14260 SW 114TH AVENUE ADDRESS:
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CITY MJF TIGARD MAS"'ER PERMIT
COMMUNir,' DEVELOPMENT DEPARTMENT PILRil I T #. . . . . . . :
13125 S*Hall 2olvd.Tigard,Oregon 97223.SIN (503)639-4171 DATE 1�3)SUED: 10/29/93
W)PCEL.- 2:'S11(-AATA
I I E ADDRE 33. 14260 SW I 1,o41 I i
JBI)I V I I- ION. . COLE ACRES Z 0 1\1 I N G- R-4. :+
OCK. . . . . . . . . . . . . . . . . . . ..
DWEEMENT. . . . . . . . ..0
I-LINc, 1ji\irrs.o 13 A'S S f
-nss OF wor-tK. ALT BUDBMS:0 BATI 1� 0 GARAGE:. . . . . . . . . . .0 S f
-L 3---- -- RIEQUIREED 9ET1]AAC1-/.G--
YPE OF 0 F' 1, -00R AREAS
FIE OF CONST. »5N FIRST. -0 Sf I-E FT. 0 ft RIGHT. -2+ f I
;Ccul-,4-1111cy GRP. 113 V, 5 FRON". .0 ft REAR. .0 f
"CJRILS. . . . . . . : I THIRD. -0 5f REQUIRED__.._._... ---
--IGHT. I. . . . . . . 0 ftf SMOK�E DETLCTORS.
TLITAL---- --.0 S
-00R LOAD. . . . IZ psf VALUE. . . . . $ PVII?+(A
n!I TNS
L1.1.:Ark5 . INIS>TALLING W I 1\10OWS
L 0ii
-0 FLOOR -.0 BACKFLOW PREVNTRS. . .0
-AIMTORILS. . . . . :171 %JPTL'R HEATERS. . . :0 TRAVIS. . . . . . . . . . . . . . :0
:0 LAUNDRY TRAYS. . . ::0 CHTCH BASI11JS. . . . . . . ^0
OT4R LLOELTS. :0 SEWER LINE (ft) . :0 UREASE 'TRAPS. . . . . . . :0
SHWASI :0WATER LINL (1:t ) . :0
0 T1 i 'l? FIXTURES. . . . . -0
'IRBAGE D ISP. . . -0 RAIN DRAIN (1-'t ) . :0
f-)SHIINIG M, Q.I St- RAIN DRAIM43. . -0
MELHAN I CAL F LES
JIM_. 7 YPL5- - UNIT HTR i. . -0 type "A In o u ri t by d,-.st e ir-fz(; pt
VENTS . . . . :0 B P RT $ 32. C',0 J H ILA/t2S/33 —
:0 BI U VENT I'`ANS. .0 13PI-C $ Ll. .13 JILJA 10/a7/93 93—E-45113
URN ( 10fPK . . .-0 f IOODS. . . . . . I@ L15PIC $ 1. 63 JH 10/29/93
!jR(W -i . ,Q WOODSTOVEE. 0
!-OOR I~URN. . , ;0 CL.0 DRYERS. 0
JIL/Cly1f, ( 31iP::0 ai,i4ER UNI rs:o
UAS OUTLE-r 2:0
4 yj f,
?DITH 13LIPiNK
SW 114M
OR 972-23
t 1 e 41 '. 6
NW 50M :F.SE" DR
Ln
-690-4926
'9 91444
ca $ "'.5. Z6 TOTAL
is arrit is issued sub�tct to the regulations ccrtairpd in the ---- REUU1K-.D INSPLCTI ON15
ga-e Mutic;pa) Code, State of Ort, Specialty Codes and all other Framing Tnt;p
.,,cablp laps, Ali stork will be done in accordance with approved Insulation itisp
ins. this permit will exp-rt if stork is not started within lee Gyp Bo,-.Ircl Insp
,,f issuance, ae if work is t',irWrd fc- tore thar 1FQ days. b 1-t:L I d in t
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1, to, on .9_-4175
Residential Building Permit Application
City of Tigard Y
13125 SW Half f3,lW.
Tigard, OR 972.23
(503) 639-4171
Jobsite Address:_,_,i,,.,/�1,&Lr?___,�_�if�
Subdivision: Lot it OtfleUse Only
PiandclRec# &i
Valuation: ^—
T Permit #
Owner: ,C',eS. � Eo��yy� Reissue of
Address: /4z6CU J��,— / / J71/-
Approvals
71/ approvals Required
Phone: �3 _ �� Planning
Engineering
Contractor: � �L�L�c�;�j��•� - i Ot��er _�.
Address: -9130 k1 A/ C
Items Retjulred
Phone: G �c7 _ 490 C, Subcontractors
Contractor's License #^� � �¢ (41, � � -�+ Truss Details r
(attach copy of current Oregon ticeMe) Other
Subcontractors:
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License)
a Architect/Ergineer:
"h Address.
m
iz Phone-
J
COMMENTS: L 6-
1,6141
114 _-L 3 /t2d y/it!& AL Q 1-41 /A/1-212 w S.
Applicant Signature R Phon number
Date Received
Received by: : r'f,
Permit # Account Description Amount Amt. Pd. Bal. Due '
&5 SSS Bldg. Permit (BUILD) 3.2.5 U 332,
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Y �
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS) _ f
Office TIF (TIF-0) _
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
'2
TOTALS: SS• Z
1jMSPEC7jON N01ICE
City of Tigard Building Departnent
13125 SW Hall Byrd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Pll,g. Top Out Gas Line !
Post/Beam Struct. San. Sewer , lraai
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Natrr LineZj
Gyp. sd. -Mach.
Date Requested: /1471/ L _'�/ /7 `Time: ._._AM PH
Address: ��G� ��7 rk ILL s_. Permit
Builder:
THE FOI.I.OWINO OORRECTIONS ARE REQUIRED:
(A
H
LOJ
r-.
G]
Inspectors
APPROVED DIliAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
I_; 1 Y I 11 1 1(;i4P D -- RI T+ I I,-It OF- PAYMI.N I W.
I.JIFA A Hlylt)l.)I\ll 34. t3
I'litl fAt-31i AMIAIANI W. ola
PilYM1,N1 Df-IIF A 10/ii*4/93
:,Affll)I VIS',IN
IURPUSF-. OF!' P"YPif-.Nr A11111INU Pf'411) P1,040.11-i1-. ()I-" PAYMMI 011111 IN f PA t 1)
.............
ikLltLf)lNW PERM t)o l-;*T. BML.D F*-H 1. 613
fIRDIM MANK
14r'61A SW 114141
10TAL 14MCILINI PAID .34. 13
CIIY !If llonm) f?f'.-I v-11 (1, PilylyWNI Filit"I 1 1 r4o. 4. ._;
ISIFI.E.R "'ONN11:1)(JICIN 14. IA%6
()Rf-.SFW VIP y M, D1.4 I k a I kA
'.;1.1141)f V I E,I(IN
f.'URPOSE OF POYMENT AMOUN r PA i o PM
(API)SF OF PAYMENT IIAN r pul t D
21. 1.3
14P60 SW 114114
I(ITAl. A1,10CINT PAM -- -- — —
LIABILITY: The City of Tigard, Oregon, or its
shall not be responsible for Z!r
--- -
d s e cy� hicI ma appear hereon.
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