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CITYOFTIFARD #. 1. I... i CSF'
OCCUPANCY
GfY 116r�IND r"'EfiMI i' Ito. . , . . . . n MT`s 1...�i�:'
COMMUNITY DEVELOPMENT DEOARTW& T Comml. 1 F>�;uE ri n01/08/93
13125 SW Hell SWd. P.O.Ba 23907,T1pW,Oregon 07223(603)6314176
i 1 C[:. f4):1)JRF FiS. . . r 1s::545 SW I ).4111 GR _ PARLEL. n :?Li i u� sAG ►04`rk3a'
'.A)Bt)1Va J01-4. . . . t WOL.NUT flKOVE. SUBP rl.)Fd11469 k 14. '
BL.00K. . . . . . . . . , LOT. . . . . . . . .
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OF WORK. NEW
of" uw.:.. . . a SF
OrrUPANCY GHP. a R3
., t.LIPANCY L OAUi l lfi 4
LEN(-)N'T NAME. . . r
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T=(3UR D CUN`3 rRUC T ION
lJO SOX 1577
11N;fiVF:iRmN ON 'Y('073
Phone #n k,41-0435
CuntraAct or n _•._.__._._._.-... _. .._.._ _ _.... ____._.._ ....__.._
F0JR D CONSTRUCTION
PO BOX 1577
BEAVE RTON UP 970?5
Phone #a 641-91935
Uc_t: uparicy tof the m%bovp r efeerklic:et1 t r hereh,.o 12i ver►, ,br►ri c,trrt; i ► .► �,R;
the compliarlc:e with the State Of Ovgglm 9pec: ialty C'odei for, f;►er uroup,
,mcupannc•y, and love under which the rwfet' ence d permit- was i svio.(erl.
FI Ht. DE:KARTIML AT 'Plr]L.Io.1111,Y_" ON �
POST IN (.0Nbf,1 c:uflll ,
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CITY OF TIGARD - RECE?PT OF PAYMENT RECEIPT NO. :93--235401
CHECK AMOUNT 375. 00
AME : FOUR D CONSTRUCTION CO CASH AMOUNT 0. 00
DDRE'iS : PO BOX 1577 PAYMENT DATE 01/08/93
UEAVERTON, OR 97075 SUBDIVISION
UfPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
USTOMER REPO ~� 375. 00
;ITE: 1c54'1 SW 1t4TH TERRACE
IDEWALK & APRON (ONE- YR. 1 MAINT. ASSURANCE
'OTAL AMCIJNT PAID - - - -> 375. 00
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IlI—"C—TJ- N NOTICE
City of Tigard Building Departjtsslt
13125 SM Bell Blvd. Tigard, Oregon 97223
Inspection L_.ne (Rec-O-Phoney: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Undernlab Mech. Rough-in Appr/Sdwlk
Pound. Pl.bo. Top Out Gas Line FINAL:
dost/Beam Struct. San. Sewer Framing Bldg.
Poet/Beam Mech. t:sin Drain Insulation 1/4_1r _plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Meeh �;
Date Requestedt_ - Tit AM _ pM
Address.,
_—z��YS _%_ Z/�.� 1--rmit
Builder: 4D _
TRE POLUMING CORRECTIONS ARE RRQUIRED:
r
Inspector: -
----t- -- Dates-
APPROVED DISAPPROVRD APPROVED SURJRCT To AROVE
Call For Reirep.
r /
INSPECTION NOTICE
City of Tigard Building Dnpartwmt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam 7ii.ruCt.. San. Sewer framing <=-BLdg,
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: v
- `�•/Z�,-j- _ �T1fre:
AddresscO�s �7-__�17 Permit #:
Build••r: _
THE FOUA)WING OORRRCTIONS ARE REQUIRED:
J
Inspector: ✓ � _ Date? //-/ /
__APPROVEDy/ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
]C�i'�,Fo11 MGTscE
city of Tigard Building Ueparteent L
1.3125 811 Hall Blvd. Tigard, Oregon 97223 Y
Inspection Line (Rec-o-Phe I: 639-4175 Business Phone: 639-4171
1
Inspection:
Footing Plbg. derslab Mach. Rough-in Appr/Sdwlk
Mund. Plbg. Top Out one Line FINALS
:post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
Line Gyp. Bd. -Meeh.
Date Requestede // -/7( !'�►Z�� Time: - _AM PM
Permit 1:
Builders,_ Q
TRE FOLLOi1IMG CORRECTIONS ARE MMIREDs
_ 'QQfZ I►.IS4'FtTf�►.1 r'iF FpIZMS I�11�t W01_Qn�jC
—2EfvR+E �Ic -rF -L°`cEfJ• E-rZL'ILIC�JLf
Ming-� ,TC o�c✓✓►'A&LC_Lj:M 7 A l 0 .
kF I Fe.)IZ
�ID�InLr— APPp�Act
Lnspector:_ Date: ai _ .g`
APPROVED DISAPPROVED _ZAPPROVED SUBJECT TO ADM
-Call For Relnep.
INSPECTION_ NOTILE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 17223` '
Inspection Line (Rec-r-Phone): 639-4175 Business Phone: 639-4171
Inspection:___.. _ -
Footing Plbg. Underslab Mech. Rough-inApL/Bdw:l�)ound. Plbg. Top out Gau Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Dra.n Insulation -Plumb.
Plbg. Underfloor hater Leine Gyp. Bd. -Hoch.
Date Rr.jueste�dt_C_'.4 1 / �7 Z Time: __AM PM
Address: 1�J�� �1 Permit D
Builder:
THE FOLI.r1' MCS CORRECTIONS ARL REQUIRED:
Cp-arg, NP�o�Lsl
_.966 &ZN/A/& v N
inspectors Datet / _q Z
APPROM DIBAPVFMYM APPROVED SURJECf TO AROVE
Call For Reinmp.
i
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Suninena Phone: 639-4171
Inspection:
Footing Plbg. Undoralab Mach. Rough-in Appr/Sdwlk
Found. Plya. Top Out Gas Line FINAL&
Post/Beam Struct. San. owver Framfaq -Bldg.
Post/Beam Hoch. Rain Drain Insulation
Plbq. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested. —/,57--eF ,tA= _ ves AN PM
Address: - /-;. Twit ir,�& a/ 7�
Builders Lp
TBE F0LIOWINC CLsRk:^TIONS ARE REQUIREDs
Inspectors Dates
APPROVED DIBAPPFA)M APPROVED SU/JNM TO ADM
Call For Reinsp.
llilSPICTION NOTICE ! 1.
City of Tigard Bina'ling Department
13125 B11 BA11 Blvd. Tigard, Oregon 9722.3
Inspection Ltne (Re,-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections _
Tooting Plbg. Underalab Mech. Rough-in Appr/edwlk
Pound. Plbg. Top Out Gas Line PI :
Post/Ream struct. San. Sewer Framing -Bldg.
Post/Ream Hoch. Pain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Dates Requested: % -/ Z TLMOAA �AN PH
Addresn: �y,� c-7r'!/L emit #t Dol�s
RiAlder:
TRE FOL—LOWING C-O-RRSCTIOIIs ARB RSQUIRSD:
J �y if
-T—
�v v 'e 06 On
zlif
6?/l S D ,moi �'r� /��► �.'C'wf100,
ok
Inspectors 0 Dates
APPFAMRD 01"PPROV20 k APPROVRD SUBJECT TO ABOVE
Cell Por Minsp.
INSPECTION NOTICE.
City of Tigard Building Department
13125 SW Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-J-Phone: 639-4175 Busineee Phone: 639••4171
Inspection•
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gaa Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp.
Gyp. Bd. -Mech.
Date Requeeteds �--� / L Time: -21\ AM PN
Address ���``,, � /�-/y�� it
Builder:
THR FOLLOWING CURRECTIONS ARF. REQUIRED:
Ile za'e-t
- C' o ' Ii1 e-ee-- �-,7
CAe,
Inspectors_
APPW VRD V DISAPPROVED APPROVED SUBJECT ABOVE
"C ll For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Idspection Line (Rec-O-Phone):
�663�9-4175 Business Phone: 639-4171
Inspectior _ �1� �l✓. _
tooting Plbg. Underslab Hoch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. e -fiech.
Date Requested:_' 2• G� Z Tian: �yAk PN
Address: �'rQ-cv_- Permit -e)z -7
Builders_ iffd`[( - 01 I ?5S L1 1)
THE FOLLOWING OOV"CTIONS ARE REQUIRED:
Inspectors_,
_'/ Dater
- Z 2�-
APPROVED DISAPPROVED _ v APPROVED SUBJECT TO AEOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 fig Ball Blvd. Tigard, Oregon 97223
Inspection Line (/R�e/yc-O-,P/hhonne)s 639-4175 Business Phor.e: 639-4171
Inupection:
Pootiny Plbg. Onderalab Meeh. Rough-i) Appr/Sdwlk
Found. Plbq. Top Out (Gas Lin .SINAL:
Post/Beam Stcuct. San. Sewe- Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Hater Line Gyp. b.'. _Noah,
Date Requestedt //� -�•� �/ Timet ANPN
]�
Address:Z// �Z/`� �J f� 2� aYmit #2
a
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
A Azf�> - mac.
Inspector,_ Date: 711
,_APPROVED DISAPPROVED !/ APPROVED SUBJECT TO ABOVt
Call For Reinsp.
INSPECTION BOTICE
City of Tigard euildleq Dsparbmmt
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspwetion
Line (ROC-o-Phone)a 639-4175 �mines@ Phone: 639-4171
Inspections � �T ( ,LJ �;7
_
looting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Hegel Strutt. San. Sewer Framing -Bldg.
Pomt/Beam Neoh. Rail: Drain Insulation -Plumb.
Plbg. Underfloor Nates Laine Gyp. Bd. -Meth.
Date Requerteds
Address:(Z L15 I L P Permit f r Iq I 41S_
THE FOLLOWING CORRHCTIONN ARE REQUIRED@
4
Inspectors_ Dates���`
APPROVED DISAPPROVED /'/APPROVED SUBJBCT To Rom
Gill For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businees Phone: 635 -4171
Inspection:_^
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas 'Ane FINAL:
et/Beam Struct� San. Sewer Framing -Bldg.
C Post/Beam Meow Rain Drain Insulation -Plumb.
1
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Request ed: Timet AM PH
Addrepa✓�_.�C!_ __y�/ // y �if Permit it y2�Z
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I napoctor:
�APPAOVlD DISAPPROVED - _ APPROVED SUB.TECT TO ABOVE
Call For Reinsp.
INS ION NOTICE
City of Tigard VAildiaq Department r
13125 M Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Businere Phone: 639-4171
Inspection: "—
Footing Plbg. Underslab !Bach. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gas Line FINAL:
--—----_.` -Bldg.
Post/Beam Struct. ) San. Bower Framing
Post/Beam Meeh. Rain Drain Insulation !!_-ply•
Plbq. Underfloor Water Line Gyp. ad 4-' -�h•
Date Requested:_ _/U � Time( f�'�
% it
Adan..: l ��
Builder:
TBE FOLLOWING CORRECTION8 ARB REQUIRED:
f
Inspectors Date:
APPROVED IDAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1NAPS ION LIOTI(:F
City of Tigard Building fepari-ent
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__- - -- - -- --- --
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. lhg. Top Out Gas Line FINALz
Post/Beam Struct. o Framing
Post/Beam Meeh. Insulation -Plumb.
P Underfloor r i L') Gyp. Bd. -Mach. /�
Date Requestedtt 7 - /�� TJ.me: AM�ZCe PM
Addrees:� O L /1- �y _.� Permit it_
Builder: _
THE FOLLOWIN(N RRECTIONS ARB REQUIRM
lnspectorz
APPROVEfi DISAPPROVRD --- APPFOvEV SUBJECT TO AR()VF
Call For Reinap.
INSPECf7.ON NOTICF
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregoss 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineas n 394171
Inspection:
looting 1 Plbg. Undersleb Mech. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Pldg.
Poet/Beam Mech. Rain Drain Innul.ation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. / /Me�+ch.
Date Requested:_ �;' S,yCT el�_4 ___Time "L� 7a1 PM
Address:
Builder:T
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Z7'
Inspectors Dates
.
�(J
APPROVED DISAPPROVED APPROVED SUBJECT TO A' 'a
Call For Reinsp.
C17YOFTIFARD
MASTER FIERh1I'f
COMMUNITY DEVELOPMENT DEPARTMENT 0n ON 1 IERMI r #. . . . . . . : MST91-027'.
13126 8W FYI Blvd.P.O.Ba 23307,70W.OreWn W=(603)039.4176
U
ITE ADDRESS. . . : 1`54'. -'W 1 14 1'r! � / i/ PARCEL: 25103AC-WG 14
,UBDIVISION. . . . : WALNUT GROVE SUBD ZONING: R-4. 5
L.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14
_.--_--.-------------------__-._-._._ BUIL.
DING ______.____•___________._____.____..
E I SSI�E:MST9 1-0�'Qr7 DWELL T.NG 1-0111-S. I BASEMENT. . . . ,. .. . . :0 G f
t-LASS OF WORK. :NEW BEDRMS:3 BATH::E GARAGE. . . . . . . . . . :420 sf
l-YPE OF USE. . . :SF FLOOR AREAS------- -• REOU I RED SETBACKS-
----TYPE OF CONST, :5N FIRST. . . . : .1815 sf LEFT. . :9 ft RIGHT. -8 ft
OCCUPANCY 00'0. ;R3 SECOND. . . :0 5 f FRONT. 0 fit REAR. . :30 f t
,TORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED---------------------
_
HEIGHT. . . . . . . . : 18 ft To,rAL------: 1313 of f3MOKE DCTECTORS. :'Y
FLOOR LOAD. . . . :40 psf VALUE:. . . . . is 91050 PARKING SPACES. . :0
------------------------------------- PLUMBING
SINKS. . . . . . . . . . : I FLOOR DRAINS. . . . :0 8Ar1�F1...OW PREVNTRS. . :O
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . a 0 * . . . . . . . :0
IUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CHTCH BASINS. . . . . . . :0
WA I LR CLOSE T5. . s 2 SEWER LINE (ft ) . :0 GREASE: TRAPS. . . . . . . :0
DISHWASHERS'. . . . : 1 WATER LINE (f t ) . : 100 OTHER F I X TUPES. . . . . ..0
I ARBAGEw DISP. . . ii RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : I
---------------- MECHANICAL - -_____.._._._.____ --._-_---___-._..-___ FEES
FUEL 1 YPES------------ UNIT H fRS. . :41 type amol.Int by date r^ecpt.
/Uf4b/ ! / VENTS . . . . . :0 TIF fi 1:380. 00 FILL 06/11/92 -
MAX INPUT:O BTU VENT FANS. . :4 SPRT 407. 00 F-11-L 06/11/92,
FURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC •b 40. 00 JLH 1;_/:;0/91
FURN ) =100K . . :0 WOODSTOVE5. :0 8rnPL $ 1'O. 4 j I ILL 06/ 11/92: -
FLOOR FURN. . . . -0 CLO DRYERS. : 1 BPLC A 15. 00 FILL 06/11/92 -
E30I L/CMF' ( 3HP,.O OTHER UNITS:O SSDC $ 280. 00 GILL 06/11/92 -
GAS UU f LE::Tii s 1 FIARK 9 500. NN FILL Ob/ 11 /92 Owner,: ---•-_-_-----__•..._---__._____________-- MPRT 1 39. 00 PILL 0b/11/9r'
F--OUR D CONSTRUCTION MPLC $ 9. 75 FILL 06/11/92
PO BOX 1`5'77 M I'(:: $ 1. 1)5 DILL 06/1 1./9L—
PPRT `r' 140. 00 RLL 06/11/92
SEFAVERTON OR 97075 Pripc $ 1. 00 PLL 06 ;11 /9c
!'hone #: 641-09.35
Contractors
F=OUR D CONSTRUCTION
WU bUX 1577
BEAVE ETON OR 97075
Phone fit: 641-0935
rteq f!. . 11037 -- --__-__--__________________------_--
i 2842. 15 TOTNL
This permit is issued subject to the regulations contained in t`e ------ RE.UUIREU INSFIECI IONS ---------
Tigard Municipal Code, State of Ore. Specialty Codes and al! other Foot/foI_rnd Insp Fit-pplac a Tns;p
applicable laws. All work will be done in accordance with aLproved Post/Beam StrLtct Gas Line Insp
plans. This permit will exeir•e 0 worn is net started Mithin 180 Post/BpAm Meehan ins+elation Insp
aays of issuance, or if work 1s sus� °oI .c pi AP jos. Plm/undslab InsGyp Bo+srd Insp
� . / PILM/Undefloor drain ain lr1,p
G �r mittee Siyr, _ rMechanical Insp Water, L.tne Insp
PILimb Top Out gppr/Sdwlk Irsp
.1eci key :: l� Fr..aminq Insp Merl-iani.rat FiliAl.
Call for-, inspection - 639-4175
SEWER CONNECTION
CITYOFTIFARD I. . . . . . . .
1'Ne�IRD
COMMUNITY DEVELOPMENT DEPARTMENT olrhoN
,aixsaw►imaewe.P.O.Sm EM.Hove,onmoon m+tM Csodfe6e4175
[?ATE ISSUED: 06l11/`-:'c_
r=1liURE S5. . , : 1254" SW 1 14T N 7;7/'/', PARCEL: 2510-IC—WG 14
I3liIVISZOhi. . . . : WALNUT' ("ROVE 73UDD ZONING: R-4. '.,
R�—OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14
r:.NANI* NAME. . . . . :
_!SA NO. . . . . . . . . . . F=IXTURE UNITS. . . .
Lf-rSS OF WORK. . . :NEW DWELLING UNITS. . : 1
1 YPE OF USE. . . . . .SF NO. OF BUILDINGS: 1
i NST AI__i._ TYPE. . . . :l3USWR T MPE RV SURFACE. . : : s f
{Pmarks :
--- FEE=S
r-OIJP 0 rONSTRU!_TION type Amo+_Int by date
-'O BOX, 1577 PRMT $ 1900. LAO
I NSR $ 35. Ove
TK-:AVE.RTON OR 97075
•home #: 641—�ZI�3?,5
j!,!TRACTOR NOT OIU FILE
)rte Ms 1 1935. 00 TOTAL
------- REQUIRED INSPECTIONF- --------
This Applicant agrees to comply with ail the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 19Q days from
tnr date issued. The total amount paid will he forfeited if the
cermit expires. The Agency does rot 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 froe
the distan:e given. If not so located, the Installer shall purchase
A "Top arta Side Sewer" permit and the Agency will install a lateral.
• r
ht t. .+ pE' aLLl 1i
. S 5 r_I e d P.y s
Call for inspection — 639-41175
CITYOFTIFARD I'LUMB.'NG r.'ERMIT
MY RD i7'FRMTT #. . . . . . . Mr 1-"t
COMMUNrTY DEVELOPMENT DEPARTMENT can"
13126 BW HaN Blvd. P.O.Six=97,TIgard,Oregon 97 (SM)&0-4176 DATE ISSUED: 06/ 11,192
SITE ADDRE:45. . . : 121§0,5 SW 114TH P'ARCEL! 2SIOSACWr.11.
5IJ13DIVISION. . . . : WALNUT GROVE SUB.[) ZONING: R-4. 5
SLOC14. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14
CLASS OF WORK. . :NEW GARBAGE DISP'0c_;'ALS. . : i
TYPE OF USE. . . . ;SF WA%!1 NG MACH. . . . . . . . I BACKFLOW PREvNTRS.
OCXUPANCY GRP,. R3 FLOOR DRAIN G. . . . . . . 10 TRAPS. . . . . . . . . . . . . . :0
f:'J 0 P I C.S. . . . . . . . : 1 .4wrEP HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES----- --______..... (-PUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
�i I WKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . ..3 OTHER FIXTURES. . . . . ..0
-I UB/SHOWERS. . . . : SEWER LINE (ft) . . . . sO
WATER CLOSETS). . :2 WATER LINE (ft) . . . . : 100
DT ISHWASHE Rs. RAIN DRAIN (ft) . . . . :O
Re M ark s :
OWNER.
F'nIJP D CONSTRUCTION TIF $ 1380. 00 PILL 06/11/92
F'O BOX 1577 BPRT $ 409. 00 FILL. 06/11/92
BPLC $ 40. 00 JLH 12/30/91
DFAVERTON OR 97075 85PC $ 20. 45 PILL 06/11/92
641 -0935 FPLC $ 15. 00 FILL 06/11/92
S9DC i) :.,SO. 00 PILL 06/ 11-/92
P'lumbing Contract or : PARK t 500- 00 PILL 06111192
MPRT q; 39. 00 PLL 06/11/92
Name..... MPLL 1, 9- 75 PILL 06/11/92
Address: _ m5pc $ 1. 95 PILL 06/11/92
L"i t)' :_ State. PPRT $ 140. 00 PILL 06/11/92
ziv!
P5PC $ 7. OVV PLI 06/11 /92
I'llis Per-mit is issued subject to the rey- REQUIRED INSPECTIONS
Alations contained in the Tigard Mul)iclpal Foot/found Insp Rain drain Inst,
Code, State of Ore. Specialty Codes and all Post/Bream Struct Water Line Insr-.,
Ither APPlic:mble laws. All work will be done Post/Ppam Meehan (4ppt-/Sdwlk Insp
in accordance with appro.veri plans. This Plm/0-Indslab Insp Mer-hanical Fina ,
permif will P'-xpit-e if wu'rk is riot st&I,tod rIL MIUrder f 1 ooi, P'lumb Final
within 180 clays of Isquafir
e, or if work is Mec:haniral Insp Building Final
,�usperided for more than t8O (jays. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp board
Insp
Authorized F'Iumbing Contractor Signstttre
Call for inspection 639-4175
Contr'autor Notpsi
- -------------
1
ciTy OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. 9r'•-L 2 8 3 9 3
CHECK AMOUNT 473,F'. 15
NAMES FOUR D. CONSTRUCTION CASH AMOUNT 0. 00
ADDRESS s F-,AYME14T DATE 06/11/c), '
SUBDIVISION
PURIDOSE OF PAYMENT AMOUN V PA I D PURPOSE OF PAYMENT AMOUNT PAID
00 PLUMBING PERM 140. 00
MECHANICAL PE 34. 00 GT. BUILD VIER 29. 40
PLAN CHECK Fr--* 24. 75 SEWER USA SWR92-.52 1901b. 00
SEWER INSPECT 35. 00 RESIDENTIAL. TRAFFIC FEES 1280. 0'p
MASS TRANSIT TIF FECS 100. 00 PARKS SDC 7500, 00
STORM DRA.rN SDC 2180. 00
Iv
I.J.'543 SW 114TH AVE. /1-01' 014
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SW I/4 NE 1/4 SECTION
WASHINGTON COU
SCALE I
23-74
50,
T9•32 E 160
1 N
3400
J 0 48000 u ° 501
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uw
17 a U 10430 /.59 Ac.
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