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CITY OF TIGARD BUILDIN%' 'NSPECTION NOTICE n
Inspection Line (Rec-O-Phone): 639-4),,) Business Phone: 639-4171 }1
Inspection:_ _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in �Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
PostiBeam Mech. San. Sewer Gas Line Id
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
I!nderflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM / ' PM
Address:
Builder:_0 ` -)- -J -6_S- ( Permit #: S
THE FOLLOWING CORRECTIONS A,IE REQUIRED: C 3 Sy
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Inspector: A Date:_Z J
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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Y''Y CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 13 -;1- EP ae- �L �-
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FIN
Post/Beam Mech. San. Sewer Gas Line Id
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insolation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: a Time: AM PM ±
Address:
Builder: L� � - SGG 1 ( Permit#: -�� S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: LT" C) Date:
—APPROVED DISAPPROVED +APPROVED SUBJECT TO ABOVE �' a
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone/6399--4171-,
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in < ,
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing �R►�b`
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:___ t l�% (�C Time.. . PM
Address:/C"
Builder:(i�.�' -C� ���' Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: " " kr
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In pactor._ Date:
APPROVED _DISAPPROVED APPROVED SUBJ CT TO ABOVE
_Call For Reinsp. it "
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INSPECTION NOTICEE
City of Tigard Building Departaent
131.25 sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417v-
Inspect ion:
39-417L-Inspection: - -- -
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk y
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Found. Plbg. Top Out Gas Line FINAL:
n ....: .,_......i.:e, ,.:..:
Post./Beam Struct. San. Sewer CFraming)!(k, -Bldg.
Post/Beam Hoch. Rain Drain Insulation-) -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
/
Date Requested: �1/1z z�- (G y Timet M PM
Address e �_ t�. .( Permit
Builders �.�-
4 i
TM POLLUWING CORRECTIONS ARE REQUIRED:
/i �r7�K-C"s �.��vc r.` `-�r7 . ?Ulv✓rL JCJyrZ PZ
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT 'ro ABOVE
Call For Reinnp.
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INSPECTION NOTICE ,
City Of Tigard Building Depart—nt
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-0-Phone): 639-4175 Business Phone: 639-4171
Inspections__ ^__
Footing Plbg. Uuderelab Mech. Rough-in A,)pr/Sdwlk
Pound. Pl.bg. Top Out Gas Line FINAL:
Poet/Beam St:ruct. San. Sewer -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: li 2 Time: --_AM _ PM
e )
Address: I"DPermiI� '��� � ���,'� t
Builder:_ v 4q.✓ " w�
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THE FOLLOWING CORRECTIONS ARP, REQUIRM �
G`ii7K,
�!•c,%'�t; /�/foyr��'�i 'd Ur 9S��,Tl.7s�<� S � �, .;..
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Inspectors Dater
APPROVED Z_ VISAPPROVED APPROVED SUBJECT TO AI:OVE
--Call For Reinep.
1XuPF.CTION NOTICE
City of. Tigard Building Departsent
13125 Sq Hall Blvd. Tigard, Oregon 97223
Inspection Gine (Rec-4-Phone): 539-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdw.lk
Found. -
To]? >_..� Can line FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water tine Gyp, Rd,
-Mach.
Date Requested: '—Time..
_J r
Address: i
p p � � Permit ��1
nui_lder:_`P
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspec�o
Date: (� ,
�PROVDC DISAPPROVED PPROED sr-WR
CT 0 ABOVE
_--Call. For Reinsp.
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INSPECTION NOTICE I y
city of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41
P•, ,.
Inspection:___-__
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
?bet%Beam struct. 'S San. Sewer Fr-iming --Bldg.
Post/Beam Much. Rein Drain Insulation -Plumb.
Plby. Underfloor Water Line Gyp. Bd. -Mach. •
Data Requonted: _Times _ AM PM F.
Address: L/ JPermit f /
Builder: ---- — _.
THE/FOLLOWING r-ORRECfIONS ARE REQUIRED:
Inspector:_ Date:
_APPROVED DI"APPROVED '—aPROVED SUBJECT TO "WR
—Call For Reinsp.
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INSPE -LION NOTICE
City of Tigard Building Departmrent
13125 SW Hall Blvd. Tigard, Oregon 9722.3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171
I nepFr,-t t.on:
Footing Plbg, Underelah Mech. Rough-in Appt/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struck. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
ttg.
Underfloor Nater Line/ Gyp. Bd. -Mech.
iDate RRequestede -- /( 1 3 Time:4
_ AMy PM
Addrese s / G g
J / ----� � Permit
Builder: V ?
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THE (FOLLOWING CORRECTIONS ARE REQDIREDt
Inspector•- - _ -------- `7/
Date: �' L /
� APFRnVEb `_--_�_-
- - _ DISAPPROVUD _ APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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INSPECTION NMICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineus Phone: 639-4171
Inspecti-v, ^— ---
Plbg. Uuderslab Mech. Rough-in Appr/Sdwlk
tiff J Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Meeh.
Date Reque
stedi / �/ / Timet ,L—AM PM
Address: 1 �S /` C� ({�(�(/ Permit tt i 5
Builder:_a i
THE FOLLOWING OORRP.CTIONS ARE [USQDIAEDi
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INSPECTION NOTICE
c".ty of Tigard Building Department
13125 5M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
do Lw� Plbg. Dnderalah Hoch. Rough-in Appr/Sdwlk
Pound. / Plbj. Top Out Gas Line FINALS
Poet/Beam Strurt. San. Srewer. Framing -Bldg.
Post/Beam M,,ch. Rain Drain Insulation -Plumb.
Plbg. o.sdertloor Water/Line Gyp. ed. -Mach.
L)
Date Roquwetads__ � Time: AM PM
Address: LL."GL � Permit 6-3-S I
Builders
TBE FOLLOWMG CORRECTIONS ARE REQUIRED:
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Inspector: _� Dates—/ �✓_��_ '-}
—_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE /
call
For Reinep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Heil Blvd.Tigard,Uregon 97223.8199 (503)839.4171 PERMIT #. . . . . . . : MST94•-•0:35 rJ
DATE ISSUED: 10/11/94
PARCEL: 11- 1.35Ai.7 kc`01a
'_...ITE ADDRL13S. . . : 1¢r8 55 SW HALL BLVD
AJBDiVIGIUN. . . . : METZGER ACRE TRACTS ZONING: R-12
L_ . . . . . . . . . . . 1_07.. . . . . . . . . . . . . :a
BUILDING
RE is SSUE: DWEL..L I NS UN I Ta:O PASEMENI.. . . . . . . . :is S1*
ELASS OF WORK. -ADD BELRMS:O PATHS:2 GARAGE. . . . . . . . . . :0 sf
t 1-YP'E OF USE'. . . :SF FLOOR REQUIRED RED F,ETBACKS---_._-.__._.---.._
TYPE OF C.ONST. :5N F I RST. . . . : 1,32 s f LEF=T. . :9 ft RIGHT. :0 ft
OCCUPANCY GRP. :R3 SECOND— :0 sf FRONT. :0 ft REAR. . :O fl•;
STORIES. . . . . . . : 1 F I NBSMENT:O s f
HEI(iH•T. . . . . . . . : 14 ( t; TOTAL.. - - : 11 _ si 5MOKF_ DETECTORS. :
FLOOR LOAD. . . . .40 psf VALUE:. . . . . 3 : 8535 P•'ARKING SP'ACES. . :0
Remarks: ADDING; TWO PATH ROOMS 7'0 HOLISM 1 ;3; ' S(x FT PATH I
_..__..__..__.---•-•-.---_____ .___.___._._.._.__._.___.__
PLUMBING __..__._________.______.__.___._._.._ _ ._ _ .... ..
S,INKS. . . . . . . . . . .0 FLOOR DIRPIN3. . . . :0 BACKFLOW PREVNTRS. . .-O
i LAVAJORIE.S. . . . . ..2 WATER HEATE:RS. . . :0 TRAP'S. . . . . . . . . . . . . . •it
TUB/CHOWERS. . . . :2 LAUNDRY TRAYS. . . :O COTCH BASINS. . . . . . . ..0
WATER CLOSETS. . :121 SEWER L_INF. (ft ) . :0 GREASE. TRAPS. . . . . . . :0
DISHWASHERS. . . . ..0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . ..lil
GARBAGE D I SP. . . :0 Rfl I N DRAIN (ft) . :0
WASHING MACH. . . :0 557 RAIN DRAINS. . . 1
MECHANICAL _. ____...___....__...____.___....___... __.._ ..__. ..._._. FEES •--_.__.__.__ .
UNIT HTHS. . :0 type amol-int by date rec.,pL
/GAS/ / / VENTS . . . . . :c' BP'RT $ '74. 50 JF 10/11/94 -
MAX INPUT:ra }tTU VENT FANS. . :0 BPLC 4 60. 13 JF 09/16/94 94--25684.s i
TURN i 100K . . °0 HOODS. . . . . . :0 B5PC $ 3. 73 JF 10/11/94 -
FURN > ;=100K . . :0 WOODSTOVE.S. :0 IvIPRT 2 25. Dia JF 10/ 11/94 -
FLOOR F=URN. . . . :0 CLO DRYERS. : 0 MF='t_G; ii 0. 00 JF 10/11/94
BOT1.../CMP' ( 3HP:121 OTHER UNITS.0 M5P'C $ 2,. ;25 JF 1.0/11/94
GAS OUTLETS:O P'P'RT $ 54. 00 Je 10/11/94
Owner : _________ ..___---__.__._____._.__-______.____.__paPC `6 2. 70 JF 1111/11/94 -
WILLIAM REED
10335 SW 1-,I. R ER
PORTLAND OR 97225
P'hane #: 503-292-5051
Contractor:
IT K R ENGIRGY RES.
10355 SW PORTER
F"URTL_AND UR 97225
Phcrne #: 292-5051
Reg #. . : 71865
E 222. 31 TOTAL
This pewit is issued subject to the regulatior,s contained in the ----- -- REQUIRED INSPECTIONS
--- - -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foi-md Irsp Gyp Boarl Insp
applicable laws. All work will be done in accordance wita approved Post/Neem Stri_ir_t Rain drain Insp
plans. This persit will expire if work is not started within 180 Post/Beam Mechan Mechanical Final
days of issuance, or if work is suspended for ere than 18@ days FILM/Underfloor PlUmb Final
Mechanieai Insp BUildinq Final
Permittc-P 51 at•_ire : P'11_imb Top Of.it Erosion Lontrol
Framing Insp Crawl Drain
I s s o_i e d By - _.....__...�_�_ Ins!i I a t i o n Insp
REC,'L I P I 01' PRYMh.N f i2E.l.:h.1.i'T NU.
CHF:1"K AMUUN'T e 150.
0.
NAME a REED, WILLIAM f FaaN 1aMCJUN"f
AC>UPF:.�i£3
V'AYMVNT 11A"I k:.
SU13U I U T U I ON
1 1IRPOSE 1JF AMOUNT PAID 1-4JRF=0'—W'' OF POYMEN T AMOUNT PAID
141.1!1..pING P( RM MST94.-0359 74. 50 Pf,AJM8ING PERM 54. 170
F,'.:.CHANJC:AI._ PF c' i. 00 S7. FSUIL.11 VIER rj, E•i1
i-'I.-AN C;HE'CK FE 1. 70
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Residential' Building Permit Application
City of Tigard
1.3125 SW Hall Blvd. i
Tigard; OR 97223
(503) 639-4171 I64_sem-
Jobsita o ldross•
'' /, = z c= Office Use Only
subdivision: Lot#�
_ rk,, /.5 5.35, Planck/Rec # � ✓� ,�
Valuation:
Permit* ffI 13.1; r I
Corner Lot? Y N
Reissue of
Flag Lot? Y N
Owner: 1/1/,�G L�l1/ r /✓' v Re ufr
Approvals g ed
Address: -1 S' W*' Planning
A09Engineering
Phone: -j / 2_ J � Other
i Contractor: -- Items Required '
Address: A)J S PG'/i /L- Subcontractors
Truss Details
Phcne: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Pnone:
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Subcontractors: Architect/Engineer:
Plumbing: A? - Address:
Mechanical: ^_
(attach copy of current OR Contrartnr,z i
Phone:
JOB DESCRIPTION: 11 f4'✓ /oQriv,h J A �- �u✓ Ohreo��',
,applicant Signature & Phone number
11
Received by: _ -6 Date Received:
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Permit# Account Description Amount Amt. Pd. Bal. Due
�I sfy) ✓�'J-1 Bldg. Permit (BUILD) 74-JV
Plumb. Permit (PLUMB) 5Y,00
Mech. Permit (MECH)
State Tax (TAX)
Bldg: ' 7_3 J
Plumb: D v
Mech: ', z v
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Plan Check (PLANCK) 3 J/ 7 U
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Bldg: 4$,c. 3 �.,_ •-
Plumb:
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Mech:
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TM"' Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSDC)
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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) _
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN)
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P1.,611d CHECK FE, 9-4114
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City of Tigard Planck/Rec. #
13125 SW Hall Blvd.
Tiaard. OR 97223 PLUMBING PERMIT APPLICATION
MECHANICAL PERMIT MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE
APPLICATION
s«tpa 'n ----- - - New Single Family Residences Only
Table 3A Mechanical Code QTY PRICE AMT
❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
1) Permit Foe -0- -0- 10.00 ❑ 3 BATH HOUSE$225.00
Fee includes all plumbing fixtures in the dwelling and the first 100 feet
2) Supplemental Pefrnit 3.00 _ of water service, sanitary sewer and stone sewer. See fees below.
FIXTURES QTY PRICE AMT_
1) Ind.duds 8 vents 6.00 Sink 9.00
---Furnace 1W,000 BIU+ Lavatory 2- 9.00 %
2) ind,ducts 8 vents 7.50
Tub or Tub/Shower Comb. 9.00
_ _
umance Shower Only 9.00
3) Incl. vent 6.00 - -
waperer,w eater Water Closet ?._ 9.00 k
4) or floor mounted heater 6.00 Dishwasher 9.00 -_ w
en 561 and m Garbage Disposal 9.00 _
5) appliance permit 3.00 - Washing Machine 9.00
rising. Floor Drain 9.00
6) cooling.absorption unit 6.00
mor comp,,Twp Twp a pump,air co Water Heater 9.00
7) to 3 HP absorp unit b 100K BTU 6.00 Laundry Room Tray 9.00 �-
Boiler or comp,heal pump,ax - -- Urinal 9.12)
8) 3-15 HP absorp unit to 500K BTU 11.00 Other Fixtures (Specify) 9.00
EkAw or comp, a pump,air - -- 9.00
9) 15.30 HP absorp unk.5.1 mil BTU 15.00 -
9.00
Bodw or comp, a pump,air co . _
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 9.00
uoaer or comp,Feat pump,air co . Sewer 1st 100' 30.00
11) >50 HP absorp unit 1.75 mil BTU 37.50 Sewer-ea. Addd. 100' 25.00
Air FWvaiingunit to
12) 10,000 CFM 450 Water Service 1st 100' - 30.00
-W�ing unit Water Service ea. Addit. 200' 25_00
13) 10,000 CTM+ _ 7.50 sty 5 Rain Drain 1st 100 30.00
portable
14) evaporate cooler 4.50 Storm 6 Rain Drain Add'it. 100' 25.00
sn n connected Mobile Home Space 25.00
15) to a single duct 3.00 -
en a system no � Back Flow Prevention
16) inckided in applanca permit ?_ 4.50 Device or Anti-Pollution Device 9_00
- Any T-ap or Waste Not
17) mechanical exhaust 4.50 Connected to a Fixture- 9.00
-CommereaTor indusUT- Catch Basin 9.00 i
18) type incinerator 00.00 Insp. of Exist. Plumbing 40.0(Yhr
ear i-e:.woodstove,watw Specially Requested Inspections 40.001hr
19) heater,solar.dothes dif ers,etc. 4.50 - -
- Rain Drain, single Pandy dwelling 30.00
20) Gas piping one to fax outlets 2.00 Residential backflow prevention
devices 1500
21) More than 4-per outlet
'(Except residential backflow
--- prevention devices)
Minimum Fee$25.00 SUBTOTAL.
- -Mirlmum Fee $25.00 SUBTOTAL
5%SURCHARGE 7 2 -
PLAN REVIEW 25%OF SUBTOTAL S%SURCHARGE
TOTAL I PLAN REVIEW 25% OF SUBTOTAL -
TOTAL
Special Conditions
Date issued by_
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