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CITY' OF T'FA 31JILIXENG PEPM11'
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COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd,P.O.Box 23197,Tigard.Oregon 4217221(503)639A175 Lwn.: 15SUEM : :I.1.#1 A/(38
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Pv I ON NO - V39133 ea,
This permit is issued subject to the regulations contain3d in Title 14 PF.J.A::':T PT NO
I the TMC, State of Oregon Soeclalty Codes,zoning regulations ....................
and all othir applicable codes hld ordinances. and it is hereby T Nil[:)I::*.(:;1'.Ii ONS
agree.)that the work will be done In accordance with the plans ard. I IAM'I'NC;
specifications and in compliance with all applicable codes and 1 1,Not.
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits I his permit will expire and become null and
void 11 work Is not stat ted within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsihility of treparmittee to assure
all required inspections are requested anj,Approved
Peirmitt nature
Iss
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SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMIT NO. SITE ADDRESS,, ��.j,
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JOH E. RUPP, C.R.
Registration No 69+;
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RUPP CONSTRUCTION
P.O. BOX 19-i32
PORTLAND, ORE. 97219.0732
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Registration No. 684. IA L41 1�-llb
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OCA 0 13113
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CITY OF TIGARD plumb!ng Permit
Building Department No. _
Residential [] Commercial ❑ "� �—
New Installation
Replace Addition
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Alteration Date 13;
Licensed
Plumber U F`4z:f
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Owner _4_LAe4e
Address F_Q, r��d Job Address -
r Phone __ c� -� Applicant
CITY BUSINESS LICENSE PEOUIRED F09 ALL CONTRACTORS AND SUBCONTRACTORS
ITEM N0. FEE TOTAL ITEM - NO. FEE TOTAL 1
I"ixtures-Traps 7.50 Sewer:First I(loft. _ 30.00
t fishwasher 7.50 Each Adroit.100 ft. — — 15,00
G arbage Disposal 7.50 Ejector Pump 7.50
Waic'u�'r"' 7.50 Water:First 100 ft.
— _ _ 20.00
Backflow Preventer _ 7.50 Each Addit.200 ft. �r — 15.00 _
_ Storm 5 Rain Drain:First 100 ft. 30.00 T�
Each Addit.200 ft,— _ 15.00 — f
—r Mobile Hume Space
Other(Specify); Y Rain Drain-Single Fam.Dwelling 15.00
PERI 41T FEE_ Commants:
S TATE o!d
�� Receipt No. Applicant
as as a� ae aur ew as ez ra
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October 30, 1981
Tualatin Devolopbeht Corporation
Kinpt City, Oregon
Attention: Mr. John Adages
Subjet;.: 10975 S. W. Highland Drive
Gentleman:
I wish to advise you of defects in floor construction
of the above subject hone. We have feund. while sitting in
ehaire in various locations of the horse, Af the flooring
fiexin[. When walking through the dining area, dishes rattle
In eMita closets. Al.themgh the floors were glued. there is
eviderso of squeakirq. Wileb should net occur had the !!1Ying
heon properly dere.
I trait you will review this eendition and take
corrective action.
Tours truly.
S. D. Bittnor
e.e. City of Tigard Building O+0partoent V
Tigard. Oregon
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INSPECTION NOTICE
City of Tigard Building Depamnent
12420 S.W. Main St.
Tigard, Oregon 97223
Phono 6394171
Address.___ .� •x' _' S ___�_.�,�• ..'�:�' .�.-�'--._....� Permit #
Type of InspectionThe following Building Code deficiencies are required to he corrected: : , - -" = -
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Presented to �_ Inspector _
Date _ —
G4LL FOR REIAISPECT70N
VES ❑ N0
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Again St.
Tigard, Oregon 97223
Phone 639-4171
Address
Type of Inspection
The following Building Code deficiencies are required to be corrected: . i
-----
Presented to Y Inspector _ ---—
Date
CALL FOR REIMP CTION
J YES Cl No
` 0,,C0- Pi BUILLI'UG DEPAPTMENT, TIGARD 1D
Q G7 PLUMBING PERMIT p
holder c,' a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such Installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection City of Tigard Business License required `
fcr all contractors and sub-contractors.
Job
6wtler, AddresslCi'� '
NUMBER OF + TOTAL
TYPE OF PERMIT ��ITEMS FEE ON EACH AMOUNT
tin fe Family-1 bath-each �" 25.00 y
Duplex-Eoeh 1 beth unitI_ 25.00 —�
_ _
l.dditionel bathrooms-each tU,UO l
f.lobile Home sPnce--eerh 15.00 1
INDIVIO.UAL FIXTURES ,OMMERCIAI,
1 to 60 Fixtures In 1 buildingeach 3.00
51 to 100 Fixtures In 1 buildingeach � 2,50
101 to 200 Fixtures in 1 building-aach 2.00 �^
201 or more Fixtures in 1 building-•each _ _- 1.50
M 1 S C L LLA N E O U S
Sower-each additional 100 It, 10.00
Water Service to building-�_ ��� 5,00 y�j • C
Other (Specify): y
PERMIT For Plumbing Inspection Phone 6394171
Q o State - Plumbing Contractor By ���A
10TAL RECEIPT NO. Issued BV
r
`;f'PA-Y SLIM111711f IELD 69D
BUILDING F-ERMIT APPLICATION TIGARD DAT firta3697
THE UNDFRSIGNE'D HEREBY APPLIES FOR A PERMIT FOR 1 HL WORK HEREIN INDICATED BUILDER PHONE 6-j9-3101
OR AS SHO'VVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —�
LOT NO.. 698 --_- --�
OWNER `rual. Dau Co. JOBADDRESS 10975 SW tl_ iah.�and Drive _ SIJmmer1FLEi,�.t� ,;,
ARCHITECT
ENGINEER
BUILDER same ADDRESS15300 SW 116th DESIGNER TDC
STRUCTURE X NEW ❑ REMODEL ❑ ADDITION 0 REPAIR O RENEWAL 11 FIRE DAMAGE O DEMOLITION
LA RESIDENCE ❑ COMM ❑ EDUCATIONAL C1 GOV'T C.1 RELIGIOUS 0 PATIO 0 CAR PORT Cl GARAGE FJ STORAGE ❑ SLAB[] FENCE
OCCUPANCY �;3LAND USE ZOIJE --f!-7PQ BLDG.TYPE 5N -_FIREZONE_"" -PLAN CHECK BY - duh HEAT--
Construct single Pamily dwell-ng w attachad Qarega. 2 Bedrooms 2 Lathe.
F`—IS sue of Pgrmit 3678 0955 Su Highland Drive) _
SEE CORRECTION SHEET ATTACHED,
SEWER PERMIT O 2.3330 - Z750 go _ _____,-----��I�..�il ._W7ZG Lr►f�.f�t__.._
OCC.LOAD FLOOR LOAD 40 HEIGHT 12- NO.STORIES 1 AREA 1500 N0.BEDROOMS 2 VALUc$61�rQ0.
BUILDING DEPARTMENT SETBACKS FRONT 10 REAR 12. LEFT SIDE—10 � RIGHT SIDE a
Permit $209000 - - - —! -= - --=-�_ --_- _-�_— ^---
THiS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CnNTAINED IN THE BUILDING CODE,ZONING
ACGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND If IS HEREBY AGREED THAT THE
Plan Check — 10.0c _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WI1H ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _—� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stats Tax $ F1, 36
LICENSE.SEPARATE PERMITS REOUIRED FOR SFWER,PLUM31NG AND HEATING.
Total �4 Cl 0.L3 UBy 2'x7.36 J
B PDCM 1 1 $j.90.,Dir APP :i,A..-NTORAdENT -- r— _— — - ------- .. ------
t No.
ApprovAd duh Receipt ADL-3 9 -----_- -1:--- SHONE f��
B1 Blt � � i� Bl♦
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DINE
Contractor
Permit '
Rough-in
in —, two
'7 Fixture
----
- Final _ -
-/ HEATING
20_ &Aoe
-� Permit N6.
Lias or Oil
— -
Rough-in — - —_
Final -
_ SEWER -_
Final —_-
DRIVEWAY
�— �-- Final —
Storm Drainage
(Rein Drain)Final
Sidewelk
Curb&Street final
Approach
BLDG.DErT.FINAL TEMPORARY TEETIFICATEROCCUPANCY
(CERTIFICATE OCCUPANCY Final
Larchcaping
Zoning Final
k
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ew sea se• sae saw � iw +� ear
1
gard Mechankal Permit NO.
Mew Instaliation heplace ❑ Relocation❑ Addition C] Alteration DATE: T
HEATING
CONTRACTOR ak:,ju . — OWNER t I ) C
ADDRESS ' ` _ JOB ADDRESS `v , 7.,.;k __ �<I&z �.
PHONE -.2 7 = APPLICANT--
Heat
PPLICANT Heat Input Rating(SMI per Hour) _ __. Vent Size_ Flue Sze
FUEL OIL� l,.�S �
ELECT �( OTHER
ITEM NO. FEr 17EM NO. FEE
Per Issuance of Permit SEE BELOW Each Air Handling linit or Guct S stem 7.50
Ne_w•uo to & incl. 100,000 BTU - $.OG _ Commercial Hood System _ 7.50
N_pw 106.-6-0-0-K1.3 &_ over _ _ 7.50 Other Equipment • Each 4.50
Woodburning Store 4.501 Trip inspection y 4,50
Wall-Floor- Suspended 5.00 Air Condition Compress;,( - up to&incl.3 H.P. _ B.OGy
Vent S,ftem w/Fan 4.5_0 Air Condition Compressor•3.1 to 15. H.P.incl. 11.00
Repair Heat Cooling __ 6.000
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS !
PERMIT ISSUANCS 10.00 Comments:
FEES
SUB-TOTAL
_ X STATE Issued By---
25%
y -25%PLAN CHECK .--f
TOTAL 7,7 REC.
SiSnature of Applicant