7117 SW MAPLELEAF COURT-1 Ny�17
ADDRESS:
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INSPlCTION NOTICE A\
City of Tigard Building Department.
13125 BR Hall Blvd. Tigard, Oregon 97223 /
Inspection Line (ROC-O-Phona)t 639-4175 Business Phone, 639-4171
Inspection, I\t �� A f
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
found. Plbg. Top Out gas Line fiNALt
Post/Beam Struct. San. Sewer framing
Post/Beam Mach, Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Bd.
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Data Requested, _ Time, AN PM
Address s— ��" � �- .\f�I t��\ � � � Permit #s
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9uildert�7n tM , VIA,
THE FOLLOWING ODRRECTIONS ARE REQUIREDt
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APPROvFD DISAPPROVED APPROVED SUBJECT 1O ABOVE Ai
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City of Tigard Building Department
131.25 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Husineas Phones 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out Gas Line 1INALR ,
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Post/Beam Struct. San. Sewer Framing
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Post/Beam Match. Rain Drain Insulation -pinuls,
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VPlbg. Underfloor Nater Line Gyp. Rd.
Data Aequestedt Times ?{ PN I
Addreasi ')Z/ Permit
Builders-__- 4 j
C_THS FOLLOWING OORRECTIONS MR REQUIRED: _
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Inspectors_ Date:
--APPROVED DISAPPROVED V APPROVED SUBJECT To ABOVB
Call. For Reinep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT Or
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13125 SMS Hall Blvd.Tigard,Oregon 97223.8189 (503)830-4171 CERTIFICATE OCCUPANCY
4xxrf PERMIT 4k. . . . . . . a Mu'T'93 6'iV�t•ir. '
V i'9-41 71 DATE ISSUEDa 08/19/93,
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PARC:E.L s
rG I TE ADDRESS. . . . 07117 SW MAPLE: LEAP CT b
SUBDIVISION. . . . : 7.ON I NCS a ¢
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CLASS OF WORK. I NEW �
T'YPEr OF USE. . . t SF ■
OCCUPANCY GRP. I R3
OCCUPANCY ' QAD 1226 4
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Ownera -._� ...._..._.._w ,.__ _..__. ._._,....._.._ ,_..._.__.. ....._._
SAM SAR I CFi CONSTRUCTION INC;
4515 SW SAUM WAY
TUALATIN OR 97064 j
Phone ala 692--72'08 I
Cantractura - ._.._..._....._._.___.._._....__.__..._ ..
SAM SAR I CH CONSTRUCTION INC
6455 SW NYBE RG LN 1-..103
TUAL_AT I N OR 97062 I
Phone #a 503-4192-7208
Reg #. . . 01267 j
Orr.upancy of the abuve referenced building 1% herebygiven, tznd rertifitara
the compliance with the State Of [.begun aPecialty Codes for the group,
occupancy, anti e.tse under which they referenced permit wa% i ss#.�ed.
FIRE DEPARTMENT NT -B I NUX NBPEC;7QR
r BUILDING OF'F'ICIAL.
POST IN CONSPICUOUS PI..•ACE::
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INSPiCTION NOTICZ �
City of Tigard Building Dwperb—t
13125 SW Hall Blvd. T19ardl, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections —
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rooting Plbg. Underslab Mach. Rough-in (Appy/Sdwl )
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struc-t. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Water Line Gyp. Bd. -Koch. .
Date Requested: �1 L� r�A y Times AM PK
Addreess_ Permit ft
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED+
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Inepw:tor:�����f����J ^� Dates
__APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPE7.TION NOTICE n1
City of Tigard 0 41ding Department !\
13125 Sit Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_—
Footing Plbg. Underelab Hoch. Roug in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
I
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hach. Rain Draln Insulation -Plumb.
Plbg. Underfloor Water Lase Gyp. Bd. -Meeh.
Date Requesteds— —�/�a� _Times --AH PM
Asldreee:_ 7117 &ke?7 SZ � Permit #: —
Builders
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THE 'OLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:— Date:_
---: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cal.l For Reinsp.
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INSPECTION NOTICE r
City of Tigard Building Department
13125 SM Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect Ion:
Footing Pi.bg. Underslab Fech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINALs
Poet/Beam Struct. San. Sewer Framing Bldg.
Ak
Poet/Beam Hoch. Rain Drain Insulation � -Plumb.
Plb Underfloor '--
9• Nater Line Gyp. Bd. -Hoch.
Date Requested: < y�� T �jf�-ice _PM 4
Address: Permit
Builders
TER FOLLOWING CORRECTIONS ARE RF.QUIRPD:
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AP PROVEU --------- j
DISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Reinap.
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INSPECTION NOTICE
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City of Tigard Building Department �
13125 SN Hall Blvd. Tigard, Oregon 97223 m
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Inepectlon Lino (Rec-o-Phone): 639-4175 Busi.neee Phone: 639-4171
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Inspections
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lind FINAL:
Po,at/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation _) -Plumb.
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Plbg. Underfloor Water Line Gy Bd -Mech, p
Date Requeetnd:_!-� Time: AM - -- M
Address:-7ZZ_7- Permit
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectort� _ -._.
Date:
APPROVED DIS�APPPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
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INSPECTIONNOTICE
City of Tigard building Department
1.3125 Sit Ball Blvd. Tigard, Oregon 97223
Inelpection Line (Rec-(-Phone): 639-4175 Business Phone: 639--417.1 I
Inspection: 7�
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower _
Framinging� -Bldg.
Poet/Beam Mech. Rain Drain IneuIa,__t -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested t_. -_-2 G� _._--T ime: AM PN
Addresst if -7MA-0 (rq (4! Permit 1:
Builder: �QL C�2�{�(_��— (L�C L -72 0 U ` ( / _ 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ineper_tor.:
--- Date:
_��APPROVED —_ DISAPPROVED APPROVED SUBJECT To ABOVE
^`Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Depnrtsmnt
13125 SSI Hall. Blvd. Tigard, Orrrpun 97223 I
Inspection Line (Rec.-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gats Line FINAL:
Poet./Beam StrucL. San. Sewer / Framing -Bldg.
Post/Beam Mach. Rain Drain \` au f
Innsulation _plumb,
Plbq. Underfloor Water Llno Gyp. Bd. -Koch.
Date Requested: �l� PM
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Address. / + Permit #s _ 'Ut�� ■
Builder.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors C
APPROVED DISAPPROVED ---` APPROVED SUBJECT TO ABOVE
_,_Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Runinene Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line`s FINAL:
Poet./Beam Struct. San. Sewer ��graminp % -Bldg.
Poet/Bean Mech. Rain Drain eulat n -Plumb.
Plbq. Underfloor Water Line Bd. -Mech.
Date Requestedt_ Ti:n T�L' AM PM
Addreu t 1 Permit 1
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Builders-,,:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors � � - -� Date:
APPROVED _ _ DISAPPROVED APPROVED SUBJECT 710 ABOVE
---,.--Call For Reinap.
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OTICE
SMcity .3r Tigard Building De
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13125 SII 8411 Blvd. Tigard, Oregon 97223
�. Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbq. Underslab �Mech. Rough Appr/Sdwlk
Found. Plbg. Top Out ".Gas Lin* FINAL:
Post/Beam Struct. San. Sower Framing ,,- -Bldg.
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Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requestads_T' ,_ -�_ Time "��i' AM PK
Address / Permit
Builders
TNS TOMOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED _— APPROVED SUBJECT Tr, ABOVE
Call For Reintp.
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MPECTION NOTIO
City of Tigard Building Department
13125 BO Ball Blvd. Tigard, Oregon 97223 ��
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspect ion a �_ I u 4•.'
Footing Flbg. Undq_lab Merl:. Rough-in 6ppr/Sdwlk �
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Found. Plhg. Top Out One Lino FINALS
Post/Beam stsruct. sen. sewer. Framing -Bldg.
fi� r
Post/Beam Moch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nster tine Gyp. Bd. -Hoch. ' G
Date R9quest+d:. Time: AM PM
Address:_// -7 Permit _" UC,p
THE FOLIQNIN'G-rCORRECTIONS ARE REQUIREDs
Inspactors
Date:
Y APPROVED DISAPPROVED -� APCROVED SUBJRCT TO ABOVE
✓✓✓���"
--.---Call For Reinr.p.
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INSPECTION NOTICE �/
City of Tigard Building Department
1.3125 SW Ball Blvd. Tigard, Oregon 97723
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inapections`. ----- _--_ I
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
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Pound. _ Plbg. Top Out Gau Line FINAL:
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PYnt/Beam Struct. San. Fewer Framing -Bldg.
PAOriBeam Mach. Rain Dr.aln Innulation -Plumb. j
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Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requestedt. ,2 k� Times AM �� PM
Addreea:W A Permit
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRRD:
Inapectors
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'APPROVED `_ DISAPPROVED -- APPROVED SUBJECT TO PJUM
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. en. Sewer Framing -Bldg.
Post/Deem Mach. in Drain Insulation -Plumb.
Plbg. Underfloor Gyp. Rd. -Mach.
Date Requested:.i4k � Time: �_AM PM
Address:-27 Permit Ied"=�� I
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Builders /f i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
/_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SK Ball Blvd. Tigard, Oregon 97223 I
Inspection Line (Rec-O-Phone)e 639-4175 Buniness Phone: 639=4171
Inspections —__--
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Xa'terLine
) Framing -Bldg.
Post/Beam Hoch. Insulation -Plumb.
hlr Gyp. Rd. -Nech.
Date Requesteds � / Time: AM PM
Address K- Permit 13 ! _4 60 iL� ,
Builders � T `
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectorr`f-�-- Dntes _ �t
APPROVED DISAPPROVED —_ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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1 INSPECTION NOTICRr
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City of Tigard Building Department
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rev-O-Phones 639-4175 Bunineas Phones 639-4171
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Inspac:.ions
looting Plbg. Underslab Diech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Lina FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor: Water Sine Gyp. Bd. 77_��-.Mach.
Date Requested:_ �� �_letI AM PM 1
Addreess
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Builders'
THE IOLI.OWING CORRECTIONS ARE REQUIRED:
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Tt, Inspectors- �\ - x., __ Date: .
LLr - APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITYOF TIFARD F'LIJIhB 1IyG r'ElilYl l'T
COMMUNnY DEVELOPMENT DEPARTMENT7i_7
k'F�RM I T #. . . . . . . : IvIS'r9,�`11710 b
,01268W Heil Blvd. a.o.s«r3M.Tigard,Oregm 9(Sao)0!0417a
W A TG�TJLJITG�-R '�1 T4•.,
S I T E ADDRESS. . . : 0/11 '/ SW NAVILE: LEAF C T r'ARCEL.:
SUBDIVISION. . . . : 7.01\1 I NG
BLOCK. . . . . . . . . . : -OT. . . . . . . . . . . . . ..
CLASS OF WORK. . -NEW GARBAGE:. D I Sr'OSALS. . : .I
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F'REVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRfIINS. . . . . . . :0 TRf-Ir'S. . . . . . . . . . . . . . .0
S'TORIES. . . . . . . . :2 WATER HE'VITE'RS. . . . . . . i CATCH BASINS. . . . . . . :IZI n
FIXTUREta'_.._,._ ..__.__._.._.____.__ LAUNDRY IROY'S. . . . . . ..0 SF RAIN DRAINS. . . . . : 1 �
1_;INKS. . . . . . . . . . . 1 GREASES TRAVIS. . . . . . . :0 �
L.AVATORIES. . . . . OTHER F'IXI'URES. . . . . :c11
_IUB/SHOWER';. . . . : SEWE14 LINL (ft ) . . . . :0
WA-TER CLOSETS. . :,.3 WATER LINE (ft ) . . . . : .i00 �
DISHWASHFRS. . . . : 1 Rf)IN DRAIN (ft ) . . . . :0
Remarks : F141H I
OWNER: --,________.____......_______________.._.___. _.__._..___._.____.___.....______FEF S-___-__-__.______
SAM SARICH C:Ol\IS'TFRUl';T l(.)N INC' TIF $ 1460. 00 .JH 01/25/93 - i
45151 SW SAU11 WAY BPI RT $ 403. 00 JW 01/25/93 -
BPLC:: $ ii 26 1. 95 JLH 12/r 1/92 I
TUALATIN OR 971ZI64 05r'L" If 20. 15 JI-1 01/25/9" {
Phone #: 692--7208 SSD(": $ c'80. 00 JH 01/25/93 -
F'ARF', $ `�0IZI. 00 JH 01/25/9.3 -
F-'1�.cmr,ir,la C; antrar_tora _ f IIP',RT $ 43. 50 JH 01/25/93 -
y�- / — �.___.___._.__. MVILL 1, 10. 88 JH 01/25/93 -
Name : _ -V� " �l�C, ) )_�( `t.(1 115F='C $ c:. 18 .JH 01/25/9:.3 ...
Address : 1 � F''PRT $ 1,3:x. 50 JH Irl /25/93 - �p
City : � � .� 1:3tcateI`'5F C $ A. 63 JH 111.E/1?519 3 - 1
Z i p:_.0 'honei►: Jj&4 _
Reg #:_ ''►JE�.` Y� _.- f�.fl.�`,:�.__3-36.1.-E b. .__._.
RLUUl RE.D 1n SPEC I IONG - - -- --
This I:aermit i, issc_ced sc_cta,ject i:o the red--
ulations contained in the Tiyard Municipal Foot/fnl.cnd lnsp Rain drain Insp
Code. State of Lire. Specialty Codes and all most/Beam Strutt Water Line Irjs�•�
other applicable laws. All work will be done r'ost/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This IIlm/undslab Insp Irlec::hanical. Final
permit will expire if work is not started F=
C17YOFTIGARD
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CrWYOF TM ,
COMMUNITY DEVELOPMENT DEPARTMENT omooN MASTER PER1+11'T'
13126$W+iWIBlvd P.O.Box 23397,TOW,OMM97223(603)639-4176 F'F RIyIIT #k. . . . . . . : M51-93 _0006
-639-.•.4171 DATE ISSUED: 01/25/9:3
SITE ADDRES-5. . . : 07117 SW MAPLE LEAF CT P'ARCEL.:
SUBDIVISION. . . . : rne.pfe, Leaf LONINC`i:
PLUCK. . . . . . . . . . : LO V. . . . . . . . . . . . . .
BUILDING
REISSUE: DWELL.I1\1G UN I TS: 1 BASEMENT. . . . . . . . :0 s f
CLASS OF' WORK. :NEW BEDRIrIS.4 BAT H5:3 GARViGE. . . . . . . . . . ..4 13 s f
T YP'E OF USE. . . :SF FLOOR ARf.FaS- -----____._ REUUI RED
TYPE OF CONST. -5N F=I RST'. . . . :A 9 1 SF L_E=:FT. . - 13 Ft RIGHT'. ft �
OCCUPANCY GRP'. :R3 SECOND. . . :900 s f FRONT. :r'0 f t REAR. . :5i0 ft
SIT OR I ES. . . . . . . :c 1 FI I RD. . . . :0 s f REOU I
HEIGHT. . . . . . . . ..i6 ft 1_C11AL-.___..._.__.__: 1791 5 SMOKE. DETECTORS. :Y
FLOOR LOAD. . . . -40 p!s f Vial_UI". . . . . 9 : 8982121 PARK I NG SP'ACES. . : 1 �
Remarks : P'AT'H 1 1
STINKS. . . . . . . . . . ; 1 F!_OOR DRAINS. . . . .0 BACKFLOW P'RLVNIRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . ; 1. TRAP'Ei. . . . . . . . . . . . . . ..0 �
TUB/SHOWERS. . . . :& LHUNDR'Y TRAYS. . . :0 CATCH BASIIV5. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (•Ft ) . :0 6R{ ASF TRAVIS. . . . . . . .0
DISHWACiHE135. . . . - 1 WATER LINE (ft ) . : 1100 OTHER FIXTURES. . . . . ..0 �•
GARBAGE D 15P'. . . : 1 RF411J DRAIN (ft ) . :0
WASH I I\16 MACH. . . . 1 SF RAIN DRA I NG. . : 1
MECHANICAL_ ___.__._._.__.______._.____.__._._______._._.__._. FEES
JNI T 1-1TR1j. . :0 type amor_Int by date recpt
/GA5/ / ! VENT . . . . . :0 TIF 'S 1460. 00 JH 01/25/93 -
+, MAX INPUT :0 BTU VENT FANS. . 4 BF'RT $ 40:.3. 00 J1-1 01/25/93 -
F.URN ( 100K . . : 1 HOOD5. . . . . . : 1 BPLC M 261. 95 JLH 12V21/92
FURN ) =100K . . :IZI WOODST'OVE:5. -.0 L'15P'C $ 20. 15 .JH 01/25/93
FLOOR FURN. . . . .0 CLO DRYERS. : 1 SSDC $ 280. 00 JH Ir"11/25/9:x" -
BOII-/(-hIP' ( :3HP':0 0THER UNITS: I P'AFRK '$ `-00. 00 J+1 01/25/93 - �,•
GAS OUTLE 1 5: 1. I+'IF•'RT $ 43. 50 JH 01/25/93
Owner: - __._._.___..__.__._. ..__._____._..._._.._._.__.._._______........_hIP'LC 4 10. 88 JH 01/x:5/9.3 - 0
SAM SARIC:H CONSTRUCTION INC 1+15PC; 2. 18 JH 01/25/9:.3
4515 SW SAUM WAY P'PRT $ .1;:32. 50 J11 IZII/25/93 -
P5F'C f, 6. 63 JH 01/25/93 -
1 UALA'T IN OR 97064
Phone 4f: 692-7208
Contractor,: ._._____.________._.._______.___..____.._._
SAM SARICH CONSTRUCTION INC
6455 5W NYBERG LN 1--103
It-JAL.ATIN OR 97062'
F'tione #: 503-•69----7208
Reg #. . : 61267
3120. 79 TOTAL
This pervit is issued subject to the regulations contained in the -- - - REQUIRED INSPIECTIONS -- -- -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/for_rnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved F''ost/Beam Stv-�tct Gas Line Insp
plans. This pereit will expire if work is n t starte -0"1!hin 8 Float/Dpam Meehan InSUlatiOn Insp
days of issuance, or if work is suspende o 0 h 198 ys. F'lmlLin dsIab Insp Oyp Brrard Insp
F'er rnitl r-r, ,.i nati.Ir,e . �. l._hl�Under 1 or' Aa n cir ip }TnG
' `� � �� _°_'_�'__:_.._.._._._._.._.___ IFlecharri,r.a� .L 11�p �cl ,Pr' I._Inp LnS�J
• F�lumb 'fop Out 0ppy,/Sdw11< Insp
Issued By : _._...__ .. F r-am :ny Insp Neclianical Finia1
Call for- insper_tion 639--4175
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C17YOFTIGARD
SEWER CONNECTION
C11Y'Of Al �RD PERMIT
COMMUNrrY DEVELOPMENT DEPARTMENT MOM F;E.RIYII T #. . . . . . . : 5WR93-0005 k'
13125 SW44WI Blvd P.O.Bac 23W,71pmd,Oregon 97?21(SM)639-4175
13-9 .4.1. 71 DATE_ ISSUED: 01/&:5/93
S I T'E: ADDRESS. . . 07441-lAr SW MAPLE. 1._F(al= CT' PARCEL_: 1 S 1361:1LA--ML005
SURD I V I S I ON. . . . : Mr)PLE LEAF ZONING:
BLOCK. . . . . . . . . . . LO I . . . . . . . . . . . . . :`
TENANT NAME". :M
I_.5A NO. . . . . . . . . . . FI?iTURF UNIT'S. . . .
CLASS OF WORK. . . :NEW DWELL I NG UN I T S. 1
Tyr-L- Or USE. . . . . :SF IVO. OF BU I t_D I NGS: 1
j INSTALL TYPE. . . . .B USWF•t IMPE:RV SURFACE'. . : , s f
l
Remarks : PATH I
Owner,: -.___.________--_--._______.....__.__________..---_--_________...__....._.. _._--.__._..._. FELS ___....__._........_____..__._.__...__
SAM SARIC:;H CONSTRUCTION INC type amol_Int; by cute r,ecpt
4515 SW SAUIYI WAY PRWIT $ c:100. 00 JH 01/25/93 -
INSP $ 35. 00 JH 01/::5/93 _
TUALA'T IN OR 97064 I
Phone #: 6921-7208
Corrtr"actar^:
CONTRACTOR NOT ON FILE
Phone tf: i; 2.1.35. It7176 111T'AL
Re►:1 Il. .
REUMIRED INSV,ECTIONS
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 he 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 fret in all directions from
the distance given. if not so iocated, the installer shalh purchase _ _ _ _Y� .L
a "Tap and Side Sewer" Permit and the�ge ill ipsfe ala ral. •_,,,•_`�•��-_�.��_ �_���-T�����___•_T
F''e r m h l;e e 'S.i !_d r r a 1;,_r r"f? / «✓ ---____._._..___._- ----._ .......... _______.. .—._--.__._
I s s i_r e O T1 y
Call for, inspect i an - 6;:,9-•4175
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& 13123 SW I fall Blvd. PLNCK RECT #
CITY OF TIGARD
'
� l ig,�rd,Oregon 97M PERMIT N
COMMUNI'L'1 DEVELOP MENT DEPARTMF.N'I'
(503)639-4171 DATE ISSUED
n 1
JOB ADDRESS:
A TAX MAP/LOT
/ A n Hyl�UU.S
SUB: kll-( LOT: _5 LAND USE:
VALUATION: g?.--eo
pW SPECIAL NOTES
NAME: _ REISSUE OF:
ADDRESS: _ LAST REISSUE:
FLOOD PLAIN/
PHONE: _ _ SENSITIVE LAND:
C0NTRAfT00' APPROVALS REQUIRED
NAME: � / PLANNING: —
ADDRESS: X515 Lli) / :! 6M`1 ENGINEERING: _
FIRE DEPT:
PHONE: ug2 --22.C. ' -- OTHER:
I
CONTR. BOARD #: &I"L L1 _ EXP DATE: '74
ITEMS REQUIRED
SUBCONTRACTORS: ; �LUMB: ,u��i4r)T FG9- /J'3 LIST/SUBCONTRACTORS:
MECH: T-/4, c7a,.,4, 116-5'1-305" �/` BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: T, l /'k" TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: e"r> c'Z c Z
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PROPOSED BLDG. USE: �Ps�clo �1<3„l ,i1�✓Obog
COMMENTS: vArr/n�� - icy F�v•►,fc ,tet ce/Nr����::�5 AW _"iE'ci•-
�2.1�7'l�.s►}"F�+�—..�Irti%��'L�t�t./--
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1
' A P._ ntmol s IGRATURF
Received By: '� � Date Received:
.. .:.Jnr!M'tN4Y�t �M;'',q'i•,.yytAWR0MN11Rd.eWSyM.NM11dAvl.n,..,.: A..ar+^1x.rA .......... - .
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
`tt o(o 10-432 00 Building Permit Fees 43• �� ' . r,'
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees _a 3,•SD �' ___ 3 .a"b
10-230 01 State Building Tax (5%)
Building ";�• .r
Plumbing 6;,G S
Mechanical
10-433 00 Plans Check Fee 2. Z .S"J`-
Building
■
Plumbing
Mechanical 16.fe ,
10-230 06 Fire
5.&ZY1aej1),5-30-202 00 Sewer Connection o0 P10O_
i
30-444 00 Sewer Inspection 3)'
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees 00
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
c
24-445-01 Water Quality (Fee in lieu of) _
i 24-445-02 Water Quantity (Fee in lieu of) _
TOTAL i r • /� Z r0U
i
nm/3587P.WPF
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' NMfgpglEM5r4�dhY1lYI!'jYaPt1�7¢«111dYM'4Y}1�d•A,f+r.
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C, I1'r' flF YTf�1"1kI;'� h'L::I::E:i It 1 OF- NilYML:NT kLC;LTl'T Nil. :93--;'�';e' ,ti/►
Clik'C h. faMl1UIJT n ti� i?�`J 71)
NAME t SIARICIAt SAM CAISH AMIJUNf 0. U.0
a'.
AOPRES16 F'PO'ME_10 DATE: t 01 /;,`.. )3
f'1.1RPtil L1R 1 AYh1f Nt AMOUN'T wA10 PUPPP!:.- UN" w�f�YMCtJ(' MMIC NT I11il1)
RU I I_D I NG r,r. m 403. 00 PLUMR T IVf3 PERM
111"(144ANTUAL_ FSE' 43. 50 sT. BUILD PER :-'F_l. 96
�•EWE:RTNE'FPE'C;T 15. Oto' Ra1FtF',� ETC 500. 00
STORM DRA T N GDC: 220. -.00 ISI.W I DI='IVT I AL_ 'I RAS f=I l« R'FF.6 13`110. 00
h ABS T RANt„T T' TIF, F'EE'S 110. 00
I
I_O T' :43 MAAL_f.- LEAF
1. 17 EDW MAr'l_E: LEAF UT'
l TO f f-1!._ AM011i 1=A411) 79
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