13867 SW HILLSHIRE DRIVE ELEVATION: 13800'
/
♦ '� ♦ /4
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-MAIN FINIBW FLO 142AM'
rLtfAG
FIN,9H FLOOR: 1415' - 14115.
\
.00
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ELEVA"ON: 139.00'
r �•
ELEVAT,ON- 140.00'
4 MIN. 3900 PS.I GONGRE'c S�/;B _----`-' \ � �'"' �f �\. � ` �`�. ,
AT REAR OF HOUSE pR00M FINISH -
SLOPE GALA"" FROM BUILD'NG EDGE
ti �`► / /
INSTA,.L STREET TREES AT 30'-0' O.G.
♦ �. -- "` ~ �� SIZED AND SPECIES PER CIT'1- REO
N,
TI'PICAL_ MIN. BUILDING SETBACK LINE -- * ` �•�------ TYPICAL DRIvE+0AY - 4' MIN. 3500 P.S.I. CONGRET!_
TYPICAL PROPERTY LINE- --- ----- `� \ \ SLAB WITH BROOM FINISH OVER 4' MIN. 3/4' MINUS
/ COMPACTED CsRANuL.AR FILL SLOPED TO DRAIN
/ \ ' TOWARD STREET ErCzE
BUILDING PERIMETER - TYPICAL ---~--_...�_._.._-r..._________ .._. •� . � ` � � \
/ _ -- -- TYPICAL PROPERTY LINE
� s - b' EXlST1NG CURB WITH 48' W!DE
♦ ���r �` / CONCRETE WALK
raROVIDE 48' EXI=05ED AGG CONCRETE 4 '
51DEWALK
_20'-®' MIN. FRONT YARD WT5ACK,
b� �� �.-••--�`- 3/4' GCPPF'R WATER LINE CONNECTION
TO WATER METER LOCATION 1
•GONTRACTOP: i8 TO VERJF'r- ALL FIELD CONDITIONS
PRIOR TO CONSTRUCTION
•CONTRACTOR 18 TO VERI" ALL FINAL STORM AND
♦ �J epo NITARY INVERT ELEVATION STUBS FOR PROPER
DRAINAGE PRIOR TO ESTABLISHING FINAi- BUILDING
ELEVATION
"-_ _� •CONTRACTOR IS TO /r'RPT LOCATION OF ALL
ELEVATION! -- ---- UNDERGROUND UTILITIES PRIOR TO EXCAVATION
✓ElFIF• FINAL LOCATION OC WATER METER
ON SITE
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141LL5kRE E5TATE6 1 DESIGNED 4 DRAWN BY:
FLAN
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ptxeuing excellent• 1n deelgr•
9,515 SQUARE FEET If ��• � _ _ __
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OF c'C BOX 1484
LAKE 0"GC OREGON 91035
15C'A S-W 1415
13867 SW Hillshire Drive
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CITY OF TIGARD CE.RT IF ICAT'E 0V
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 8W Hall Blvd.Tigard,Oropon 07223•111199 (503)#30411711 PERMIT #. . , . . . . . MST':34-•03470
DATE I': SUE o 0,+/19/95 '
PARCEL: 2S1041-C-01800
1J I TE Fi!?DRE'59. . . r 13867 SW H I LLSI-4I RE DR
SULADI VIcION. . . . r HILL.SH I RE ESTATES NO. 70NING r R--"7 PI7
I::I_ASf3 OF WORK. r IVEW �
+'YPE OF USE. :Sf'
OCCUPANCY CARP. :t43
I..)CCIJPWIWCY L.UTAD r O:L 1 4
TENANT NAML. . . a
Remarks : PATH I
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Owner,.
WINOWOOD CONST IN';
6933 SW TIE:.RRA DEL r;qP
BE:AVE RTON OR 971007 �
Phone #s 944--3657
Cont rac:t uv R
�i W I NDWOOD CONST INC
1-1433 SW T I E RF A DEL. MAR
i 1
LEAVERTGN OR 97007 I
Phone tF: 7f30-4375 M
I
risy #, . a 50196 {{
Occupancy of the above r-eferenced tv.iildiny 4. s hpv,ebY 4liven, anc, certifies I
the compliance with the State Of Oregon Specialty Codes for tl--ie g► t','Ap,
j� occ upmr+r.y, and '.sae under which the v,esfe=r,enced permit wmE i1b5l1e!CI.
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P(JtLE$IN(3 INSPE1. ,C)IF Aij*'60i! IC OF UTAL
POST IN CONS-PICUOUS PLACI=..'
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- CITY OF TIGARD BUILDING INSPEC i ION NOTIC► i.
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171
Inspection: i
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in �INALJ
Post/Beam Mech. Sar. Sewer Gas Line \
R.e I
Plr)g. Underfloor Rain Drain Framing -Plumb(_ J i
Alam Water Line Insulationech
3 �
Ung^rflr. lnsul.
Shear Wall Gyp. Bd. -Elect. �� s
t),-.(e Requested: L/ / ` ` Time: AM K PM
Address: �_�
Builder: Permit #: ��y U 3U G
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— — I
Inspector:
r Date:
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
1'
CITY OF TIGARD BUILDING INSPECTION NOTICE
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
r
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Pppr/'3dwlk
Foundation Plbg. U',derslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Tap Out Elec. Rough-in (ZNA�1J
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor fain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach. I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ y / / Time: _AM PM
71�_ `
Address:
Builder: _Permit 114&f 5 I eo y�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
qq
Inspector: Da'e:� �
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—APPROVES DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Heinsp.
wo"10-1 lop
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 'Rec-O-Phone): 639-4175 Business Phone: 639-4171
,nspection:
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. Ilndedloor Rain Drain Framing C"PTu
Alarm Water Line Insulation -Mech. '
Underflr. Insul. S' ear Wall Gyp. Bd. lect.
Date Requested: / �� /�`� Timevw _ PM
Address:
Builder._ Permit t✓:
THE FOLLOWING CORRECTIONS ARE REQUIRED: 1
�
E
Inspectors - � Date: S
a
_APPROVED —DISAPPROVED �APPROVED SUBJECT TO ABOVE
3 / Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i..
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. I Inderslab Mech. Rough-in Fireplacd
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAr
Post/Bearn Mech. San. Sewer Gas Lire -Bldg.
Plbg. Underfloor Rain Drain Framing um
Alarm
Water Line Insulation Me^h.
Underflr. Insul. Shear Wail Gyp. Bd. -Elect.
Date Requested:_ �l—1 _ "1 Time:--AM KPM
Address:���
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
I —
t _APPkOVED 0 AAPPROVED SUBJECT TO ABOVE
—Call For Reinsp.
p
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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 Appr/Sdwlk
Foundat'on Plbg. Undarslab Mech. Hough-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 urnT_
Alarm Water Line Insulation Mech.
t Inderflr. In:ul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ��' /l,- �` i irne: AM PM
Address: / 71-1 C, •i qq
Builder: Permit #: /y' /�JJ
THE FOLLOWING CORRECTIONS ARE RE.jUIRED:
Inspector:— Date:
_APPROVED DISAPPROVEJa _APPROVED SUBJECT TO ABOVF
1
/Call For Re-insp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-I ior.e): 639-4175 Business Phore: 639-4171 CQ
Inspection:_
i
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundat;on Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam St ,c �-) Plbg. Top OI t Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Ida
Plbg. Underfloor Rain Drain Framing /
Alarm Water Ln,-: Insulation cIGfe �
Underflr. Insul. Shear W II Gyp. Bd. -Elect I
Date Requested:_ _ `' S_ Time: AM PM
Address:
C� I
Builder: _Permit #:
THE FOLLOWING CORRECTIONS AR7 REQUIRED:
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14
Inspector: Date: A
_APPROVED PPROVED _APPROVED SUBJECT TO ABOVE
/ r all For Reinsp.
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CITY OF T IGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-0-Phone): 639 4175 Business Phone: 6�9-41'/l
Inspection:
Footing Susp. Ceiling Sl prink. Rough-in A�or/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fir)place
Post/Beam Struct. Plbg. Top Gut 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 3yp. :3d. elect.
Date Requested:_ Time: AM PM
Address: ?i_?6' 7 � c� '-�� X_�
Builder:_ _Pemlit k: L �7 G'C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
17
Inspector: f - Date:
�LAPPROVED _DISAPPROVED _APPROVED SUB.;ECT TO ABOVE
--Call For RPinsp.
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CIT' OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
I 13125 SW Hall Blvd.Tlgerd,Oregon 07223.8189 (503)539-4171 PLUMBING PERMIT s
PERMIT #. , . . „ . . : PLM)C-
t !-..41 r'1 DATE ISSUED: 02/27/95 r
4
PARCI::.L.: 2S104CC_.01800
SITE AIDDRESS. . . : 13867 µ1W HILLSHIRE I)R
yUBDIVISION. . . . : HILLSHIRE EE,-GATES NO. E! ZONING: R-7 PI)
i 13LUCK. . , . . . . . . . . LG1.. . . . . . . . . . . . . . 1 4
LLASG OF WORK. . :ADE, GCARBAGE I',1 SPOSALS. . : MOO I l_C: HOME P ACI.:S.
T Y(-'E- OF- USE:. . . , :SF: WASHING MACH. . . . . . . : BACKFLOW PgE:VNTFtS. . : 1
(JC:CUF'NN(. Y GRP. . :R:3 FLOOR DRAINS;. . . . . . . , TRAPS. . . . . . . . . . . . . . .
t 1 UK.1kS. . . . . . . . :2 WATER HE:AT'ERS. . . . . . , CATCH NASIN S. . . . . . .
IX LURES—.--_.--__...___..__._ LAUNDRY PRAYS. . . . . . ; SF= RAIN DRAINS. . . . .
INKS. . . . . . . . . . . URINALS. . . . . . . , , . GREASE TRAPS. . . . . . . e
LAVA'TC1RIEs. . . . . OTHER F1 XTLIRES. . . . . .
ys TIJB/SHOWERS. . . . : ;EWER LINE (ft ) . . . .
9 WATER CLOSETS. . : WAIER LINE ' ft ) . . . .
DIS3HWASHE:RS. . . . : RAIN DRAIN (ft ) . . . .
keme,r-lis : Installing bzc4(flow prevention device.
WINDWOOD CON 31' INC; type a'"c'Ini '.)y
date rer.F)t
6933 SW T IERRA DEL MAR PRMT $ 1 :i. 00 LION 02/27/95 -
' 5PCT $ 0. 7U BC1N 02/27/95
' BEAVERTON CDR 97007
:. . Phone #: 644- :657
Lontractor^:
CF DAR I-_ONDSC APL, INC:
143"/; SW PATRICIA P2IVE
HiLLSBORO UR 97123
^! Phone t#: 628-3411 15. 75 TOTAL
:r Rel ft, . 5f343
REOUI RE:D INSPEC1 IONS -- -- ---
r`: This permit is issued subject to thF regulations contained in the RP/B.%ckfl ow Flrev _
Tigard Municipal Code, State of Ore. Specialt! Codes and all other- Final Inspection
applicable laws. All work mill be done in acc,srdance with
'r approved plans. This permit will expire if work is not started
` within 180 days sr I,sst.Ance, or if work is suspended for more
than 180 days.
F'er^mittee SLgnattare ;
Issuer) P y -
Call for- inspection — 639--4175
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I City of Tigard PLUMBING PERMIT APPLIC 4TION Planck/Rec. #
13125 SW Hall Blvd. Permit 4
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE � ►
N••1 N.WW Wd �/ New S;nule Family Residences Only
d -/i6 /til �1/bvr/ ❑ 1 BATH HOUSE$140.0C ❑ 2 BA''H HOUSE$195.00
Job / /(. ❑ 3 BATH HOUSE$225.00
Address c.,.er.�. \ zro Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
•iu�• FIXTURES QTY PRICE AWT
� zl �a Sink 9.013
M.Na xds«. NLavatory 9.00
Owner �^ �t, /fJZGti2 Tub or Tub/shower Comb. 9.00
•• _• Shower Only 9.00 r
Water Closet 9.00
�•^•�•'^•^••f h� ..• Dishwasher 9.00
Garbage Disposal 9.00
Occupant MYho„d,«• vn.n. Washing Machine 9.00
Roor Drain 9.00
C"*• na Water Heater 9.00
Laundry Room Tray 9.00
N.- �'J�y'_3'r� urinal - 9.00
Other Fixtures (Specify) 9.00
MWO Ada- ah... 9.00
Contractor L _
f / _ 4, 2 /,- 9.00
cer,�r. n 9.00
--
fl,/ 3 Sewer 1st t0U' 30.00
aN.newtr n N. Gb a'" T•■N. Sewer-ea. Addit. 100' 25.00
f5 Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain ist 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit, 100' 25.00
number given is correct. (If exempt from State rrylztration, please --
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Antl-Pollution Device 9.00
• a•d•^'I Do. Any Trip or Waste Not
_2 7- Connected to a Fixture 9.00
Describe work new Q addition O alteration Q repair Q Catch Basin 9.0U
to be done residential �__) non-residential O Insp, of Exist. plumbing 40.00/hr
Specially Requested Inspections 40.001hr
Existing use of
Rain Drain, single family dwelling 30.00
building or property
Residential backflom, prevention
devices 15.00 (`)
Proposed use of -'
building cr property _
- '(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25,00 SUBTOTAL
PEPMITS BECOME_VOID IF WORK OR CONSTRUC i ION
AUTHORIZED IS NOT COMMENCED WITHh! 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED V?ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTE, WORK IS
COMMENCED PLAN REVIEW 21,'°. OF SUBTOTAL
TOTAL lam) 5
i Special Condrdone
Date issu A z Z r (f c) by
YCC, `jS-2L?261 7
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CITY OF T I GARD RECEIPT OF' PAYMENT REC P I PT NO. 05-262267
26226 7
> CaHE'C K AMOUNT G 63- 00
NAME >f CEDAR L-ANDSCAP , TNC:. CASH AMOUNT r (r. 00
#.. Hrl1:)R[=SS? 1437 SW PATRIC.".IVi 01. P'AYME'NT LATE' o fl_+P 2"7 9',1
H I L_1_S80PO, OR Sy1113D I V I S I ON ;
97123—
PURPOSE OF PAYMENT AMOUNT PAID '"IURF'flf' r OF PAYMENT AMLIUNT PAID
i"LUMBIN13 Pr RM PLM c)5-003
.,(10. PTCA ST, -NUII..,b PER _..3 Q1(�1
1,14
i
L14Qt'7'6 SW BFNCHV I l�W, 13686 SW H I LL.SH I R1-, 13901A sw
i�11_I.SMIRE, 13867 H11_I...SHIRE
TOTAL. AMOUNT i...,ATD ) 63. 00
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F
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Bsll Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)! 639-4175 Buninena Phone: 639-4171 0
Inspection:_ `
Footing Plbg. Underelab Mech. Rough-ingr/_SdwI0 1
Found. Plbg. Top Out
Gas Line
FINAL-
Post/seam
INAL:
Post/Boam Struct. San. Sewer Framing
-Bld
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- Post/Beam mech. Rain Drain
Insulation -Plumb. SII
I
a [ Plbg. Underfloor Water Lina oYP• Bd. -Hoch.
DAta RegLeated•
TLme: AH PM
y A+Idrees:—L�++1
Permit
Builder: C
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� tI4 ' THE FOLLOWING CORRECTIONS ARE REQUIRED:
iI/r b --`
37ei
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' Inspector• -
-`, v�--•/n���irc��1. —__ _ Date:as
APPROVED DISAPPROVED
-- PROVED SU&iECT TO A
Call For Reinep
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q XNBPRCTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phons)s 639-4175 Busirses Phones 639-4171 '
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk WIF
round. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sower Frami.-<y -Bldg.
Post/Beam Mach, Rain Drain rInsulation -Plumb.
Plbg. Underfloor Nater Line `_Oy�.�Bd_�l -Hoch.
Date Requested s / ((�1 I� T.As: _11M PH
Addressee,4' / '"t"1 \S`A_ t_--t Permit
Builders
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THE FOLLOWING CORRECTIONS ARE REQUIRED: {
�� ,i 1..x.(1. �� U�) �I t `.k-`--.. �� s 1� li•-`�-_ 1
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Inspectors Dates
APPROVED DISAPPROVED -- "PROVBD SUBJECT TO ABOVE
Call For Reinsp. k
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loome, . "MIT '11P1.V171
afiiikim"' Moo
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INSPECTION NOTICE
City of Tigard Building Department '
13125 SW Sall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639•-4175 Business Phones 639-b1 1
•
Inspections - ---
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line( `ayp. BG_S' -Neth.
Date Requesteds_�
/ []`%T Times AM PM
Address: / 7>�I �' ���L/) U Permit Is
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Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
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Inspectors-___ Date: �
APPRIVED DISAPPROVED �.-mWPROVED SUBJECT TO ABOVE
Call Por Reinsp.
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INSPECTION NOTICE '
City of Tigard Building Ikpartsent �
13125 By Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/sawlk
Found. Plbg. Top Out Gas Line PINALs
Post/Beam Struct. San. Sewer aming -Bldg.
Post/Beam Mach. Rain Drain Insulation -Ply.
e �
Plbg. Underfloor Neter Line Gyp. ed. -Meeh.
Date Requested: Time:
Address: tp Permit
Builders
THE FOLLOWING 001UMCTIONS ARE REQUIREDs a
�/ S POCi/a!� �� .����✓Si'Z.cy I�� /N�T//.Aiy.1.4 L. I _
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Inspectors
- / Date s
_APPROVED DISAPPROVED <L-- PROVED SUBJECT TO ABOVE
_`Cell For Reinsp.
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INSPECTION NOTICE
City of Tigard Building DepartMont
13125 OR Hall Blvd. Tigard, Oregon 97293
Inspection Line (Rec-C-Phone)s 639-4175 Business Phones 9-4171
Inspection:
Footing Plbi. nderalab ,nec�l Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation - lumb.
a
Plbg. Underfloor Water Line Gyp. Bd. -Hoch
�d Date Requested: /��^ (� 1 Time. ` 4_ "f —PH
Address: (c �/'f L.�� n t'1J1 —IPermit f s 9 y 3
Builders
r TBE FOLLOWING CORRECTIONS ARE REQUIRED:
1
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Inspector: ��- Date•
APPROVED — DISAPPROVED APPROVED SUBJECT TO ABOVE
I
_ _Call For Reinap. E
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- ,, a .,Ip III 11111111p:, - �
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INSPECTION NOTICE
rj ,M�
� a � Ci of T Enildisq
13135 BO Ball Blvd. Tigard, Oregon 97223
inspection Line (Rao-O-Phones 639-4175 Business Phones 639-4171
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Inspwtions
ri Footing Plbq. UnderelabC Noah.. Rough-n Aper/Bdwlk ihwtaT ' �y
#6; —
Pound. Plbg. Top Out Gas Lino FINALS
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Post/Beam Struat. San. Sewer Framing -Bldg. '?
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Post/Beam Koch. Rain Drain Insulation -Plumb. Kiri iir�:'t =r;,,' '"•> 1
+= Plbq. Underfloor Nater Lino Gyp. Bd. -Meeh.
Date Requestods \ Times AM PM
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Addreses , ;� 11 i—Tl\ \ > v +� Permit 1s
Builders \ Z
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t.. TBE FOLLCNING OORRECTIONS ARE PnUIREDs �
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Inspectors '�_ 'y -• Dates
APPROVED DISAPPROVEDPRau ED SUBJECT TO ABOVE
Call Por Reinsp. a�,14, taKA
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INSPECTION NOTICE a �
City of Tigard Buildieq Depart esat }, �
13125 B11 Ball Blvd. Tigard, Oregon 97223 '
Inspection Line (Rec-O-phone): 639-4175 Business Phones 639-411 "
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Inspection: ,���--• 5
,
Footing P1 . Underelab Bch. Rough-ink Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Plot/Beam Struct. San. Bower Framing -Bldg. tI 1
Post/Beam Hoch. Rain Drain Insulation -ply,
2
Plbg. Underfloor Nater Lina Gyp. Bd. -Neth.
Date Raquestods �I /r;) /� d
T1.mes AN pN k
Addreses i1 C
Builder: zv�-1,2
THE FOLIAMING CORRECTIONS ARE REQUIRED: k
_ Jim S 5270 ./ J)._/.
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Inspectors i
a�
Data
APPROVED nISAPPROVED PROVED SUBJECT TO ABOVE
—_—Call For Roirsp. r
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INSPECTION NOTICE
d City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (RNC-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:�
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Footing Plbg. Underslabech. R� o— u�q~n1►ppr/Sdulk
Found.
Plbg. Top outFSNAL:
Post/Bees Struct. San. Rower Framing --Bldg.
Post/Beam Hoch. Rain Drain Inst.lation -Plumb. /
Plbg. Underfloor Neter Line Gyp. Sd. -Hoch. I
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Data Requ:steds 7 Time: AH PH ,
SY
Address: Permit !_!fir_q/ 7 - "
Builder:
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THE FOLLONING CORRECTIONS ARE REQUIRED:
I—LA C_-GJL V
ra � ,
�y\ 4 Girl/ ✓lY G�L� _�j�� '"
CA
inspector:
Dates l
/A'P�PROVEDDISAPPROVED APPROVED SUBJECT TO ABOVE
t �/� V Call For Reinep.
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I SPEC119
_K NOTICE , a
city of Tigard Building Departemnt
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone 39-4171
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' Inepactlon: a�- ��`-4_LcscC;SSL.�"A-.,
Footing Plbg. Underslab M¢ch Rouq -in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
i
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line G Gyp. Bd. -Hoch. I
Date Requesteds/_ 7 / Time: AM PN
f Address: if l� / C ��J YLti Lam. , Permit
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Builder: �s�
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspector: Date: / ` _ 1
AP
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ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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For Reinap.
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jINSPECTION NOTICE T
! City of Tigard Building Department
1 13125 BW Ball_,Z&vd-�L4ard• Oregon 97223
'[nope(\tion Lino (Ra -O-Phone)z 639-ws Business Phones 639-4171
! Inepec�ion: J
Footing Plbg. Underslab Mech. Rough-in Pp dwlk
{ Pound. Plbg. Top Out Can Line /� PINAL:
Post/Beam Struct. San. Sewer (lr—q\� -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLine
Gyp. Bd. -Hoch.
Date Requested: /G' ! �� % T Times AM PH
4�Permit
Buildwrz �
TNZ FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspectors A - 1d 3 r�5
Dates
APPROVED DISAPPROVED APPROVED SU&7ECT TO ABOVE k
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Call For Reinap.
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INSPECTION NOTICE
city of Tigard Building Depertaent i
13125 SW Ball Olyd. Tigard, Oregon 9722.3
inspection Line (Rec-O-Phono)i 639-4175 Business Phone: 639-4171 '
Inspection: --- ---
Footing Plbg. U�ndersl.ab Hoch. Rough-in Appr/Sdwlk
� Found. ` lbq. Top
Out '/ Gae Linu FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Li7_7
Gyp. Bd. -Mech.
Date Requested: LTime: _ AM PM
I d�Address: 36 7 Permit #s 1
! Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector _ - Date /=C
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Rninsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SO Hall Bled. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171 '
44
Inspections _ ---—
Footing r1bg. Underslab Hoch. Rough- n Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
et/Beam Strati ��-- ewer Framing -Bldg.
oet/Beam Hooch —Rain Drain insulation -Plumb.
Plbg. Underfloor Wate Line Gyp. 6d. -Hoch.
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Date Requested: 1� '/ Time: AH PH
Address:
Builders � 7J� � _- �! c�
THE FOLLOWING CORRECTIONS ARE REQUIRE
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Inspector:— ��� ^ =" `� �•�--�..... Date: _
__APPROVED L,1 DISAP/PROVED APPROVED SUBJECT TO ABOVE
1 Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Departeent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone), 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/SdwLk
Found. '+jg, Top Out Gas Line PINAL:
0081-/Beam Struct. San. Sewec Framing 1ldq.
dost/Beam Hach. `6 Rain Drain Insulation -Plumb. �
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
Date Requested, Times _ AN PH
11 _ '
Permit /:
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i Builder: I I' ) rI0 _ :�31Z
THE FOLLOWING CORRECTIONS ARE REjUIRED:
Art
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507
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Inspector:_
_.APPROVED ✓DISAPPROVED APPROVED SUBJECT TO ABOVE [
/Call For Reinep.
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NS EC�TOy dfICE I
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City of T19�' Bull
Tlgard.ori 97223
- 135 Bw Ball Blued. 639-4171 .
Inspection Line (ReC-0-Php1e)= 639-4175 Business Phones
Inspections mech. Rough-in Appr/Sdwlk
Plbg. Underglab
�
Footing FINALS
Plbg. Top Out
Gas Li-se
Found. Framing -Bldg.
Struct. San. Sewer
Post/Beam -plumb. �
Insulation Post/Beam mech. Rain Drain OYp• Bd. -Nech.
Plbg• I
Underfloor Nater Line — AH ----py
111 Times
Date Requesteds�---
--- ask- 0 6 v
-_ Permit 1:__---
Addre6s.
Builder:
CORRECTIONS ARE REQUIRED: r
TPDC FOLLOWING — �—�-- �—_— _ --
55
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Dates
Inspector:
1 /ISAPPROVED APPROVED SUBJECT TO ABOVE
a APPROVED _-- �+.
---Call For Reinsp.
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INSP92–TION NOTICE \
City of Tigard Building Deperfeseot
13125 till Ball Blvd. Tigard, Oregon 97223 ' F
Inspection Lina (Roc-O-Phone): 639-4175 ueineae Phone: 639-4171
r Inspections -A �l(7,•1-
Footing Plbq. Underclab Mec Rough-in Appr/Sdwlk �
Found. Plbg. Top Out Can Line FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Pont Be
Post/Beam/ Hoch. Rain Drain Insulation _plumy,
iI
Plbq. Underfloor Wrater) Line Gyp. Ed. -Necy. �(
Date Requested: (-i L `l 'l, T� �s AH PH 1{
Addreas: I ' �'�C 1 l I \',Vl.� �/r �Y Permit
Builders_ - J VN le;I } �Z
THE lOLLOWINC CORRECTIONS ARE REQUIRED:
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Inspectors
i — Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_ ,Call For Reinsp.
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JNSPECTION NOTICE
City of Tigard Building Department /
13125 SII Ball Blvd. Tigard, Oregon 97223 J
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 71
1 '
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strntct. Sews Framing -Bldg.
Post/Beam Mech. in D n Insulation -Plumb.�`� " V
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Plbg. Underfloor Gyp. ed. -Hoch. .�-' j
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Date Requested: Time: _ AM PM
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Addresstp/_13 3t ,/� h4-7�(�F' D- Permit f s!z tz- �` � C' ■
Builder: ( - ?`11 / 2—(9
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
-- -
Inspector: Dates
APPROVED DISAPPROVED
APPROVED�.... VED f;UBJE.. TO ABOVE
I
_ Call Por Reinap.
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LN�PBCTION NOTICE
City of Tigard Building Dao. t,,M C
13125 BA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Res-O-phone): 639-4175 Business Phones 639-4171
Inspections
Tooting Plbq. Underelab
• Nech. Rough-in Appr/Sdwlk
ound. Plbg. To Out
P Can Lina FINALr �
Post/Beam Struct. San. Sewer
Framing -Bldg.
Post/Beam Hach, Rain DrainT. ,
nsulation -Plumb.
Plbq. Underfloor Nater LineGyp. Bd. -Meeh.
Date Requested:__ L�j I�n -�,
j Times
E Addtese:�'7Ul0l Aln2til
Permit #
Builder:
tta-R FOLLOWING CORRECTIONS ARE REQUIRED: i
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---------------
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Inapectrs �Q -
_ Date:
APPROVED DISAPPROVED
APPROVED SUB,JECT TO ABOVE
Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Departssnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (ROC-0-Phone)s 639-4175 Business Phones 639-4171
Inspections
4\ Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINALS
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbyr. Undsr[lc4r Nater Line Gyp. Rd, -Mech.
Date Requesteds_Z l//_ ( CT ` Tlmes X_/—AM PM
Pb63c)'14-LY ermit
Builders 76y
1'®: FOLLONINO OORRECTION3 ARE REQUIREDs
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__ r4Lti� ��h�A L� d •�i Cl/V /I/�c�4 �--��
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APPROVED DISAPPROVED APPROVED SUBJECT TOABOVE
Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BN Ball Blvd. Tigard, oregoa 97223 1\
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
s:
Inspection:
ting) Plbg. Underalab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb,
Plbg. Underfloor hater L o Gyp. Rd. �/-Mach.
Data Requested: I�
-7 Time: _ AM PM
Address:- ` 3 / Ll4t-eibhj_O LLL Permit /: 7q 0_3 .6(-)
Builder:
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
— � I
1
i -
I Inspect
APPROVED — V DISRPPROVED APPROVED SUBJECT TO ABOVE
._Call For Reinsp.
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r CITY OF TIGARD �PERMIITN#. PERMIT : MST94-030 �
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0B/02/94 )
13125 8W Hall Blvd.Tigard,Oregon 97223 8199 (603)639.4171 �4
PARCEL: 25104CD -HE 1 c4 �
SITE ADDRESS. . . : 1;x867 SW rd1LLSI•dIRE DR
SUBDIVISION. . . . : H I LL_SH I RE ESTATES NO. 2 ZONING: R•-7 r-,D
1 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 124
I
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . ;SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVN-fRS. . : 1
OCCUPANCYGRI"'. :R3 FLOOR DRAINS. . . :0 TRAMS. . . . . . . . .
STORIES. . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . w . . :0 1
FIXTURE5- - --__..._._____._ LAUNDRY TRAYS. . . . . . . I SF RAIIN DRAINS. . . . . : 1.
{
SINKS. . . . . . . . . . : 1 GREASE J'PAPS. . . . . . . :0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . ..0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATLH CLOSETS. . :3 WATER LINE" (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RF,IN DRAIN
Remarks - PATH I
f
iOWNER: ---__.._________._.________.____________ -_____-.-----------
WINDWOOD CONST INC TIF $ 1550. 00 KS 08/02/94 -
{ 6933 SW TIERRA DEL MAR BPRT $ 705. 50 KS 08/02/94 -
i BPLC $ 458. 58 JF 07/21/94 94-254764
BEAVERTON OR 97007 B5PC $ 35. 28 KS 08/02/94 --
Phone #: 644-3657 SSDC $ 280. 00 KS 08/02/94 -
E='Af2F: $ 500. 00 KS 08/02/94 -
PlumbingContractor:------------------ MPRT $ 45. 00 KS 08/02/94 -
MPLC $ 11. 25 KS OS/02/94 -
Name: Y 1y M5P(" $ c. -'5 KS 08/02/94
I Address :- _ � -- ___ 3BTH $ 225. 00 KS 08/02/94 -
i City : State : _ P5PC $ 11. 25 K S 08/02/94 -
Zip:_ _ Phone#:.(,pyf'- , �/ EROS $ B8. 00 KS 08/02/94 -
Reg #: '7/�6j- Additional fees not shown here. . . . . . . . .
� �Y
REOU i RED INSPECTIONS
- ---_-This permit is i.ss,ued subject to the reg--
ulations contained in the Tigard MUnicipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Strutt Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr-/Sdwlk Insp j
in accordarr.e with approved plans. This Plm/undslab Insp Mechanical Final.
permit will expire if work is riot started FILM/Under-floor Plumb Final
within 180 days o1' _ssuanc-P, or if work is Jechani.cal Insp Building Final
suspended for more than X80 days. Plumb Top Out Erosion Control
Fr.aminy Insp Crawl Drain
Fireplace Insp
Gas Line InspInsulation Insp
! x Gyp Board Insp —_—_
p( horized Plumbing Contractor Signature
I C,-.31. for inspection - 639-4175
Contractor Notes :
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CITY OF TIGARD MATER PERMIT
COMMUNITY DEVELOPMENTDET _�, INl' PERMIT #. . . . . . . . MS3T94-�0300
13125 SW Hall Blvd.Tigard,Oregon 97223•B/9II"t 3)D19I 71 DATE ISSUED: 08/02/94
PARCEL,- c:S 104CD•-HE 1 2,-t �
SITE ADDRESS. . . : 13867 SW H I LLSH I RE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . LOT. . . . . . . . . . . . . : 124
_.__....------------------- BUILDING -------•----__
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF' WC)RK. :NEW BEDRMS:3 SATHS:3 GARAGE. . . . . . . . . . :582 sf
TYI•''E: OF USE. . . :SF FLOOR AREAri- _.._.____.___._ REOUIRED SF_TBACKS-•-----_----- /
TYPE OF CONST. : N FIRST. . . . :2091 s f LEF T. . :5 ft R I GHT. :5 Ft
I OCCUPANCY GRP. :R3 SE:COND. . . :981 s f F'RON'T. : °0 ft REAR. . :28 ft
j
STORIES. . . . . . . :c THIRD. . . . :0 sf REQUIRED
{ HE IGHT. . . . . . . . :21. ft TOTAL. _ _.___.__:`s07 5f SMOKE DETECTORS. :Y �
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $: 2081 X15 PARKING SPACES. . : 1
Remarks : PATH I
------------------------------------- PLUMBING
SINKS. . . . . . . . . . : i FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIE G. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : -.1, LAUNDRY TRAYS. . . - I CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATE_11 LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (f-t ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
-_----______-__-- MECHANICAL __._____--•--.__.....__._____..._._..._._.._.__....__..__._ FEES
FUEL TYPES--------------- UNIT HTRS. . :0 type amol.tnt by date r•,ecpt
/GAS/ / ! VENTS . . . . . :0 TIF $ 1550. 00 KS 08/02/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 705. 50 KS 08/0'L2'/94
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 458. 58 JF 07/21/94 94--254764
FURN ) =100K . . : '1 WOODSTOVES. :0 B3PC $ 35. 28 KS 08/02/94
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ x:'80. 00 KS 08/02/94 -
BOIL/CMP ( 3HV-`:0 OTHER UNITS: 1 PARK $ 500. 00 KS 08/02.'94 -
GAS OUTLET'S: 1 MPRT $ 45. 00 KS 08/02/94
Owner-. ----___.______.______..__.-__.___.__.--•---__.____._IhF'LC $ 11. 25 FSS 08/02/94 -
WINDWOOD CONST INC M5PC Q 2. 25 KS 08/ 12/94 -
69331 SW TIE:RRA DEL MAR 3BTH $ 223. 00 KS 0(.3/02/94 -
P5PC $ 11. 25 KS 08/02/94 -
I BEAVERTON OR 97007 EROS $ 88. 00 KS 08/02/94 -
Phone #: 644--3657 ERF'C $ 28. 60 KS 08/02/94 -
Contr•actor-e - - -_.__.____.__..._____---__._______.__ERF'C $ 28. 00 KS 08/02/94 -
WINDWOOD CONST INC
6933 SW TIERRA DEL MAR
BEAVER i i . OR 97007
Phone #: 780-.4375 M
Reg #. . : 50196
$ 3068. 71. TOTAL
This permit is issued subjert to the regulations contained in the ----- REQUIRED INSPECTIONS --- ----
Tigard Municinal Code, State of Ore. Specialty Codes and all other Foot/fol-tnd Insp F ir,eplace Insp
applicable lases. All work will be done in accordance with approved F'ost/Beam 5tr-lict Gas Linc Insp
plans. This permit will expire if work is not starte;l within 180 F'ost/Beam Mechan InsLtlation Insp
� days of issuance, or if work is suspended for more than 180 days. Plm/!rndslab Insp Gyp Board Insp
FILM/Underfloor Haiti drain Insp
i Fer�mittee E3ignxzti-a- _ Mechanical Insp Walser Line Insp
`�'� P1Umb Top OUt Appr,/Sdwlk Insp
Iss _ced By : ,_- --._----_________-.___....._.�__ _._ __-.._...._ Framing Insp Mechanical Final
Call for inspectiurl 639-4175
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SEWER CONNECTION
CITY
OF TIGARD PERMIT
COMMUNITY DEVELOPMENT D P. Fl�•M'• T PERMIT #. . . . . . . : SWR94•-0'274
13126 SW Hall Blvd.Tigard,Oregon 07223.61`t 3)8 .471 DATE ISSUED: 08/0`/94
PARCEL: 2S 104CD--HE 1 _'4
k SITE_ ADDRESS. . . : 13867 SW HILLSHIRE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PI)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 124
TENANT NAME. . . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UN I T'c,3. . : 1
TYPE OF USE. . . . . :SF NO. OF' BU I LD I NGS: 1
INSTALL 'TYPE. . . . :PUSWR IMPE:RV SURFACE. . : : sf
Remarks: PATH I �
Owner:
WINDWOOD CONST INC type
amoi-int by
date r eCpt
6933 SW TIERRA DEL MAR PRMT $ 2200. 00 KS 08/02/94
BEAVERTON OR 97007 -
INSP $ 35. 00 KS 08/0c_'/94 -
�
Phone #: 644--3657
Contractor:
CONTRACTOR NOT ON FILE
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I Phone #:
$ cc35. 0OTOTAL-
-----------------------------------------
Reg #. . :
---- -- REQUIRED 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 flet in P.11 directions from _ _ :h '
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Sewe- Permit and the Agency will install a lateral.
Permittee
Issued B y .
Call for inspection - 639--4175
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e�-n
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 j 1
(503) 639-4171
Jobsite Address:
5 �� c /� 1 Office Use Oniy
Subdivision: . �� { Lot#
Valuation: ,z I
Permit #
Corner Lot? Y
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Reissue of
Flag Lot? Y
Map & TL# •. � s':�� Y C
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Owner: ����i jj(��k�lJ lcJti S/ �n/� — Approvals Required
Address: -3 .�4_� %</t /LIZI`� (�L kfl lei t.
Engineering
Phone: L-- `/y- 6 s'7 7.y0 5' 3 7- Other
Contractor: /� /h �.� Items Required
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Address: Subcontractors
Truss Details
Phone: Other
Contractor's License #
(attach copy of current Oregon license) _
Contact Name & Phone: C),"-a
G `/y
Subcontractors: Architect/Engineer:
Plumbing: �,//n C Address:
Mechanical: Sc+n `t� • /. l L-^'C" ��_,a-� S
(attach copy of current OR Contractor's License)
-
Phone:
i JOB DESCRIPTION:
i
ant Signature I Phone number
Received by: _ _ Date Received:
NAWORIACOMUE`j\RE SAPP
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1 Permit Account Description Amount Amt. Pd. Bal. Due ;
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`yl5fyd U3�� Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
Sate Tax (TAX)
Bldg:
Plumb:
� J
Mech: ✓-
Plan Check (PLANCK)
Bldg: k S k
Plumb:
Mech: z ��
- 6A Sewer Connection (SWUSA) �,2 �° _�2�vU
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _.S a 0
1 �r
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0 ' Storm Drainage Chg (SDSDC)
7 0 5 • 5 + Residential TIF (TIF-R) / r)
2 2 5 + Mass Transit TIF (TIF-MT)
4 5 +
4 8 • 7 8 + Commercial TIF (TIF-C) _
219 . 83 +
2, 2 0 0 + Industrial TIF (TIF-1) _
3 5 + Institutional TIF (TIF-IS) _
5 0 0 +
2 8 0 + Office TIF (TIF-O)
1, 4 3 0 + Water Quality (WQUAL)
120 • +
8 8 + Water Quantity (WQUANT)
2 8 6 +
2 8 6 + Fire District (FIRE) _
5, 9 5 4 • 3 1 * Erosion Cntrl Permit (ERPRMT) A9
0
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) ,u
TOTALS: L
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Y. - $ rr r •f i 1 w � G T
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CITY OF TIGARD
BUILDING DIVISION
RESIDENTIAL PLANS SUBMITTAL
APPLICANT NAME: _ PLAN CHECK #
ADDRESS: PHONE #
DATE RECEIVED: RECEIVED BY:
CHECKLIST (All items must be in packet before plan will be reviewed)
YES NO N/A
1. [ ] [ ] [ J 3 FULL SETS OF BUILDING PLANS (No red line revisions
or tape-ons).
2. [ J [ ] [ ] 5 SITE PLANS (including tax lot and tax map number,easements,
erosion control provisions, floor elevation of garage and main
floor, set backs, drive-way location, north arrow, scale, location
and termination of rain drains, corner elevations, and contours
if over 15% grade).
3. [ ] [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and ;he lot is not flat, revised
drawings are required. No red lines accepted).
4. [ ] [ J [ ] REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5• C ) C ] C l FLOOR PLAN(S)
6. [ ] [ ] [ ] FLOOR FRAMING
7. [ ] [ ] [ ] TRUSS JOISTS (engineering, details and layouts)
8. l l C l C l ROOF FRAMING PLAN (all hips and valley supports indicated
and detailed).
— OVER —
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9. [ j [ j [ ] ROOF TRUSSES (engineering, details and layouts)
10. [ ] [ ] [ ] COMPLETE CROSS SECTIONS)
11. [ ] [ ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12. [ ] [ ] [ ] BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if walls are 8 ft. high or
higher)
13. [ ] [ ] [ ] WALL BRACING (structure must meet table R•402.10, revised
alternate method 93-7, or a lateral design shall be provided)
14. [ ] [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE Si-TALL BE
INCORPORATED INTO THE PLANS. (Attachments must be
clearly legible and fully referenced in the plans).
15. [ ] [ ] [ ] BEAM CALCULATIONS (all beams over 10 ft. in length or any
beam that supports a point load).
16. [ ] [ ] [ ] ENERGY CODE PATH IDENTIFIED
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i DO NOT MAKE CORRECTION IN RED
RED WILL ONLY CAUSE DELAYS
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CITY OF T'I GARD - RECF I PT OF PEVYMENT RECE I P"f NO., t 94—2155 I
CHECK AMOUNT a 594. i
NOME a WINDWOOD CONSTRUCTION CASH AMOUNT ; 0. 00
ADDRESS ; 69:33 SW T'IERRA DELMAR PAYMENT DATE: : 08/02/94
SUBDIVISION
EtFAVE:R'TON, OREGON 97007--
JURI"'USE OF PAYMF'NT' AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM M6194-0300 705. 50 PLUMBINU PERM
ilk.I.::HFINIC:AI_ PF 45). 00 ST. BUILD PER 4b., '7El
PI_,FaW C:HF0.1, FE P19. 83 SEWER USA SWR94-02714 2:x,00. 00
0. 00
13867 SW H I LLSH I RE DR
H I LLSW I RE l.STA1'F S LUT 124
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TOTAL AMOUNT PAID — — — —> 5954. ;:31
CITY OF T I BARD RECF I FIT OF P(4YME=:N'1" RECF IPI Nt-L r 94-2514 764
CHFOK AM110N I' a 250. VJ0
NAME e W T NDWOOD CONSTRUE;T I ON CASH AMOUN T ; 0. 00
ODDRESS a 69:3 SW TIERRA Dt<l_MO11 t'lFlYMLNl' DAIF, a 07/P-1/94
LEAVE RTON, OREGCV 91.1BD I V I8I0N e
a
97,30 7--
OURPOSE OF PAYMENT AMOUN1 I1AID PURPUS1: OF PAYMENT AMOUNT P0411)
! PLAN CHECK FE: 7-58P2 ._.__.._r50.0O. ....«.__r-- --......._._..�..-_._..._._._ _ _.,.._._._.._.__.._.�.
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3 I i I LLSH I RE ESTATES LOT 124
101'AL. AMOUNT PAID — — - ) 250— 00
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