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JNSPEC•PIOH NOTICE
City of Tigard building Department
13125 SM Mall Blvd.. Tigard, Orecpn 97223
Inspection Lina (Rec-O-Phone): 63"-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk
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b ;s Found. Plbq. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. 1`aln Drain Insulation -Plumb,
Plbg. Underfloor Water Lina Gyp. Bd. -Mach.
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Date Requentedt_
Address i z -1 LS.'i-c-_-.'1 Permit t: T Ny 1 -1 11'�ZZ it �7fp
Builder.:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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y01—/- APPTOVED DISAPPROV6I1 APPROVED SUBJE To ASW W
Call For Reinnp_
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UMl?INU PERM`T'
CITY CSF TIGARD DATE ISSUED: 09/28/94
'q COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 104C,A•-05l2l0@
13126 SW Hall Blvd.Tigard,Oregon 97123.8199 (605 839-4_171_ I
SITE ADL)i�l:.:.. 1,:,6 +(, SW Ih l LI( I..LFE C,1
aUbDIVIGION. . . . : HIl_t._rSHIREc ZON'NG: R-7 PD -
BI....00K. . . . . . . . . . .. LOT. . . . . . „ . . . . . .
CLOSS OF WORN.. . :ALT GARBAGE= DISPOSALS. . MOBILE HOME SPACES. : t
TYPE OF USE. . . . .SF WASHING MACH. . . . . . . . BACKFLOW PREVNTRS. . : 1 �
OCCUPANCY GRP. . -R-3 FLOOR DRAINS. . . . . . . . T'RPPS. . . . . . . . . . . . . .
STORIES. . . . . . . . :2 WtITER HEATERS. . . . . . p CATCH BASJNS. . . . . . . :
FIXTURES--- _-- -- -- -- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
` UINKS. . . . . . . . . . . URINOLS. . . . . . . . . . . . p GREASE TRAPS. . . . . . . .
LAVA'TORIE'S. . . . . : OTHER E=I:XTURES. . . . . ..
s TUB/-HOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER C"L.GSE'Tr'. . . WATER LINE (ft ) . . . . :
DISIAWASHE~RS. . . . : RAIIV DRAIN (ft ) . . . .
Rtsmay-ks : BACI-(FLOW DEVICE
Uwne►~: _._______.__.____._____.__ FEES
'CIM DECKER type 'Am 0'..Int by date r^ecpi
t3646 SW MICHELLE CT PRMT $ 15. 00 JF 09/2:8/94
PCT $ 0. 75 JF 09/28/94 -
TI('3ARD OR
Phone #-
tont r•act or,: _.__.___._.__..._.__._._---_.._________.__.__.
DE.NNIS' 7 DEE S
7355 SE JOHNSON CREEK BLVD
PORTLAND OR 97200.-••93.::9
Phone #: 777--7777 $ 115. 75 TOTAL..
Rep, #. . 5009
REQUIRED I NSPE.0 I IONS ---This permit is issued subject to the regulations contained in the RP/BaCkflow Pr•ev
Tigard Munici, Code, State of Ore. Specialty Codes and all nther Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 160 days of issuance, rr if w`rk !s suspended for more
than 180 days.
Iss'..ted By:
'I
Call for, inspection - 639--4175
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"FPO I
CITY OF TIGARD
13,125 SW HALL BLVD.
fPL�JMf3[NC PERMIT .
P. O.. BOX 23397
Applicants must Ixsid Oregon Registration to conduct a plumbing
x,sinessormustbepropertynher/openlx not hiring help. I
IGARD, OR 97223
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- None of 0evelogxnenl (503)C39-4175 q �V 2,2-2—
Plumbing
t.2„•-Plumbing Permit No, 1
Arkkess -�
Description
ORS 814.21-010 WAN, PRICE AMT_
J"5 Tax Loh Map.No. -- ---
Address rC-�
t1'J FIXTURES 1'I►
LcA Blom Subdivision - --
Sink ',O
77ame-T�r rwr.a sw»ss
1 Lavatory 750
Tub or Tub/Shower Comb. 7.50
--
( � �� Shower Only
Owner / al��'ls P ( Water Closet - - 7.50
Dishwasher _ 7.50
Phase
Garbage Disposal �- — 7.50
Name Washing Madiine -7.50
Rxx Drain 7.50
aTing-7Qdress Phone VialerHealer -- 7.50 --
'- laundry Room-Tra-y -- - - - 7.50Oacu ant city/Sus I,
Urinal 7.S0
Name � , e Ull>crFrxtures(Specify) %S
DENNIS SEVEN DEES LANDSCA'P'ING, INC. -- — 7 so
0
t TOHN&(TN C f�f �HM29RD-'— --- —
ORTLAND,OREGON 97 _ 7.So
Contractor Cdy/state p 7.50
T -2-7 - MISCELLANEOUS —
1 - " City Rue . swovw 1 sr 100, --�--+-p.00 -
`' wwea. .- Additf 00- ----- 15.00
stat Is. Wtela rs�i S JCC Ao. _ _ c
(Resdontial)I- - [ n i
Water Service 1st 100' - 20.00 ',
1 iherem'`hy adalowledge that I have coed CNS Water Service ea.iddil�r 15.00
application,Cul Cie inkxtnatkxh {
given is axre(:t that 1 am regisimed*hth the Stale builders Board,and also Sto m 6 Rain Dsin t sL 100• 30.00
1 have a Slate Plumbkq licanse Put Ca numbers given aro correct,that all - -
plurnbirq work will be done in socordance with N)p6cablo prnvi;ions of Ore- Storm&P.-In Drain Addil.100• - 15.00 -- 1
Q-Revised StahAes CA%Wem 447 and 693 and appticabls axles and that Mobile Horne Space 25.tp
M help w1U be ernpbyed unlet Ik»nsec}lxxfec ORS .(d exempt frau - -
State registration.please give reason tx►hw). Back Flow Prm,errtion `
HOMEOVVNERS-- 1 hereby certify Cut 1 am Che owner of C»p Warty do- or Anti4'ollulion Device 7.50 ttl I
arxhbed Above.C wt0ch location 1 propose w make a pkanb4hg In,lallatkxh kxTr
Arty en a WarAe Not
my own use cud dNs property h not beirq oorl",Kled km sale.lease a rerfl. Corneded la a Rixture 7.50
- Caldi E,a:hkh 7.'0 -
- losp.of Octal.Pkorbing 40.00 Per Hr. - f
Specialty R-r-sted Inspectbns -'40.00 Per Hr. - ?
Palm Dre'n,
I Single Fam. ihrlg. 15.00
,AU 7�p IONA R p
Deecxibe wad new n addition[] eltorotirxh❑ repair❑ _ 1.
t( be do" residential
Exhiting use o1 HINIMUH PERMIT FEE
txrldhtQrxprolwrty-- - -- _--- -- SUB--TOTAL �i r
!1%
SU -
— --—_--
RCHAt;tGE
Icxt> >ertY—_ 25% PLAN REVIEW n
. -i+IOT1CC:
Thio P-MR t»*m"MAI and vold M wait or oonetnrcelon euCxxttad r not corn TOTAL
rrtorhoed tMthNn t 80 dayrpr M oor*dnttikx�d wcxk V aliapended a abrrd«hed Ior �� ,
a perkrl of 1110 days 41 a°'1 erhte•fMr U-fA la oorn ,cd.
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CERTIFICnTE 01'
CITY OF TIGARD
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PE RMIr
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 '(503)'830-4171 DATE 7�301UL:D i 06/Z24/9'i
VIARCF L a ES104CA-05000
► TFC ()DDRr::, . . . 13646 SW M I CHF:LI_E CT �
'-";UI60I V 18 I ON. . . . a 1•I 1 LLSH I REF Z ON 11146 1 R-'7 PI)
BLOCK. . . . . . .. . . . r LOT. . . . . . . . . . . . . a 0131A
► I; I.,A3E; OF I+IGF2K...aNEW._.,_.._..._._.._.._._...__.____.,.__..._.__,...__......_..._,_._._..,.,,_.__.,_,_.__.._..,,__..._... _.___.._._�.._,._...___
I'YPEr OF USE. . . :SF o
OCCUPANCY ORP. a R-
OCCUPANCY LCI1-117 a[,317..1 4
f'ENANT NOME. . . :
Rem,ar,ksa PATH I
I.1Lr.'-3ON DEVELOPMENT
13141, aW T'EUI"F":L
BEWVKPTUN OR 9'70
1 F'1110FIR #a 628-2420
i 01.50M DEVELOPMENT INC
13141 SW TEUFEL. HILL
i
IAEAV(.-RT0N ON 9700
Ohona #! Ey 28--2420
1rc �apa►�._:y Of the above r,efer,er►1:Wci k u.1 Leung ii, hereby yi ver►, and c of t : fie s
he compli.arlr_e Witt.) the State or, (it-R.4 :1n 9pec:ial�y Codes fell thF• qu'arlp,
)ccupaancy, arid l,leae I.,nrie!r^ which the re'fp#-e lewd prr•mit ioi-A SSx►r_rwri,
.171'NG INSPECTOR
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BUILDING OFFICIAL, �
POST IN CONSPICUOUS f aL.ACL'
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', J� d f g m. INSPE('fION NOTICE r• s'
" , r o�w i a t,•. City of Tigard Building Department
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-U-Phonalz 639-4175 Business Phone: 639-4171
fi e - L 4�5,cmc C
Inspection: c
_
Tooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line TYNALt 1 �
1
Poet/Beam Struct. San. Sewer Framing 91dQ.�
Poet/Beam Mech. R&1n Drain Inaulatl.on ,-P-l-umb.
Plbq. Underfloor Water Line Gyp. Bd. !-Mech.
c �'C
Dste Requestedt/ // �!' rn/ �' I _AM �^ PX
Addre99: f LP e C—�+/ 1 '71' h e 1k,
I Z T p•rfmi�5i t `7� ��+�C
Builder: ! n C/C 1 L r/ ) )
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THE TOLLONRS
IBo OORCTIONS ARS REQUIRE
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de /A5
111 ) 2155ecl
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Post-It Fa,,!dote 7671 Date (0_ a(.� gns►
--- Co./Dept Coc�
-_.---- Phnno a Phone a� 17 K310
Fax a Fax a
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_-L11PPROVED _ DISSAPPROVED APPROVED SUR.jFc-r To ABOVE
—_Call For Pelnap.
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: INSPECTION NOTICF, '+`• �;i'
C9.tp of Tigard Building Department t ''
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing I
l,nj _F'--�' L,_--,� h-in Appr/Sdwlk
i
Found. PINAL=
Poet/Been Struct. • Y
4•
Poet/Beam Mech. F -Plumb.
Plbg. Underfloor F ��
Date Requestteddi / �� - / / TinMt -AM PN
Addrvsa= �
Builder=
'# TIM FUIL0WING CORRECTIONS ARE REQUIRED: !-
Ina ctor= 1+/t _ Da+:e:
-----_APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
`" Call Por Reinsp.
MMRMBSMppA/J1W1M`N'YMrtM+W'x Natp W:ura....AY,MwW. ':
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INSPECTION NOTIC'F �� d#
City of a'igard Building Department
1312S SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639•-4171
Inspection:,_------
Footing Plbg. Underela.b Koch. Rough-in Appr/9dw1k
Found. Plbg. Top Out Cas Line Q:-ZA t
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Linl!e,, �y Gyp. Bd. -Koch.
Date Requested: (n '�V / �r Tlmot i'tK PH
nl5(� /moi c li e Mc CGz�. Por t L �,C�'/o
Address:
Builder.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inape or T Ee Datot _!
4PPAOVEb DISAPPROVED APPROVED SUBJBCT TO APOV1
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Call For Reinsp.
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INSPECTION NOTI E
City of Tigard Building D..psrti—t
13125 SA ball Blvd. Tigard- oregoa 97223
inspection Line (Rec-O-Phone)s 639••41. Burmese Phone: 639-4171
Inspection:--__9 g. _
— ----- ----
Footing PlbUnderslab Mech. Rough-in hppr/Sdwlk
Found.
Plbq. Top Out Gass Line FIF0J :
Pont/ex --Bldg.Strutt. San. Sewer Framing g•
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor water Line Gyp. Bd. -Mach.
Date Requeeteds
TLMJ AM —PM
Address: ;7,L (lP 1'�-C�LGC�* Pwrmit
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Builder: 5/d
— ---
THE FOLLOWING CORRECTIONS ARE REQUIREDs
TOP
Ll
Inspector:_ctor -- _, Dates
-
"APPROVED DISAP'ORO.MD APPROVE) S=T0PA10;0;V1E
^all P �inep.
•�1ylFxelKa.kJltSi�:e.AS ot?�..k`iAti..,. r. . .n d�ut d.t+ .. ,
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�SPECTZON NOTICE
City of Tigard Building Departmant S
13:125 Sw Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone= 639-4171
Inepacticnc
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out O"a Lina FINAL:
Post/Beam Struat. San. Sewer Fruinq -Bldg.
Poet/Beam Hoch. Rain Drain Insulat-on -Plumb.
Plbg. Underfloor Nater Lino `Gyp. ad..', ._Hoch.
Date Requested: �f_ jU�7p _AM PH
Adcire.e: Perm t fi � (SIV
Builder:
THE FOLLONINO CORRECTIONS ARE REQUIRED:
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z Inepaatox el.�_ �. Date:
lh Jttr APPROVED DISAPPROVED vlAPPROM SUBJECT TO ABOVE '
t n
Call For Rainsp.
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M7SPC(ZfION NOT._LCE '
City or Tigard Building Departtaent
13125 all Dell Blvd. Tigard, Oregon 97223
Inspection Line (noc-O-Phone)c 639-4175 Bunineso Phone: 539-4171
Inspxt ion s --------------�
Footing Plbg. Underslab \ Hoch. R'ugh-in Appr/Sdw)k
a
Found. Plbg. Top Out , 'as Lina FINAL:
Past/Ream Struct. San. Bawer Framing. 11-� -31dg.
Post/Beam Mach. Rain DrainInsulation -Plumb.
Plbg. Underfloor Nater Lina oyp. Bd. -Hoch.
Date Requustfds Time: PH
Address:, 1 L� F `Lti--�_4.�_ Peroit #t
3u i l.dor:
{ THE FOLLUHING CORRECTIONS ARE REQUIRED:
IIl _
Inspector _ �._ __ _. Data: ` 1
I
APPROVED DISAPPROVED APPROVED BDBJRM To ADM
Call For Reinsp.
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.... .. ........... _'NMI ,.
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INSPECTION NOTICE
City of Tigard Building Department
1.3125 SR Ball Blvd. Tigard, Origrn 97223
Inspection Line (Rec-O-Phone)t 634-41-5 Busineso Phonet 639-4171
Inspectiont��_ _
Footing Plbq. Dnderslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINALt
Poet/Beam Strutt. San. Sewer Framing -Bldg.
PoAt/Beam Hoch. Raln Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Requostedt 2 Times AN A�_PM
Address ` �sV `T YJ A\A�-�`ti.x--�/�Y Permit #d � - �� ��
lo
Buildert __
pG 1
THE FOLLOWING CORRSCTIJNS ARF. REQUIREDt ` '- 2
(� \ K, C,2
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4�r '-' �-c \1.. ,nx., �.. G
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�_ - Z 4 _C1 c{ �
Inspectors. Latee i
11PPRQVlb r_ DISAPPROVED _``APPROVED SUBJECT TO ABOVE
v � 1
./ Call For Reinap. f
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�r _ INSPECTION NOTICE
( City of Tigard Building Department +
13125 BW Ball Blvd. Tigard,
Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
(� �� \
Inspections ��'ti1�c-,�t-h VL� t_��Jv� ��-��- •
41r ; Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
ONO
1�1 f Found. Plbg. Top Out Can Line FINAL:
Post/Beano Struct. San. Sewer
Framing --Bldg.
Post/Beam Nec.% Rein Drain
Ineulatlon
-Plumb.
Plbg. Underfloor
Niter Line Gyp. Bd.
-Neth.
Data Requested: 1 Z G - 4 _Times I O Q o AM
AddreFes ^
PM
, Permit Q
Bulkier:_ILL
r TBE FOLLOWING CORRECTIONS ARE REQUIRED, -
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Inspector-
Dates
ti APPROVED _ DISAPPROVED V APPROVED SUBJRCT
TO ABOVE
,ty
--Call For Reinep.
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ON NOTICE
City of Tigar�dmBuilding -
Departebnt
` s
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)i 639-4175 Business Phone: 639-4171
Inspection:_
looting P,lb/g'. /Und slab Mach. Rough-in �Ajpr/Sdwlk
Found. �V¢ypg,� / G Q @ Lind (; FINAL:
"i CCCiii YY��- elw
4-1 –
Post/Beam Struct. Ban. Bower ( lraoinq 0000 -Bldg.
Post/Beam Mech. Rein Drain Insulation -Plumb.
Plbg. Underfloor Mater Line/ gyp. Rd. -Koch.
Date Requested: I "'�I//�1 _ Time: AM /p�M
Address: I 17�n C I�," Iv 1 �l \�..Q Permit 1: el? It"IT/L�
Builder: / 1p, /A
THE FOLY"INO OORRECTIOMS ARE REQUIRED:
=7
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VA a L�
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Inspector:_ l.� Date:
APPROVED V DISAPPROVED r_ APPROVED SUBJECT TO ABOVE
.,
V117
C V G11 For 3einsp.
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INSPECTION NOTICIS °
City or Tigard r.ailding Department
1312S 67 Hall Blvd. Tigard, Oregos 97223
Inspection Line (Rec-o-Phons)s 639-4175 Business Phone: 639-4171
Inspections
Tooting Plbg. Underslab Koch. Rough-.in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINALS
s►
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Be,u, Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Rd. -Koch.
G
Date Requesteds_ ( - _Time: AK PK
Address: 1 (L d V\ t .(-.i l�(� Permit 1:
� 1
Builders
IM FOLLOWING OORRECTIONS ARE REpUIRSO:
Gti L
Inspectors �.' V l• rU'-- T_ __ Datee 1 C� 1 l
APPROVED "DISAPPROVED APPROVED SUBJECT To ABOVE
L"Call For Reinep.
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FOR
DATEA.M.
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PHONE
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CAMETOSES11011 - VALL CALL PAM
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MESSAGE
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SIGNED
UTWO M ,}
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city or Tigard Building Departs-at
R 131.25 BW Hall Blvd. Tigard, Oregon 97223 �
Inspection Line (Roc-4-Phone)e 639-4175 Business Phones 639-4171
Inspections
" looting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk "as
Found. Plbg. Top Out .1 Can Line FINALS
Post/Beam Struct. San. Sewer framing -Bldg.
Poet/tteasn Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
II r, ( /
Date Requlesteds- nn•,1f V I f f Times AmPMPH
Address: l - q 6, I' ( V .� CA. _ Permit !_ �v _� `13
Builders L LC( I[l'
THE FOLLOWING OORRECTIONS ARE REQUIREDs
s
Inspecto
APPROVED —_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call for Reinap.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rwc-O-Phonw): 639-4175 Business Phone! 639-4171
Inspect ion:r_�
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk w
round. Plbg. Top Ou:: Gas Linw FINAL:
Post/Beam Struct. San._ Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ed. -Meeh.
Data Requested: 0- 2 6 '73 Times AM _ PM
Address: •� �� ��'J�� L��Permit I: _
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: 41_ -I - Date-
APPROVED DISAPPROVED APPROVED SUBJE(" tV ABOVR
Call For Reinsp.
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INSPECTION
City or Tigard Building Departs t
13125 BW Hull Blvd. Tigaru, Oregon 97223
py
Inspection Line )eec•-O-Phons)s 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
am
Found. Plbg. Top Out Gal Line PINALs
Post/Bears Struct. San. Sewer framing -Bldg.
Post/Beam He-h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Data Requesteds _Times - AM _ PM
Addreast Permit 1d ?
r Builders i L A �)��po I
i
THE FOLLONING CORRECTIONS ARE REQUIRED:
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Inspectors , Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
it
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° G 9, Call For Rainsp.
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INSPECTION NOTICE n
City or Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Hoch. Rough-i.: Appr/Sdwl.k
"k i
loin Plbg. Top out Gas Line IINkL:
!N'
Post/Bean Stru San. Sewer !taming -Bldg. }'
kyles �'.
� lfre.i st/BeaO Usch.�1011, Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. _Hoch, a
Date Requested: Iy c� Tiaoet
` _AH Ph
Address s__j�• �.' 1,�_e� � �` Permit I: �l � c� (c)
Builder:.
TBE FOLLOWING CORRECTIONS ARE RRQUIRED: 4,
l�c�"c`' lam- "\-K_ ���U�� �'V Cl� ' V�- � .•.i � �a NP^,���l�r,f �t .
Cr�S
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Inspectors. 't
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Data:
APPROVED DISAPPROVED ✓ APPROVED SUBJECT To ABoys
Call For Reinsp.
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,�NBPECTION NOTICE � i
City or Tigard Building Departamt
13125 BA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
tiDq�> Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
' Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Srwer Framing -Bldg.
Post/Beam Mach. Rain Dxain Insulation -Pl .mb.
Plbg. Underfloor 'Nater :1.1ne Gyp. Bd. -Hoch.
Data Requestede - I c (�` c�.� ,_Ties= AMP FM
F.rast r s "It
Builders - 'z,yl Lc l� _ 1(��,H
TNR FOLLOWING CORRECTIONS IRR UIRED:
Inrpector:
/ Data:
_V APPROVED DISAPPROVED APPROVED OURTRCT To ABMg
Call For Reinep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 97223.9100 (603)630-4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tlpud,Oregon 972234199 (603)639-4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 14,t I k:: ' 't t:.t. ;
i 1.312..6 BMV Hall Blvd.Tigard,Oregon 97223.6199 (603)030.1171
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_Residential Building Permit Application
City of Tigard
13125 SHV Hall Blvd.
Tigard, OR 97223 •
(503) 639-4171
Jobslte Address: ,
,,�t �-wJ Offlea Use Only
Subdivision: _GL.p..��hJ% Lot*!�
Valuation: /Sv c '�� Nlandc/Rec#� � ...
�— Permit #
Owner: A) �l 1.� ��"►'tC"�T� fV,7AiVC, Reissue of
Address: /3/ /_S!'Y� 7i�z)FcG At--c- 5N+w-6,04
C/ Approvals Requlred ,r
' /
Phone: Planning
�2 � -- 2 Y� _
7 �vO ?-5 c'_ / "Engineering
Contractor: b �'�� CXher
Address:
ItemsRe wired
Phone:
Subcontractors
_
Contractor's License # / Truss Details
(attach copy of current Oregon license) Other
Subcontractors: 1
Plumwing: bIJ r%ra,U S'i k'c r' T( ^y
Meclioiical:
(attach copy of cun-e t OR Contractor's License)
Archltect/Englneer: t!-Hy�'Lf 5 tl f�Cr/L� j
1
Address: Z 2-.7 �� /�-?C._L_�f�G��(�--/ �
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12 -3 a
Phone: /0-;12 / L L[J Loin/
COMMENTS:
AT licariVSignature & Phone number
Received by: Date Received: �� W) 3
' pay _ yi1•!}NeYY414tl1'PSIFS'J°:MWWfM".ro.«......... ........,.... .... ..,.,..'w�..
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Pemilt # Account Description Amount Amt. Fu. Bal. Due
m 2'/0 Bldg. Permit (BUILD) }
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 43, 9 ,
State Tax (TAX) " "y ? /y
Bldg: d J Z
Plumb: ' 7
Mech:
Plan Check (PLANCK)
Bldg:
Plumb.-
Mech:
lumb:Mech:
.Sc�1% 3 c" / Sewer Connection (SWUSA) 2. c c� / 22.,-o
Sewer Inspection (SWINSP) > 1 / 3 ,—
P
Parks Dev Charge (PKSDC) �� c�� / S(.a
Storm Drainage Chg (SDSDC) .;2
Residential TIF (TIF-R) /q/0
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Distrirt (FIRE)
TOTALS: S� " 2
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CITY OV T I GAKD F t::I';F:T F'T Ol PAYMENT RECEIPT NO. 193-245114
t;H CK AMOUNT` r 5:.329. 0-3 �
Jt�I�iF a ULliON DF.VFL_("1F'MENT CASH AMOUNT r 0. 00
►aUlJ1 1 >r,1:; r PAYMF='NT DATE r 1011319.1
SUF'3DIVISION
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1IJRP]SE OF PAYME=NT AMOUNT oAI1PURPOSE JCP~ YMF�:NTAMOUNT =pI1i
i
545. 50 rJLI.IMBINC; F'E.FtM 155. ►114 ..
W–C:HAN I C:AL. P ' 45. OIA ST. BUILD PFR 37. r'F!
f'l.AN CHECK FE 1.1. 25 FA."..WER USA 2200. 00
'iV WER INSPECT 35. 00 PARKS SDG 151110. OIA
f,..0 ORM DRAIN SUN' '%C1ut. 0.10 RESIDENTIAL TRAFFIC FEE43 1410. 00
MASS TRANSIT TIF- FELcE, 11trti. 00
t 3%46 SW M t CHF I_L.. ' CT
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0MOUN f a 90. 00
N(-1ME' r C:1C.F;f1N f'1F�Vr.I_C:l�'Mt.NT (34913 AMOUNT a 0. 00
f_1.1�1.►Ft(;£3C3 a 1'f1YMF N C
1441F, a 10/05/43
'3110t)I V I�i I ON a'
f°1114F 090 OF PAYMF N l" (-1h1CII lhl I 1""'A.f 1? PU Hl-*'()13F. DF' F'AYME'".-N F' F1M111.011 PAID
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