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CERTIFICATE OF' I
CITY OF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #' ' ' ' ' ' ' ' MST94-0374
j 15125 BW Hail Blvd.Tigard,Oregon 0-223.8199 (603)63A-+171 DATE I Si:WED'1 1213/2.2/96
FARCE L e
S I TE ADDRESS. . . 1 13781, SW H I I...1._SH I RE OR
SUBDIVISION. . . . s HILLS61IRE ESTPTES 7.ONING:R- 7 PD
BLOCK.. . . . . . . . . . t LOT. . . . . . . . . . . . . 101.5 _._.._....__,... ___._......-__.._...____._..._.. _.._ i
CLASS OF WORK. t NEW
TYPE OF USE. . . :SF
OCCUPANCY rRF,. rskA �3
OCCUPANCY L.OAD:
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Remarks 1 PATH I
Owner a
H & M HOMES INC
rp Q Box 6110
ALOI-AA UR 9'700 7
r c'hone #1 649--9623
H & M HONES INC `
P p Box 611.8
ALOHA OR 97007 �
Phone #0 649--9623
Rey #. . t 66652
This C*rtifiC.a,te WT'antS DCCLlpai y of the :above referenced building or portion
thereof and confirms that the building has bean inspected for compliance with
the Statfa of Oregon Specialty Codes for the Wroup, occupanr. , mi3d use under
which the r efer-en,_ed permit was issued.
v4JILMNAtG , N.aF'_CTOR BUILDING OF'F'ICIAL
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CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line: 63. 9_
P 9 41,5 Business Phone: F3 a 4171
[Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Framing -Mech.
PIhg.Und/Flt/Slab Plbg. Top Out Insulation -Elect.
PosUBeam Struct. Mech. Rough-in Gyp. Bd, Idc�
I San. Sewer Gas Lira Appr/Sdwlk Reins. ,
Other. — -- —- I
P,rte: �._ -_ A.M. —P.M. Entry:
Address _�L� �'r� w��C
Tenant: - Ste: MST .QY�?
Con/Own BUP:
-- -------- __, — MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector,----
Date: 1i-t-9 ..
f(PPROVED DISAPPROVED/CALL FOR REINSP. CF(--CO 7
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I C11 Y OF TIGARD WJILDING INSPECTION NOTICE
Inspection Line: 639-41 75 Business Phone: 639-4171
Footing �gain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Framing -Mech
Plbg Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. Bldg. 1
San. Sewer Gas Line Appr/SdwlkRens.
Other: ------- - - — - - --
Date: _ _ A.M. —P.M. Entry:
Addrass: _ -- r-� ---
Tenant: ._ -- - _— __— Ste:.------ MST:
BLIP: _ _
MEC:- -
PLM: —
�• ELC:
THE FOLLOWING CORRECTIONS P,AE REQUIRED: ELR: ._
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Inspector -- -- ---- Date
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C>,- APPROVED ----DISAPPROVED/CALL FOR REINSP. CF CO
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CITY Or TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL. 1
Foundation Water Line Ceiling •Plurnb. Yl i
a Post/Beam Mach. Shear/Sheath AFra -MecJ31 1 I I , '?,9
F'Ibg.Und/Flr/Slab Plbg.Top Out Alec �-
Pos'Beam Struct. Mach. Rough-in Gyp. Bd. Id ,p
San. Sewer Gas Line Appr/Sdwlk (�f 1-1 Reins.
Other:
4
Date: _ 37.—O j �A.M. P.M. Entry:
Address:
Tenant:_ , Stc: MST:
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BLIP:
Con/Own: 7o l` / � — MEC:
PLM:
ELC: a' �yg'n
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 7
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_APPROVED ZDISAPPROVED/CALL FOR REINSP. CF CO
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C TY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:i1`/ _,c,�i/ ! +✓✓ _
Footing Susp. Ceili 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.
Alarr Water Line Insulation -Mech.
Underflr. Insul. Shear 'Nall C,p. Bd. -Elect
Date Requested: c) / j Time: AM J PM
Address: / 37a/
Builder: Permit #: ` s
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: .-« — Date:
A'A�PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
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Inspection Line Rec-O-Phone 639-4175 Business Phone: C9 4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
rA0 .Post/Beam Struct. Plbg. Top Out ElecRough-in FINAL
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M Post/Beam Mech. San. Sewer Gas Line -Bldg.
4 ' Plbg. Underfloor Rain Drain Framing Cul ,
Alarm Water Line Insulation -Mech.
Underflr, InsuL Shear Wall Gyp. Bd. -Elect.
Date Requested: '! f�J S Time: AM PM e
Address: D
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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i &PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
._Call For Reinsp.
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aYi Y,frrl Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 µ
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Inspection:
tf tr, yr tr y, a Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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oundation Plbg. Underslab Mech. Rough-in Fireplace gat
PostrBeam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San, Sower Gas Line -Bldg.
�yd0
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. j a s �9 itf r� 9fP� agv rp �<:
Underflr. Insul. Shear Wall Gyp. Bd. -Elect
Date Requested: ���(� � P5 Time: AM PM
Address:
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THE FOLLOWING CORRECTIONS A F REQUIRED:
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Date:
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CITY
PIGARD�BUIL(DIN,G
�(INSPE
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, Inspection Line (Rec-O-Phone): 639-4175 Business Phone:
639-4171�
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Inspection:
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Post/Beam Struct. Plbg. op OuRough-in FINAL:E
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Ran grain Framing -Plumb.
Insulation -Mech.Alarm Water Line
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. AV,
Date Requested: Time: AM PM
fit";! jf Address: L
1 V 4" Builder: Permit #:THE FOLLOWING CORRECTIONS ARE REQUIRED: l "Ir
"9=3/ 167 A01-11
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
2�pII For Reinsp.
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. f �j 00 �-
Tigard,OR 9722.3 PERMIT#— - �_, _-
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED__
TDD No. (503)684-2772 T`
CITY OF TIO4RD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
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1. LOCATION OF INSTALLATION 4. TYPE OF WORK
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Address RcSIDENTIA.L— Restricted Energy Fee. . . . . . . . . 140.00
5),a V,C—��� 4, �(r -FOR Al L SYSTEMS)
City T State Zip '1 CheclClypv of Work Involyed:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR EJAudir,and Stereo Systems'
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION El Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning Syste.i*
ContractorcAUJI0 �pe� __ ❑ Vacuum Systems*
l S Qr Other Limy+d3eq Z•1r1ri0q-k�Or_003.1.}m
AddressQ. __�
Date 0 " `1-9 S _ COMMERCIAL--Fee for each system . . . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner Check Joe-of Woik Involved:
ii Contractor's Boi rd Reg. No. 5ST50J..L*114L ll -N3 ❑ Audio and Stereo Systems*
1 El Boller Controls
PFone# — � ( y (9_�] —� ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations I
i ❑ Fire Alarm Installation
Print Owner's Name Phone No ❑ HVAC
❑ Instrumentation
Andress ` - _ ❑ Intercom and Paging Systems
_ ❑ Landscape Irrigation Control*
City State Zip _ CJ Medical
This permit Is issued under OAR 918.320.370.This applicant a .,es to make only F71 Nurse Calls
i restricted energy installations(100 volt amps or less)under this permit and to do the
following: ❑ Outdoor Lanc;scape Lighting*
I. Only use electric?I licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(*).All others need licensing). ._-
2. Call for an inspection when all of the installations under this pe,mit are ready
for inspection at 503.639-4175.
3. Purchase separate permits',jr all Installations that are not ready for inspection ❑ —-- Number of Systems
when the inspector is nut to Inspect under this permit. •No licenses are required. Licenses are required for all other Installations
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility fur calling for a final inspection when all of the corrections S. FEES
are completed.
1 he erso1I signing for this permit must be the applicant or a person a. Enter Fees �, 1���0
aulhr i7ed to ind a applicant. _-_
_ _ b. 5% Surcharge(.05 x total above) $ Z.pp_ r
anal r
TOTAL
\rrthority if other than applicant
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FNERGAP.CFIP
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CITY OF 'T'IOARD - RFC.';E r G'f OF' PnYMF:NT REiCE"I PIT NO.
CHCCKN AMOUNT s 42. 00
NAME= s CONCEPT LAND aCflPE S & CONS CASIA AMOUNT s 0.00
ADDRESS F'O BOX1583PAYMENT DATE e 06/ 14/9t;
SUBDIVISION s
1I BFAVERTON, OR 97075--
PURPOSE
1 PURPOSE OF PAYMENT AMOUNT r:IgID PURPOSE OF PAYMENT AMOUNT PAIL
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ELECTRICAL PFRMIT 40. 00 ST. BUILD PER
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SITE% 137131 5W H I LL_141,41 RE: OR
ELR95—E 08c!
TOTAL AMOUNT PO I D - -- —> 42.. 00
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CITY OF TIGARD
(COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING P'ERMI'T
13126 SW Hall Blvd.Tigard,Oregon 97223 8199 (503)639-4171 PERMIT #. . . . . . . .. PL_M97- -0;70"
6.a9...4171 ?SATE ISSUED; 08/1 1/9::
PARCEL,. "a 1 b74CD-01`500
1'E ADDRE . . . : 137r 1 3W IIILLSIAIRE DR
SUBDIVISI( . . . : HILLSHIRE ESTATES ZONING: F%-7 F='1?
BL(3(:.'K. . . . . . . . . . . LOT. . . . . . . . . . . . . :015
CI_A S OF�WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : w
TYPE OF USE. . . . WASHiNC MACH. . , . . . . . BACKFLOW "'REVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR ERAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . : I
rs STORIES. . . . . . . . . WATER iEATERS. . . . . . : CATCH BASINS. . . .. . . . .
FIXTURLS__.__.. .._______...._.._. '_Al.3rd'r R"e TRAYS. . . . . . e GF RAIN DRAINS. . . . . . e
I
SINES. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . .
.
LAVATORIE0. . . . . .. CTHCR F IXTURrG. . . . . .
TUB/ SHOWERS). . . . SEWER LINE (ft) . . . . '
WA ILL CLOSETS. WATrt-, (_INC (ft ' . . . . .
' DISHWAS,HI"R5. . . . : RAIN DRAIN ( ft ) . . . . : i
Remarks : Acirditicn of residential ba'zkflow pr^eventiori device
FEET, •--- __.___. _. _
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'CONCEPT I_r1NDSCAPES i3 CONSTRUCT type amount thy clatc? recpt
PO BOX 1583 PRMT $ 25. 00 JDA 08/ti/95 95-
ZPCT $ 1. 25 JI7A 03/11/9; 95-
BEAVERTON OR 07075
Phone #: 503-644-2020
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iContractor- : - ._, .._..__.._._.__._....._._.__..______._....._._ ..-. ... .__..
CONCEPT LANDSCAPES & CONSTR.
LARRY J. 110EKMAN
P. O. PDX 1583
BEAVERTON OR 97075
Mhor.e 1!: 64(—..,---51(31. t G. J TOTAL
t1ei', #. 588Q►
REQUIRED I NGPEC;T I ONSi -
'his persit is issued subject to the regulations contained in :he RP/Backflow Pr-ev
Tigard Mlnicip` Code, State of Ore, Specialty Codes and all other E'i n at 1. Inspection _
applicable laws. All work will be done i l accordance with
approved plans. Thir oersit will expire if work is not started
within 180 days of issuanc., or if work is suspended for we
thin 160 days.
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'er"Rittee ainr.c` I; +. 41M_..
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Gall for, inspec-tion - 639--4175 j
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City of Tigard PLUMBING PERMIT Plarick/Rec. # yS-- 69,)6 q
13125 SW Hall Blvd. APPLICATION Permit # Oa03
Tigard, OR 97223
1503) 639-4171
PR ——11
N\LLS► \(Lf�, ��S'� ORS 814.21-610 -TOTY ICE T AMT �1
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Address t3`11 SW F1111 �1hc�L FIXTURES ,
i T%C.AQD 0� `3-)I-L,& Lavatory
u or u ower mb. -
4A (r-c. or Only
Water Closet
Owner ko Yf-,( Z'�d7�i ?F'1-Z� r wa ter -- – 1
' — — — gerspo — 0 -
-- Ti LA >'P. ���� Washing ne --- — 7.50
rain
'-ter eat--r
ry 000m ria
Occupant " y Unnal _
si. of iTt e, -ped y i
_ .5 xoi
Po (6 IAISCELV,NEOUS
Contractor _.—
y"kAgV1-%j o� '���)S Sewer 1st , '
ms,....s, ., wer•ed.A3dt.. 100'
Gem —Water rvwe st -- -- —fi5
re y--5T-0wge W.TFIWv.tea tis app ua an, e Water Servicerrea. Acidit. 15.00
information given is correct,th_;1 c.,- the owner or authorized agent of r
the owner, that plans submitted are in a,mpfiance with State laws,that I Storm 8 Rain Drain 1st 100' 30.00---
am registered with the Construction Con'ractor's Board,that the number Storm d Rain Drain Addit. 100' 15.00
given is correct. (If Ixempt from State registration, please give reason _
bei ) Mobile Home Spaoe 7.5 00
ow Preventror, -
--- /O ^vice or Ano Pollution Devic* 7.50
f y vap or ase o -'
Connect&+to a Fixture 7.50
sen wo"�C new a .tion alteration repair '��gym
to be do-, residential j$l non residential Q -- — i
-- _ Insp. of Exist. Plumbing per hr
Existing use of mealy Requested Inspectims per hr
rn rain, sing amt y i
buikfip
prng or property— J�1 , dwelling 15.00
snaa arlc -)w prevention
--
Proposed use of -- — oevices 15.00 kc: C".
building or property ---
xcept rest �rirra ac ow - ---
prevention devi-es)
NOTICE 'Minimum Fee 525.00 SUBTOTAL 2cJL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
5%SURCHARGE — 2y
i AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEDFOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PMN REVIEW 25%OF SUBTOTAL --
COMMENCED. ----- - ----
--- _TOTAL— WSJ
Special Conditions
-- __— Date issued ( 4 by
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CITY CIF TI GARD w RECEIPT OF PAYMF'NT RFCE_X PT NO. t 95--869g264 �
CHECK AMOUNT x -6. "5
NAME x CONCEPT LJ4ND;• CAPF S, CASH AMOUNT
ADDRESS t PO BOX :1583 PAYMENT DATE x �0/1119ri
SE'AVERTON, OR Sl mn T V T 17,r nN
97075--
i F"URF'C1E3E
OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID �
I
FpL1IMk;ING PERM 25. 00 !3T. BUILD PER
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PLUMB95-0203
13781 SW HI L..L..SH:RF DR
T OPTAL.. AMOUNT PAID - - - > P.6. 25
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footi-g Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
1
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloo• Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall p. Elect
Date Requested: ��/y / ' Time: AM PM
Address: 1 2 -7p l
Builder: Permit 9V,43 ZY
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: [ J �,
_APPROVED _DISAPPROVED APPROVED SUBjECf TO ABOVE
9 �� I _Call For Reinsp.
r4 ` CITY OF TIGARD BUILDING INSPECTION NOTICE
i Inspection Line (Rec-O Phone): 639.4175 Business Phone: 639-4171 U'
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 `Tnsulati -Much.
Underflr. Insul. Shea,Wall Gyp. Bd. -Elect.
Date Requested: /,� �� 5 Time: AM PM
Address: Z 2 7 FZ j/, c,
Builder: y; � Permit k: -7 ` DLJ 7 4
THE FOLLOWING CORRECTIONS , ' REQUIRED:
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Inspector:_ ��- �...�----�--...� Date: Z
b, APPROVED , ,RUPPROVED APPROVED SUBJECT TO ABOVE
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_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
inspection Line (RBC-O-Phone): 639-4175 Business Phone: 639-4171
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 FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain <Ifaming -Plumb.
Alarm Water LineInsulation_'/ -Mech. I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. .
Date Requested: .- �� �—1 C/ Time: AM PM
Address: �7 7SI /
Builder: CSC , ..` 7 /q/ ,Jt^1'J Permit #: `� C�" 7 `t
THE FOLLOWING CORRECTIONS A„E REQUIRED-
Inspector: \: �- nr' Date: Z' 7
APPROVED WISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
' .CITY OF TIGARD BUILDING INSPECTION NOTICE
'Inspection Line (Rec-O-Phone): 639-417G Business Phone: 639-441171
'r
Inspection. �-
Footing Susp. Ceiling Sprink. Rough-' Appr/Sdwlk
Foundation Plbg. Underslab �1C�ech. Roue Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain CFTEn �.�. -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. shear W II ' Gyp. Bd. -E.-,ct. I
Date Requested: cr Time: 77—AM 'KPM
�7 p
Address: !/-3 / O q
Builder. c��G fty�eVIOUIRED:
Permit #: /THE F LOWING COt TIrON
N.
I
L
Inspector:
_APPROVED DISAPPROVED ri APPROVED SUBJFc r TO ABOVE
all For Reinsp.
CJl
�1 I
-CITY OFTIGARD BUILDING INSPECTION NOTICE
In3pection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --✓r1-�--w�
Footing Susp. Ceiling Sprink. Rough-in Ap r/Sdwlk
FoundationPlbg. Underslab Mech. Roug_ h-in fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. /
Plbg. Underfloor RainDrain aming -Plumb.
Alarm Water Line Insulation -Mech. I
Underflr. Insul.
ear
VV
-%rte Gyp. Bd. -Elect.
Time: AM PM
Date Requested: /
Address: / 3 n I / /
C'
Builder: :�,e //� 2,IJL�� 33 Permit
THE FOA41NG CORR�CTIQNS ARE REQUIRED:
--� i�-e� �;,,, a ����-e.�.� ,� ,fit-, ✓�
LrW,
•�,�----- Date: �- � a
Inspector: —
_APPROVED APPROVED _APPROVED SUBJECT TO ABOVE
/Fall For Reinsp. I
1�C
n
Lill; ,
• CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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 FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 4
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: _
Permit s: n1r'4
THE FOLLOWING CORRECTIONS ARE REQUIRED: Z 3
4 - S zt'_
u1 ` J9L
Uhl
Inspector: �-� �� � Date: i
_APPROVED _,naSAPPROVED APPROVED SUBJECT TO ABOVE
i
-all For Reinsp.
I
�I
i CITY OF TIGARD BUILDING INSPECTION NOTICE
"tempectibn Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
i
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Fotmdation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Meal. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. A
Alarm Wate- Line Ins elation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date 'requested: _Time: AM PM
Address: n ff
Builder:
Permit #: C� �-( —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
C, "t-/V -A,2
I
l
Date: 2� C
Inspector: _
_APPROVED _. {. l PPROVED _APPROVED SUBJECT TO ABOVE
�_ I
CITY OF TIGAAD BUILDING INSPECTION NOTICE
rA6pgctiGn Line (Rec-O-Phone): 639 4175 Business Phone: 639-417
r .
Inspection
Susp. Ceili g `drink. Rough-in Appr/Sdwlk
Footing
Plb Underslab Mech. Rough-in Fireplace
Foundation g
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San- Sewer
a�LLine, .tat"
Bldg ■
Plhg. Underfloor Rain Drain Framing -Plumb.
Alarm
Water Line Insulation -Mech.
— . -Elect.
Underflr. Insul. Shear Wall �/ Gyp. Bd.
Date Requested: � � �1 C S
Time: AM PM
Address:� ._77 / O � �'+—�_1-.- 7r
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: LJ `• \ �L
oC
i
�nspe�tor. _ Date: Cl
� i
APPROVED /DISAPPRZ_:all
_APPROVED SUBJECT TO ABOVE
For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE \�
tnspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
J
Post/Beam Slruct. Plbg. Top Out Flee. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. t
Alarm Water Line Insulation -Mech. _
Underflr. Insul. Shear Wall (;yp. Bd. -Elect. I
Date Requested: Time: AM PM a
Address: / �t
Builder: Permit #: CA l Z 4
THE FOLLOWING CORRECTIONS ARE REQUIRED: P 1 _ Z 41 L
Co-
0 cam..,-ts
In
Date.
_APPROVED c_DISAPPRO/VED APPROVED SUB ECT TO ABOVE
Call For Reinsp.
+�i:;"7, �rrY��3aG*Ss''s'.?Pdhti7q'"ai;'}h� ..:. y•.,...->. . ., i..
• r
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Bail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.-41.71
Inspection:
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. an. See Pram: :y -Bldg. I
Post/Beam Nech. Tn`l�rern Insulation -Plumb.
Plbg. Underfloor VLE-2 1 Gyp. ad. -Nech.
Date Aequestadt me: AM
Ti ,
s /' ,, �/''
Address: � � Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
R
Inspe for - Date:
APPROVED —` DISAPPROVED -_� APPROVED SUBJECT TO ABOVE
___Call For Reinsp.
i
• 7
YTM
IN&PECTION NOTICE
M�
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line pac-O-Phone)3 639-4175�Business Phone: .639-"--
F �n� —
�, Inepectioni
h,Y
s` looting Plbg. Underelab Hach. Rough to 1►ppr/sdwlk
ur
round. Plbg. Top Out Oas Line FINALi
Post/Beam struat. San. Sewer Framing Bldg.
!J
Post/Beam Mach. Rain Drain In3ulation -Plumb. j
I
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Ph
Date Requested. L Time: B
Address: 8r l Permit —61
3 7
( f �
Huilderi___rl._�
TBE FOLLOWING CORRECTIONS ARE REQUIRED: Y{E
CA
r
i
Inspectors Date-
APPAOVlb DISAPPROVXD APPROVED SUBJECT TO ABOVE
Cali For Reinsp.
r,
5
r ,
i
Y...�. a ti :..11 l�.r t �i rryr -p;•,+� I i 1� N�dhfp���� �"�a
7 N A,i�,w ?r� y4 W f •`,'n,
a� � y,
�f��'�b�d
1� r�•hrl ,A �i+"'gk`+l
i. •f S *tt 7 I ,�F r ur 9 r +Y t E g
�
r : E "+�!S�'�r �1�,��a" �t i � � '- rt' �j., �1 Y+ r raft •
•
•,.- ;. " amu. ., .., , ;.; :,.
zMBPEcrIOK nOno
City or Tigard Building 223
13125 gp gall Blvd. Tigard, OrSWM
Inspection Line (Res-O-Phone): 639-6175 Business Phones 639-4171
Inspections_
tcnt'_ng Plbq- Underelsb
ech. Rough-in App /Sdwlk
Found.
Plbg. TOP Out Gas Line FINALS
Post/Beam Struct- San. Sewer
Framing -Bldg.
Post/Beam Mech. Rain Drain
Insulation -Plumb-
Gyp- Bd- -mesh.
P].bq. Underfloor Nater Lina / y� Times ��
// PM 4
Date Roquestedt
Permit
Addreass
Builders _. ---
TAE tOLLMING CORRECTIONS ARE REQUIRED:
I
L17'
1
Date: _
Inspector: --- -
APPROVED DISAPPROVED APPROVED SUBJEC� ]Y) ABOVE
.
For ReinsP
. C
1
MENCTION NOTICE
City of Tigard Building Department
13125 BW Ball Bltd. Tigard, Oregon 97223
Inspection Line (Rec-O-Pho ale 639-4175 Business Phones 639-4171
Inspectiont C '� r - _-
Footing Plbg. Undarelab Hech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALe
Post/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch, min Dra Insulation -Plumb. ,
Plbg. Underfloor Water Lin Gyp. Bd. -Koch. I
Date Requestedt 77/ Time: AM PN B
Address t1� D ^ Permit / /
f Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDt
.M
i
i
I
Inspector--- —
Dates l
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
J__Call Por Reinep.
1
r r
jjfftgTj2tL NOTICE \ \�
City of Tigard Building De,,artoent
13125 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
ooti� Plbg. Underslab Mech. Rough-in Appr/Sdwlk
jl f i
Found. Plbg. Top Out Gas Line FINAL: I
Post/Beam struct. San. Sewer Framing -Bldg.
Ca 7f"1 Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
`Line
/ 1 Gyp. Bd. -Hoch.
Date Requested: /l�� ! �/) Time: AM PN
ic Address: 1 rC- r[41-KC-Ice_ /Cy1, Permit is G� G 7,1
Builder:
„
THE FCLW. ING CORRECTIONS ARE REQUIRED:
r
- - ---_--
V I
I
1
I
{
Inspector: ^�� _ Date:
APPROVED -� DISAPPROVED APPROVED SURJECT TO ABOVE
I
- ) _-_Call For Reinsp.
a
tX tx`• 1 .
�* r
I
'it-y *AS., d,' ;o•d f 1: 1 r .. 7; � -14 � ��+ � 7J�
g �r ter.
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CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT DE.'ARTMENT
13125 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)839-4171 PERMIT #. . . . . . . : 115 F94- k ti,7 If
DF-1TE ISSUED: 121/06/94
PARCEL: LS IOCfi:D•••01.` 00
SITE: ADDRESS. . . : 13781, SW H 1 LLSFI I RE DR
SUBDI V I L�I ON. . . . : HI E_LSF•II RE. ESTATES ZONING: R---7 PD
E31.-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :011
! UL(IS, OF WORK—NEW GARBAGE DIST-103A1_Sa. . : 1
I
i YPIE OF USE:. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F-'RE VN1 RS. . : 1 „.
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAF,S. . . .. . . . . . . . . . . :01 �
STORIE IS. . . . . . . . :c WATER HEA?ERS. . . . . . : 1 CATCH BASINS. . . . . . . .0
L(-IUNDRY TRAYS. . . . . . : 1 SAF: RAIN DRAINS;. . . . . : 1
c:'!NK5. . . . . . . . . . .
.2 . . . GREGREASETRAPS. . . . . . . :0 y
LAVATORIES. . . . . ^`_, OTHER F I X URES`=;. . :21
TUS/SHOWERS. . . . . SEWER LINE. (ft ) . . . . :0
Wr'1 f F,[� S7. . :3 WAl ESR 1-1 NE_ (f t ) . . ^ . : 1.00
Dl`1Hi'ASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 a
Remarks : PATH I
OWNER:
1-1 & M H011,11=S INC T.IF:- $ 1550. 00 JF 10/06/94 -
P O BOX Elite BPRT 1, 708. 00 JF 10/06/44 -
RPLC $ 460. 20 JF- 09/29:94 94 ":',.=,7:;4,."
ALOHA OR 9/007 B5PC:: $ .x5. 401 JF 1121/06/ �4
Phone #: 649-9623 SSDC $ 280. 00 JF 10/06/94 -
PARK $ :500. 00 JF 10/06/?4 -
I l.c.Iml�ing Col7tractor : ---_.______.--_-__._ MF'RF 1, 45. 001 JF 10/06/94 -
MPLC $ 11. 25 JF 1.0/06/94 _
Name : M5PC 1, 2. 25 JF 10/016/94
F—vi AddressD 3EaTH G 2 2 F"5. 00 J 10/06/94 -
c�__l _._
City:._-j4ZD/�/a�, State : PaPC".; $ 11.. 2S) JF 112.1/1116/94
t
Zi o7 Phone#• Yet-o� EUROS 1, 88. 00 JF= 121/06/ 34 -
, �1
Re g #• Additional feel not shown her^e. . . . . . . .
REU.0 I RE:D INSPECTIONS
1his permit is issued subject to the req
u:lation5 contained in the Tigcl•d Mun.ir_.ipal. Foot/found Insp Rain drain Insp
State of Ore. Specialty Codes and all F'ost:/Be<Am Structs Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in ar_cordanc.e with approved plans. This Plm/,_Indslab Inst) Mechanical. Final
permit will expire if work is riot started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is hier..hanical. Insp Building Final
suspended fo more than 100 days. F111-1mb Top OI.It Erosion Control
framing Insp Crawl. Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
G y P Board Insp
l-lk.l,.horize P1umbifig Contractor Signature
Call for inspection - 6:39._4175
Contractor Notes -.
Far
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•-
„Y.,. ._.... .. ,,.r.. _ .. Ih.
. CITY OF T '
COMMUNITY DEVELOPMENT DEPARTMENT
MASTER PERMIT
13126 SW Hall Blvd.Tigard,Oupon 07223.8189 (503)830.4171 F'E.RM I T Il:. . .. , : MS V1)4 -0.?i74
1
6 171 DATE ISSUED: 10/06/94
1
PORCEL.: `S 104CD-01 r300
SITE ADDRESS. . . : t3781 SW H I LL.GH I RE DR
SUBDIVISION. . . . . HIL.LSHIRL ESTATES ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . .. . . :01.5
DU I1_D T NG
REISSUE: DWELL-I 1\16 JN I TS: 1. BASE=MENT. . . . . M . . :0 s f
CLASS OF WORK. :NEW BEDRMS: 3 BATF-IS:,3 GARAGE. . . . . . . . :534 sf
TYPE OF USC. . . :SF FLOOR ARC.AS- _________.__. REQUIRED SET BACKS_-__-.-___._ I
TYPE. OF' CONST. :5N FIRST. . . . : 100 sf LEFT. . :7 ft RIGHT. :6 ft
i
OCCUPANCY GRI-. : R3 SECOND. . . : 1004 5 FRONT. :22 ft REA13— :41 ft �
S T'OR I ES. . . . . . . : ' F 1 NBSMENT:0 s f RE QU I
HE I GHT. . . . . . . . : 18 f+: TC)TAI.... - . -:,3104 s f SMOKE DETE.CTORS. :Y
FLOOR L.OAD. . , . :40 psf VALUE. . . . . $ : 209:393 MARKING SPACES. . : l
Remarks : PATH I
PLUMBING
SIIVKS. . . . . . . . . . .L FLOOR DRAINS. . . . :0 20CKFLOW PRLVNTRS. . : I
i
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAVIS. . . . . . . . . . . . . . :0
TUB/SHGWERS. . . . ::3 LAUNDRY TRAYS. . . : 1 CATL'H BASINS. . . . . . . :0
WATE=R CLOSETS. . :3 SE=WER LINE (ft ) . :0 GREASE TRAPS. . . . . . . .0
I DIS14WASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . ,, :0
I
GARBAGE DI SP. : 1 RAIN DRAIN (ft ) . :0
1 WASHING MACH. . . : 1. SF R(aIN DRAINS. . - 1
MECHANICAL ___.__.__._ __.__._.____._______._.____._. ._.__ FEES
FUEL. TYPES -- ---- -- UNIT HTR6. . .0 type amol_rnt by date recpt
/CAS/ / / VEENTS . . . . . :0 TIF $ 1550. 00 JF10/06/94
MAX INPUT-0- BTU VENT FANS. . :4 BPRT $ 108. 00 J F 10/06/94 -
FURN ( 100K . . :0 HOODS. . . . . . . 1 BPl_C $ 460. 20 JF 09/:19/94 9"► 7'i 7;
i FURN )=100K . . - I WOODSTOVES. :0 B5PC $ 35. 411.1 Jr 10/06/94 --
FLOOR FURN. . . . :0 CLO DRYERS. - 1 SSDC $ 280. 00 JF 10/00/94 -
LAOIL/CIIP < 3HP:0 OTHER UNITS: 1 IDARK $ 500. 00 JF 10/06/94
GAS OUTLET 9: 1 MPRT $ 45. 00 ►F 10/06/S4 -
{Uwner: ---________._._---________ _________._._MF'LC $ 1. 1. 25 JF 10/06/94 -
H & M HOMES INC M5PC $ 2. 25 JF .10/06/94
f-' 0 BOX 6118 -BTFi $ ='i=_'S. 00 JF 1.0/OF,/94 -
P5PC $ 11. 25 JF 10/06/94 -
ALOHA OR 97007 EROS $ 138. 00 JF 10/06/94 -
Phone #: 649-9623 ERF'C $ 28. 60 JF 10/06/94 -
'.:ontractor: ---- -.-___._______._.__-____ __._-_.___ERF'C $ 28. 60 JF 10/06/94
F I & M HOMES INC
i' D BOX 6118 f
ALOHA OR 9700%
!'Done it: 649-96:!3
Reg #. . : 668522
$ 397,.-,. 55 TOTAL.
This pereit is issued subject to the regglations contained in the ---- - REQUIRE=D INSPECTIONS ---•__ __
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Firepaar..e Insp
applicable laws. All work will be done in accordance with approved Post/)beam Strt.ict Cas Line Insp
pians. This pet-sit will expire if work is not started within 130 Post/Beam Meehan Insr_dation Insp
i day, of issuance, ar if work is suspend re ha 180 ys, Plm/utndslab Insp Gyp Board Insp
")da
F='Llyl/Underfloor Rain drain Insp
Permittee 5ignati.irc� : 7t Mer -al Insp W,�ter•• Line Insp
f-'li_imb Tap OI_it Appr�/Sdw:lk Insp r
Issr_red By: _iZ_ �t Framing Insp Mechanical Fina!
v 1:'
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CITY O
F TIGARD GLWER CONNECTION •
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hall Bbd.Tigard,Orogon 07223.9190 (503)030-1171 PERMIT #. . . . . . . : CW R9 4-0336
639-41'!1 DATE ISSUED: 10/06/134 e
PARCEL: `S 104CD--fZi 1500
SITE. ADDRESS. . . : 1.3781 SW H I LLSH I RE DR
SUBDIVISION. . . . : H I LLSH I R,E ESTATES ZONING: R--7 PI)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :015
TENANT NAME. . . . . :
USA NO. . . . . . . • . F I XTURE LIN ITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
f yPL: OF USE. . . . . :SF IVO. OF BUILDINGS: !
INSTALL TYPE. . . . :LAUGWR IMPERV SURFACE— : : sf
Remarks : PATH I
Owner: _._.__.______________._.._______._.__.._.._---_______.___..___._.______ FEES
H R M HOMES INC type amoi_int by date r•ecpt
P 0 BOX 61. 18 PRMT $ 2200. 00 JF 10/06/94 -
INfiP $ 35. 00 JF 1171/06/94
AL.011A OR 97007
Phone #: b49-96,2.3
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 2235. 00 TOTAL
Reg #. .
Rf7UUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer, Inspection _
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not 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 from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Zstla lateral.
�;er,miti;ee Sig»at�..ir-e • .
In,;l.ted LAY :
--
Call for inspection — 639--4175
1
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N
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 1.378/ Sc✓/1i l Vir e Pr-
Subdivision:/�j,LL.Sf//�PrST.9TrS Lot # ___ Office Use Only
I •
6 � �
on
Valuation: W ,ZZ16 Pianck/Rec # I
Permit #
Owner: '�_ �a�s .Z„✓C Reissue of
Address: z" ,Qe x Map & TL #
Phone: 14, -;z Y" Approvals Required
Planning
Contractor: V/ Engineering
Address: — Other
Phone:
Items Required
-
-- i
Contractor's License # Subcontractors�/Q5�. �
(attach copy of current Oregon license) Truss Details
Contact name & phone:� ,� „i ,�� „ YOth6r
Subcontractors:
%Plumbing:
Mechanical: , \�----- _-- l
(attar,`+ *y of current OR Contractor's Ucense) �--'
Archttect/Engtneer: z4,11 e�y -
Address:
i Phone: -- --
JOB DESCRIPTION.
nt Signature & Phone number
AA10-L
Received blDate Received:�� - - L14
i
s,
r �
1r
Permit # Account Description Amount Amt. Pd. Bal. Due
M) -p 3 7q Bldg. Permit (BUILD) _7U
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg: 3)-,Vu
Plumb: 1 Z
Mech: A Z ► /
i
Plan Check (PLANCK) �7� -2 )- a Z1•g 1
Bldg:
Plumb:
Mech: L
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
I
Storm Drainage Chg (SDSDC) � ✓ ,��
Residential TIF (TIF-R) /y 3u / 3
Mass Transit TIF (TIF-MT) _ / U % zv
I,
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
Water Quality (WOUAL)
Water Quantity (WOUANT) —
Fire District (FIRE)
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