemarky : PATH I --------------------------------- PLUMBING -___.______________._------_.--•---------____.__.. SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :V1 BACKFLOW PRE'VNTR . . :0 LOVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0 "U8/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :11, CATCH BASINS. . . . . . . a0 WATER CLOSE'TS. . :3 SEWER LINE= (ft ) . :0 GREASE TRAPS. . . . . . . :0 DlGiHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . ..0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH, . . : 1 SF RAIN DRAINS. . : i --------------- MErCHANICAL --___---____._-.-- _____.____ .______. FEES FUEL TYPES-•--•-____._._.. - UNIT HTR S. . :0 type amol-Ent by date r^ecpt /GAS/ / / VENTS . . . . . :0 TIF IF 1380. 00 JLH 03/30/92 MAX INPU7:0 RTU VENT FANS. . :4 APRT a 440. 50 JLH 0;{,/30/92 FURN < 100K . . : I HOODS. . . . . . : 1 FPLC $ 286. 33 JLH 03/17/92 2247.72 FURN ) =100K . . :0 WOODSTOVCS. :0 DSPC $ 2.2. 03 JLH 0::3/30/9c . F-LOOP FURN. . . . :0 CLO DRYERS. : 1 55DC $ 280. 00 JLH 03/30/92 130IL/GMP ( 31AP:0 OTHER UNITS:O PARK t _500. 00 JLH 03/30/92: GAS OU7LE-1'S: 1 MPRT s 39. 00 JLH 03/30/92 Owner,: _._____..___-______._.___...__._.._.__.__.___.__.__ IhF4._C i, '). 75 JLH 1113/30/92 FE-RD ALEXANDER M5PC $ 1. 95 JLH 03/30/92 R7 3 PDX 259 1 PPRT $ 147. 50 JLH 03/30/92 P5PC $ 7. 38 JLH 03/30/92 SHE RWOOD OR vi 7140 Phone #: 625-6846 Contractor-; ._._______.___---•-•-- OWNER I 'Mone #r. 00000 -.----------______ ----—_-------.--_----_---— $ 31 i4. 44 TOTAL This permit is issued subitct to the regulations contained in the --- --- REGU.T.RE'D INSPECTIONS ---- - Tigard Municipal Code, Stote of Ore. Specialty Codes and all other Foot/foL1nd Insp F"ireplar_e Insp apol icable laws. All Mork will be done in accordance with approved Post /Beam St t• Llct Gas Line Insp clans. This permit will expire if work is not started within 18p Post/Beam Meehan Inso.rlat ion Insp days of issuance, or if work is suspended for more than IBB days. Plm/1.1nds;lab Insp Gyp Boar-d Insp 1='LM/Under-floor Rain drain In7la t'(--.vrnittee Signatt.o-e : � j (1. . �c��--!' Mecchanic-al Insp Waisar line Insp Plumb Top Out Appr/bdwlk Insp _1ed BY: Framing Insp Mec:hanir_al E irra.i. Call for inspection - 639-4175 FA W'K 1TX IR SEWER CONNECTION CI1YOFTIFARD Ai� PERMIT CffYOFT*A PERM17 #. . . . . . . SWR92­0121 COMMUNITY DEVELOPMENT DEPARTMENT 01 C 13125 SW HWI Blvd P.O.Bac 23397,Tigad,Orepn 97 (603)6304175 SITE ADDRESS. . . : 11423 SW 107'n-i FIL PARCEL.: 1S134DD—ALX012 SUBDIVISION. . . . : ALEX ESTATES 7.019ING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF' WORK. . . :NEW DWFL.LING UNITS. . .- I 1-YPE OF USE. . . . . :SF NO. OF BUILDINGS;: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE_ : : tif Remar-ks : PATH I Owner-; FEES ---------------- FERD ALEXANDER type anlOtAnt by date v,ecpt RT 3 BOX 259 T PRMT $ 1900. 00 JLH 03/30/92 INSP $ 33. 00 JL.H 03/30/92 SHERWOOD OR 97140 Phone #: 625-6846 Contr-actor-: CONTRACTOR NOT ON rTI-F - ------------------------------- P[ione #: $ 1935. 00 TOTAL_ Req REQUIRED INSPECT1ON5 This Applicant agrees to comply with all the rules and reguiationg Sewer, Inspection of the Unit?ed ;ed Sewage Agency. The permit expires 180 days from the date is!ljta, The total amount paid will he forfeited if the permit exei,rs. The Agency does not guarantee the accuracy of the side sere, la,prals. If the sewer is not located at the vpasurk+mpnt given, the installer shall prospect 3 feet in all directions from the dists;,ce given. If not so located. the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. 1-1 e Y,m i t;t.e a 5 1 q n A t!.t v-e - Call for inspection 639-4175 PLUMBING PERMIT dITYOFTIGARDO WOF 1M Rp PERMIT #. . . . . . . : MST9 0050 COMMUNITY DEVELOPMENT DEPARTMENT ansa+ �• .3126 8W NO Mrd. P.O.Bac 23397,TOW,O"M 97223(603)B 1W 176 VATF 15)MUED: 'jjITE ADDRESS. . . . 11423 SW 107TH PL. NAkCFL: 1S1 a4DD-ALX0 5L1PD I V 1.;I ON. . . . s ALEX ESTATES ti ON I NG: R-4..5 'BLOCK. . . . . . . . .. . LOT. . . . . . . . . . . . . :2 CLASS Cti- WORK. . :NEW GARBAGE DISPOSALS. , a 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . 31 BACKFLOW PREVNrR5. . :0 OCCUPANCY GRP. . o R:3 FL..LIOR DRAINS. . . . . . . 10 TRAPS. . . . ' . . . . .. . . . .0 SIURIE''D. . . . . . . . s2 WATER HEATERS. . . . . . : i CATCH BASINS. . . . . . . :0 F=IXTURES-_-•-------------- LAUNDRY TRAYS. . . . . . c0 3F RAIN DRAINS. - - . : I c I NKS. . . . . . . . . . .. t GREASE TRAPS. . . . , . . $0 LAVATURIES. . . . . :�r OTHER FIXTURES. . .0 TUB/SHOWERS. . . ,. : SEWER LINE (ft ) . . . . :0 14ATER CL OSf_1'c:;_ . r WATER LINE (ft ) . . . . 11,00 DISHWASHERS. RAIN DRAIN Ftem r•kw s �A H II .. .. . , OWNF R e FERD ALEXANDER TIF ♦ 13SQ41. 00 JLV 03/ 30/92 PT 3 BOX 259 T BPRT f 440. 50 JLH 03/30/9,' BPLC f Rac 33 'JLH 03/17/92 22-4772 %3HERWOOD OR 97140 BSPC: $ 03 JLH 0:3/,:.0/92 Phone #s 625-6846 SSDC: f 280. 00 Jl_FI 03/30/92: PARK f 500. 00 JLH 03/30/92 . Plumbing Contractors- --___.________. MPRT 4 39. 00 JLH 03/.30/92 /_ MPLC f 9. 75 JLH 0?/.30/92 Name c ,.iull_p1GC _r �1�1.(�1 Y2 MSPC f 1. 95 JLH 03/;30/92 Adclrless t ��"" _ GPRT $ 147. 50 .JLH 03/30:X32 City: �_._... _ >;tates� _ _...._._. P'rpC f l. 3�1 " LH 03/ 34]/9 Zip.- _._____ _Gh o n e#c_-.._-_....__-.--._.._... RE:PU I RE"D INSPECTIONS ..This pet-sit is issi.led subject to the req- ulations contai ,'ied in the Tigard Municipal Foot /fr+ur,ci Insp Rain dram Insp Corte, State ,.of O.,e.. 13pec:i,alt:y Codes anri all Frost/Beam Struct Water Lino Insp othefi' applicable laws. All Wor-k will be done Post/Beam Meehan Appr/Sdw1k Insp in acr_ordan`e with approved plans. This Plm/undslab Insp Mechanical Fi.nai per^mit will expire if work is not strrted F'LM/Underflout, Plomb Final within 180 days of issuance, rr if work is Mechanir.al Tnsp building Final. '44i,twipended for more than 180 days,. plumb lop Out Erosion Control FrAmxng Insp Crawl Drain Fir eplar. a Tnsp Lias Line Insp �� lnsulation Insp 1c� Gyp Board Insp PuLhorr: zed Pl,.,mbj .y cunt.) ...t._ tc.r. _3lgnature i Call for inspection 6,39-4175 Contractor, Notes e Permit No: Address: 'N • z Issued by:----,-- Date: \.• ' --FOR OFFICE USE ONLY�.. STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued.This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1 . [_ ! 1 own, reside in, or will reside in the completed structure. 2. C -11 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A. 1 My general contractor is__ Contractor registration number_ I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B.F_P `l I will be my own general contractor. It I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Signature iel'rmt Applicarit Date CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILL PINK COPY TO APPLICANT �t f �A . .......ti..'.Wtruwv.wwrr..ewwn..yx..w.MrtYIH-o.xMbA+brrc,w,Nw>vt.>wufr.0 W.YgM+MWYwn._-.y..--.•_. - .r..wwwxrr+.w+rw.vwawi..w+wfn.r.rr.ur�,.+wlw.4w+.0.+WmMeMrM1Ki1MM.:MYMYY MI'J t C I TY OF T I CARD RECEIPT OF PAYMENT RECEIPT NO. .92--C--,253c t CHECK AMOUNT e 4799. 44 � NAME s ALEXANDER E:RD F. CA%f AMOUNT 0. 00 ADDRESS s 21820 SW LLWE:RT ROAD PAYME'N'T DATE s 03/ 30i9r SHEPWOOD, OR SUBDIVISION s 97140— PURPUSE OF PAYMEr:N7' AMOUNT PAID PURPOSE OF PAYMENT AMOUNT FAIL) AU I L.D I NG PERM 440. 30 PLUMBING PE RM 1.4 7. 50 MECHANICAL PE 39. 00 ST. BUILD F?N:R 31. 136 PLAN CHECK FF: 46. 08 SEWER LGO 1900. 00 SEWER Y NSPECI 35. 00 PARKS SDC 500. 00 TORM DRAIN SDC 1.30. Q►0 RESIDENTIAL TRAF-FIC FEES i.-Hai. Na MASS TRANSIT TIF FE-EO 100. 00 f I I`C)1'Al_ AMOlINT F1AIU - --> 4799. 44 °lig`-11 e 0-0 It CITY OF 1GARD — PECEIPT' OF PAYMENT RECEIPT NO. c92-224772 I � 1 v4,il 'tern>:r 'T CHECK AMOUNT t 0:50. Wo NAME 3 ALEXANDER, FEED CASH AMOUNT s 0. 00 ADDRESS r PAYMENT DATE n 03/17/92 SUBDIVISION PURI-)USE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT WMOUNT PP 1 D F't f�r� Ct'IECKwF E 250. 00 f' i 10715 P4W TIGARD ST f t r Al., AMOUNT PA I D �`,y0, tl►0 i