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CITY CSF TIGARD
COMMUNITY DEVELOPMENT OR'PARTMENT
13125 8W Noll Blvd,Tigard,Orpon $722800160 (603)039.4171 CERTIFICATE OF
OCCUPANCY
f,[::RM T T #. . . . . . . . MOT9;`s
39 -+171
DATE" ISSUED: 06/15/93
:.3I7E FlI)DRESS. . . j'..'1096��' SW 1429 ,1 AVE; F�HI�?CEL: 1�,1:�t+AC: Hl.1t'�'£s
S(.1k1DIl,'16ION. . . . - _HAPTS LnNDING ZONING:
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . ..028
CLASS OF WCRK. -NEW
TYPE OF" USE. . . c SF'
OCCUPANCY GRP. :R3
OCCUPANCY LOAI>i r e'er 4
TENANT NAME,. . .
Remark s: PATH I
Owner-:
RENOISSANCE: DEV
Phove #:
Conteact:or,s
RENAISSANCE DrVELOPMENT
1672 SW WIL.LAP%E'T'TEr FALLS DR
WEST L I NN OR 9706E3
Phone #: 557 801710
Rey #. . : 49955
Hrcl.ipimcy of the abw a refer,enced bo.ti .lding is he)•et y given, and c•et-tifiwv
+.he compliance with the State Of Oregon Specialty Crudes for, the gr-uijp,
OCCIAPancy, and IAS r under which the rpferenced permit was issued.
F=IRE DEPrARTMENT
_DI I NSPECTURM
U. 1..D IN )FF'I C I AL
`a
~ POST IN CONSPICUOUS PLACE
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CITYOF TiGrARD {
� CITYOF TIf:ARO !-L l I t I !G I E"RM I 1
COMMUNITY DEVELOPMENT DEPARTMENT ORIOOM PERMIT #. . . . . . . . M:.;T 9. -0059
13126 SW Hall Blvd. P.O.Bax 23397,llpud,Oregon 97223 (603)83514176
�_— —- -
511E ADDRESS. . . : 10966 SWrr•10r7T1-1 AVE , PARCEL: ISI34AC llt 171
SUBD I V T S 1(114. . . . : I-IAR1 ..AND 1 N(, 7 ON 1 NG;
BLbCK. . . . . . . . . . : LOT.. . . . . . . . . ,. , :c8
'LASS OF WORK. . :NEW GARBAGE DISPO'SAL5. . : I
I YF'E OF USE. . . . :SE' WASH114G MACH. SACKFL_OW PRE:VNI PG. . :Q0
OCCUPANCY GRID. . :R:3 FLOOR DRAINS. . . . . TRAVIS. . . . . . . . . . . . . , :0
S10R I ES. . . . . . . . :I? WATTS R HL LATE_RLi. . . . . . s 1 C I I LF I Vin.3 I NC:;. . . . . .
FIXTURES-_.-__w.____.__.-_-. .. LAUNDRY TRAYS. . . . . . .0 SF HA I N DRAINS. . . 1
Ei I NKS. . . r. . . . . . . I 1 GREASE 'I F?'r=1PS. . . . . . . 90
LAVA-I ORIE:S. . . . . :4 OTHE k "J XT[JRE'S. . . . . .CO
TUI3/51IOWERS. . . . : SEWER LINE (ft ) . . . . :0
WA rFR CLOSE'T S. . :3 WAI'ER LINE (ft ) . . . . s 1+7.0
D T SHWASHERS). . 1 ,A T' 4'a l hJ ( f t i. ,A,
Remarks : P,ATH I
OWN' F?: ._.._..__.__.._-.-
RENi.IS yANCE DEV TIF $ 1460. 00 JH 02/03/93
BPR I' t 370. 00 JH 02/03/93
SPI-C $ 240. 50 JI_H 01 I28./9 S 93--
N5(_`Cw $ 10. 50 JII 0i?/013/93 -
F'hone #: 760-5565 F,SDr: $ r.'s 1. 00 JI-I 02/013/93 -
PFlRF�. * 500. +710 JH 02./0 /93 -
f I uinhiny t 1t I,act I.)v,a 3-•a 5468 .....---- --..-- 1\1P RT $ 4.3. 50 JI-1 02/03/93
MF=11_C: $ ICA. 88 JH LI03/93
PIalS►e e._ ..r _..._.. ._ .LM- m5PF; f' 18 .IH (A /03/`-13
i4ridress I ,.10" .,6_..S.L�lipLGATE_ !�_._._ ... PPIR f $ 140. 014) .FH 02/03s/93 _
F t t y e _---_.POIIT.I.AL1lD.__.____-...._ —.5t a t ry I p�.w.._-. P15R(:'. $ 7. 00 I H 0 2/0 3/9 3
Zip: PhonvilIt_�6Q--
Rey
�__ .._...__ R!e.UUIRED lhiXIEC;TIONS
perm!.t is i$sr_+ed sr_th•ject to the rr,g
11lations rcintain5ecl in tete Tigard Hurricirra+l Foot/found ir)sp flair► draft + 1 ::1
(-odp, State of Ore. Specialty Codes etnd x511 Frost/Hewn htru(,-,t: Wnter- Litte Inst,
.ether %PIr )lic:Ahle laws. 4+11 wur H will he done Post/Eieatm Ifler_hprt Aper.`,/SdwIk Inslr
Ill ac_�_arrdam,e with &ppr•ovvd plmns. lhi.,4 trim/un(iglah Inup 1`der_I'lanit-_-11 Finr-r .
:i1p)-m1i: wi :4.l expire if .wtltrh it ridt. sLarrt:ed PL 01/Hr.der-floor ►rJutnb F jnall
viithirr 160 clays of tttg5-5anr_e, or iF wo4H is hlpchanical Insp Suilding I' heal
1. E,Vmpended for more than 16.4 days. Plumb lots 01.lt L.rneion C;nntr-o]
rrrantiny Inge Crawl Drain
F Ireplsic a InT.p
Gels I. ine insp
�rr
Insulation InsFr
x._. 5�„a r40& da____..___... _._... -._.... Gyp S a a r d T n s p
A1.+thdriz^e i F�l �..lmtriny E:nntr^a15�tnr �.iE7n�rtt.+r�p
Call far inypNr;tion 63t). 4175
I+ 1.�,r r C r"�L t fr t^ N O t E�r 5---._..._�___-......_.___.__._..._._._M .._._.r..._..__....�......�__.
CITY QF TINA RLQ LAi� MASTER PERMIT
CrTYOFTWARD PERMIT #. . . . . . . : IYIST93-0059
COMMUNITY DEVELOPMENT DEPARTMENT ORIGM
15125 SW HWI Blvd. P.O.Box'nva.17.Tlg&M,Oropon 07223,( ), ITS
DATE ISSUED: 02/03/93
SI_fL 14L)I)RLSS. . . 10962 SW 109"IH HVE PARCEL: IS134AC–HL.028
SUBDIVISION. . . . : HART LANDING ZONING:
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :28
BUILDING
HLISSUE: DWELLING UNITS; l BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. cNEW BEDRMS:3 BA*THS:'--' GARAGE. . . . . . . . . . :418 sf
TYPE OF USE. . . *.SF' FLOOR AREAS----------- REQUIRED SETBACKS-----______
TYPE
ETBACKS------------
TYPE OF CONST. :5N FIRST. . . . :850 sf LEFT. . . 18 ft RIGHT. : 18 ft
OCCUPANCY (3PP. -.R3 SECOND. . . :701 s FRONT. :20 ft REAR. . .-29 ft
STORIES. . . . . . . :2 THIRD. . . . -.0 sf REQUIRED_________________--_
HEIGHT
EQUIRED--------------------
HEIGHT. . . . . . . . z25 ft TOTAL–----: 1551 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 78870 PARKING SPACES— : 1
Remarks : PATH I
-------------------------------- PLUMBING ------------------------------- --- -- --
SINKS. . . . . . . . . . P1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY 'TRAYS. . . c0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE fft ) . :0 GREASE TRAVIS. . . . . . . :V,
DISHWASHERS. . . . ii WATER LINE (ft ; . i100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . tO
WASHING MACH. . . : 1 SF RAIN DRAINS. . 11
MECHANICAL --------------------------------- FF. ES
FUEL TYPES------------ UNIT HTRS. . :0 type amount by d-at e V'PC'1,i
/GAS/ VENTS . . . . . sO TIF 4, 1460. 00 JH 0E/03/93
MAX INPUT-.0 BTU VENT FANS. . :4 BPRT $ 370. 00 JH 02/03/93 –
F'URN ( 1001( . . : 1 HOODS. . . . . . : 1 BPLC $ 240. 50 JLH 01/28/93 93–
FURN ) =100K . . ,0 WOODSTOVES. .-O B5PC * 18. 50 JH 02/03/93 --
FLOOR
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 02/03/93 –
BOIL/CMP ( 3HP.0 OTHER UNITS: 1 PARK $ LOO. 00 JH 02/03/93 –
GAS OUTLETSsl MPRT $ k,,3. 50 JH 02/03/93 –
Owner: $ 10. 88 JH 02/03/93 –
RENAISSANCE DEV M5PC $ 2. 18 JH 02/03/93 –
PPRT $ 140. 00 JH 02/03/93 –
P5PC $ 7. 00 JH 02/03/93 –
Phone #:
Contractors ------------------------------
RENPISSANCE DEVELOPMENT
CL 1672 SW WILLAMETTE FALLS DR
ws"r LINN OR 97068
Phone #c 557-8000
Reg #. . : 49955 ___________________________._------__–_--
:� $ 3072. 56 TOTAL
This persit is issued subject to the regulations contained in the REQUIRED INSPECTIONS ------
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable Iwo. All work will be done in accordance withoved Post/Beam StV-LICt Gas Line Insp
plant. This persit will expire ;.f work is not started ted wio r� 188 Post/Beam lylechan Insulation Insp
, r
days of issuance, or if work is suspended Mir No days. Plm/undslab Insp Gyp Board Insp
n d e v,f I u o v Rain drain Insp
Permittee Signature: A Mearhanical Insp Water, Line Insp
Plumb Top Out Appr/Sdwiii Insp
Issued By : creaming Insp Mechanical Final
Call for inspection 639-4175
CIT1(OF TiGA Ra
C 171 YT%OXF T1 1W OAR RWD SEWER CONNEC1'1OIq
COMMUNITY DEVELOKOIENT DEPARTMENT oReooei PERIA I T
13126 SIN HWI Blvd. P.O.Box M. 97,i.-,*,d,Or*gDn 97223(603)Sw!179 PER1411' #I. . . . . . . :: SWR93-0054
639-41.71 DAT'E ISSUED: IM103193
SI`T'E ADDRESS. . . : 10962 SW iO9TH AVE PARCEL: 1S134AC--HL028
SURD I V I S I 01\1. . . . : HART LANDING ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :28
"I ENAN'T NAME. . . . . :
USA 1140. . . . . . . . . . : FIXTURE UNIIS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL 'TYPE. . . . BUSWR IMPERV SURFACE. -Sf
Remarks: PATH I
Owner-,: FEES --------------
RENAISSANCE DEV type amol.tylt by date r ecpt
PRINT $ 2100. 00 JH 02/03/93 —
I 1\1 S ID $ 35. VIVI JI-i 02/03/93 —
Phone #:
Contractor: --
CONTRACTOR 1\107* OI, FILE
F11-ione 1k- $ 2135. 00 'TOT'AL
Reg #. . -
REDO IRED INSV"LCTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The 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 at '-he measurement
given, the installer shall prospect 3 fent in all directio from ..........
the distance given. If not so located, the installer sh rpurchase
a "Tap and Side Sewer" r1ermit and the Aqency,
,*III ins , a lateral.
Permittee Siqnatl-it e :
Issi-ted Sv -
Ca I I for inspection 639---41'75
e14t
INSPECTION NOTICP,
City of Tigard Building Departhent
13125 OW Hall Rlvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 639-4175 Susineee Phone: 6?9-4171
Inspectiont
Footing Plbg. Underelab Mr,h. Rough-.in Appr/Sdwlk
Found. Plbg. 'Pop Out Can Line ♦INALt
Post/Baam Struct. San. Sewer Framing -slag.
Post/Beam Hoch. Rain Drain Insulation
Plbg. Underfloor Nater Line Gyp. Rd. -march.
Date Requesstindt����jjjj
Address t
BUJAA
T". POLLOWINO OORRECTIONS ARE REVIRSDf
a
rx
V1
Y
r�
J
03
CD ---
W
J
Inapt 3tort
APPROVED _ DISAP APPRc)VED SUSJTCT TO AWNg
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Linc (Rec-0-Phon ): 639-X4/175 Business Phone: 639-4171
'Inspection:_^
Footing Plbg. eralab Hoch. Rough-in Aper/&Wlk
Found. Plbg. Top Out Gas Lino FINALS
Post/Beam Strwt. San. Sewer Framing -Bldg.
Post/beam Hoch. Rain Drain Insulation -Pluwj.
Plbg. Underfloor Water Line Gyp. Bd. _*wh.
Date PH Re 1v-� _ _ ,�TlaMt A!1
goes//tadt // /�
Address: !L� q' o Permit
Builder:
THE FOI.LOWIN'3 CORRECTIONS ARS REQUIRED:
d - --�..----- -- - -- -
2
LDt/7
C77
u
Inepectort Datee�
APPROVED JSAPPROVED ^_ APPROVED SURJECT TC ABOVB
__Call For Reinsp.
INSPECTION NOTICE
City or Tigard Building Department
13125 SR Hall Bled. Tigard, Oregon 97223Y/
Inspection Line (Roc-O-Phone): 639-4175 Business Pho -4171
Inspection:_
Footing Plbg. Undera?ab lei-):. Rough-in Ai.pr/Sdwlk
tir
Found. Plhg. Top Out Gas Line FINAL:
Post./Beam struct. San. sewerFri ami ng ��_.__ --Bldg.
Posr/Beam ►loch. Rain Drain insulation -Plumb.
Plbg. Unde:floor Nater Lino/ Gyp. Bd. -Yeah.
Date Requested: y % Tulse !1M PM
Addrese:7/_1�7 Permit #.12Q(/J
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J �
Inep4wct.or•
—___APPROVED DISAPPROVED APPROVrD LJD,?m TO ham
call For Reinep.
INSPECTION NOTICE
City of Tigard nxildibg Department
13125 SW Hall Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-^hone) 639-4175 Cuainess Phone. 639-4171
Inspection:_
Footing Plbq. Underelab Noah. Rough-in Appr/Sdwlk
Found. t Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Ora:.&, Insulation -Plumb.
Plbg. Underfloorer Lin Gyp. Bd. -Koch.
Date Requestec' '- '� _Time: AK PN
Address: 1� _ Permit —.I)h 15q
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
v
1
Inspectors Date: c �L
APPROV=D DISAPPROVED APPPWUD S09JECT To AROVF
Call For Reinsp.
�NfigBGTION NOTICE
city of Tigard Building neparraent
13125 SN Ball Blvd. Tigard, OxVK"m 97223
Inspection Line (Rec•-O-Phone): 639-4175 Business PhoGd: 639-41.71
Inspections
Footing Plbg. Underelab Me.h. Rough--in Appr./Sdwlk
Found. p Out,' Gna Lire FINALS
Poet/Ream struct. San. Sewer Fravdng -Bid(,.
Post/Beam Mach. Rain Drain Insulatinn - 11umb.
Plbg. Underfloor ter Line G/P. Bd. -Mach.
Date Reques
ted: Time: AN/�— _PM
Address: /L� /JJ /V-/ Permit f s 1'3 r�/�6'
Builders
TNR FOLLOWING CORRRCTION!, MM R>EQIZMW:
:
Inapec-toii: __ Date 2 rl —
APP>tOM DISAPPROVRD APPROVRD SURJECf TO ABOVE
---call For Reinap.
MENEM
sssssss�
INSPECTION NOTICE
City of Tigard Building Department
13375 SU Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ --
Footing Plbg. Underslab Mech. Rough-inpA pr/Sdwlp
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer framing -Bldg.
Poet/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: /�—� � _ Time:
Address: !!� Z [/ / Permit t:— y .
Builder: 9 _
THIS FvILLOWINO CORRECTIC IS ARE REQUIRED:
70
Inspeatort Lam T4 DItI, Z3
APPEOVRD DISAPPROVED APPROVED EDEJEC! TO ADM
Call For Ro7nsp.
_INSPEC'TiON NOTICE.
City of Tigard Building Department
13125 8W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phon,): 639-4175 Businoss Phone: 639-4171
Inspection:
Footing Plbg. Undoralab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater/Line \C' Oyp. Bd. -Meeh. (\x/
Date Requested: � _ Time: AM ' ` PM
Address- �-
---�(� �(r/� �,[/LPermit �:�� _
Buil�ler• c - � �i�" /C-, �•n _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ti:ntMctnr: - _ Dnte:
APPROVED D T SAPPROVED APPROVFr) St1R,7ECT TO ABOVF.
Call For RPinsp.
INSPECTION NOTICE
City of T'.gard Building Department
13125 SRI Hal:' Blvd. Tigard, Oregon 97223
@�
Inspection Line (Rec-O-Ptone): 639-4175 Buoiness Phone: 639-4171
Inspection: - --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Pibg. Top Out Gas Lin FINAL:
Peet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Much. Rain Drain 'nsulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Mech.
Date Requested: L� _Time: AM ,
Address: Ci r Permit f: �
7 �
Builder:
T11L FOLLOWING CORREC.'TIONS ARE REQUIRED:
Inepecto _--_---- Dates
APPRnVF.D DISAPPROVED _ APPROVED SURJFCT TO ABOVE
Call For Reiner-
INSPECTION NOTICE
City of Tigard Building Detersient et��
13125 SW Hall Blvd. Tigard, Oregon 97223
Inslection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•___ _ _ — ----
Footing Plbg. Underslab tfch.___
Rough-in ) Appr/Sdwlk
Found. Plbg. 'top Outas Line ) FINAL:
Poet/Beam Struct. San. Sewer i g 1 -Bldg.
Poet/Beam Mech. Rain Orain Insulation -Plumb.
Ping. Underfloor Water Line Gyp. Bd. -Mech.
Date Requoeteds _ �__ ^ ✓_ Times AM �-�PM
Address:// C�� �// __ Permit !:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors
APPROVEb DISAPPROVED APPROVED SUBJECT.' TO ABOVE
Call For Reinsp.
JNSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4176 Business Phone: 639-4171
Inspection: — --
Footing Plbg. U—n-deeralaalb Mech. Rough-in Appr/sdwlk
Found. lbg. Top Out J Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Foot/Beam Hech. Rain Drain Insulation -Pl:uob.
Plhg. Underfloor Water
Line
Gyp. Bd. -Hoch.
Date Requested: �/V / Time: —AN PH
Addreee:_1U � /L/ u�i�`�'Permit #:� —
Builder:
THE FOLLOWING CORRECTIONS ARF. REQT11RED:
1
F—
Inspector: .low---- ------------- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Roinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4.171
Inspections_
Footing Plbg. Underelab 11ech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out (Sas Line FINAL:
Poet/Beam Struct. San. �Sewer Framing -Bldg.
Post/Beam Mech. Rain Drai:!, Insulation -Plumb.
Plbg. Underfloor Water/Liinee Gyp. Bd. -Mach.
Date Requested s, � ^,( S- -_—_Time: AM —PM
Z �" n�`
Address: ����' ' Permit �s��-� C/
Bu.tlder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
(L"
In
J
41
J
Inspectors r _ Data:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Reinap.
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
Inspection:_ _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
( Plbg. Underfl Water Line Gyp. Bd. -Hoch.
Date Requested: /�� �'� Times AN __PH
�•� L_ � y
Addreee:� � �� Permit
Builder: ✓L�911,Z-' ��2G t J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IV
d
1--
N
1—
C.�
Inspectors _ G" _`�---�-'--�--- Date:� ��..`/, -
----1 ---- -----
APPROVED DIBAPPRovzD ` APPROVED SUBJRCT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE /7
City of Tigard Building Department l
13125 8W Ball 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:
PoT'19'eam Struct. San. Sewer Framing -Bldg.
Post sam Mee Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hech.
Date Requested:_,,w2 -/d�) -1 13 _Times ' P
�� -
Address:- /1 c�- �� e Permit
Builder: `
THE FOLLOWING CORRECTIONS ARE REQUIRED:
R
sn
H
Mi
w
J
In.pecter`: Date-,� c �
�^y APPROVED DISAPPROVED APPROVED SUBJECT TO ASOVF,
Call For RPinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
mooting Plbq. Undersl.tb Mech. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont./Beam Mech. Rain Urain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
nat_p Requenteds �' _ % Times , AM PM
Address: /L/��" Z" /�✓ Permits: yW�,
nu 11 der:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
:n
G]
W
J
Inspectors Dat-as
IV
�� APPROV=D DIs11PPROVfb "PROVED SUBJECT ABOVF.
^Call For Rsinsp.
INSPECTION NOTICE
City of Tigard"Building Department
13125 M Bail Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phons)s 639-4175 Business Phones 639-4171
Inspections -
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Eldq.
Post/Beam 4ech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Qyp• Bd. Mech.
Date Requeeteds '_J Times PH
Addreas s D ` /N Permit to-/ ^zn�'S el-
Builders
Builders �-
' 2 n� 7
THE FOLLOMINQ CORRECTIONS ARE REQUIRED'
Inspectors Date'
APPROVED DISAPPROVED APPRC .'RD SUBJECT TO ABOVE
Call For Reinep.
T I DART) kF CE:.I PT f_1F PAYME:.N T kECF'I PT NO.
CHECK AMOUNT 4954. 60
Pl�)ht PFWATS)SANl::'I I)EVEILAIPMENT C:f-1'al-i AMIauNr z 0. 00
PA`,ME:NT DAIT i 02 10/5)7
J[A0I V I S t 0 1,1
r--imp-os UP PAYMrNT AMOUNT PAID PURP-1 ]5f= 0P PAYMFN t f1M1:)I.JId'T PAID
Ff�RM 370. 00 PLUMS096 N(; PERM M 140. 00
M[ r tTNNIt.;At.. FSE" 4::,. 50 LST. PUIC.T) PSk
t''I._AN C'IAI`Cl< FF -1. 3tJ Gl l+1LR USA t:.1G)►il
I NSPF C'T 35. 041 PARK 6DC' `i4�0. 00
=' :�I LIRM URA I N 2180. 00 t"EST.DENT T At_ TPAFr- IC FEES 1350. 01,)
TPANS"11 T TIF FEET, 110. 00
J
UJIT --8 HARTS I_f)NUING
1(A')6, S,W lMTH
MT AL AMOUNT FAIL.' _ -- > 4954. 80
s
v '�K RECT #
CITY OF TI GARD 13125 SW Hall fllvd. /
COMMUNITYDI:VZ7?2
LOPMENTDEPARTMENT TpO, PERMIT
(503)639.4171 DATE ISSUED
TAX MAP/LOT I Sl S-4 ok U 2 V
JOB ADDRESS: � � �G ,� ,� -
SUB: LOT: �_� LAND USE:
VALUATION: 0 `y
OWNER SPECIAL NOTES
NAME: ?fnoi;-saree 72-ey T ao;b, REISSUE OF:
ADDRESS: 1(a1 Z- 54-.. 4w'i f6. lir lJr LAST REISSUE: _
lO f L ih H Ot 9 7 G G >r' FLOOD PLAIN/
PHONE: 1 2SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: / _O�//�L� _ PLANNING: _
ADDRESS: ENGINEERING:
FIRE DEPT:
PIIONE: OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REWIRED
IRED
SUBCONTMCTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: T/�/�� 0 ,9VAI 7�/�d�—.-7"' pBUS TAX: _
ARCH ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS: _
ADDRESS: ('CHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: —_
APPLICANT SIGNATURE
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE,
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees l� 1
_ 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5'%)
{
Building I � /
Plumbing
Mechanical x
10-433 00 Plans Check Fee
2
DI�o
2
Building d
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection �2
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-0E Institutional TIF Fees
25-448-03 Office TIF Fees
25-448.01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) (J / O v
31-450 00 Storm Drainage Syst Dev Chrg
2 �d 2 Ry
�- (ssDc) _ —
'^ 24-445-01 Water Quality (Fee in lieu of)
24-445-02 Woter Quantity (Fee in lieu of)
Itl
— TOTAL S
nm/3587P.Wi''