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12432 FW 114TH DRIVE -
CI1Y C►F TINA R®
�MYOFTMIV CERTIFICATE OF
COMMUNrrY DEVELOPMENT DEPARTMENT oelEaoa OCCUPANCY
13125 SW HWI BW. P.O.Box 23397,Tkpid,00*W 97M(SM)5*14175 PERMIT #. . . . . . . : MGT91-018E
S7 4 17-t
DATE ISSUEL): 05121/fly
SITE ADDRESS. . . : 12432 SW 114TH DR PARC0-: 2S1033AC -WG31
SULAD I V I S I ON. . . . : WALNUT GROVE SUED ZONING: R-4. 5
BLOCK. . . . . . . . . . c LOT. . . . . . . . . . . . . it
CLASS (IF WORK. :NEW
TYPE OF USE. . . :BF
OCCUPANCY GRP. R3
OCCUPANCY LOAD: 101,0 4
Trz.NANT NAME.
Remffirkm -.
Owner,
FOUR D CON5TR!.JCl1ON
PU BOX 1571
6EAVERTON O(? 97075
Phone *3 641--0935
contractor,
FOUR D CONSTRUCTION
010 BOX 1157-7
BF---c4vi*-R,rON OR 97075
Phone #: 641 -0135
Reg #. . c '71037
0cutiponcy of the above referenced bctilding if, hereby given, and cert ifip,
the cumpliance with the State Of Oregon Specialty Cudes for the groMpi
oc!cupency, arid use under which the v-vfer-encerl permit was iFFuPd.
FIRE DEPARI AENT -
.�J I I D I NG INSZI T
BUIL.DINC OFFICIAL.
PUST )N CONSPICUO'DS PLACE
lot
INSPECTION NOTICE
Clty of Tigard Building Department
13125 Sit Ball Blvd. Tigard, oregon 97723
1 Inspection Line (Rec hone)s 639-4175 Buaine&o Phone: 639--4171
i
Inspect lost: / - e __— r —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line !IB c
Poet/Bezm Struct. Sao. Sewer Framing dg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Mech.
?'
Date Requestre7dt't r I � �AV
I �- �! Time- AqM PN
Ade-reser ( LZ- t 1 `1 ( L"C_Cy'� Permit 13
Builders D ` (P L41THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors r• t --- -- —�.— Dates_i Z_
APPROVED DISAPPROVED APPROVED SUBJRCP TO ABOVE
call For Reinsp.
� 1SPECTION NOTICE f
City of Tigard Buil-ling Department
!l 13125 8W Ball Blvd. Tigard, Oregon 97223
Il/C"I Inspe6tion Line (Rec-O-Pho ): 63q-4175 Suoines Phonez 639-4171
Inspection:
Forting Plbg. U ersl.ab Mech. Rough-in ppr/Sd�:ik1
Found. Plbg. Top Out Gas Line FINAL: i
Post/Beam St[ur_t. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Innulation -Plumb.
Pitx4. Undorfloor Water Lin:, Gyp. Bd. -Koch.
Date Requested:._ 5 f— �r � Times __AM _ PM
Address: / -,--7/, 3 �_ ��i — �-�7_ Permit #s �L��
Builders
TNF FOL1.314I:iO CORRECTIONS ARE REQUIRED:
Y'
)
Inspectorf., - % L.CEt�) Date: S'/
PPROVRD DISAPP D _- APPRUVFD SUBJECT TO ABOVE
_Call For Reinap.
INSFEC1101: NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard., Oregon 97223
Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639--4171
Inspections
Footing Plbg. Underelab Rech. Rough-in Appr/8dwlk
Found. Plbg. Top Out Gas Line FIIfALt
Post/Beam strurt. San. lower Framing -•Bldg.
Post/Beam Hach. Rain Drain T�eularian c Plumbs
Plbg. Uoderfloor Water
-Lim GYp• Bd. -fib
Date Requested:_ / .�-_ _TLaet 11li PN
Address:
Builder•� �
THE FOLLOWING CORRECTION8 ARE REQUIREDI
C
------_—. Get
Inspector - Date=__L_� ]r
APPROVED DISAPPROVED APPROVED SUBJECT to ABOVE
Call For Reinsp.
MOM-Am"AMW-AmI
`/sv INSPECT_IOii NOTICE
I City of Tigard Nuil.ding Department
1 13125 SN Hall Ll.d. Ti ard,
9 Oregon 97223
Iaapection Line (Roc•-O-Phone: 6.79-4175 Bue11:ePP Phone: 639-417.1
Inspection:
Footing Plbg. Underslab Mach. Rough-in, ppr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Baam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insuiatton -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested:. / 2r ',LL T� PM
Address: � -_ L�L� I �
/� � Permit f
Builder:_
THE Fol-TIMING CORRECT.T.ONS ARE REQUIRED:
Inspecto7 _-- Date$.
APPROVED _- DISAP RnVED SVF.ncT To A*M
__Call For Reinsp.
BCI�ON NOTICE
City of Tigard Building Department
13125 SN Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rer_-O-Phone)• 639-4175 Business Phone: 639-4171
Inspection:_
Footing --��
Plbg. Underelab Mach. Rough-inAppr/Sdwlk
Pound.
Plbq. Top Out Gas Line FINAL:
PORt,'Beam Struct. San. Sewer Framing -Bldg.
POE-/Beam Hoch. Rain Drawn Insulation
-Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Retiueated c_ ~�L��./�/ _ Timb+,��
Address: � � C•�C r
/ Permit -
Builder:_
THR FOLLOWING CO•'RRCTIONS ARR F •IFIIRIID,
r.
1'1 U•Q�tZ 1 5
{
Inspectors / .4- - y
—sC�
APrN)IRD DISAPPROV/Q
(X API-ROVED SUR-7VO►' To ARnVR
all For Rohe),.
INSPECTION NOTICE
City of Tigard Buildiimg Depart—nt
13125 SW Hall Blvd. Tigare. Orogon 97223
Inspeeti..n Line (Rec-o-Phone): 639-4175 Buslneso Phone: 639•4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas; Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/beam Mech. Rain Drain Insul-a'tioon -Plumb.
Plbg. Underfloor Water Line yp. Bd. 1 -Much.
Date Requesteds T -�r,� Times _�AM PM
Address: 'P'ermit
Builder:
THE FOLLOWING CORP7CTIONS ARE REQUIRED%
Inspectors ,177 Date: 1'
11�'" APPROVRD nISAPPAOVED APPRown SUBJEr_r TO ABOVE
_—Call Fr.r Reinsp.
f
INSPSGTLON NOTICE
City of Tigard Building Departnnnt
13125 SN Hall. Bien. Tigard, Orogon 977.23
Inspection Line (Rec-O-Phonu): 639-4175 Bualneso Phone: 639-4171
Inspection:
Footing Plbg. Underelnb Oh. Rough-in��,Appr/Sdwlk y
Found. Plbg. Top Out Gas Lina FINAL:
I
POat/Beam strur_t. .San. Sewer �raminq �) -Bldg.
Poet/Boam Mach. Rain Drain �-tlon -Plumb.
i
Plbq. Underfloor Nater Lina ')yp. 9d. -Meeh.
Date Requested: /� TiiseI AN (� Px
Address
Builder'
THE FOLLOWING CORK MONS ARE REQUIRED:
i
�74
I
Inspector: /
/
.i"�___ Ar"ROVED - DISAPPROVED _-- APPROVtn BUBJ T TO ABM
---call. For Reinep.
i
1NS KCTIOM N(:CE
City of Tigard Building Department
1:$125 Sill Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busin ss Phone: 639-4171
Inspection:- -- -�
Footing F'.bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out oai1sinB PINAI.:
Poet/Beam Stn:ct. San. Sewer[ Framipq -Bldg.
Pont,/Ream Mech. Vain Drain Inaulatl.On -Plumb.
Plbg. Underfloor Nater Line On. &d.— -Mech.
Date P.equeatai: .� % Time . AM PN
Address&_- ermiL it ��?
Buildert L YZ �_-�
TBS FOLLOWIAG CORRECT]INS ARE REQUIRED:
— 1 Q
S '
nater IF` Z-- —
APPROVED DISAPPROVED APPROVED AU8.IRCT 1O ABOVE
Call For Relnep.
I,_NSPECf'-M NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 9u.iness Phones: 639-4171
Inspection: _
Footing Plbg. Underelab Mech. Rough-in Ann,•/Sdwlk
Found. Plbg. Top Out Gas Tine FINAL:
Poet/Bean Struct. San. Sewer Framing i -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd.
_ n
Date Requnat-ed: 1::2 '4:�_ Time=
Address: �/3f � -
Builder-
/
THR FO'TOWING 00RREC1'IONS ARE REQUIREDt
/01
G
Inepesctnr: . Dates e
APPPOVNO DISAPPROVED APPROVED SUR.LECT To ABOVE
Call For Rainsp.
a
INSPECTION NOTICE �,?�v'✓/
City of Tigard Building Depaztnent s'
13125 Sit Ball Blvd. Tigarri, Oregon 97223
inspection Line (Re/c-O-Phone): 63 -4175 Busineos Phone: 639-4171
p �(
Footing Plbg. Onderelaabb Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out 1 Gan Line PINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Nech.
Date Requested% ���"`�f_,-- Times �_.11M _ PN
l -4 _
Addreeesc�` ��_� L1Z .���_Z- eonit
Builders ! y L 41/0
TBE FOLLOWING GORRECTIONS ARE RF.QUIREG:
i
Inspectors � natez-
APPROVRD DISAPPROVRD APPROVRD SUBJMCP TD AROVt
_Call For Reinep.
■11 �'
INSPECTION NOT�CL f L'� '
City of Tigard Building Depart-ment
13125 SW Rall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bneineee Phone: 639-4171
Inspection _ _--_-----__.— — -
Footing P.bg. Underslah mech. Rough Appr/Sdwlk
Found. Plug. Tog Out as Line _ FINAL:
Poet/Beam Struct. San. Sewer. Framing -Bldg.
Post/Beam Hoch. Rain Drain Inaulatton -Piumb.
Plug. Underfloor Watery Line Gyp. Rd. -Mach.
Date Requested: '='-) Times AN �jPH
Address: , ? f Xerml.t Fr�\
Builder:
THE FOLLOWING FOLLOWING CORRECTIONS ARE R. IRED:
Inapectort- !— Date:` t)
\APPROVED DISAPPROVED APPROVRD SUBJRCT TO ABOVE
Call For Reinnp.
r
J
INSPECT- ON NOTICE . , -r•
City of Tigard Building Department
13125 SII Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-0-Phone): 639-4175 Business Phone: 639-4111
I nspect ior.:
Footing Plbg. Urderslab Hoch. F.ough-in Appr/Sdwlk
Found. Plbg. Tap Out Gas Line FINAL:
Poet/Beata Struct. San. Sewer Framing -Bldg.
Poet/Beam Me.h. tin Drain Insulation -plumb.
Plbq. Underfloor Water Line Gyp. ed. -Hoch.
Date Requestedtr�. ?`��,. Tom= A
Addreses_T.} p// Petit
Bullderi (/' 't �i Li/�� 3� /
THE FOLLOFIIaODRRRCfIONS ARE RRQUIRM
Inspector:_
�APPROVRD
7ISAPPROVED APPR:7VRD SUBJECT To ABOVE
Cali Fur ksinsp.
City of Tigard Building Department
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-n-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underslab Mach. Rough-is. Appr/Sdwlk
Found. Plbg. Top Out Gas Line r:NAL:
Post/Beam Struct, an. Sewer Framing -Bldg.
Poet/Seem Mech. 11 n Dra in Tnsulation -Plumb.
Plby. Undorfloor =waterLi Gyp. Bd, Mach.
Date Requested//:// 1� Time: / AM FM
Address: /�%3.2 �C//"� ��� '�- Permit #
Builders e-') - `' - :3,
THE FOLLOW CORRECTIONS ARE REQUIRED:
i
"70��-_ _ �.- - -- Date
Inspector: :
__)APPROVED - DISAPPROVED ^- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I"SPBGTIGN_ OTICE
Citi of Tigard Building Dapert'sent
13125 SN Hall Blvd. Tigard, oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 539-4171 A
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Rdwlk
Found. Plbg. Top Out Gas Line FINAL-
Pont/Beam Strutt. SA .. Sewer Framing -Bldg.
Poet/Beam loch. Rain Drain I Ineuiation -plumb.
Plbg. Una,rrlloor Nater Line Gyp. Bd. -Meth.
( Y-•
Date Reaaestrnd: PN— Z Time: 'a+� _ V
Addresst L2. 1 >� ) I ILS 11(( (1 >_ Permit
BuiJ jer.:
rm FOLLOWING coRRRCTIoNb :oR RRQUI'RD:
Inspector,. ✓ ____- e Datec_
AppNoytp DTSAPPROVF.D APPROVFD SUBJFCT TO ABOVE
ra)1 For Reinsp.
w
IAISPECTIOR WnICE
City of TLS+d Building DePart=—t
1.3125 811 Hell Blvd. Tigard, Oregon 97223
inspection Linn
-�',O Phone): ba'i-4-175 Business Phone: 639-4171
Inspection:
Footing My. Unde-slab Mach. Rough-in Appr/Sct:,lk
Found. rlbq. Top Out Gas Line FINAL:
Poet/Beam Strucl- San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line 0,-p. Bd. -Mach.
_
Date Rr, 7 _assted: -_% � Timet - A1►�' P
Addreee:_�L�L,�- a..� 'I -/
Buil-lac t-_z-/ 42 6 4//
THS !'O:.LOWINO cORR3:C'fIOms ARE RSQUIRSDt
I
Inapectnrs� �, .."- Date
APP)OVED vI:70791) APPROVED SUBJECT' TO ABOVE
/�/
Call For Reinsp.
ILISPBCTICKI Y(�}/CE
City of Tigard Br.11di.ng DeparGrK t.. r
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inenaction:
Footing Plbg. Underalab Mech. Rough-Ln Appr/Sdwlk
laund. Plbg. Top out Vas Lire FINAL:
I Beam'Struot. San. Sewer Framing -Bldg.
et/Beam Heft, Rain Drain Inau).atinn -Plumb.
Plbg. Underfloor Water Liam Gyp, ed. -Hoch.
i
Date Requested: /f )�; -�`"f" �,- Tina AM __PH
Addreae: „L 7 J.+�_ "'�J� `/,ter�Pper'21 t I �l� -Z�/IS-" Z
TH% FOLLOWING CORRECTIONS ARE REQUIRED:
nate:__L—_ 9r1_
L� APPROVRD DISAPPROVED APPROVED SURJECT 1 ;
Cal: For Reinsp.
IN$PRCTION Y_MIqK
city of Tigard Building Department
13125 SN Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: _. -- --
Rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Sewer Framing -Bldg.
Poet/Seam Nech. ein Drain,'
Ineulatlon -Plumb.
Plbg. Underfloor Water Lino Gyp. Bd. -Meth.
Date Requdar.ad/:_
Address: lc,-,�
Builder•
TRS FOLLOWING RR6CTIONS IM RSQUIRSD:
n
f
InepectortDatee
APPROVRD DISAPPRGVRD APPROVED StIB,FCP TO ABOVR
Gll For Aelnsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-C-Phone): 639-4175 Bueiness Phone: 639-4171
Inepection:_
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post-/Beam Koch.. Rain Drain Insulation -Plumb.
,Plop, pnderllopi' Nater-7 Line Gyp. Ed. -Koch.
Date—Resqu-•e••at reds-��7� ��1� / -Times _/--AN
Address• i�-L Z-z
/.� /
�
Buildars —. ` t .LL2��1. C/
1��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors. _/t" Date:I'll' L l�
DISAPPROVED _ APPROVED SUBJECT TO ABOVE
!
-r-411 For Rslnep.
.. ..._._...._, ._. ....... ............u.n.�..,a ..........-.._......_ ... ._........... , -.u.,..:... .w.e+uWir..�.Y�l!1KUMYY�KYVr1�YYMWIr
INSPECTION NOTICE
City of Tigard Building Department
1.3125 BW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone)s 639-4175 Businear Phono: 639-4171
Inspections
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Past/Beam Sttuct. San. Sewer Framing -Bldg.
Poat/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requested:___ /�_ /Time: �_AM PN
Address. ��'�3�.� /� 7 �� P=�t 1: J
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
n
Inspectors-. - - ----`--` Datas /O Z.-
APPROVED
.APPROVED DISAPPRJVED APPROVED SUR,RCI TO ABOVE
Call For Reinsp.
MASTER PERMIT !/
Cirf OF TIGARD CJ i1f OF 1MRD PERMIT #. . . . . . . : M ST91--018c
COMMUMTY DEVELOPMENT DEPARTMENT o�ooa
131258WHWIBlvd. P.O.Box 233V7,TOW,OrWn97M"f 68&4175 DATE ISSUED: 1 /1Q191
SITE ADDRESS. . . : 12432 SW 114TH LAR PARCEL: 25103AC-WGt
SUBDIVISION. . . . : WALNUT GROVE SLJBD ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. .i
---.------.__------_____.____---____.- BUILDING
RF I S;3UE: DWELLING UNITS: i. BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BE'DRMS:3 BATHS GARAGE. . . . . . . . . . :440 sf I
TYPE OF USE. . . :5F FLOOR AREAS------ REQUIREL
TYPE" OF CONST. :5N FIRST. . . . : 1687 sf LEFT. . :2_3 ft RIGHT. ; 10 ft
OCCUPANCY GRP. :R:s SECOND. . . :0 s FRON'T. :20 ft REAR. . : 17 ft
1'URIES. . . . . . . : 1 THIRD. . . . -0 sf RE:QUIRED----------
HEIGHT. . . . . . . . :20 ft TOTAL_-------. l6t.]7 sf SMOKE DETECTORS. :Y
FLUOR LOAD. . . . :40 psf VALUE. . . . . : 85522 PARKING SPACES. . :0
Remark=_ :
-- PLUMBING
SINKS , . . . . , . : 1 FLOOR DRAINS. . . . :0 BACI',FLOW PREVNTR S. . :0
LAvA"rORIE:S. . . . . :3 WATER HEATERS- . . : 1 TRAPS. . . . . . . . . . . . . . :0
IUB/SHOWERS. . . . - 3 LAUNUPY TRCYS. . . -0 CATCH BASINS. . . . . . . :0
WA I E_R CLOSETS. . :2 SEWED. LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
D I SI-{WASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
C,ARBAGE: DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL. ____.___._____._-- -----____._._.___._____ FEES
FUEL TYPES-------,------ UNIT HTRS. . :O type amol-int by date recpt
/Gp15/ / / VENTS . . . . . :0 TIF' 1380. 00 JLH 12/18/91 -
MAX INPUT:O BTU VENT FANS. . :3 BPRT $ 391. 00 JLH 1='/ 18/91 --
(URN ( 100K . „ : 1 HOODc"'. . . . . . : 1 RPl_C $ 254. 15 JLH 10/29/91 2191l3
i'LJRN ) =100K . . :0 W0003TO,)ES. :0 E?SPC I 1 555 JLH 12/ 18/91 -
FLOOR FURN. . . . :0 CLO )RYERS. : 1 SSDC $ 280. 00 JLH 12/18/91 -
NOIL/CMP ( 3HP:0 OTHEP UNITS:O PARK t :50124). 00 JLH 1,2/ 18/91 -
GAS OUTLETS: 1 MPRT f 36. 00 JLH 12/ 18/91 Owner—: -_-_____._____---•-•---.-_____.__.___________ MRLC: $ 9. 00 JLH 12/ 18/91
FOUR D CONSTRUCTION M5PC f 1. 80 JLH 1/18/91 -
k'O BOX 1577 PPRT $ 132. 50 ,JLH 12:'/18/9 1
PUBIC f 6. 63 .JLH 12/18/91
SEAVE'RTON OR 970-75
Phone #: 641-09.35
Conor-actor-: -------_.__----------------.--_-_
(-DUR D CONSTRUCTION
PO BOX 1577
BEAVER ('ON OR 9707 ;
Phone #: 641--01133
Reg #. . : 71037
$ 3010. 63 TOTAL.
This perait is issued subject to the regulations contained it the ---• REQUIRED INSPEC-rIC NS - - - -
Tigard Municipal Code, State of Ore. Specialty Codes and all ether Foot/found Insp Fir^eplac , Insp
applicable laws. All work will be done in accordance with approved Post /Peam Stmict Gas Line Insp
plans. This perait will expire if work is not started within 180 most /Beam Mechan Ins�_ilatio i Insp
days of issuance, or if work is suspended for more than 180 days Plm/tindslab Insp Gyp Board Insp
p,LM/Underfloor• Rain drain Insp
Permittee Signati.n.e : i Met_han.ical Insp Water, Line Insp
Plumb rop Oe_it Appr!5dwlk Insp
ls5i_ied BY . It, ' Ft-aminq Insp Mer_hanical Filial
Lall for Inspection - 639-4175
Mmutiq
SE4JER CONNEC"(IOP1
C17Y OF F'E RM I 1"
CMOF PERMIT T #. . . . . . . : 5WR91-0; V
r1nMMUNITY DEVELOPm,1LMT DEPARTMENT o«emoe�ee
13125 BW HW BW P.O.Bom 2MW,-nGad hea dM*09W11176 D n T E ISS 11 D: 1 ,2/18/91
t Il'E ADDRESS. . . : 1241212 SW 114TH DR PARCEL: 2SI03AC—WG 1
SUBDIVISION. . . . : WAL', IUT ( ROVE SURD ZONING: R-4, 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
-----------------------------------------------------------------------------------------------
TENANT NAME- . . . . :
USA NO. . . . . . . . . . : F I XTiURE: UNITS. . . -
':LASS
NITS. . . :':L_ASS OF WORK. . . :NEW DWELLING UN I TS3. . : 1
TYPE OF USE. . . . . :SF NO. OF' BU I L.D I NGS: 1
I NSTALL TYPE. . . . :BUSWR I MPERV SURFACrF . . : : s f
Rrmrlrks :
C)wrler- : --------- ---.----___._.____..— FEES
F-CA.1R D CONSTRUCTION type amol.int by date r,ecpt
1:10 BOX 1577 F'RMT $ 1900. 02' JLH 121/18/91
INET' $ 35. 00 JL..IA 12/1.8/91 -
BEAVERTON OR 97075
Phone #: 641-09:35
Contr-actor: -----------------------------
CONTRACTOR NOT ON FILE
Phone it. $ 19:5. 00 TOTAL
Rey #. . .
------- REQUIRED .I NSPFC T I ON S
This Applicant agrees to comply with all the rules and regulations hewer- Inspection
of the Unified Sewage A enc . Th? permit expires 168 days from
the date issued. The total amount paid will he forfeited if the
permit exoires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
q.,vPn, the installer shall prospect 3 feet in all directions from
the distance given. if not ,o located, the installer shall ourdiase
a "Tap and Side Sewer" permit and the Agency will install lateral.
F-,er,mittee Signatiwe:
Issued Byt
L411 f -o insper..tion - 639 -4175
; PLUMBING PERMIT
fir
ITY OF TIGA RD PERMIT #. . . . . . . . MST91.-01 HF,
CffY0FTW41W
COMMUNITY DEVELOPMENT DEPARTMENT MOM
13126 SW H@11 BMd. P.O.Bax 23397,Towd,Oregon 97223(603)M4176 DATE ISSUED: i c/i H;91
i
i I TE ADDRESS. . . : i,:,.4312 SWI. 114TH DFZ PARCEL: 2S 103AC-WG I
SUBDIVISION. . . . : WALNUT GROVE SURD ZONING: R--4. 5
81_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
CLASS OF WORK. . sNEW GARBm DISPOSALS. . s1
TYPE OF USE. . . . s9F WASHING MACH. . . . . . . : 1 BACKFL.OW PREVNTRS. . :0
OCCUPANCY GRP. . :R,;3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :A
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-----_-_------.__--- LAUNDRY TRAY . . . . . . tO SF RAIN DRAINS. . . . . e 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
L.AVATOR?ES. . . . . :3 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . -41
WATER CLOSETS. . -2 WATER LINE (ft ) . . . . : 100
I)ISHWASKI F'S. . . . : 1 RAIN DRAIN (ft ) . . . . s0
Remarks s _
OWNER►
FOUR D CONSTRUCTION TIF 4 1,"381'1'1. 00 JLH 12/113/91 -
PO BOX 1577 SPAT $ 391. 02 .JLH 12/18/91
BPL.0 $ ; '`)4. 15 JL..H 10/2,9/91 x'1911
BEAVERTOV OR 97075 95PC $ 19. 55 JLH 12/18/91 -
F-1hune #s 641-0935 SSDC $ 280. 00 JLH 12/18/9f -
PARK $ 500. 00 JLH 12/18/91 -
Plumbing Contractor^c----- -- ----- ----- MPRT $ .36. 00 J1_H 1?/18/91
MPL.0 s 9. 00 JLH t"/18/91 -
M5PC $ 1. 130 JLH t2/1&/91 -
Ac1dresss /3y3� C'P.M�C•� Get'. C� � PPR'f s 132. 5fb JLH 12/18/91
City : ot!vj*?!�•4 _ _ __.V....__ State: Gam.__.___.. ( 5PC 4 6. 6.8 JLH 12/18/11 -
"Li.psPhone#c_�Z�=a7Z��►7r?O-23oZ
Peg #:1"his permit is isEued slrbject to the rey •-
l.rlations contairieO in the Tigard MuniLiral Foot/found Jnsp Rain JrAin Insp
Coder State of Ore. f3pecialty Qodes arnd all Post/Beam Strurt Water- Lin: Insp
other applicable laws. All work will be done Post/Beam-Mar.•,han Appv/Sdw1k Insp
in accordance with app-,^oved plans. This (elm/urldslab :nsp Mechanical. Final
permit will expire if rNurk is not started PLM/On derf'loar Plumb Final
witkirIn 180 days of issuanew, or if work is Mt?r_halnir_al Insp Br.lilding Fin.Al
sl.ispended for, more than 180 days. plumb Top Out Erosion Control
Framing Insp
-` F i r e p l m u P Insp
Gas Line Insp
In%ulation Insp
Gyp Board Insp
Ailtharize Plumbg Contractor Signatun^M
/ Call for- inspection - 639-4175
. .._. .. ... _..._.....,_...._..,...........u..._........n.,«n,r+wM1ALu4tilhWr++M'M;.u:a:
17
CITY JF" TI GARD RECEIPTOF PAYMENT RECEIPT NO. :9 1—2Poj3c3S
NttMV. FOUR D CONSTRUCTION CHECK AMOUNT 4f+9:�. 63
CA.,I E AMOUNT a 0. 00
ADDRESS PAY"1ENT DATE r,,/16/9 1
'',31,40 i"CSION
PURPOSE E OF PAYMENT AMOUN r pFa I D PURPOSE. OF PAYMENT AMOUNT PAI 1)
BS.1 I L171 NU_PEHM ~_ ?,91. 00WLUMB I NC, PF:RIM
13c. 50
ME(ZHANICAL PE 36. 00 ST. BUILD PER P7, 98
S~t..AN CHECK FE= 13. i Sx SEWER USA 1900. 00
SC.W(-:R INSPECT 345. 00 RESIDE':NTIAL. TRAFFIC FEES 1280. 00
PARKS SDG 1500. 00 STORM DRAIN SDC aAo. Q10
f MASS 'i ,i"NSr r rlF FEES t00. 170
I
i
I�
SW 114TH DR
i TO 1 (0 F1MOUN•r v'r 1 ) _ ._ _> 4695. 63
I i
F
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