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11867 SW 113TH PLACE-1 y h' r W W CERTIFICATE OF C17Y OF TIGM, OCCUPANCY CrFYOFTWARD OERMIT #. . . . . . . : M9T9l--(---"074 COMMUNM' DEVEL.OPMENT DEPARTMEW 0140ON 13126 SW WWl Bbd. P.O.8-23397,TlpM,On ern 97223 (603)6311-4175 ISSUEDI 12/0 91 SITE ADDRESS. . . : 1186-7 SW 113T1-I PL P14RCEL: 19134DIC-1-10900 SUBDIVISION. . . . , PAPTiTION PLAT 1991--044 ZONINGa R--4. 5 Bl-OCK. . . . . . . . . . a L OT. . . . . . . . . . . . . 12 CLASO OF WORK. tNEW TYVIE OF GSE. , . a 5F OCCUPANCY GRP. -R3 OCCUPANCY LOAD12201 4 TENP.NT NO.M. Remarks : OWT)Eli-I LLOYD OL SON RUUTE t, BOX 940 DEAVERTON OR 97007 (:'hovie #i 6EZ-0420 !-LOYD OLJ3ON I?T I BOX 948 FlEAVERTON OR r4'7005 'huTie INS 628-2420 5z,q- n8 Occupancy ol' the above refe,'Pnced bili Iding 0, hereby giver, and certifies t-he compliancto with the Gtate Of Oregon Specialty Codes for the group, sic,cupAncyg and W40 WICIP" which the v-pfet-pncpcj permit was issuejc- . FIRE DEPARTMENT BUILDING INSPECTLIR buILMING OPFICIAL. POST IN COIN SPICUOUIS P-1-ACE' Iwo 111 INSPECTION NOTICE C._tty of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bueinesn Phone: 639-4171 1 11,apection: ------- Footing Plbg. Underslab Hoch. Rough-in Aprr/Sdwlk Found. Plbg. Top Out Gas Line FINAL= Moet/Rerun Struct. Ban. Sewer Framing Poet/Ream Mech. Rain Drain Insulation /-Plumber Plby. Underfloor Nater Line Gyp. ad. �tl• J Date Requestedt Time: AN--�� 7M //A�dr.:t_voe �/"3 �'-�G Permit 1 rf� L_fy 7`T Buildere�/�n.� TBR FOLMOITNC OORRRCTIONB ARB RRQUIREDt 4m ei 1 Inspectort_ __ Date A/01-PP ROyRp DISAPPROVED APPROVED SUBJECT TO ABOVR Call Mr Reinsp. INSPECTION NOTICE City of Tigard Building Depart-ent 13125 SM Ball Bled. Tigard. oregon 97223 Inspection Line (Rec-o-Pho e)t 639-4175 Business Ph).,ot 639-4171' Inspection:_ -' Footing P1bgG nderslab Mech. Rough-in ( APPr/Sdt.clk Pound. Plbq. Top Out Cas Line FINAL: Post/Beam Struct. San. SW*r Framing -Bldg. Poet/seam Mech. Rain Drain 7nauIat.Ion -plumb. Plbg. Underfloor Nater Line `i/ Gyp. B -Mech. d 3 — C4-1 / Times Date Re•IuestedtF /! Address:��v G //� � / Permit Builder:__ TNS FOLLOWING CORRSCTIONS ARE REQUIRED: -23 i1(ltccr,f✓tV1r) llLlflA 'n ��Lw� IJ 1�1U(l InspectorsDatat_ � APPROVED DISAP IVIS) APPROVED SUBJTCT TO ABOVE Call Por Ppinnp. INSPECTION NOTICE City Of Tigard Building Departn_t 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 Inspection: Footing Plbg. Undorslab Mech. Rough-in Appr/Sdwlk !bund. Plbg. Top Out Gas Llne FINAL: Post/Beam Struct. San. Bower Framing -Bldg. Post/Beam .isch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nator LinneQ Gyp. Bd. �h. /!!at / 7 sited: Time: 11M _Z PN Xddreaa: �` Permit #__-�'-i-- Builder:, 2= - 3,5-3 VM FOLLOWING CORRECTIONS ARE REQUIRED: 44 JO j A4 �� � �• `>� !car[/ ��" /�i/��/�Ste_ ai"'�/JT �- _?i% �- 1..�`)�7'k�y��,�4 r""Y��rCvylt_ _'/moi/kiC_ f/�r�� f'.+'c�'Vc'.ci7Gi�. (G% /Bocci iJOirlT"�7X%nif� 1 A _ +I I Inspector: ==�_ Dates z 3 - __APPROVE[I �`pISAPPROVED APPROVF.n 3URJRCT TO ARovF ill For Reinsp. View comments for selected item OaMASTER PERMITa�aaaaa�Aaa�A�aaAaaaaaaa�5�a�aaaaaaa§aa�aaaa6aaaaa��aaAAa�aaaaaC :MST91-0074: PR0JECT:MLP90-0017 STATUS:I : UPD:09/23/91: :JLH: ° P--RMITTEE:I,LOYD OLSON PRIM. . :MST91-0074:o ° SITE ADDRESS:11867 SW 113TH PL ° oaaaA�a�a�aAS�Aaa=.aaa�aaaa�a��a�a�6aaa�a���aAAaaaaaaa�aaaaAaaa�aaaaaaaaa5���aaC CASE HISTORY ° --Actions---------------------------- Req/Sent Schd/Due End/Done By Stat V ° A705 Foot/founc'. Insp 05/01/91 KS D73o ° A705 Foot/found Insp 05/02/91 KS APPo ° A705 Foot/found Insp 05/06/91 KS APP ° A710 Post/Beam Structuzal 05/13/91 KS DIS ° A710 Post/Beam Structural 06/10/91 KS DIS ° A710 Poet/Beam Structural 06/12/91 KS APPo ° A711 Poet/Beam Mechanical 05/13/91 KS DISo ° A711 Post/Beam Mechan;_cal 06/12/91 KS APP A715 Plm/undslah Insp A717 PLM/Underfloor 05/10/91 MS PASS ° A720 Mechanical Insp 06/07/91 KS DIS ° A722 Plumb Top Out 06/04/91 MS PASS ° A725 Framing Insp 06/07/91 KS DIS ° aaaAab�A��aAa�aa5.�5a ` S.�aa�aaaaaaaaaAaaaAaaaSaaaaaAa�AAaAaAa�aa�afiAAAa�aAaAAaaai HISTORY: VIEW UPDATE DELETE PRINT ESC View comments for selected item UMASTER PERMITdA6$fi6fi;i6AAa AaASaaaAaAaaAAAai� iaa��AAaa��aAaaaa�aaaAaaSafiaaaC :MST91-0074: PROJ'm'CT:MLP90•-0017 STATUS:I UPD:09/23/91.: :JLH:o ° PERMITTEE:LLOYD OLSON PRIM. . :MST91-0074: ° SITE ADDRESS:11867 SW 113TH PL ° (SaAfi§a£Ab�AAAbafibfi£AaAAaAaAA�_ £aaa5���aaaaaaaaaaaaaaa�AaAAaaAAaaaa_�abaaaASanaaaC CASE HISTORY ° --Actions----------------------------- Req/Sent Schd/Due End/Done By Stat M ° A726 Framing <REINSP> 06/11/41 061 KS ° A726 Framing <REINSP> 06/11/91 KS DIS ° A726 Framing <REINSP> 06/14/91 KS APP " ° A730 Fireplace Insp 05/31/91 KS APP A730 Fireplace Insp 06/04/91 KS A/N A735 (Sas Line Inap 08/30/91 KS NOTE ° A740 Insulation Insp 06/13/91 KS DIS A740 Insulation Insp 06/14/91 KS APP ° A745 Gyp Board Insp OG/18/91 KS DIS ° A745 Gyp Board Insp 06/19/91 KS APP ° A755 Rain drain Inap 05/10/91 HS PASS ° ° A760 Water Line Insp 05/10/91 MS PASS ° A765 Appr./Sdwlk Insp �taaAaA�AASaAaaAAAAASaa�&afiaaa�a£5a5aA3AaaAaAAaAAfiaaaSaaAAaAaaaaAA�a�aaaa�a�Aai HISTORY: VIEW UPDATE DELETE PRINT ESC View comments for seler-t#d item 7AMASTER PERMIT653AbHbaAbhSAb�Aa3a4gFiaa3fiAS5A�aiAssag���S��aA�5aaA6AaAa�Aab� aAC :MST91-0074: PROJECT:MLP90-0017 3TATUS I UPD:09/23/91: :JLh: ° PERMITTEE:LLOYD OLSON PRIM. . :MST91-0074: SITE ADDRESS:11867 SW 113TH PL 05d6bAA6A5bA6AggAAbfifibfld�a666fiA&AAA3AFifiASA�A�Aan8A5g6AAAaA�t�AgbbA3AaAnb3fiaA�AAAC T CASE HISTORY - ° - Req/Sent Schd/Due End/Done By Stat M ° A795 Mechanical Final / / ° ULNUMUM ° B706 Erosion Control ° • ° O ° P • P • ��fifi53afia���6aa5�afi53a�bfiaa�afi��b�dbba��a�5�����a5�a��5&���aa���aafiaa53a��aaaai No - INSPECTION NOTICE i' City of Tigard Building Department _ I✓' 13125 SA Ball Blvd. Tigard: Oregon 97223 Inspection Line (Rec--o-Phone): 639-4175 Business Phone: 619-41'11 Inspection:_._ — -- -- —.� Footing Plbg. Underalab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Pont/Be,—,m Struct. San. Sewer Framing -Bldg. Poet./Beam Hoch. Rain Drain Insulation -P lam. Plbg. Underfloor Water Lily Gyp. Bd. -Mach. Data Reque3ted: ` % 7 -Timat _AK PH //b G- /' isy-d , Addrr.ut!i , - Penait It�[ Builders TRE FCLLOWING CORRECTIONS ARE REQUIRED: /C In"ctor,�/,,, ----- -- hatat -/ ZAPPROVED 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-0-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Hoch. lough-1n Appr/Sdwlk Found. Plbg. Top Out i� Oar s Line \ FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech Rain Drain Insulation -Plumb. Plbg. Underfloar Water Linn Gyp. Bd. -Mech. Data Requesteds Permit #1! `y 7LZ Buildersl fir" -- -- ----- THE FOLLONINO CORRECTIONS ARE -.=;�UIRED: Inepertor: i Dates -To l APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVI, __Call For Reinap. INSPECTION NOTICE City of Tigard Building Departaent 1I 13125 SN Ball Blued. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1 Inspections Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINhLs Post/Beam Struct. San. Bower Framing -Bldg. Post/Beam Hoch. Rein Drain Insulatlon� -Plumb. Plbg. Underfloor %"ter Line G)V. Bd. / -Hoch. Date��Re/quested: ��_ Time: AN _1,1 PH '�ddfasj: Permit 1 r ) — Builder: TBE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Dates �— r -- APFROVED 018APPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Depart ant 13).25 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineen Phone: 639-4171 Inspection:.--- _ ---- ----- --'-- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Ream Struct. LWAnSewer Framing -Bldg. Poet/Beam Mech. Din Insulation -Plumb. ra Plbg. underfloor Nater Line , Gyp. Bd. -Mech. Times __AMPM P Date Roq:.eeted: 7 Z f _ Z., Address:, Permit #.ell 7Lz 7 --� -- Buildnr: THE POLL*;.*jWG CORRECTIONS ARE REQUIRED: 7 17 f Inepeeftor s r' ''� Dates —1�APPROVt0 DISAPPPAM APPFAMD BUIOUCT TO A?JM Y Call For Reinap. INSPECTION NOTICE City of Tigard Building Departaent 13125 SM Hall Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone 639-4175 bueinese Phone: 639- 171 L_ Inspectl..on: — Footing Plbg. r �ralab Mech. Rough-in Appr!bdwlk Found. Plbg. Top Out Gas Line FINAL: I Post/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Hoch. Rain Drain Insulatl.on -Plumb. Plbg. Underfluor Water Line Gyp. Bd. -Meeh. � f Date Requested:__ 7 Tines �AN PH � � lI ?�.f f � l.ddrese: �l J/ _ 'P�rml t # (L t���,. _ Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: 75 Inspectors APPROVND DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 1.3125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171 Inspect ion•___-_ ----- Footing Pibg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt PoFct/Beam Struct. Ban. S^wer Framing .-Bldg. Poet/Beam tech. in Drain Insulation -Plumb. Underfloo Nater Line Gyp. Bd. -Mach. -! Tin.et AM PM Date Requeeted: /�/ -- ` ----- Ad(.resn- / !/ 7Y Z�_"3 L perm�t #t_(/ Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED$ Inapectort ___ __-_ Date$- � ��--- APPROVED DISAPPROVED ��1PPROVED SUBJtC, TO ABOVE t Call for Reinsp. INSPEC_fION NOTICE City of Tigard Building Depart-ment 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections`_ — r. Footing Plbg. Under'alab Mech. Rough-in Appr./Sdwlk /R und. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San Sewer Framing -Bldg. Poet/Beam Meth. Rain Drain Insulation -Plumb. Plbq. Underfloor Wafter Line Gyp. Bd. -Mech. Date Requesteds a� -� TLswas , AM PM Address: L� 7 { A e Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors ---- --- ----- Dates_✓`'t!/ 1--- PROVED DISAPPROVED APPROVED SUBJECT To AIMM -Call For Reinsp. INSPECTION NOTICE city of Tigard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-l?-Phone): 639-4175 Buei.neea Phone: 639-4171 Inspect.iont - - -- ----- / Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Pout/beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water line Gyp. Bd. -Mech. Date Requestel: �7 -�1I �_ Timet Ai4 PM Address:_ l I�l /� / � Pormit #s Builder: & i71� 2 4 2.U THE FOLLOWING CORRECTIONS ARE REQUIRED: eP en, Inepentort - -_.----_-��--__ APPROVED DISAPPROVED /, PROVED SUBJECT TO ABOVE Call For Rainsp. ® MASTER PERMIT CITYOFTIFARD PERMIT #. . . . . . . : h1ST'91 00 74 crrfc COMMUNITY DEVELOPMENT DEPARTMENT oeaooee DATE ISSUED: 04/29/91 13126 AIN HMI Blvd307.d P.O.Box 23TOW,Or«pn 07223(boa)630 4176 :Jl?llIVISION. . . . : MI-P90-•001 i \ 1QNING: BLOCK. . . . . . . . . . : LOT. . . -._____..______________.-___-_-_.-__ BUILDING -_-___________________.___________.___. REISSUE: DWELL I NG UN I TS., 1 BASE'.IyIE114T. .. . . . . . . .IP s f CLASS OF WORM. :NEW BEDRMS:.3 PATHS:3 GARAGE=. . . . . . . . . . ..441T sf TYPIE OF USE. . . :SF FLOOR ARCA:3--•-------- ­-- REQUIRED SETBACKS—.___-_...____._ I YF-,E OP CONST. :5N !:'I RST. . . . :887 sf LEFT. . :9 ft RIGHT. :5 ft OCCUPANCY GRP. :R3 SECOND. . . :799 s.F FRONT. :CE, ft REAR. . :27 ft S T OR I E S. . . . . . . :2 THIRD. . . . :0 S f REQU I RED--------__._____..___ HE:IGHT. . . . . . . . :20 ft 'TOTAL___..-____: 1686 sf 51r1OK'E: DETE:CIL31:a. :Y FF LOOR LOAD. . . . :40 psf VALUE. . . . . : 85476 PARKING SPACES. . :► Remaa,rks : --------------._.____.-.__-__-_-___- PLUMBING INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . -0 BACKFLOW PREVN'TRS. . : '+ f1VA1ORIE S. . . . . :3 WA-fE:R HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWLRS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0 � WPTER Cl_OSFTS. . :3 SEWER L_INE (ft ) . :0 GREASE TRAPS. . . . . . . ..0 DISHWASHERS. . . , : 1 WATER LINE: (ft ) - t100 OTHE=R F I x TI_FRES. . . . . .0 GARBABE DISP. . . ; I RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF= RAIN DRAINS. . : 1 ..-_-__.-_______- MECHANICAL _.______.___..____ ____-..._-_.__- FUEL UNIT HTRS. . *0 type f1moUntby date rec:pt /GAS/ / / VENTS BPRT $ 391. 00 JLH 04/29/91 212164 MAX INPUT:0 BTU VENT FANS. . :4 BPI_..0 t 254. 15 JLH 04/18/91 21264 FF'URN ( 100K . : : 1 HOODS. . . . . . : l H5PC $ 19. 55 JLH 04/29/91 212164 F'UPN ) =1001-'. . . :0 WOODSTOVES. :0 MPRT $ 39. 00 JLH 04/29/91 1 'lbµ F:1__UUR FIJRN. . . . :0 CLO DRYERS. : 1 MPLC $ 9. 75 JL_H 04/29/91 L 12164 00II_/CME' ( :3HP:0 OTHER UNITS:O 1,45~'C, $ 1. 95 JLH 04/2:4/')1 I , 1(,,4 GAS OUTLETS: 1 F'F'RT $ 132. 50 JLH 04/29/9 1 212164 Owner: ---.__..____._.___._.______..__.__ _______..._.-. p'5PC $ 6. 6:3 JLH 04/29/91 21216" I-LOYD OLSON ROUTE 1 . PDX 94A BEAVE RTON OR 97007 1-'hOTle #. 6•?8-242-11 Cont ract or ,_L.OYD CILSUN RT 1 BOX 948 F+l:PVE RT nN OR 97005 �-�hnne #M beB-24aO 41 A!54. 53 TOTAL_ This persit is issued sub)ect to the regulations contained in the -------- REQUIRE4D INSPECTIONS -•------ Tigard Municipal Code, state of Ore. Specialty Codes and all other Foot/foi.and Insp F'ireplaep InSr' applicable laws, All work will be done in accordance with approved 1~'ost/BeAm ltrl.art Liar, t- ine Insp clans. This pereit will ewpire :f work is not Started within 188 Port /Beam Mechan Ins'.alattion Insp -ays of issuance, or 1f work is s d for sore than 186 days. Plm/l.:ndsla kb Insp Gyp Board Insp F'L.r1/Underfloot- Rain drain Insp car mitkete iicJnatwr e : �`� a1U. .- �_. Mecr)anical In4.F W�-kter Li-,e Insp PIUMb T'an Out Nppr/5dwl4 lriso By., __. .__.... _._.. ...._.__.._.._..._.... __.._..._ F::raminy Insp Me ch All ir.al. E inset Call for inspection — 639-4175 SEWER CONNECT 101\1 C17YOFTIFARD - LRD PERMIT T Cl71Y PERMIT #. . . . . . . : 5WR91-0078 COMMUN"Y DEVELOPMENT DEPARTMENT ONOON DATE ISSUED: 04/29/91 13126 SW FWI Bbd.P.O.Bat 23397,Tigod,Onpon 97223(603)639 4176 3111- ADDRESS. . . : 11474 SW 113TH C1 P'ARI,E=L: 1 S 1 4UC MLP17 CUSD I V I G I ON. . . . : MLP90--0017 ZONING: BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . .2 TENANT NAME. . . . . : USA NO. . . . . . . . . . ..4.3633 FIXTURE UNITS. . . . CLASS OF WOVIK. . . :NEW DWELLING UNITS. . : 1 I YF'Er OF USE. . . . . :SF NO. OF' BUILD 1 NGS: 1 INSTALL T%'PEW. . . . :BU3W1; I11PE:RV SURFACE. . : : s f Revtarks : Owner: -------------------------------------- ------------------ FEES .._.____.......___ LLOYD OLSON type amok-Int by date i^ec:pt ROUTE 1, BOX, 948 PRMT $ 1500. 00 JLH 04/29/91 212164 I1\15P ! 35. 00 JLH 014/29/91 2121.64 B AVERTON OR 9712107 MIST" $ 121. 00 Phone #: 628-2420 CONTRACTOR NOT ON FILE Phone #a t; 1535. 00 TOTAL Reg -------- REQU I REVD INSPECTIONS This Applicant agrees to c,eply with all the rules and regulations `✓.ewer^ Inspection of the Unified Sewage Agency. The permit expires 120 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 the measurement given, the installer shall prospect .3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" permit a Agency w?11 j-5trN a lateral. i N rm i t t 1?E? ,i y n�1•G�.t r e �.-�- %�/'�-'� ..__.y�.^.......__.___...�.__.__ ._......�_�__._.._�-........-._. 1 , l..ted Byer Cull for inspection - 639-417�j - — J I itflYOFTIFARD I"-I..UMR I H13 PERMI"(' Cr,l"RMI'T #. . . . . . . : M�3T91 -00744 Ii1f 11fna1RD t COMMUNITY DEVELOR.A.E:!T DEPARTMENT OR1100" DATE ISSUED: 04/c'9!91 13126 SW FWI Blvd. P.O.Box 23367,TOW,0"M x;'223(603)6*4175 _ I aITE. f�UDRE:S',. . . s 11414 SW 1 1.71"H CT PARCEL: tS134DC MLP17 IUBpIVISION. . . . ML00-�0017 ZONING: BLOCK. LOT_. • --_._____ 22 ___.__-___.-._._ ._-__..._..___,_.__ ._._._______ CLASS OF WORK. . :NEW GARBAGE DISPOSALS o : 1 'TYPE OF USE. . . . :SF WAST-!INC MACH. . . . . . . 2 1 BACKFLOW PREVNTRS. . :0 JCCUPANCY GRP— a R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0 `-�TORIE3. . . . . . . . WATER HEATERS. . . . . . : 1 CAJ'CH BASINS. . . . . . . 20 FIXTURES--�--'--'-------�-- LAUNDRY TRAYS. . . . . . 10 SF RAIN DRAINS. . . . . : 1 SINKS. . . .. . . . . . . a l GREASE TRAPS. . . . . . . .*0 l_AVAT©RIES. . . . . 13 OTHER FIXTURES. . . . . 10 TUB/SHOWERS. „ . . : SEWER LINE (ft ) . . . . P0 WATER FLO6!=Tr. . :3 WATER LINE DISHWA$HERr. . . . : 1 p. RAIN DRAIN (ft) - -- -.10 " Remarks a OWNERS ___.____"____._.____._--____-_ LLOYD OLSON BPRT�f- ^:391. 00 JLH 04/29/91 212164 ROUTE 1, BOX 948 BF'LC t 254. 15 JLH 04/18/91. 21264 B5PC $ 1c;. 55 JLH 04/29/91 212164 SEAVERTON OR 97OL47 MPRT $ 39. 00 JLH 04/29/91 212164 Phone #a 628•-24EIO MPLC $ 9. 75 JLFi 04/2-9/91 212.164 M5GC f 1. 95 JLH 04/29/91 212164 Plumbing Cour.�ctor,l-- ----- _ ---�_ ' ' . PPRT f 132. 30 JLH 04/29/91 212164 \ ( ( p5pr $ 6. 6:3 JLH 04/29/91 212164 Ad d r w s s! t.;i t y p _ _._._ t at e a ZiF,a ._____rlhoneNa_ Rey . --- - - R(.Gt1I RED INSPECTIONS T"his permit is issued iub.ject to the reg-- 1.1laatiuns contained in the Tigard Municipal Foot /found Inst Rain drain Insp Cocie, State of Ore. Specialty Coops and al —"r-rust/Beam Str,uczt Walter Line Invap other arppli.carble laws. All work will tie clone F='ost/Beam hlechan Appr/Sidwlk Insr, in accordance with approved nl.ans. This Plm/undslab Insp Mechanical Fina ! ppr mtt'"will expire if work is not stear t: �-•d PILM'Underf loot, Plumb Final within, 180 days of issuan;:e, or if wo)'k is Mechanical Insp Building Final sur�pended for- more than 180 days. plramb Top Out Erosion Control Framing Insp Fi r-e p 1 arc a Inst-) Gas line Insp Insulation Insp X 4i - d ' Gyp Board Insp AuthPl umbing Ccintrrrtor Signati.1re Call for inspection -- 639--4175 NaCuntNotes or-I T + r C;1=T 47F TIL7Akl') - REC _���1' ,t�F E'AYMEN7 RF'C:E IPT NO. r91-t 1055 CHECK AMOUNT » c c 8�3. 5:, N+1M E r OLSON, 1-1_OY[� CASH AMOUNT �• �'� t,4AM1 ESS a 'AYMENTUATE r 04/29/91 SUDUIVISION f'I.JRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT nlylOIJNI PAID U I1_I?I NC PERM _ __..w :3�i 1. 0N PLUMBING PERM_. .._.__1, . 517 1� MECHANICAL PE 39. 00 97. BUILD PER 28. 1.3 I F"1-AN CHECK FE 163. 90 SEWER USA 1:���. I-3E:WE R I N SPECT 35. 00 I 114'74 SW 113TH CT I i 1 U1TA1... AMOUNT PAID _ - _ ._.1 2289. 53 i 4 I' CITY OF T 1 GARD -- RECEIPT OF F''AYMENT RECEIPT MO. :91--21�1 E+4 CHECK AMOUNT : 1.00. 00 NAME:. I-.I_.OYD CASH AMOUNT 0. 00 ADDRESS RT 1 BOX 948 PAYMENT DATE 04/18/91 SUM BEAVE RTON, OR 9-700`S-- V URF'OSE OF PAYMENT AMOLIN'C PA 1 D PURPOSE OF PAYME=NT AM,9UN T PA I D F'LANwCHE7 FE. 4-31F1 _....._._. ML.P SW 1131'H r.:Y I L)Tnl... ('1MOLIN1 PAU) - - -) too. 00+