13569 SW MOUNTAIN RIDGE COURT yr
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nSYBCTION
C:lty of Tigard Bulldinq D-197�23
1]125 SII Uall Blvd. Tigard, Oregon
Inspection Line (Qec-O-Phore)t 639-4),75Businaee Phon': 639-4171
Inspection:___ __ A r/Sdw
Mach. Rough-in PP lk
Flbg• Dnderslab
Footing
Top Ga: FINALS
Line -- ',
F lbg. Out-. -
Found. _Bldg.
Framing / l
QJ Sewer
PoetPost/Dean, Struc.t. San. insulation)
-p1i�•
Rain Drain In .,••
Post/Beam Mech. h•
Uyp. Bd.
plbg. underfloor Nater Line PH
1 7 � Timef n [ h
Date Requested: !� 2-
JCJ
Permit It
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Addreses
Builders-
TRZ FOLLOWING OpRRgCTIONS AAE RR9DIRRDt
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Dentes L=-
Inspectors _
DISAPPROVED APPROVED SfsBJECT TO A80"
I►..PROVED ____._ _�.-._
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Call For Reinap.
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CITY OF TIGARD
CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 87223.8199 (503)839 4171 f�� RM T'1 fk. . . . . . . : M31'_► 0Gc8'
DATE ISSUFOc 06/25/9-3
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PARCCL s L_'S I OIJAB-0 600
SITE ADDI,E:SS. . . r 13569 SW MOUNTAIN RIDGE: C`i"
:SUBDIVISION. . . . x THNE:'r. 14C11JNTf-1IrJ fr; 'TATE:S ZONINO'aR-7
LA1..0c,I.. . « . . . . . . . z LOT. .. . . . . . . . . . . . 019
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CLnbG O." WORK- A NE:;W
TYPE Ur" USE— . i SF
Or.'XUPANC:Y 13RP. ::133
OCCUPAWY LOAD 1229 4
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tENONT NAME— .
Rewsar^1« a F"OTH r. OTRE:E'l OK.:NINIG r1r'RMI T REWIRED
Owner _ ..._....... _.. ._....
DE ON ADK I N5
71 7 4 OW L.J hIC:.'T1 E
E ELAVEP ON OR 970111,
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�..crtltr"�rct,ura .._. ._,.._. .. . . . ._..,.._.. ... .. __ .._ _. ..._..... ._...
HAROLD COOPER
COOPER MANUFAC.'TUR114B L'.,C).
65140 SW f L..F RE:D
'r I GARD OR 97r_'23--00012Ca
Phone, #i ` 03 -r 46 r'0ti i
Reij M. . o 28545
11ccmpa.ncy of the above referonred building is here-by given, arld UerE i f'i e—
the oompJiavice with the State Of Ur•eq�m SpeciaJty Cocii�s for the group,
ucca.lparnr:'y, ar►ci u4c, uIlder whir,1hr the reforomcod pprmit wrmc> ieieued.
F I Rt= DEPARTMENT
N? F►L1'11 ►'!F�1pi I IA-
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f-''Mil IN `3f'-'ICUr1LJS PL.AC;E,:
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INSPECTION NOTICE
city of Tigard Building Departaent
r 13125 4w Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phones 639-4171
��a$k Ins!- ^tions
aps`ly;. Footing Ploy. Underslab Mach. Rough-in Appr/Sdwlky
's
r @yds Found. Plbg. Top Out Gas Lina PINAL:
ti M�as ung' r
{� ' { r Post/Seam Struct. San. Sewer Framing
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Poet/Beam Mach. Rain Drain Insulation -Plumb. a,
Plbg. Underfloor Water Line Gyp. Bd. -Meeh. k
Date Requesteds h 2 F3 Times 11N —_,PN
Addresas ��5 C� / / Sj_+1� Permit #t iar
,II{
Builders
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i TBE FOLLOWING CORRECTIONS ARE REQUIRSDs
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i Inspectors— Dates 11 S..
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APPROVED DISAPPROVED /--'APPFOVFD SUBJECT TO ABOVE
Call :,r Reiner.
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IN-: ,TON NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-o-Phone)c 639-4175 B+ ainees Phone: 639-4171
Inspection: -- --�--- --�- --,
Footing Plbg. Underalab Mach. Rough-ir. Appr/Sdwlk qw
Found. Plbg. Top Out Gas Line FINAL:
i
Poet/Beam Stroct. 'Jan. Sewer Framing -Bldg. �'=c
i
Poet/Beam Hoch. Rain Draln Insulation -Plumb.
P1l.g. Underfloor //'' ''Natter Line Gyp. Bd. L 1
Date Requenteds__J�L�� 7 : 77- Time: AN PN
Address, "VeYmit
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Builders_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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SMBp 'ors
APPROVED DISAPPROVED __/APPROVED SU&rffCT TO ABOVE
Call For Reinsp.
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! � `r INSPECTION NOTICE
1, city of Tigan Buildlaq Dnmrtaent
13125 SN Hall Blvd. Tigard, Oregon 97223
Ineaection Line (Rec-O-Phone)s 639-4175 Buainear, Phone: 639-4171
Inapectian,
Footiny Plbg. Underelab Hoch. Rough-.in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
POat/Beam Hoch. Rain Dra).n Insulation
Plbq. Underfloor Nater Line Gyp. Bd. -Mach.
Data Roqueatedt / W ! `i_ T Time: AM PM
Addreess:.._ )� l/'' �`1�i�f=/� „1 c , iPerenit is '`� ..�12 y V
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
LA
ley
fvt..cr dLde��'t k-/Z.L_- CfC.t.iCJs�C�`�/ .•1..a.. /4�h"��.
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fpectoraDate:_ _
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APPROM !k DISAPPROVED APPROVED SUBJECT To ABOVE ,
11 For
Relnapf
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NSPP.cON NOTICE /
City of Tigard Building Department
13125 SII Ball Blvd. Tigard, Oregon 9722:f
Inspe^.tion Lire (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out bas Lina FINAL!
Poet/Ream Struct. San. Sewer. Framing -Bldg.
Post/Beam 14nch. Rain Drain insulation -Piumb.
Plbg. Underfloor Nater Line Gyp. Bd. Koch,
Data Regursted:__ _ Time= AM rM
9 a -
Addreset 7`
Permit 1:
Builder: i' , 1'ren 1 )
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In•p+ctcrs �!a Dates
APPROVEDDISAPPROVED - APPROVED SUBJECT To ,RBOVE
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,Call for ReLnep. r;I(S(��'-
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city of Tigard Building Departirmt
13125 SW gall Blvd. Tigard, orwgon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phones 639-4171
Inspections LL
Tooting Plbg. Underslab Mech. Rough-in Aprr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rein Drain
Insulation -Plumb.
Plbj. Underfloor Water Line Gyp. Bd. -Koch.
l
Date Requested: (t i Times.'PM
/�
Address:� 'i 5 �% �•7 L?�ri:- � Permit 1:
Builder:
111 FOLLOWING CORRECTIONS ARS REQUIRED:
Inspector: Data,
APPROVED DISAPPROVED __VAPPRUNED BUBJRCT TO ABOVE
I
Call For Reinsp.
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.•.'+'•"1rA+�/.*'�iMnrn.'^RKwnT..e..-.pa•i.�... �q -...... ��F . ._ r'_T_...-. _. .
APPLICATION - STREET IMPROVEMENVEY.CAVATION COPY TO:
ORDINANCE N74-14 X) (WHITE)-FILE
O• R) (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) 91 (PINK)-OTHER AGENCY bldg.'
i 11CI (BLUE)-APPLICANT
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APPROVED [J9t' APPLICATION NO.: a 7B _
NOT APPROVED ❑ CITY OF TIGARIP, OREGON FEE AMT.: S� 33.60 j
PENDING FEE. PMT. ❑ CI'l N' HAIJ, RECEII' Q�[/fjp—a C1�—,z 4j OS7 p
PENDING SECURITY p PUB!_IC WORKSDEPARTME•NT BY ..fir _1 — DATE
PENDING AGENCY ''OK'' ❑ Application and Progress Record M — —
MAINTENANCE BOND x
PENDING INFORMATION J FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED i
ANNUAL
PENDING VARIANCE_ ❑ EXPIRA IO DA
I
PERMIT NO.: i>�" "` 3 DATE ISSUED: _��-93 , 9Y:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ �� <=r t _ _, de-W91k &_Drivew�
--�I ai __ _ -_ AS DESCRIBED HEREIN, IN FULL ACC_URDANCE WITH CITY REQUIREMENTS.
APPLICANT Hacold Cooper 6560 S.W. AlfckKKJ :'iclprC�, OR 97?.23 246-2051 {
ADDRESS - CITY—.--_.___.. PHONE
CONTRACTOR-- - saltle3
NAME -_� _.-.-.--_.--- - _-'- CITY -._,..�___._�_ PHONE
ADDRESS
PLANS BY __ Per City Standards & Sped)IS Atiull_a �•;�� j
NAME ADDRESS ----'-•� CITY /1•IVI`IE ._.�__
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 840"00
OLLAR _
-----------------
DS
POROFFICE USE: _ MIN.
(2) EXCAVATION DA•1 A: 204 X s Kon=�_
STREET _ DESCRIPTION PR1 GRE.SS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED
TYPE LENGTH WIDTH DEPTH ITEM ITEM DATE REMARKS/TYPE BY
& QUANTITY
STREET —
PENED
Mol.ultain Ri. ya Cuurt - see ittach d _ INSP C-
R TION
W
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ESTIMATED STREET OPENING DATE:
S
ESTIMATED STREET CLOSING DATE: T
E
(3) SECURITY NO.
_ SECURITY AMT.: S 84()•` 0 STREET
_.__.
CLOSED
SURETY CO.: _ FINAL
� �CHECh CASH O BOND INSPEC.
(4) PLOT PLAN: INDICATF SITE PERTINEi4T PHYSIc:AL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. I . Notify ltls[Jector Letha Thomas
24 I I SITE: S.W. Mountain Ri a �t
work. rs• ore a«ac ny
I I 2. All work shall conform to City
work areal 1 I 1 8 & specitications aW tu
attar-tied c„W i es of three M e r: _
uR - �/ — . _ P~- - _� _ bubdivi.si.on details.
n 411j. tl �e.°' F11
re-
DTP
S. W. MOUAIN_RIDGE 4. Traffic control nl3ut be provided
or by contrhator.
Erosion control must be p or Lv�ded
I ( I I FV cotir-racror.
�s:�-tom_.-__.�_.,-„--�.a.,�,,- .•...«-�-s�,�_ ,.. - - _ --_- _ -_ ,- ,
(5) NOTE. THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF•WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
I
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAN” RESULT FROM APPLICANTS ACTIONS.
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APPLICANTS SIGNATURE: yr
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DATE
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INSPECT JN NOTICE '-
City of Tigard Building Dspartaeant
13122 SK Ball Blvd. Tigard, Oregon 97223
Inspectf.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-41'71
Inspection: -- _ -- ---
Footing Plbg. Underslab Hoch. Routh-in Appr/S:twlk
Pound. Mg. Top Out Gas Lire FINAL:
Post/Beam Stcuct. tall. d Framing -Bldg.
Post/Beam Much. Raiff Drain Insulation -Pl%mb.
Plbq. Underfloor Wat*r7 Lina, Gyp. Bd. -Meeh.
Data Request-alt f p '`7 Time:
Address: --- GZPrrmit f s!ll
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Builder.:_
THE FOLLOWING CORRECTION'S ARE RRQUIRED:
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Inspector
rAPPROVED ^zflAPPROVEC APPROVED SUBJECT TO ADM
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Call Fc r Reinep.
MENNEN
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SPPLrTION NOTI(7E
City of Tigard Building Department
L3125 ow Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspoctions____ _
Footing Pl.bg. Undernlab Hoch. Rough—in Aprr/Sdwlk
Found. Plbg. Top CK t Gas Lino F1NALs
i
Post/Seam Struct. San. Sewer 1Pr4&Ln9 -Bl6q.
Post./Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line �_ Gyp. Rd. �1 -Mach.
Date Reque/sted• / �-j Time: AM PM
Addres s s � c� rmit #t` J�
2 ' G
Builder:
THE FOLLONINO OORRECTIONB ARE REQUIREDs
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Inspectort_... Date:_ ! J
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__APPROVED DI/SSAAP/P}1OVED APFROVED SUBJECT To ABOVE
Call For Reinsp.
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s4�+y,Ml�' s`��n�k yl, � , �• ...�_,,.,,,,�,,,,a,,,,,,�„y. r,l.. i}, oa,', T{iY'. i,
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INSPECTION NOTICE
City of. Tigard Building Depaztaont
13125 SW Bell Bled.. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Duoineas Phone: 639-4171
Inspection: ___
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Frntnd. Plbg. Top Out Gas '.ins FINAL:
Pont/Beam Struct. San. Sewer / Framing / -Bldg. ew
Pont/Bozm Hoch. Rain Drain Insulation Plumb.
P.lbg. Underfloor Natter/ Line Gyp. Rd. -Hoch.
Date Requested: �~�" (C7 Times AMPM
Address: --? � r ��/ .�r ��ll.�' /Persalt it
Builder:
THE IiMA41WING CORRR.:T?ONS ARR REQUIREDs
Inspector: - ----- — - -__��.—. — Date:
„_APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE i
Call For Reinep.
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INSPECTION JOTXCE
City of Tigard Buil ding Departmont.
13125 S11 Bal.l Blvd. Tigard, Oregon 97223
Inspection Lyne (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk j
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam 3trvcL. San. Sewer Cfraining �. -B:dg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water I Gyp. Bd. -Hoch.
Date Requested: + �> Time: AM _Lm
Addresst� ,`� �� / C' Permit e: � U
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Builder
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inek+ector: Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE Z- f
City of Tigard Building Departuent t
13125 SM Hall Blvd. Tigard„ Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 '
Inspection:
Footing Plbg. Underelab Mech. Rough-in Apic/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet-./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloory/ Wat r 1. no Gyp. Bd. -Hoch.
Date Requeeteds_ ! / Time: —&—AN __PH
Address_ �_ T`� `, } Permit is
Builder: 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
1-7
4
Inspectors —--- - __ Date-
APPROVED
ate-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rel,nap.
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11 1 1 1111 1 11 111101
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INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
1
Inspection:���,
Footing Plbg. Underelab C Fisch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line @INAL:
Poet/Beam Struct. San. Sewer <Framin
.1�/� _Bldg.
Poet/Beam Mech. Rain Drain Insulation -P1::mb.
Plbg. Underfloor Water Line Gyp. Dd. -Hoch.
Date Requested: / �/ /�� __Time: �/ -AM x p_c�PH
Addroee: f_3.S 1479 ' �-,Purmit A �-�/ /�' ����0 /
Builder: c �� I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: �— Dates
_______APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departmea,r
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. �YPlbg. Top Out Gas Line FINAL:
Poet-/Beam Struct. San. Sewer Framing -Bldg.
Poet Seem Mech. Rain Drain Insulatlun -Plumb.
Plbg. Underfloor. Wa a Line Gyp. Bd. -Hoch.
T
Date Requested Time: _ _AM _PM
Address: � " �� «het ?`yam/rrsait s� —
Builder: 1 (�
THF. FOLLOWING CORRECTIONS RF. REQUIRED:
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Dates
Gar I / APPROVED DISAPPROVED
APPR(riILD SUBJECT TO AFfOVE
Call For Reinap.
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INSPECTION NOTICE
city of Tigard Building Department lP
13125 SK Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspection:^_ -- --
Footing Plbg. Underslab Mech. Rough-in Appr./Sdwlk
i
Found. Plbg. Top Out Gas Line FINAL:
l
Poet/Beam Struct. San. Sewer Framing -Bldg.
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Poet/Beam Mech. ( Rain Drain Insulation -Plumb-
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ -ZL�.�
Address: �'J (C� / �ermit 1:
I
Builder i i ---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect./* =Data r.
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE I
Call For Reinsp. f
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CITYOF TIGARD PLUMBING PERMIT
,=Y-O—MP
FTRD� EM
RIT #. . . . . . . ms-T,92-o2aq
COMMUNITY DEVELOPMENT DEPARTMENT onooN +o
13126 SW HWI 8W. P.O.Box 21397,71giud,OragDn 97223(SM)6394176 DATE 1 S S U E D: 01/21/93
SITE ADDRESS. 13569 SW MOUNTAIN RIDGE CT PARCEL: 25109AB-0.2t,00
SUBD I V I S I(11\1. . . . THREE MOUNTAIN ESTATES ZONING: R--7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : .19
CLASS OF WORK. . NEW GARBAGE DISPOSMLS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFL OW PREVNTRS. 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . 12 WATER HEATERS. . . . . . : I CATCH BAS114S. . . . . . . :0
FIXTURES-------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . ol GREASE TRAPS. . . . . . . k-'l
LAVATORIES. . . . . ..4 OTHER FIXTURES. . . . . .0
ILIB/SHOWERS. . . . -. SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : I RAIN DRAIN (ft) . . . . :0
Remarks: FIATH I STREET Of-',LNING [DER1,111 REQUIRED
OWNER: ----------------------------------
DEAN ADKINS TIF $ 1460. 00 JH 01/13/93 -
e'114 SW LINETTE LAVIRT $ 525. 50 JH 01/13/93 -
BPLC $ 341. 58 JLH 11/25/92
BEAVERJUN OR 97007 BSPC $ 26. 28 JH 01/13/93
Phone #- SSDL $ 280. 00 JH 01/13/93
PARK $ 500. 00 JH 01/13/93
MPRT $ 45. 00 JH 01/13/93
MPLC $ 11. 25 JH 01/13/93
Name : M5PC $ 2E'. 25 JH 01/13/93
Address.-
. -94440 &,,kL Aa PPRT $ 155. 00 JH 01/13/93
C i t y . __—St a t e P5PC $ 7. 75 JH 01/13/93
Z i P: Phone#:
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REUUIRED INSPECTIONS
this permit is issued subject to the req-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam 5)truct Water Line Insp
other applicable laws. 011 wort( will be done Post/Beam Meehan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if' work is not started FILM/Underfloor Plumb Final
within 180 days of issttavir-,e, or- if work is ly1pr-hanical. lnsp Buildinq Final
suspended for more than 180 days. Plumb TOP ChAt Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
InSL(latiOn Insp
Gyp Board Insp
--c� or Signature
A Lt t tq10 ri,z--elumbi t-,na- tt-(tr
Call for inspection 639-4175
Contractor Notes e
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ti'rjy INSPECTION NOTICE
* ' pY city of Tigard Building Depart=""
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s �a4 13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Buuinese Phone: 639-4171
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Inspections
-Footing �� Plbg, Underslab Mech. Ror.sgh-in Apnr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL=
Poet/Beam Struct. San. Sewer. Framing -Bldg.
i
Poet/Beam Mech. Rain Drain Inoulation -Plumb.
Plbg. underfloor Water Line Gyp. Bd. -Mech.
Date Requestede _ TimesAM PM
Address:
/. � � �yy// Permit
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THE FC•_:JWIN- CORRECTIONS ARE REQUIRED: j
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Inspector: — --fC-- Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITYOFTIFARD
COMMUNnY DEVELOPMENT DEPARTMENT �e TWI� MA5 l E R PERMIT t •
13125 SWFWISW P.O.Baa 23377,TipM,Orpon77223(603)&V4175 PERMIT #. . . . . . . . MST9e-0289
C�39 41 71 DATE ISSUED: 01/13/93
SITE ADDRESS. . . : 13569 SW MOUNTAIN RIDGE CT PARGELs 2S109AB--02600
SI.JBDIVISION. . . . a THREE MOUNTAIN ESTATES ZONING: R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 119
BUILDING -_.-_________.__.____. __.__...__._.___._____.-•---___. _
REISSUE: DWELLING UMTS: i BASEMENT. . . . . . . . 1560 s f
CLASS OF WORK. A NEW BEDHh15:3 BATHS:3 GARAGE. . . . . . . . . . t572 s f
TYPE OF: USE. . . :SF FLOOR AREAS------------ REQUIRED
j TYPE CIF CONST. :5N FI RST. . . . s 1,323 s f LEFT. . .-5 ft RIGH T'. : 10 ft
[OCCUPANCY GRP. cR3 SECOND. . . .- 1280 sf FRONT'. :20 ft REAR. . :70 ft
I
STORIES. . . . . . . ..2 THI RD. . . . :0 s f
HEIGHT. . . . . . . . :29 ft TOTAL------x2603 sf SMOKE DETECTORS. sY '
F1_OOR LOAD. . . . :40 psf VALUE. . . . . i s 136642 PARKING SPACES. . s 1
Remar-F(s: PATH I STREET OPENING PERMIT REQUIRED
PLUMBING
B114KB. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLUW PREVNTRS. . s0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRNPS. . . . . . . . . . . . . . Ilb
} TUB/SHOWERS. . . . 23 LAUNDRY TRAYS. . . a 1 CATCH BASINS. . . . . . . 10
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHE:RS. . . . a i MATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE D I SP. . . : 1 RAIN DRAIN (ft) . .0
WASHING MACH. . . : 1 SF RAIN DRAINS. . c 1 '
__.•_____._.____._,_____ MECHANICAL -.__.__.______._ ________..___.._____.,_________.. FE-ES -__-_-____.__._
FUEL TYPES------------ UNIT HTRS. . 90 type amount by date recpt
/BAS/ / / VENTS . . . . . :0 TIF $ 1460. 00 JH 01/13x/9:3 -
MAX INPUT:O BTU VENT' FANS. . :4 BPRT $ 525. 50 JH 01/13/93 -
FURN ( 100F( . . :0 HOODS. . . . . . : 1 BPLC $ 34.1. 58 JLH 11/25/92
FURN )=100K . . : 1 WOODSTOVES. :O BSPC $ 26. 28 JH 01/13/93 -
FLOOR FURN. . . . :lb CLO DRYERS. : 1 SSDC $ 280- 00 JH 0.1/13/93 -
BOIL./CLIP ( 3HP-0 OTHER UNITS: 1 PARK $ 500. 00 JH 01/13/93 - T
GAS OUTLETS: 1 NPRT $ 45. 00 JH 01/13/93 -
Owner,. _______.__..._.._...__.__.._..__.______---..._..__HPLC $ 11. 25 JH 01/13/93 -
DEAN ADK I NS M5PC: $ 2. 25 JH 01/13/93 -
174 SW L 1 NET TE APRT t• 155. 00 JH 01/13/93 -
P5PC $ 7. 75 JH 01/13/93 -
BEAVERTON OR 97007
Phone #a
Contractor:
HAROLD COOPER
COOPER MANUFACTURING CO.
6540 SW ALFRED
TIGARD OR 97223-0000
Phone #: 903--246--2051
Reg #. . 2.R_545
f 3::54. 61 TOTAL
This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS --- --- -
Tigard Municipal Code, State of Ore, Specialty Codes and all other Foot/fomnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam St ruct Gals Line Insp
plans. This permit will expire if work is not started within 188 Post/Beam hlechan InSLIlation lnsp t
days of issuance, or if work is suspended for more than 188 days. Plm/l.md i lab Insp byp Boat-d Insp
PLM/UnderF1oor^ Rain drain Insp i
Permittee Signatl_1re :' _� ��9echanical Insp Water, Line Insp
Plumb
'Top Dirt A ppr/Sdwll< Insp
T s,3 1_I e d N v s . _._._._ F r a1 m i n g Insp ISI e c h a n i r-a 1 Final
s:
Call far•• inspection - 639--4175
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CITYOFTIGARD CITY OF SEWER CONNECTION
41b74
mn
COMMUNITY DEVELOPMENT DEPARTMENT 000« PERIhT
13126 SW FW I Blvd. P.O.PAN 23397,nqW.Orpon 07223(603)&10-4175-4176 RD T"
PERMIT #. . . . . . . : SWR 9&_-0;3 7 6
639--4171 DAI'E: ISSUED: 01,113/143 1
SITE ADDRESS. . . : 13569 SW MOUNTAIN RIDGE CT PARCEL: 2E;l09AB•-0c'600
SUBDIVISION. . . . : THREE MOUNTAIN ESTATES ZONINGS R- 7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 19
TEhIAIVT NAME":. . . . . :
USO NO. . . . . . . . . . : FI X TURF UN I T'S. . . :
CLASS OF WORK. . . :NEW DWELLING UN I T5. . : 1
l'YPIE OF USE. . . . . ..SF NO. OF BUILDINGS. 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf �
a
Remarks: PATH I STREET OPENING PERMIT REGUIRED
Owner,. __.__.__.__.________.__.._.___.__.___________._______.__ FEES
DEAN ADKINS type amol-Int by date recpt
7174 SW LINETTE 1DR11T $ '100. 00 ,a 11 01/1.3/93 --
I l\JSP $ 35. 00 JH 01/13/93 -
I3EAVL-R 1(:.11\l OR 97007
P'hune #:
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CONTf4it-TOR NOT' OIV FILO-_'
--------------------------------------
r-'hone t1: $ 2135. 00 TOTAL
Re_y #. . .
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------•--- RE UU I RED 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 Agency will install a lateral. ____ �•�___�_.__�__. __.___�_._.. .�. __
r'c'r•mit;-Lee c;i y n a t�_I r,e,: _..__ __. _._...___.___ ._._
T ,sr-Ied Vy : __-
Cal fur inspection _ 639--4175
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CITY
�3izsSw Hall awe. PLNCK/RECT #Or TIGARD Box 23397 PERMIT N �l- O �
COMMUNITY DEVELOPMENT DEPARTMENT 'Iigad.Oregon 97V3 ! �—
(503)639-4171 DATE ISSUED
T-
JOB ADDRESS: TAX MAP/LOT _2 S O -!���o o U
SUB: T jrn
I� LOT: /9 LAND USE:
VALUATION:
OWNER SPECIAL NOTES .,
NAME: ),! /A =�C ,� �w S _ REISSUE OF:
ADDRESS: 2/ 2'(zz J C�(,� /a/YN, �I N _ LAST REISSUE:
i
`%70Q -� _ FLOOD PLAIN/
PHONE: SENSITIVE LAND: _
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CONTRACTOR APPROVALS REQUIRED
- �•' p c{ C�� PLANNING: ___ —__--
NAME: :. - — �
ADDRESS: ENGINEERING:
-4� C S ��� �.�ik'N _ ENGINEERING:
f_ FIRE DEPT: _
S` / OTHER:
PHONF; -_--�-� cam. _ -.a - --- - — —
CONTR. BOARD #: a _?S� Y5 EXP DATE:
�/ - 1 r'1•', ITEMS�REQUIRED
SUBCONTRACTORS: PLUMB: i ������ E%1�� �h LIST/SUBCONTRACTORS: —
MECH: 7 BUS TAX: _
ARC ENGINEER C.(l�L � ' CALCULATIONS:
NAME: </,!? i?N, % TRUSS DETAILS:
ADDRESS: _ _ OTHER: _
I PHONE:
PROPOSED BLDG. USE: �,� E' �Cj� C"• r' C.... ( ' _- —
COMMENTS: —�,E hl SZeEEl' n9—at A)v
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APPLICANT SIGNATURE
Received fay:` Date Received:
. s
PERMIT # ACCT # DESCRIPTION AMOUNI AMOUNT PD. BAL. DUE
br,'9 10-432 00 Building Permit Fees _1�5, 'u �~ 1S1251S0
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5q) ��(o•Z� — -3�"-�
Building
Plumbing _ -7, )S
Mechanical
10-433 00 Plans Check FeeY3 2,
Building '
Plumbing
Mechanical Z,Z�
10-230 06 Fire �--
;u,Ry 30-202 00 Sewer Connection od
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees _
25-448-06 Institutional TIF Fees
25-448-33 Office TIF Fees _
25-448-01 Residenti;J Traffic fees /� S7J _ 135 u
25-448-05 Mass Transit TIF Fees / CJ_ -ZZ-C)-
52-449 00 Parks System Dev Charge (PDC) S
J1-450 00 Storm Drainage Syst Dev Chrg
(SSOC) y
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL
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nm/3587P.WPF
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3 C.I T Y OF: TIL-44PD REC Ir.'T OF PAYMEN i RU'E..IP i NO. t 93—e:'3554vi
f;h 1-'. ' nMIJUNT a "52':3'j. 61 ; ,
NAME:: t COOPER, HAROLD C„p- Ai f=)MCrt i,4 F r 'i�. 00
ftl)DRE SS) s PAYMENT DATE" a 01 ! —'9 3
1=LJtiF�IJSF OF Pfi'r 4 FIT G�MR')1.11`I r f"�A I I) 1'I.1l�lF-'�L)St.'' t_II"' IDAY1�EN'T AMCA-11, FTi i D
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PERM 1.'i'._�.YGI0
1 It CHANIGAL PS': 4`5, 0 cJ. HL ILD PER 36. .:".3 I AN CHECK, FL 10; « 8:71 '31-114LP LIGA ;'100. V,O
i Wt~R IWIXIEnC1T :t;b. ON r-'WF21iS C'i1)C:; 51117. 00 I ;
r)FZM FiRF1IN ` C)i:: .t31« 11112) 131:SIDFATIfll._ TPAFr`IC" F'RES 1.135110. 00 i r
liIS:ri 'TPANSIT TTr FELL-i 110. 00 f
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i-t1:)DRESS n k".),40 `.;W Al-F RE 1:) PAYMENT DATF 1 1 ' ,'/9i�
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FA-IF1POc:,r LIF" PIYOIENT nillic11INT PAID F''IIRI r'lc;E: CIF PAYMENI, AMOUNT F'f1ID
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1. AN CHECK FF 250. 017.1 !
T'r'rt'nL AMOUNT , ,-•, Ira
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