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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Roc O Phone): 639-4175 Business Phone: 9-4171
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Inspection:
Footin 5uc,�. CeihY,? Sprink. Rough-in Appr/Sdwik
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Foundation Plbg. Und~slab Mech. Rough-in Fireplace
v..u83am Struct. Plbg, loy Out Elec. Rough-in FINAL:
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Post/Beam Mech, San. Sewer Gas Line -Bldg.
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Framing -Plumb.
Plbg. Underfloor Rain Drain 9 A VS
Alarm Water Line Insulation -Mech. y"
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Underfir, Insul. Shear Wall / Gyp. Bd. Elect, V a A�`fi Kkr
TIme: AM PM
Date R,,quested.
Address: S
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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_APPROVED _DISAPPROV:D APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Re:;-O-Phone): 639-4175 Business Phone: 639-4171 ` 1,'k �i
Inspection:
Footing Susp. CeAg g Sprink. Rough-in Appr/Sdwlk °Jit t;r4'
Foundation Plbg. Underslab Mech. Rough-in :rreplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: t�
Post/Beam (',Asch. San. salver Gas Line -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. ��FF
Undertl• Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 2Z2 2 '7 5 Time:LAM PM
.�
Address: JI'
Builder: Permit #:����5 D c;L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
Date:
` PPROVED DISAPPROVED APPROVED SUBJE T TO ABOVE r
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_Call For Reinsp. ''
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
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13126 YW Marl Blvd.Tigard,Oregon 97223.6199 (603)639.4171
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,lpl icablf laws. Pll wor, will be hri
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City of Tigard PLUMBING PERMIT APrLICATION Planck/Rec. #
13125 SW Hall Blvd. 7 —# �_ r—f
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Tigard, OR 97223
(503) 6-9-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residences Oni
Addr—
�-lSNtYtY'L
Job I3,3 7 q Inn IGu ` 0 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Address cp,®i«. i 1 ` 1' ❑ 3 BATH HOUSE$225.00
Fee includes all p Umbing fixtures in the dwelling and the first 10c feet
Q 1A UYy--). �_ of water service, sanitary sewer and storm sewer. See lees below.
FIXTURES QTY PRICE, AMT�.
Sink 9.110 -
M�° — """
jLaatory 00Owner 4 �L / t J or Tub/Shower Comb. 9.00
za wer Qnly_ 9.00
er Closet 9.00
N_la�.m.of awnwn-� erCloDishwasher 9.00
Occupant Garbage Disposal 9.00
p 1AY q AVNM, Phm.
Washing Machine 9.00
_ Floor Drain
900Water Heater
_ 9.00
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laundry Room Tray 9.00
Urinal 9.00
V`N( h��►y Other Fixtures (Specify) rg.00'
MrM°Ad&.,. PAm.
Contractor 9.00
Rz . -�L - _
9.00
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9.00
�70(oz- Sewer 1st 1:7,
30.00
qh Ru..T..N. Sewer -ea. Addit. iC 0' ---_
25.00
�D� i YVt�'ZY�A� �•��7�'1i Water Service 1st 16F-- _ 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200'
information given is correct. that I am the otimer or authorized agent or 25.00
the owner, that plans submitted are in compliance with State laws, that Storrn &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the
number is is correct. (If exempt from State registration, please Storm & Rain Drain Addit. 100' 2500
Hive mason i _ Mobile Home Space 25.00 s
NWn Back Flow Prevention
AAI I ` Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work addition alteration (� repair (.) Catch Basinto be done residential 66, non-residential 09.00
Insp. of Exist. Plumbing 40.00/hr
1 Existing use of Specially Requested Inspections 40.00/hr
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
� Proposed use of devices 15.00_
building or property
'(Except residential baclrr7oa
prevention devf^es)
-- - 1
NOTICE 'Mlninwm Fee $25.00 SUBTOTAL 1�"
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5°1e SURCHARGE /
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED _
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Y
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
Date issued by
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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 Mach. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINN.
Post/Beam Mach. San, Sewer Gas Line
Plhg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:I I 5 Timme: AM PM
Address: Z
Builder: Permit #:
'THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:- �-9��
_APPROVED iDISAPPR VEO `APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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7NSFRCTI'ON NOTICE
City of Tigard Building Department
13A<S Sid Ball Blvd. Tigard, Oregon 97223 IlL/_"
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
rooting Plbg. UnderslaL Mach. .lough-in �� 11 /ppt' Sdplk�
Found. Plbg. Top Oat (Sas L.ne VPIN-ALLt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. Y-/Mach.
Date Requested: !r7 /�� / 7 1 Time: �/� AM PM
Address: /.CJ / 1 I VAC.� �.C..
Permit
Builder:
M + THE FOLLOWING OORRRCTIONS ARE REQUIRED:
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APPROVED DISAPPROVED PROVED SVBJECT TO A
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CIN OF •r'GARD j'E RMIT 0. . . I.JF'PNC.'.YMc`-f94-0249
COMMUNITY DEVELOPMENT DEPARTMENT AA7E ISSUED: 12/08/94
13126 SW Hall Blvd,Tl;ard,Onyom 97223.8199 (603)639-4171 PARCEL:a 2S 104C;A -04700
ST-VE E. ADDRC-13 S. . . : 135",74 SW MICHELLE CT
SUSDIV161LIN. . . . : HIL_L.SHIRE: ZONING:R-7 F'.L)
jDL OCK. . . . . . . . . . a LOT. . . . . . . . . . . . . .Olt 7
j CLASS OF WORK. aNE:W
i TYPE; OF USF. . . :SF
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()C C,UPANCY GRf-'. :Ot
OCCUPANCY LOAI1:
Remark s : 1-'17H I
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SHELL{URNF DEV
2000 "•W NYBErRG RD
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TUALA T I N OR 97062
Phone #: 692-6303
� Contr^�c_t r,ra
SHELBURNE: DE-VEL..OPMUNT'
7008 SW NYBE'RG RV
TUAI ATIN OR 970()2
Phone 01 69 '' 63(3.a
Rog * . e 42380
Th i.5 CeV-tificate clrarits occupancy of the abc,ve referenced building or port iot.
thereof and confirm% that t•he bui Idi ng h:avi been inspe ctFd for comp] iance with
the ( tate of Or-'Fgon Specialty Cor9Fs for, the grol.ip, occu;-Aric.y, rind under
which the Irefer nc-ed permit was issued.
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EiCTOR l Dl1ll..l)INC3 OFFICIAL
POST IN C ONSiPIC:UCIUS ►LACE
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INSPECTION NOTICE
City 3f Tigard Building Departa nst /
13125 SW Ball Blvd. Tigard, Oregon 97223 �
Inspection Line Ree-O-Phone): 639•-4175 Business Phonm: 639-4171
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Inspection:
Footing Plbg. Underalab Mach. Rough-in Npp'-r''//SySdwlk
Found. Plbg. Top Out Gas Line
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Poet/Beam Struct. San. Sewer Framing - ld
Past/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. tlRech) /
Date Requested: Time: _AN PN
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Builder:
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TB$ FOLLOWING CORRECTIONS ARE REQ RBD:
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__APPROVRD DIOAPP D APPROVRD SUBJECT TO ABOVR
Call For Reinep.
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p!sEECTION NOTICE �� J
City of Tigard Building Depar'.:aent.
13125 Ell Ball Blvd. Tigan+ Orrgon 97223
Inspection Line (Ree-O-Phone): 639-41, R-jeiness Phone: 639-4171
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Inspections--_—_ -- -- ---- --- —
Footing Plbg. Underelab Mech. Rough-in A r/Sdwlk
Pound. Plbg. Top Out Can Line
Poet/Beam Struct. San. Santer Framing /( -8-1—dg.
Poet/Beam Mech. Rain Drain InnulatLon -Plumb.
Plbg. Underfloor Nater Line Gyp. Ud.
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Date Requeateds_ ` ` ` ! L �' Time:
-
Addcees PermiOt 1s
Builder:
THE FOLLOWING ODRRECTION3 ARE AEQUIR$Ds
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APPROVRD DISAPPROVRD APPROVED SUBJECT To ABOVR
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NSPaCTION NOTICE
City of Tigard suil.dinq Department
13125 SM Hall. Blvd. Tigard, Oregon 9722.3
Inspection Line (Ree-0-Phone): 639-4175 Business Phone: 639-4171
Inspect ton:
•
Footing Plbg. Underslab Hoch. Rough-in ` ppr/Sdwl�
Found. Plbg. Top Out Gas Line FINALi
i
Poet/Beam Struct. San. Sewer Prami,tg -Bldg.
Poet/Boaw Hoch. Rain Drain Insulation _plumb,
Plbq. Underfloor Nater Line Gyp. Rd. -Meeh.
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Date Requestedt //- J l'0 Timet _...L_._AM PM
Addrese:�J � 411t /l��A. Pei�it �! V
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THE FOLLOWING CORRECTIONS ARE REQUIRED!
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APPROVED DISAPPROVEDR�VBD SUBJECT TO ABOVE
{ Call For Ra?.p.
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INSPECTION NOTICE
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City of. Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hater Lin `' -Hoch.
Date Requested:_ 16 l 7/2 Timet _ AM PH �
Addrenst L-j J 7�{ / /w�ZC�_��{' Permit t,
Buildert 417 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPRMD DTSAPPROVRD L APPROIRtD SUBJECT TO ABOVIS
Call For Relnnp.
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1NSPEC'1'ION NOTICE_
city of Tigard Building Department
13125 BN Hall Blvd. Tigard, Dreyon 97223
Inspection Line (Rec-ti-Phone): 639-4175 B•,sl.neaa Phone: 639-4171
Inspection: �
Footing Plbg. Underslab Mach. Rough-in Appr/!,dwlk s
Found. Plbg. Top (hit Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
cost/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor ater� Gyp. Bd. -Hoch.
Date Requested: /0 112- I � Time: __,LAM PM
Address:_ 2 �^���B�1J� L Permit E:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector != Date:
11Pp1tMD DISAPPROVED v� APPROVED SUBJECT TO ABOVE
—Call For Rainsp.
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INSPECTION NOTICE
City of Tigard Building DepaztaE,nt �J
13125 SN Ball Byrd. Tigard, Oregon 97223 J
'Inspection Line (Re(--0.-PhonP): 639-4175 Business Phone: 639--4171
Inspection:______
Footing Plbg. Underalabach. Rough-in/ Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing ` -Bldg.
Poet/Beam Hoch. Rain Drain (fieulAtion ✓f �� -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nash.
Date Requested:___ J
-7 /�—A/ P
Address: / )I �YG`1 Y Permit t: `� 0
Builder:_ 2 /C'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: V1 `� - 11,74 DAte.
APPROVEr DISAPPROVED APPROVED SUR.IF.t7T TO ARM
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—Ca 11 For Retnsp.
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INSPEKCTION NOTICE �V
City of Tigard Building Department
131.25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection
Footing Plbg. Underelab Nech. Rough-in ( Appr/Sdwlk
Pound. Plbg. Top Out Gas Line / PINAL:
Post/Beam struct. San. Sewer Frami:ylj0- -Bldg.
Post/Beam Hoch. Rain Drain 41roulation ) •-Plumb.
Plbg. Underfloor. Gyp. Ed. -Rech.
Date Requested: U Time: _ AM ,„_PN
13
Address s ' Lc_�'�P � `rmit #:
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Builder: 2 CJ l 73 k� ` Y /)
THE FOLLOWING OORRECTIONS ARE REQUIRED:
�U—� � - ��L 1-IJ Lt✓
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Inspector'--.�
APPROVED ✓ DISAPPROVEI) APPROVED SUBJNCP TO ABOVE
w Reinsp.
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NSPECfION NOTICE
City of Tigard 9uil.dinq Department
13125 SIS Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-41.75 Bueinese Phone: 639-4171
Inapectlon:.___
41
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. �.F'1 c�j. Top Out Gas Line FINAL: a
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -plumb,
Plbq. Underfloor Water Lina Gy-p. Bd. -Mech.
Dato Requested:_ /C /�l 1� /7I Time: _AM pM
Addreee: 3i c�71L 6L� Permit I: C i - c.D
Builder: _
THE FOLLOWING coRRECTIONS ARE REQUTREDs
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Inspector: _1 --I
Data:
��APPROVBD DISAPPROVED APPROVED SUBJECT TO ABOVE
-- C//all For Reinap.
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City of Tigard Building Department
13125 SW Hall Blvd- Tigard, 0. o5j, 7223
Inspection Line (Rec-O-Phone): 639-4175 B an Phone: 639-4171 j
Inspections--- -- - - �l f
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwl
r �
F Found. Plbg. Top Out Gas Line FINAL:
i
Poet/Ream Struct. San. Sewer reining / -Bldg. f
Post/Beam Mach. Rain Drain dsulation -Plumb.
Plbg. Underfloor Water Line1 Gyp. Bd. -Mach.
Li
Date Requested: _'y) AM PH
AddreJAL
ne: ,amu I I �µ "1_ Fermi
Builder- r IL_I
THE FOLLOWING CORRECTIONS ARE RE UIRED: [
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Inspector: ti�"�. -� Date: V —
--APPROVED —W _--DISAPPROVED APPROVED SvP_.TECT TO ABOVE
Call For Ralnap.
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INSPECTION NOTICE
City of Tigard Building Departnient
13125 SW Ball Blvd. Tigard, Oregon 9722.3
'Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:A
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
,I
Found. Plbg. Top Out Can Line FINAL: s
Poet/Beam Struct. San. Sewer Framing -Bldg.
iPoet/Beam Mech. Rain Drain Insulation -Plumb.
tc* i f Plbg. Underfloor Water Line Gyp. Bd. -Mech.
i
" Date Requested:-_ Tuna: AM PM
�j
Address: _ Permit f:_ 1 4 - (l v 2 4�
B4ilder:
THE FOLLOWING CORPECTION3 ARE RBQUTAED:
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9 Inepec-tor•
APPROVED DISAPPROVED i APPROVED SUBJEM TO ABOVE
irCall For Reilnsp.
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INSPECTION NO'PICE I.
City of Tigard Buil diDepartment
13125 SW Hall Blvd_ Ti ard, Oregon egon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
looting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
4
Found. Plbg. Top Out Gas Line
FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
�a
Post/Beam Mech. Rain Drain Insulation _plums•
Plbg. Underfloor Water Line
Gyp. ed. -Mech.
Date Requested• Time: - --
pM
jAddraes•
—� — — ----- n �/
f — ------_— Permit f: L1 CA�0 Z�
1 Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-vim�`_�?,�
Inspector: Date:��_=1
-
k �"y� '—APPROVED " �DISAPPRnVED
r - APPROVRD SUBJR(T TO ABOVR
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INSPECTION NOTICE
city of Tigard Building Departaent
13125 SN Ball Blvd. Tigard, Oregon 97223 -
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_-_
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
w
Pound Plbg. Top Out Gas Line FINAL:
st/Be�m � San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
c�Li a Gyp. Bd. -Hoch.
Date Requested:_ / 1 _Tlma: PH
Address: _ ( �� 05e Permit
Builders
THE FOLLOWIINIG CORRECTIONS ARE REQUIRED:
L-4%0
if
Inspector:
Datel
_APPROVED _ _ DISAPPROVED ---\ � PPROVjtD SUBJECT TO ABOVE
f
,Call For Reinsp,
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3hA � a INSPECTION Nance 7
% u City Of Tigard Building Department
s1t;'J Ins 13125 Sir Ball Blvd. Tigard, Oregon 97223 �I
a n pection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
A�MAl'yd I �
Inspection:--- — s�-
3
Footing
---_----
1f t inq Plbg. Undera).ab Mech. Appr/Sdwlk s
Rough-in
'+ Pound. lbg. Toppou Gas Line
i' RINAL:
Poet/Beam Struct. San. Sewer i
Framng
{ -Bldg.
POst/Beam Mech. Rain Drain
Insulation -Plumb.
j Z
Water Line
C Gyp. Bd. -Mach.
1
Date Requested:
/�� Time:holdress: 7_q AM PM
Permit
Hullder:_
THE FOLLOWING CORRRCTIONS AP.E REQUIRED: '---"—
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2
- -
-- ---------
Inspector:
Dates,
_.____APPROVED _ DISAPPROVEQ / APPROVED SUBJECT TO ABOVE
11 For Roinep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-"one)t 639-4175 Business Phone: 639-4171
Inspections_ —
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlkc
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing• . -Bldg.
Foot/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line -Hoch.
Oats Reqs ftedt _ Timet AH PM
Address: , 0 / / LC': D 1 Kms ,Permit
Builder: Z G� `I.3 f•'�_
THE FOLLOWING coRFECTIOYS ARE REQUIRED:
Inspect
—APPROVED DISAPPROVED _ V APPROVED SUBJECT TO ABOVE
_Call For Reinep,
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INSPEC ION NOTICE C
City of Tigard Building Department
13125 SM Hall Blvd_ Tigard, Oregon 0,223
Inspection Line (Rec-O-phone): 639-4175 Busineas Phone: F39-4171
Inspection:
--
Footing Plbg. Underelab Mech. Rough.-in Appr/Sdwlk
Found. Plbg. To Out P Cas Line PINAL:
�,:Tlost/Beam Struct. '� San. Sewer Framing -Bldg.
/w-
Rain Drain Insulation -Plumb.
water Line OYP• Bd.
-Mech.
Date Requested: Timet
AM PM
Address: ,.� Permit Ir .2
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InepPctor:
- -- --1/------ -__—. _-__----------- Date:-jyi'�'L/./=.I`r'•Jah-
APPROVED ✓ DISAPPROVED APPROVED BDBdECT TO ABOVE --
Call Por Reinnp.
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INSPECTION NOTICE /
City of Tigard Building Department
13.125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phony: 639-4171
Inspection: —�— fAM
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
as►
Post/Beam Struct. San. Sewer Framing -Bldg.
P /Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line
Gyp. Bd. -Hoch.
Date Requented:_ _ / 7 Time; AM _ .,A c�PH
Addresn: 1,5 7 `�LC ap��J,,, Permit f:
Builder:— 220 �� 7C] ------
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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5�, 1Inspector: �/ 1 --� Date:—_; (---14
__.-_.�-------------
APPROVED
DISAPPROVED V 6PROVED SUBJECT TO ABOVE
\` 1 _Call For Reinsp.
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c_ a X , .mpartmant
13125 SW Hall Blvd. Tigard, Oregon 97223 //�___�
Inspection Line (Rac-0-Phoneys 639-4175 Business Phone: 639-4171
Inepectiont_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
I w
Found. Plbg. Top Out Can Line FINAL:
I Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
`41bq. Unde�rflogir- Water Line
;p " Gyp. Bd. .-Mach.
Date Requested: ---T Lme: AM _pm
Addre..s: -�7 q� Permit Is_ L -
Builder: �• 2 d _ / )
THE FOLLOWING CORRECTIONS AAP EQUITED:
-----------
7�T�'
Inspector• Data•
APPROVED DISAPPROVED APPROVED SU F,CT TO ABOVE
Cell For Relnep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 8W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ I
_ �� /Cx—X) _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Fount Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: _1=�9 TL is AM _PH
Address.- �� : C Y A P_ I I C"ti Permit ' c_ i
�i P `- `
Builder" l_
ME FOLLOWING CORRECTIONS APT REQUIRED:
--t�
L]
VVI z,_r `-LV A C C-L.e-v-s
1 ,
/ --V — --L _
Inspector: �� '/ Dates
APPROVED rig
DISAPPROVED APPROVED SUBJECT To ABOVE
—!__Call For Reinsp.
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i
NSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd- Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-•4175 Business Phone: 639-41t1
Inspections_____
cv!at Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Niter Urine Gyp. Bd. -Mech.
Date Roquest.edt _ e) _ ]- C-5(, Times ,--Y-- AM — PM
Address: /1 ILUI ! 1 L l CQ
c_
Builder: )V�I � r �� -r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
AL
01
Inspector. -_ - ---------- -- --- Data:
APPROVED �- DISAPPROVED V/ APPROVED SURJECT TO ABOVF.
Call For Reinnp.
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July 22, 1994
Mr. Michael Anderson
Engineering Department
City of Tigard
13125 S.W. Hall Blvd,
Tigard, Oregon 97223
Dear Michael,
This letter Is to Inform you of the consent to allow the footings for the foundation of the residence
to be built on lot 47 Hillshire to encroach into the Private Storm Easement approximately two (2)
I ( t feet.
The original storm sewer was placed outside the easement and is being relocated to be within
the easement. The storm sewer will be placed approximately 4 feet above the elevation of the
footing and will pose no future conflict In access or maintenance. The encroachment is for the
footing only and the foundation walls are outside of the Private easement.
ii
Sincerely,
Nelson
Sierra Pacific Development
T °
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Jill
PLUMBING PERMIT
'CITY OF TIGARD MS
T9441249
#. . . . . . . : I+ST94-41249
DATE ISSUED: 07/18/ 14 ;r
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tipud,Oregon 97223.8109 (503)630.4171 PARCEL. L_S 104CA 04700
SITE ADDRESS. . . : 13;=574 SW MICHELLE CT •
SUBDIVISION. . . . . H I LLSH I RE ZONING: R- -7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :047 `
1
CLASS OF WORK. . :NEW GARBAGE DI SP,OG)ALS. . : 1 �
TYPE OF USE. . . . .-SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . : R3 F=LOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . ..2 WATER HEATERS. . . . . . .. .l CATCH BAS INS. . . . . . . :0
f=I X'TURES;-- - - --_.._____.__. LAUNDRY "BRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : i eli
SINKS. . . . . . . . . . : GREASE TRAPS. . . . . . . ..0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0
TUB/SHOWE:RS. . . . : 'GEWER LINE (ft) . . . . :0
WATER CLOSETS. . :S WATCR LINE (ft ) . . . . - 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Y
Remarks : PATH I
UWNER: __.____________.___.__________._.___,..... _._..__....._.__.._...._-__.._..__.-.FEES___.___.____.---- -- •-.
SHEL.BURNE DEV TII $ 1`, 4_0. 00 SW 07/18/94 -
2008 5W NYBE^RG RD SPRT $ 608. 00 SW 07/18/94 -
BPLC $ 39`:. ,=k1 !.-)W 06/0.4/94 94-- 5386..3
TUALATIN Oft 97062 135FIC, $ .30. 40 SW 07/1.8/94 __
Phone #: 690:-6383 SSDC $ 280. 00 SW 07/18/94
PARK $ 500. 00 SW 07/ 18/94 -
Plumbing Contr'actor: -____.." _. .._.._._ _.__... ......_ - MP,RT 1, 48. 00 5W 07/1.8/94 _
MPL_C s 10:. 00 SW 07/18/94 -
Name :_5..,c .1 Y /�(\ f k rl�w Ty��_ MsV,c F . it V, SW 07/18/94 -
Address: PPRT $ 1.'77. 50 SW 07/18/94 City :_ _ ---State : P5PC1 $ S. 88 SW 07/18/94 -
Zip: _Phone#: .. MISC 1, 44. 00 SW 07/18/94 _
Reg #: Additional fees not sl-lown here. . . . . . . . .
_._.. ._. RE OU I RED I NSP"ECT I ONS .__..._
This permit is isst_ied subject to the r•eg -
ulations contained in the Tigard Municipal f=oot/found Insp Rain drain Insp
Code, Stal-e of Ore. Specialty Codes and all V`ost/Peam Sti--ur C Water-, Line I n c p
other, applicable laws. All wor•,k will be done F'ost/Seam Mechan Appr,/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started C'LM/llinderfloor Plumb Final
within 180 days of issi.,tanue, ol- if wont is Mechanical Insp Building Final
sl..ispended fo v- more than 180 days. Plumb 'Top Out E:r•osion Control
Fr-aming Insp C.rawl. Drain
F i r e p l a c e Ins
Gas Line Insp
c! �/ Insl..tlation Insp
X - -.��C A!X_ T. _ Gyp Boar-d Insp
fl$.Tthorized Lignatur,e
Call for inspection - 639-4175
Contractor Notes:
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CITY OF TIGARD MASTER PERMIT
FERMIi- #. . . . . . . .
MSF94--02
49
COMMUNITY DEVELOPMENT D PART1lkI�IIJT DATE ISSUED: �+7/18!94
13125 SW Hall Blvd.Tigard,Oregon 177223.8100 (503)830.4171
PARCEL: 2S104CA-04700
SITE: ADDRESS. . . : 132,74 15W MICHELLE C'1' io
SUBDIVISION. . . . : ;;ILLSHIRE ZONING: R--7 PD �
BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . :04-7
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :63 sf
CLASS OF WORK. :NEW NEDRMS:,_, BATHS:3 GARAGE. . . . . . . . . . :954 Sf
TYPE or USE. . . :SF FLOOR AREAS.---__----..--__-_-_. REQUIRED SETBACKS--------_._.___
TYPE OF CONST. :5N F I RST. . . . : 1826 s F LEFT. . .5 ft RIGHT. :8 ft
OCL::UPANCY GRP. : R3 SECOND. . . : 1418 sf FRONT. :20 ft REAR. . :30 ft s
STORIES. . . . . . . : THIRD. . . . :0 sf REQUIRED-----____,-.__--_.__._.___
1-JFTf.,HT. . . . . , '30 ft 1'"OTf�L_.____._____. '3244 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 p-f VALUE. . . . . $ : 1692:94 PARK INC; SPACES, . : 1
Remai-ks : PATH I
PLUMBING --._.__._._.._..----.--_______._________._____...._____ „,•
SINKS. . . . . . . . . . :2 FLOOR DRAINS. . . . :111 BACKFLOW PREVNTRS. , : I
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPIS. . . . . . . . . . . . . . :0
TUB/SF"IOWERS. . . . :3 LAUNDRY TRAYS. . . : 1. CATCH BASIN15. . . . . . . :0
WATLR CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DTSP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF-' RAIN DRAINS. . : 1
MECHANICAL -._.___________.___ ._..-_..._-_.__._.__._-_____.._._..._.._ FEES
I-UF.,L TYF?ES--•-__..._,---_,._._-- UNIT HTRS. . :0 type amoLtr•rt by date r^ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 15LO. 00 SW 07/18/94 -
MAX INPUT:O LATU VI-INT FANS. . :5 BPRT E 608. 00 SW 07/18/94 -
F-URN ( 1001, . . :0 HOODS. . . . . . : 1 BPLC $ 395. 20 SW 06/24/94 94-:::53863
F=URN >-=100K ,. , : 1. WOODSTOVES. :0 DSPC $ 30. 40 SW 07/18/94
FLOOR FURN. . . . :0 CLO DRYERS. s 1 SSDC I .'80. 00 SW 07/18/94
BOIL/CMF= ( 3AP:0 OTHER UNITS: 1 P(IRR 4 500. 00 SW 07/18/94 -
GAS OUTLETS: 1 MPRT 1, 48. 00 SW 07/18/94 -
Owner: ------------- --_._.___.___.__ -_______.____...-h!PL.0 $ 1 :. 00 SW 07/18/94
SHE:LBURNE DEV MrFrC $ c'. 40 SW 07/18/94
X008 SW NYBE:RG RD P P R T $ 177. 50 SW 07/18/94 -
P5PC $ 8. 88 SW 07/18/94 -
TUALGaTIN OR 97062 MISC: $ 64. 00 SW 07/18/94
1' ho17e #: 692-6383 MISC $ 6'0. 80 SW 07/18/94 -
C;ar)tr_ar_tor --__._..__._.._.___......_...._. _._....__._._.__ __._._..___....._ -M TSC $ 20. 80 SW 07/18/94
SiHELBURNE DEVELOPMENT
711108 SW NYBERG RI)
TUAL._A"FIN OR 971716;
Phone #: 692-- L .3,83
Rey #. „ : 42388
t 3687. 98 TOTAL
This pereit is issued Subject to the regulations contained in the --- --"- REQUIRED INSPECTIONS ---
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foLlnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Str^uet Gins I.Ane Insp
plans. This persit will expire if work 's not started within 180 Post/Spam Mecham Insulation Insp
days of issuance, or if work is suspen
dore an 180 days, Plm/undslab Insp Gyp Board Insp
F=ILM/Url;jprfloor Rain drain lnsp
Si, pat:l.1r^e � Insp er, L ' rWat _i i e Insp
i p'1l_1mb Top 01_1t Appr-/Sdwlk Insp
Trued Py • _ ✓ _ _ __.._....__ Framing Insp Mec,hr7nical Final
Call for inspec,tion 639-4175
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CITY T I CARD SEWER CONNECT ?ON
PERMIT
PERMIT #. . . . . . . SWR94•--02 39
COMMUNITY DEVELOPMENT DRPARTIM15MT DATE: ISSUEYD: 07/18/94
13125 SW Hall 8!vd.Tigard,Oregon 97223.8199 (503)639.4171
PARCEL: 2S 104CA-04700
SITE ADDRESS. . . : 1357A 5W MlCHELLE LT •
SUBDIVISION. . . . : HILLSHIRF ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :047
TENANT NAMIr'. . . . .
USA NO. . . . . . . . . . a FIXTURE UNITS. . . :
CLASS OF WORT;. . . :NEW DWELLING UN I T5. . : I
TYPE OF' USE. . . . . ..SF• NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR I MPFRV SURFACE. . : : s f
Remarks: PATH I
Owner: __..____ .____._____.____._.__.___._._.__ ______________.._._--- F-EES -_---------_.-_._.__._.._... ..
SI lEL.BURNE DEV type amo,-int by elat e rec pt:
2008 SW NYBERG RD PRMT t 2200. 00 SW 07/18/94 -
INSP $ -25. 00 SW 07/ 1.8/94
/94
TUAL.ATIN OR 97062
PEione #: 692-•6383
Contractor-:
CONTPOCTOR NOT ON r- 1 L1'
I-'hi t,Ti P11. $ 223x. 00—TOTAL—_....__.._._________ _.
upcl #. . .
REQUIRED INSPECTIONS - ---
This Applicant agrees to comply with all the rules and regulations fijewer� Inspection _
of the Unified Sewage Agency. The permit ewpires 188 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 Server" permit and the A co'11 tall a lateral.
,_I r-e
T,, _:u e cd By
Call for inspection - 639-•4175
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
i
Jobsite Address: i S. 4�• In c cfl, "S GT
Subdivision:
I1aSI1//ZL _. Lot #— V7 Office Use Only
vl tt
Valuation: �� r')
�e5 Planck/Rec # 1`l1
_i� ry
Permit #
Owner:
-- Reissue of
Address:
/ Map& i'L#
9 7e4 z_
Phone: Z (.� 3 3 _ Approvals Required
Contractor: _ ^`-� —_ Engineering
Address: Other _
Phone:
Items R±g ulred
Contractor's License # �z � ��
Subcontractors
(attach copy of current Oregon fieense) Truss Details
Contact name & phone: C;(2
-- _-- Other
Su ntractors: ...-
Plumbing: -' fr �Gti_h2 d/�t(
.�Mechanical:• 6/2 46>2%
(attach ropy of current OR Contractor's License) _
Architect/Engineer: 9 r*e-e. S A
Address: 701d ,C it)
�2—
Phone _ �p 7� ��5� t4lLSr-op `► h
JOB DESCRIPTION: f2 Z",) S F
C- rR
Applicant ig ure & ne number
Received by: _ Date Received:
ao�lec.: -„•,uua�e.. �; ,,aww,..,r�,w.wa...,,._ ,, ,,._.,
r ,,
Permit # Account Description Amount Amt. Pd. Bal,.Due
)nstj�-6.2y5 Bldg. Permit (BUILD) _J�o
Plumb. Permit (PLUMB) 17� S�'
lMech. Permit (MECH) YX v✓ a Y-��J
i
State Tax (TAX)
Bldg:
Plumb:
Mech: P q 0 ■
Plan Check (PLANCK)
Bldg: =395. u! �!
Plumb:
Mech: I a,
SwoeSy-v-ZL Sewer Connection (SWUSA) 22v& .2 2v��
Sewer Inspection (SWINSP) Jl^ 3 )`
Parks Dev Charge (PKSDC) .a
Storm Drainage Chg (SDSDC) ;2 - 12 ry v
Residential TIF (TIF-R) %Ui
Mass Transit TIF (TIF-MT) — iy _ It
Commercial TIF (TIF-C) -
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
iOffice TIF (TIF-0)
Water Quality (WOUAL) _
Water Quantity (WOUANT)
Fire District (FIRE)
Erosion Grind Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) -�v
Erosion Planck/COT (EROSN)
TOTALS:
6 !r 1
{`1
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. Y
CITY OF TIGARD +. •
BUILDING DIVISION
RESIDENTIAL PLANS SUBMITTAL
APPLICANT NAME: 64(4 ALC PLAN CHECK #
ADDRESS: _70Z,1 514-3 X4//3-rdL1-' / _ PHONE # 4;9 _
DATE RECEIVED: �� — RECEIVED BY:
CHECKLIST (All iterns must be in packet before plan will be reviewed)
YES NO N/A
1. 3 FULL SETS OF BUILDING PLANS (No red line revisions
or tape-ons).
2• [ 1 [ 1 [ ] S 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 the lot is not flat, revised
drawings are required. No red lines accepted).
4. 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• FLOOR PLAN(S)
6• FLOOR FRAMING
7. TRUSS JOISTS (engineeripg, details and layouts)
8. i,
ROOF FRAMING PLAN (all Dips and valley supports indicated
and detailed).
ry"1i#*V . ... "oMMR kalkrSld&'78{1'Vtkw�I �miwann+es^eti ..
tif�� x�u�lrr:,
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.ti !° ti ��SSFritM� r� tl* tir t�V,j44
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9. [ ] [ ] [ ] ROOF TRUSSES (engineering„ details and layouts)
10. COMPLETE CROSS SECIION(S)
k:
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 � .
w.
higher) tti
13. [ [ ] ( ] WALL BRACING (structure must meet table R-402.10, revised
alternate method 93-7, or a lateral design shall be provided)
a�t,=
14. [ [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
INCORPORATED INTO THE PLANS. (Attachments must be
clearly legible and fully referenced in the plans). I #
15. BEAM CALCULATIONS (all beams over 10 ft. in length or any
beam that supports a point load).
16. [ ] [ ] [ ] ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTION IN RED
�t
CAUSE DELAYS
RED WILL ONLY
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I:ITY OF T IIaAFlli RE:CE"IPT• CFF" f44Y'MF.NI Ri-,A,F•IPf NO. s94•--254609
CHOCK AMOUNT s 56'72. 98
NAME s THE SHELBURNE" COMPANY CASH AMOUNT 0. Ih_0
'I ADDRESS s 0008 SW NYBERG RD PRYMENT• DATE' s 07/18/94
T•UAL.AT I N, OREGON SUBDIVISION s
97062---
PURGCISF OF PAYMENT AMC]UNT• PAID PURPOSE CFF' PAYMFNI' f-1MCIIJNI' PA 10
BUILDING PERM ms,r ?4--0x::'49 .• 608. 00 PLUMBING ERM 1 77. 50
MECHANICAL PE 40. 00 ST. BUILD PE 41. 68
I PLAN CHECK F=F.' It a 7. c%0 :'zF WF=R USA SWF294- flIC39 t'e..fd0. ON
SEWER INSPECT ;35. 0A PARKS SDC 51210. 00
L3T"I: RM DRAIN SDC c:HIXI. Il 0 RF't I DF N T 1 AL_ (RAF-FIC F F E l 3 1410. 00
MASS TRANSIT TIF FEES 11V,I. DTII KROSIIJN CONTROL. PF:1011 IFEF' 64. 00
I E:RCII i 11:1N CONTROL PLAN CK PO. 8M L ROS T.ON CON T W7l_ c,'o. ON
1:3574 ITW MICH -.LLE CT
b�HILL-SHIRE. LUT 47
I C+AL AMOUNT PAID i�. 98
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di Il ll: 1 l3Hl:l_.F?d.JHNE: COMPANY, IhIC L ►,?ill filylol-11144 V.IIt1
'II?IiFat':w5 >t r-." 108 SW NYNE:.RF1 RE) 1IfIYMf WI 1.11.1IF 0(71/P,4/94
T'UAL.FIT .fN, OR -A 111L1I.VT'•iTiJN
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;i'IJRPOSFe. OF PAYMENT AMI It IN I• f'F111) 1;111410,;+ OF PfAYMI:N i Alyl(.II.FN I 1=11111)
.t 1N C:HF Ck FE. E. -7111R 250. 00
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