12454 SW 114TH DRIVE M
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12454 SW 114TH DRIVE - �
CTYrOF TIGARD cri RD CERTIFICATE OF
COMMUNrTY DEVELOPMENT ',EPARTMENT oRlook OCCUPANCY
13125 SW HWI Blvcl. P.O.Box 23397,Tigiud,Onqmi 97223(503)6304176 71 1
Fr-PM T T #. . . . . . . : MST91 -Oil.1'417
639--4171
LC4
DATE ISSUEDo 05/2'1/92
SITE ADDRE:;�--,G. . . : 124-4 SW 114TH DR PARCEI-t j-"7103AC--WG2
SIJBDIVIS1014. . . . - WALNUT GROVE SUBO ZONING: R-4. 5
13LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . 12
!'LASS OF WORK. :NEW
l'YPE OF (JSE. . . :SF
qCCUPANCY GRP. :R3
OCCUPANCY LOAD: 118 4
TENANT NPME. . . z
;�e m ark q
Owners
fl-OUn D CONSTRUCTION
F10 BOX 1577
�3EAVERTON )R 97075
Phoite #.- 641.--0935
Contractors
f"OUR D CONSTRUCTION
vlo Bnx 1577
BEAVEPTON OR 9iq'75
PhOTIP 641 -0935
113ij 0. 71037
Occmpmnry of the atoove referenced bmildinn is hereby given, and certifies
the romplianc-gro with the State Of Oregon Specialty Co&?m for the group,
and use under which the referenced permit was is%ued.
FIRE DEPARTMENT UILDING, !NSP: )R
1 r7
S�Ll fi0-. OFF 1rW. 0
POST IN CONSPICUOU3 PLACE
A INSPECTION NOTICE
City -f Tigard Building Depart bent
13125 SW Ball Blvd. Tigard, Oregon 97223
v Inspection Line (Rec-O-Phone;: 639-4175 Businene Phone: 639-4771
Inspections_
Footing Plhg. Underelab Mech. Rough-in Appr;"dwlk
Found. Plbg. Top Out Gas Line PIlf11Lt
Poat/Beam Struct. San. Sewer Framing H1
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. underfloor _Nater Line } Gyp. Bd. -KeCh.
Date Requenteds 2- - G- TSmet
Address, ''� 2 4 `�t� I ``�ya`0�— Pelmit is
Builders 1fL� _ L4 I G' ' %_
THE
THE FOLLOWING CORRECTIONS ARS REQUIRE'Dt
i
lnapector! ✓1 �J _�_ _-^` Datet j�l C-/
v APFROVttrb DISAPPROVED APPRO"D SUBJECT TO ABOVE
Call for Rainep.
Lk_SPECTIQN NOTICE
City U" Tigard Bul lding he•artne,,t
13125 SW [tall Blvd. Tigard„ Oregon 97223
ivapection Lane (Rec---O-PhonW): 639-4175 Buoineas Phone: 639-4171
Inspection:
i
Footing Plbg. Uersiab Mech. Hough-in
w
Pound.
Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. ;;ewer Framing --Bldg.
Poet/Ream Medi. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. j
Date Requested: �5 _/A� Z— Times
Address---L�I �/ ���l ` Pecmit #s �_Z C7
Builders . /yD �_
THE FOLLOWING CORREr-rIONS ARE REQUIRED:
9
------------
Insfecto
+)1
991
_ f
i
�i - - --........
`-- Datet� ._
i
PROVtD _ DISAPP D APPROVED SUBJECT To ABOVE
Call For Relnap.
i
r
I
i
INSPYCTION NOVICE ti
City of Tigard Building Dep;rt nt
L1125 SM Ball Blvd., Tigard, Oragon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineed Phone: 639-4171
Inspection:Y___
Footing Plbg. Underelab Voch. Rough-in Appr/'Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewrr Framing -Bldg.
Poet/Beam Mach. Rain Drain Insula. ion -Plumb.
Plbg. Underfloor /water Lino (/ Gyp. Bd. -Mach.
Date Requested:
?7 'T G� -2 V % 2y/. �-L.: A14PH
Addreae: li Ll` �z ` _ Permit :VZ
Builder: Z/0
THE FOLLOWING CORRECTIONS ARE V'QUIRED:
i
Inspect r
APPROVED _ DISAPPROVRD !� APPROVED SUBJECT TO ABOVE
�_G11 For Reis sp.
r
IIISPECTION NOTICE
City of Tigard Building Departannt
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinese Phone: 639-4171
Inspection:
Footing �P
P1og. Underslab Mech. Rough-in ``. pr/.Sdwlk
Pound. Plaq. Top Out Can Line FINAL:
Poet/Beam Struct. Sa,i. Sewer Framing -Bldg.
Pnst/Beam Mech. Rain Drain Insulation ..Plumb.
Plbg. Undacfloor Water Lille Gyp. Sd. -Mech./�
Date Requested: .� �T ,ate PM
Addreee:__1.� L�'� r„ti' Permit I:
Rui3der_
THE FOLLOWING CORRECTIONS ARE REQUIREDI
Y
Inspectors_ nISAPPRV�z
APPROVED SI16JE(`T TO ABOVE
�Cail
For Reinap.
N3 SPBCTiON NOTICE
City of Tigard Building DepnrOju±nt
1.3125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
Inspection•^
Footing Plbg. Under®lab Mech. Rough-in Appr/Sdwlk
Found. Pliq. Top Oar, Cas Line PINA.L: j
1
Poet/Beam Strdct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line^ Gyp. Bd. _Mach.
Date Recx:ested:
Address:-
�� Permit
Builder:-
THE FOLLOWING coRRkcTIONS ARE REWUIRED:
- - _ -
LAJtWO CA
c3v
3 Me C_1 v'NC C it i_Un 5 CA r-V
1-&,
V-A 121 f
Date.,S ,S 1
-�_APPROVrO DISAPPROVED iI APPPOV!'D S,UBJR(-P ") ABCVP
all For Rsinsp.
s
T- S KCfION NOTICE
City of Tigard Building Departmeent
13125 SN Ball Blvd. Tigard, Orogon 9727'
Inspection Lire (Rec-O-Phone): 639-4175 Bueinep- Phone: 639-4171
Inspections_^„_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Strvct. Ban. Sewer Frra:,ng -Bldg.
Post/Beam Mach. Rain Drain insulation` -Plumb.
Ploy. Underfloor Nater Line �Oyp. Bd.
-a.
Date Requested: ,/__* 7 ,Times ,_,AN '7 PH
Adclreee:_��, /`� y ��y •�� /�ir�--permit �t�~ Q /
Bulider:__�
THR FOLLOWING CORRECTIONS ARF .—%JfJIRED:
Inspector: �--- Dates
APPROV_,D DISAPPROVED APPROriD SUBJECT TO ANOVR
--Call For Rainsp.
INSPECT1oN NOTlcg
City of Tigard Building Departmant
13125 SY Hall Blvd. Tigard, Oregon 97223
InspRec:tion Line (Roo-O-Phone): 639-4175 Busineee Phone: 639-4171
Inspections _—___ --
looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer / ramin -Bldg.
Post/Roam Mech. Rain Drain naulation -Plumb.
Plbg. Underfloor Water Lienee Gyp. Bd. -Koch.
?�
Ddte Requested: ✓ r//, r� Tim9:
1 it z-/ ` armit
Address: J�.�
Builders_I� W ���0 — -
THR Fo'd.AWING coRRECTIONS ARE REQUIREDt
)nelNector:-� _ _.1�-------- - ---.._ -- ---- Datet
APPROVED DISAPPROVXD APPRCVRD SDHJMCT 4v3 ABOVE
Call For Reinsp.
INEPSCTION N(YSICF
City of Tigard Building Department
13125 rN Ball Blvd. Tigard, Oreqon 972.23
Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 639-4171
Inspections____
Footing Plbg. Underslab Hech. Rough-in An /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet./3eam Struct. San. Sewer Framing -Bldg.
Post/Ream Koch. Rain Drain Insulation -Plumb.
11bg. Underfloor Water
/Line Gyp. Bd. -Hoch.
Date Requeeted s !-J Time: _ 11M PH
Addsesa: fL �`� �j LG / arm #t!.; %re -7
Builder:____ _. —
THE FOLLOWING CORRECTIONS 7RE REQUIRED:
Tnspec4"-r: .i 1 L- ! (�)"? G`� --__ Date:_3
APPROVED DISAPPROVED' APPROVED stiniR`T TO ASOVE
Call For Reinnp.
INSPECTION NOTICE.
City of Tigard Building Department
13125 Bit Ball Blvd. Tigard, Oregon 97.27.3
Inspection Line (Rec-O-Phone): 639-4175 Bue.nsea Phone: 639-4171
Inspection:
Pooting Plbg. Underslab. Nech. Rough-in Ale-;/Sdwlk
Pound. Plbg. Top Out aae Line PINP;:
Past/Beam Struck. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Inenlation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mect..
�(
Date Requested: l Z _Times =` AN PN
Address: e.t2'4.-::�"1 ( ( vGk.Q.Q- Permit
Builder:&(110 b 2V g3
THE POLLOWI.NO CORRECTIONS AM RNQUIRM
Inspectors Dat.e:
APPROVED DISAPPROVED APPROVED SUMINCP TO ABOVE
Call For Reinep.
XNSgECPION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Tnspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. hough-in Appr/Sdwlk
Found. -41bg L
Top Out Gae tne FINAL:
Poet/Ream Struct. c Framtng -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wator Lina Gyp. Bd.
✓Hoch.
pate Requested:_ Times AH _PM
2 Address: / /�"
Builders C
THE FOLLOWING G6mcTION3 ARE REQUIRBDi
Inspectors1-
2 "PROM DISAPPROVED AP4Rfr/F.D SUBJRCr To AnoVE
_Call For Reinsp.
lNSPECTTON NOTICE �.
City of Tigard Building Department
1.3125 BM Hall Blvd. Tigard, Oregon 97223
Inspection Lino (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 -Bldg.
Post./Baam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor y��l�lt�! � Gyp. Bd. -Hoch.
Date Requanted C` 7 rima ' Fu
Add. ,ede:_ �Sy� Permit #- — o
Builder: % (O � ' 0(�F3S
THE FOLLOMINO CORRECTIONS ARE REQUIRED:
/ ZZ/
Irl r1I M 1(lt D A t P:
APPV)VFn DISAPPROVFD APPPOVF.D SMIJFCI' TO AW)VF
CAI for RPlnnp.
,�w
'fs7i -1 1
NSPE_CP ON _r fICE
arty of Tigard Building Departiaent (/
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-•O-Phone)s 639-4175 Bueiness Phone: 539-4171
Inspection:
Footing Plbg. Underelab Nech. Rough-in APPr/edwlk
Found. Plbg. Top Out Gas Line
_ lIIfALs
ek, 5eam 8tr - San. Sewer Framing -Bldg.
=P'Wft-t�h.. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hatter Line Gyp. Rd. _Noah.
Date Requested: '(�- `7 Tins$ /\
Adareee: �reik �i
Buiider: —�e!�;
THE FOLLOWING CORPICTIONS ARE REQUIRED:
_ 4-�•' `1�r ✓�! �G.S Pte,`'-� i�C(
Inspeokor,
1 Date: ,
APPROVRD biBAPPROM APPROVED SUBJECT TO ABOVF,
_____;all Ior 9_-i:,ep.
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. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out G i Line FINAL:
Post/Beam Struct. an. Bewar Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
P ;floor Water Line Gyp. Bd. -Hoch.
PUnderf
Date Requested:_ -�7 Time:/ /7_AM __ 7 PH
Address: ����y �/ % ��ermit f:�L LA G ! _
Builders .���///~
TAE 90LLOWTR6/%% CORRECTIONS ARE REQUIRED:
Inspectort_ __ Dake:
APPROVED DTSAPPROVED �— APPROVED sUBJECT TO ABOVE
__Call For Reinep.
1�
�NSPBCTION NOTICE
City or Tigard Building Department
13125 811 Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: _
Footing ^lbg. Underelab Mech. Lough-in )Lppr/Sdwllc
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. l(8,sferY ' Framing -Bldg.
Poet/Beam mech. R&&Ln-'iD n?n "' Insulation -Plumb.
Plbg. Under.[lcor Water Line Gyp. Bd. -Nech.
Date Request 1d:_ -,,1--3 Times _Y, AM PN
Address: i��i `� Permit !s'l/ 7
Builder: , f'a, C1 L .�7 7 20
TNB FOLLOWI!`C3 CORRECTIONS ARs ^ROUIRED:
4111
G
Inspector:_ / T�/� Date: (1-.-7
J_,APPROVED DISAPPROVED _^ APPROVED SIIDJECT TO AN7VR
tT_--
Call For ReineP.
INSPECTION BICE
City at Tigard Building Department
13125 SW Bill Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phos:e): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
F� ound. Plbg. Top fut Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ' Mech.
Date Requested:A�_��_ l �� _- T1m AM __,PM
Addreae r_— Ll - Permit
Builds 1 4/ 10
THE FflLIOWING CORRECTIONS ARE REQUIRED:
Inspector: - —_ -� - --- Dates_1-_�`''_. / y
_APPROVED APPROVED DISAPPROVED APPROVED SUB.IECT TO ABOVE
__Call Frr Reinep.
CITYOF Tura RD MASTER PERMIT
COMMUNrTY DEVELOPMENT' DEPARTMENT CffyCFTW4PD IF:,ERMIT #. . . . . . . .. MST)1-0207
13126 SW Hmil Blvd. P.O.Box 23397,Tqmd,Oregon OW(5W)ap"I 75
0313-4 1 7.1 7��7 DATE ISSUED:
S' 11'F_- ODLIRESS. . . : 1.2454 SW 1 14T DIR FIARCEL: 21S10,3AC--WG2
':)UBDIVISION. . . . : WALNUT GROVE SUBD ZONING: R-4. 5
BLOCK. . . . . . . . . . : L01.. . . . . . . . . . . . . :2
BUILDING
RE15GUE: DWELLING UNITS: l Bi4SEMFNT. . . . . . . . :0 s
CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGL . . . :420 Sf
TYPE OF USE. . . :SF FLOOR RE'QUIRED
TYPE OF CONST. :5N PINST. . . . : 1815 s f LEFT. . : 10 ft RIGHT. : 1.0 ft
OCCUPANCY GRP'. :R'7 SECOND. . . -0 s f FRONT. :21.) ft REAR. . ft
STORIES. . . . . . . THIRD. . . . :0 S f
HEIGHT. . . . . . . . : 16 ft 'TOTAL I----: 18 13 S f SMOKE Dr-7ECTORS. . Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 91051'.4 PARKING SP,ACES. . LO
Remarks :
F7,LUMBING)
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. , :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : I CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1 W'ITER LINE (ft ') . : 100 OTHER FIXTURES. . . . . :0
GARBAGE RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL FEES
FULL UNIT HTRS. . -.0 type amol-trit by date recpt
1,6AS/ VENTS . . . . . :0 T I F $ 1380. 00 JLH 01/03/92 -
MAX INPUT :O BTU VENT FANS. . :4 BP,RT $ 409. 00 JLH 01./0:3/9,_ -
I'--URN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC $ 265. 85 JLH 12/18/91
17LJRN ) =100K 0 WOODSTOVES. :0 B75P,C $ 20. 4` J L 1-4 01/03 1?
FLOOR FURN. . . . :0 CLC DRYERS. : I 1,313DC $
280. 00 JLH 01/03/92
BOIL/CMP ( 3HP,:0 OTHER UNI *,'S:O P,ARK t 'J00. 00 JLH 01/03/92
GAS OUTLETS: i MPRT $ 39. 00 JLH 01/03/92
OwTier: MP,I_C b 9. 75 JIJA 01 /03/92
I-OUR D CONSTRUCTION M5P,C F 1. 95 JLH 01 /03/92
F'O BOX 157-7 F,P,R T t 1 40. 1710 JLH 01 /03/92
7. 00 JLH 01 /03/92
BEAVERTON OR 97075
Phone #: 641-0935
Contractor:
FOUR D CON5TRUCTION
PIU BOX 1577
BEPiVERTON OR 9+7075
t:Ifioiip #: 641-0935
'3eg #. . : 71037 _--._-..-----------------.__--_____
E 3053. 00 TOTAL
This oereit is issued subject to the regulations contained in the REOUIRED INSPECTIONS
'ioard iiunicioal Code, State nf Ure. Specialty Codes and all other Foot/fol-ind Insp Fireplace Insp
-
,loplicabie laws. Ail work will be done in accordance with avptovzd Post/Beam Stri.ict Gas Line Insp
plans. This permit will expire if work is not started within 186 Post/Beam Mpchan Ins�.tlation Insp
days of issuance, or if work is sustiend for more than 18@ days. P'lm/Lindslab Insp - p Soard Insp
_.40(—`6A--M/U" (-j 0 t n drain
n s
Pip)-mit. tee Si gnat 01 Mechanical Insp v. ...er Line Insp
Plumb Top OiAt Appt-/Sdwlk Insp
IS-51-tP(J By : Fraininq Insp Mechanical Final
Call for inspection — 639-4175
SEWER p F'OKCT I ON
CCWTIGARD I� PERMIT #. . . . . . . : SWR91-0" 7
���ID
COMMUNITY DEVELOPMENT D900MENT ofineon DATE ISSUED: 01 /03/92
19126 SIN Hdl BNd P.O.Box 29307,Tipud,Onpon 9M(6m)63o-417s
'3UPDIVISION. . . . -. WALNUT GROVE SUPT' ZONING: R-4. -i
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2
TENANT NAME. . . . .
USA NO. . . . . . . . . . FIXTURE UNITS. . .
CLASS OF :JORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF RUILDINGS: .1
INSTALL 1 YPF_. . . . :BUSWfi IMPERV SURF=ACE:.. . : : sf
Remar^ks:
Owner,: ------- _____.____..----- ----_.____.______..- --._.___.___________ FEES ___..___._._---____-•
FOUR D CONSTRUCTION type amoo-mt by date rPcpt
PO BSX 1577 PRMT t 1900. 00 JLH 01/03/92 —
INf. P 4 35. 00 JL_H 01/03/92 —
BEAVERTON OR 97075
Phone #: 641--093
Contr,ar_t or: —_
CONTRACTOR Nf ON FILE
$ 1935. 00 'TOTAL
------- REOUIRED INSPECTIONS --------
This Applicant aarees to compl�f with v;l the rules and regulations Sewer Inspection
of the dnified Sewaqe Agencv. rho ;,emit expires 16N days from
the date issued. The total amount paid will b, forfeited if the
permit expires. The Agency do?s not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
uiven, the installer shall prospect 3 feet in all directions from
+ne distance given. If not so located. thr installer shall purchase ^
A "Tap and Side Se4er" Permit and the A ry wi'l nstall a lateral.
e r•m.t t t e e S i q n a t 1.a r•e : _ _�______ _.__.-.---•--..__.__.._-- -_.._.-____....
By:
Call for inspection — 639-4175
PLUMBING PEPMIT
PF QM I T #. . . . . . . i MST91-0207
C'N OF TIGARD LCMATWWRD Ift
COMMUNITY DEVELOPMENT DEPARTMENT D"IE. ISSUED: 01/03/9t7'.
13126 SW HWI Blvd P.O.Box 23397,TIPM,OWW 97223(SM)639-4175
7-
-j I I M HL")NL-Yj�3. 1 14 1 H DH 2SIV13R?
SUBDIVISION. . . • i WALNUT GROVE SURD ZONING: R-4. 5
BLOCK. . . . . . . . . . . L.OT.
CLASS OF WORK. . :NEW GARBAGE DISPOSALS- 11
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . ol BACKFLOW PREVNTRc.>. . %O
OCCUPANCY GRP,. . :R3 FLOOR DRAINS. . . . . . . :er' TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . : 1 WATER HEA*rERS. . . . . . % I CATCH BASINS. . . . . . . :0
FIXTURES----------------- LAUNDRY TRAYS. . . . . . ; 1 SF RAIN DRPtIN-0. . . . . : 1
SINKS. . . . . . . . . . .. 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FTXTLJRES. . . . . 10
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . 10
WATER CLOSETS. WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 Ro-)IN DRAIN : ft ) . . . . :0
OWNER:
FOUR D CONSTRUCTION TIF $ 1380. 00 JLH 01/03/92
Pn Box 1577 BPRT $ 409. 00 JLH 01/03/92
Ppuc $ 265. 135 JLH 12/18/91
BEAVIIRTON OR 97075 B5PC $ 21a. 45 JLH 01/03,192
Phone #: 641-0935 SSDC $ 280. 00 JLH 01 /03/92
PnRK $ 500. 00 JLH 01/23192
Plumbing 1v1PRT $ 39. 00 JLH 01/03/92 -
MPLC $ 9. 75 JLH 01 /03./92. -
Name . G & B PLBG, IIICM3PC $ 1. 95 JLH 01/03/9c1
Addressi 1592 ave PPRT $ 140. 021 JLH 01/03/92
City:
is OroP5PC $ 1. 00 JLH 01/03/92
�
Zipc97123 -F-h—_&.-st at e ORotve#g 640-2311
Reg #1------19.9-07.
REQUIPED INSPECTIONS
This permit is issued sobject to the req.-
ulation-, contained in the Tigard Municipal Foot/found Insp Rain drain Insr,
r.,ade, State of Ore. Specialty ("odes and all PO%t'/LAe,-%M 93tr.kict Water 1-1-19 Insp
Other applicable laws. All work will be done Post/Seam Mechan Appr-/Sdwlk Insp
in :Accordance with approved plana;, This PIM/I.Andslab Insp Mleerhapicdl Final
1-termit will expiv4 if ,work is not started ' PLM/Underfloor Plumb'' Ff*mal
wii;Wn 180 days of isr;uanLe, Or if WO)-k is Mechanical Insp Building Final
i--6-Pnded for mnrp than 180 danys. Plumb Top Out Erosion Controi
Frami.ng Insp Crawl Drain
Fire plau'e 'Insp
Gas Line Insp
Insulatinn Insp
Gyp Board Insp
Outhorized Plumbing Cvntrart r 5 unaturto
Call for inopqction 639--4t75
o n t r a c t o r Notess 0
A
CITY OF T I UARD - RECEIPT OF PAYMENT RECEIPT PT IVO. a 92--E:c'1,`5;34
CHECK AMOUNT s 47;38. 00
NOME- v FOUR D CONSTRUCTION CASH AMOUNT z 0. 00
PAYMENT DATE : 01/OZ-,/92
SUBD s
PVIRPO'SE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUN, PAID
409. 00 Pl-.UM8 I NO PE RM 140. 0�r
ME:(:HNNICAL.. PE 39. 00 ST. BUILD PER 29. 40 i
i�t-.f-N CHECK FE 215. Cad+ SEWER USA 1 9(bO. N0
St-tik-'R INSPECT :3`.5. 00 RESIDENTIAL TRAFFIC FEES; IE180. X10
p(-)RKE SDC 500. 00 STORM DRA k N OC 280. 00
Mf`!,:`q TRf'ANGJ TIF FEEfi 180. 00
i
U'454 "iW 114TH DR
)I t-440LINT PAID - - - -) 4 738. 00
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