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INSPECTION NOTICE V N 1 1
City of Tigard Building Department
ha MR,-J y 13125 BW Ball Bled. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
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Post/Beau: Mn::. Rain Drain Insulation --Plumb.
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Date Ruquestede 7/I � nE r 1
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—TL—: AM PM
Address:
Permit 0:17
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Builder:
THE FOLLOWING CORRECTIONS ARE REQt?IRED:
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Date: ' j!� ,�••
APPRM9D / +; +
DISAPPROVED (/ APPROVED StlBJECT TO ABOVE °
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JNSPECTION NOTICE ;.
City of Tigard Building Depart—t
13125 im Hall 91vd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41.75 Business 'hone: 639-4171
Inspections__ —-
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Footing Mg. Cnderalab Mech. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gas Lina FINAL:
Post/Beam Btruct. Ban. 8aaarfrariag -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plb-,. Underfloor Nater Line Gyp. ed. -Hoch.
Pate Requestedi� _ _TimetAM —PM
Addreess S .G , —_ Permit f:
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: -�- � , — Dates
.:PPROVED DII&PDROVED _ _ APPROVED SUB.TECT TO ABOVE
Call For Reinsp.
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j INBPECTION NOTICE
City of Tigard Building Departaant
13115 M gall Bled. Tigard, Oregon 97223
Inspection Lina (Rae-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
looting hlbg. Underalab Hoch. Rough-!n Appr/Sdv{lk
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Found. Plbg. Top Out Gas Line
Post/Beam structs Ban. Sower Framing 1 /-nld9•��/1�`
Post/Beam lieoh. Rain Drain Insulation -Plu� �� +
Pibg. Underfloor Nater Line Gyp. Ed. -Mach.
Data Requesteds _ /J �7 Time: _AM PK j
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Addrea■s � l �/ Permit is ��U
' Builders
THE FOLLOWING OORAECTIONS ARE REQUIREDs
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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INSPECTION AOTICE
City of Tigard Building Departeent
13125 SW Hall Blvd. Tigard, Oregon 97273
Inspection Line (Rec-O-Phone): 639-4175 BuBinesa Phone: 639-1171
Inspection:
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL: I
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Rech. Rain Drain Insulation -.Plumb.
Plbg. Underfloor Water Line gyp. Bd. -Hoch.
Date Requested:--- --- __PM
Addroee:
_--- Permit --
Builder:
THE MLLOWING CORRECTIONS ARE REQUIRED:
Inspecto : _—_- Date:
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—._APPROVED DISAPPROVED APPROVED SUBJECT 1O ABt":es
---Call For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 97223.8199 (503)834-4171
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CITY
m (� T13125 Sw Hall Diva. PLNCK/RECT #CITY' OF 1 IG 11�L/ PERMIT
COMMUNITY DEVELOPMI?N-I'DEPAI2TMEN"I' � (503) `�'7�
(503)639-4171 OATS ISSUED
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J06 ADDRESS: 5.zy//✓/ // —
TAX MAP/L0T °1,��c,2 t?15 --(3G/n•�
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SUB: ./ vii �/� lLOT: ---- LAND USE:
t' OT I ON:
OWNER
SPEC:AL_NOTES
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REISSUE OF:
NAME: (` —
ADDRESS: _ 130. S �J L1�L� S -- LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
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ON { ' ' APPROVALS-REQUIRED
T0 Uf� rPLANNING:
NAME: f; rl�
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� ENGINEERING:
ADDRESS:
,1.1) `� FIRE DEPT
PHONE: `� S L) S V �— UTHER: — --
CONTR. BOARD #: "Z EXP DATE:
ITf_MSREQUIRE
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTURS:
MECH: _ -- BUS TAX: —
ARCHLENGINEER CALCULATIONS: _ I
NAME: -" _ _ _ TRUSS DETAILS: --
ADDRESS: _-- OTHER:
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PHONE: _
PROPOSED BLDG. USE:
COM14LNTS:
PLIC NT SIGNATURE
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Rec4ived By: Date Received: _
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PERMIT # ACC H DESCRIPTION AMOUNT j AMOUNT fi. BAL. DUV
10-432 00 Building Permit Fees
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10-431 00 Plumbing Permit Fees
10-431 0' Mechanical Permit Fees I
10-230 Ol State Building Tax (5%) " ' ' ■
Building
Plumbing ■
Mechanical I
10-433 00 Plans Deck Fee /
Building
Plumbing
Mechanical
10-230 Ob Fire _.
30-202 00 Sewer Connect'+on
:�,0-444 00 Sewer In.;pection
25-448-02 Commercial TIF Fees
a. 25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
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25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (I'UC) _
31-450 00 Storm Drainage Syf.t: hev Chrg �.
(SSDC)
2.4-445-01 Water Quality (Fee in lieu of)
24-445-02 Wager Quantity (Fee in lieu of)
TOTAL
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CITY OF T I GARD - RECEIPT OF PAYMEE•NT RECEIPT NO. a 93-2.42758 �!
CHECK AMOUNT a 46. 73
NAME BURBANK, ROGER CASH AMOUNT 0. 00
RDDRESS a 9051 SW HILL STREET PAYMENT DPTE a 07/29/93
T I LARD, OR SUBDIVISION a
PURPOSE. OF PAYMENT AMOUNT PA ID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM MS-r,33--0422 44. .=x+7+ ST. BUILD PER
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TO'CAL AMOUPII PATV - — —> 46. 73
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CITY (IF TTGI�rtI) - FlCCEIF'T OF PAYMENT CHECK
NO. :93--2,42.497
C HECI! AMOUN`r 28. 93
CASH AMOUNT V1• L40
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BURBANK, ROGER PAYMENT DATE: t 07/P1 /93
I"DDRESS SW l I 11._l_ ST SIJDr)I V I G ION t
TIGARD, OR
1,tjRpOSE OF F'AYME NT AMOUNT PAID PLJRF'flE-,E OF PAYMENT AMOUNT VOID
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28. 93
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OTAC.. AMOUNT PAT U ca. 93
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