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i:\records\microfirn\targets\building.doc
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ITY OF TIGA D 6tJILDING INSPECTION NOTICE
�Insp tion Line (Rec O-Phone):639-4175 Business Phone: 639-0171
Inspection: =� �7L�• �y�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in «
Post/Beam Mach. San. Sewer Gas Line Id
Plbg. Underfloor Rain Drain Framing -Plumb,
Alarm Water Line Insulation -Mach.
Underfir. Insul. Shear Wall u,- Rd. -Elect.
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Date Requested:_� �I� 5 Time: AM PM
Address:_ 7 6 G)
—C�
Builder: �- - �UZ Z Permit#: 51 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins,pictor: ✓� _ Date: /-s r S�
vAPPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
t a:
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I CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Businesy Phone:
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 FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �7� Time: �M PM w
Address:_ C' /a`_��•E C d-''-"�'
�, - 4 _
j Builder. ��' _ `�� _Permit #:.
ME FOLLOWING CORRECTIONS ARE REQUIRED: N
t..
Now&
�.
Inspector:^ - Date: 7
rr _ --- --
Wpf_lv () DISAPPROVED APPROVED SUBJEC TOA OVE
_Call For Reins
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SITE WORK OF TIGARD
PE
COMMUNITY DEVELOPMENT DEPARTMENT 1
13126 SW Hall Blvd.Tigard,Oragnn 07223.8129 (603)039.4171 F'EFtiYII f #.. .. .. .. . . . : 81 T95-000
i / 1 DATE ISSUED: 0:3/01!/9 j
PIARCEL: 15135DD-01 LAOO
SITE ADDRE-SS. . . : 11760 SW HALL_ BLVE,
SUBDIVISION. . . . : HOFFAREIER TRACTS NO. 2 ZONING: C•-G
r;SLC}L"KL.(-�•1-_---_--__---_-2-3--___._________.___-----.____________.._____.__
TYPE OF WORK:AL_'T PAVING?. . . . . . . . . Y RI( S(1. NO. : F'
EXLV VULUME. : C:y GRADING?. : . . . . . . :N VALVE. . . 160
FILL VOLUME-. : Cly LANDSCAPING?. . . . :Y
ENG FILL?. . . . . . ;N SITE:. PREP?. . . . . . :N •
RPT RE(!D?:N STORM DRAINS?. . . :N
IMF'EIRV SURFACE. :0 sf
Remarks : Add ADA walkway to 01 M
Owner-. _____.__.____.__.___________.___.__.._..____ .______ _.__.__._-__. __ FEES
FIRi"E INTERSTATE C;FaN„ type amu1ant try date r-ecpt
F'RM•f $ 26. 50 6ON 03/101/95 95-262349
N. C). BOX :3131 `PG,T" $ 1. :�3 DON 0;3/01/95 95-�E�: s�rC3
PURILAND OR 97208 PLCK $ 17. 23 BON 03/01/95 95- 26c::349
° PDone tt . 225-2301
t, Lant tact r•^: -_.._-____________._.__----___._.____.__-•
L:UMMIIVl7_i, S. J. C10111144NY
233VI Sl~ ULA TSUP S I .
PORTLAND OR 97e0c'
Phone fl : 45. 06 TOTAL
Peg W.
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Munuipal Code, St ate of f4wo�k
des and all other
applicable laws. All work will a a r.rth
approved plans. This permit wilis r, t started
within 1120 days of issuance, orded f more
that, 150 days.
F�'e r m i t h e e S i r r:.a t�i r.e
3
1. ss-_(e(d By :
L,A11 fiat, inspec=tion - 639-4175
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Commercial Building Permit,Application
City of Tigard
13125 SW Hall Bli d.
Tigard, OR 9722:1
(503) 639-4171
Jobsite A ass:—ll7i!U(� X � q-LL h-VA)
Office Use Only
Valuation: i 1Gn,�,-) Planck/Rec, # f �
- _ Permit #
Owner: I QS j` �-t-�11(�1 _ -h-� Map & TL#
Address: -P40• �d�� �n
pozr-]_At-W
A provals Required-Ir208 Planning.
Phone: zZ S - 30 I _ ErigineerIng
Ot
Contractor:
I _ Nr MI
Address:
_ "��✓tTZ�I�, CS fz. q"��_ Type of const:
Phone: �� Z_7 Occupancy class:_
�� 3 --235 -
Sprinklered? Yes No
Contractor's License # z�j �� F. (o- (^ `I
(attach copy of current Ore n license) Sq. ft. of project:
Contact name & phone: .1(C Ld(/4S S Story (1st, 2nd, etc.)!y
Architect/Engine- Proposed use:
er: - —
Address: —
Previous use:
Note: Plumbing & mechanical plans
- -- �- must be submitted at time of
Phone:
_ - '-_— building permit application.
JOB DESCRI ION:
1Z r= S
,
Applicant ature & Phone numbe;'
-
Received by:
Date Received:
1
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) ) ��
l
_ Plumb. Permit (PLUMB)
Mech. Permit (MECI I)
State Tax (TAX) _ f
Bldg:
i
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
P:umb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Resiriential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
IiidustrirI TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-7)
Water Quality (WQUAL) _
Water Quantity (WQUANT) _ 1
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _
i Erosion Planck/USA (F:RPLAN)
Erosion Planck/COT (EROSN) _
TOTALS: Q �-
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1 � �
CITY OP T I GARC, CIF F rAWF.N'I' RE"GE:I17,1 NCI. P
C;WEr:F4 0140UNT : 4"'P. Ob
NAME : A. J. Cl'IYIMINC;a F'ANYIPANY CASH AW)UNT 0. 00 � i!
ODDREr a : 233(3 Sl=. CA ATf-30P STREET PAYMENT 17ATi: f13/01.;95
^U�p'FVt aIrAI .
PORTLAND, '')RF-.nON 9720;-2- R`
0
PURPOSE OF P,AYME=NT AMOUNT PA 11") PURPOSE rt: PAYMENT AMOI..INT PAID
8L)II.P.,110.3 PERM :Ea. �?o ST. 1AU11_D VIER 1 . :3,:S
I)LAN C:MF"CK FE 17. 3
11.76Q! W FlAl._I_ {31_VD
T CI t(4. (AMOUNT PAID Shp:,
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