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CITYOFTIGARD
CRYOFII�ARD �
COMMUNITY DEVELOPMENT DEPARTMENT MGMPLUMBING PERMIT
13126 SW HNI Blvd. P.O.Bax 23397,Tig",(Logon 97223(603)s394176 P E P M I T #. . . . . . . . R L M 91 -0 13 8
6.39•-4171 DATE ISSUED: 07/2'9/91
SITE ADDI SS, : 9390 SW MIL.I_EN DR PARCEL: 25114AB-•04700
SI'BD I V I S I ON. . , . : KNEELAND ESTATES ZONING, R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .3,4
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF• WASHING MACH. . . . . . . : DACKF=LOW PRE=VNTRS. . : 1
OCCUPANCY GRP. . : RU FLOOR DRAINS. . . . . . . . TRAPS. .
Sa F'ORIES. . . . . . . . . WATER HE:ATERS. . . . . . . CATCH BASINS. . . . . . . .
___..____._ Lk6;JDRY TRAYS. . . . . . : S1= RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . e
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . .
WATER CI._OSET�-;. . : WATER LINE (ft ) . . . .
DIS3HWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
is
Remarks : INSTALL BACKFL_UW DEVICE FOR LAWN SPRIHKLER SYSTYEIn
Owner: _.__._..__.______..-. ._._.___________._.____.__.___. _______.___._._____ FEES ..._.__--_-.-_____
CRAIG FELLER type am )1-int by date recpt
9390 SW MILLEN DR PRMT f 15. 00 BCR 07/29/91 0
0. 7'W BCR 1717/2-9/91 0
TIGARD OR 97.=x'4
Phone #: d
Cont Tact or^:
OWNER
----------------
Phone #: # 15. 75 TOTAL . ____._._ •
Reg
REQUIRED INSPECTIONS
----This permit is issuP.d subject to the regulations contained in the Final Inspection _
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started �+���
within 188 days of issuancs, or if work is suspended for more
than 180 days.
Perm i t t 9 e S i fl n a t�.1 r e -F=- .�.__-7 s..._...._ .._
T s s f.l e d B y ---
Call. for inspretion - 639-4173
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L I TY (IF= 'T'I GiORD - REmC:E:I V=T OF P"nYMENT RE 1:IL 7.F-ll' NT1,
1`J. 75
NAMf'� CRAIGTw'f L.l_I Ft (, AMCXJNT� 0. 00
ODDRLSE, a 9 390 SW MILL.EwN DRIVE. PAYMENT DATE`.
SUBDIVISION
T IGARD, OR 9 72--''4- 90)m
PURF"ME OF PAYMENT AMOUNT PAID P"URPOSE~ OF PAYMENT AMOUNT PA 10
�'t_.UMI :ENC PERM F"LM91-- 138 IS. rAo ST. BLIII..D G"FR 0. 79
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TOTAL AIVIOUN'T Itiia T,r) ; 15. 75
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
I T'gard,Oregon 97223
Phone: 639-4171
TYPe of Inspection
Date Requested
Address "--1lL �` Time A.M.
P.M.
Owner Permit #
s.
Builder.... --- ---------- Lot #
� The following �---"`-------__
g Building Code deficiencies are required to he corrected- —__—
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Presented to
----_ -'--.-------_.-
Inspector [7�
- _-- —� —/` ' APP''oved
Date - _� Disa
PP►oved
CALL FUR REINSPECTION
Ej YES 0"NO
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INSPECTION NOTICE
City of Tigard Build;ng Department
12420 S.W. Main St.
Tigard,Oregon 97223 +r
Phone: 639.4171
Type of Inspection
Date Requested Time A M.. P.M.
Address
��— Permit #_
Owner —
Lot #
Builder
The following Building Code deficiencies are required to be ,.orrerted:
elf *01
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Presented to
`r. ----- — --_ Approved
Inspector
[� Disapproved
Date
CALL FOR REIN, I'WT'ION
❑ YES -J NO
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THE UNDERSIGNED HEREBY APPLIES FOR APERNIIT FOR THE WORK HEREIN INDICATED BUIL.DERPHON •f / I
OR AS SHOWN AND APPfIOVED IN THE: ACCOMPANYING °LANS AND SPECIFICATIONS. OYlNER�Y.oj�l � •
q / LOT NO
L a K¢Cv _/ARCHITECT
77P-i/ ENGINEER
A00!7ES. ,Ch S F� A r�L t_..,ly �, - '�G�i� DESIGN!:R �—
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❑FlF
STRVCTl1iCE EW 41f10El ❑ . OITiOR
OJ �RcPnIR_- C_1flNE':JnL GPIREDA�AAJE L,)C1E'.10UT1
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C_]rSLAB ❑r�
ESIL�E^ICC ❑CO►r.ra LJEOUCATIONAL ❑GOy'T ❑RELIGinU5C�aAT10 LJCnaPORT C_1GARAGE USTORAGEFEt, i
C Sl (NCyIF:: AN SE 20NE� &OLDG.TYP£ _.FIR£ ZONEPLAN CHECK BY ��L-- NEAT C W
2.100,
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SEWER PERMIT rr 7�1/ c� _
4LS..Lt� ___ F149a i_iLFI 'I HT r-7V--/' NO.STORM; Afi A �! EDFIOCLk 5 VALt1F� /low
SVILOING DEPARTMENT SFr BACKS FRONT ,'J REAR /�_ LEFT SIDE J Gs RIGHT SIDIE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING CODE. ZON
I�-;ln Check `I �6/ PEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT i
(------- - rit7aK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CONIPLIANCE W r
$.17•C�EdI ' d � ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO;ITRACTORS TO HAVE CURRENT CITY BUSIN
�.at+! Tax II LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER. PLUMBING AND HEATING.
S D C
Tota! li PDC# —
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APPLICANT OR AGENT ..—_
j Appro;;M Receipt Nu.
PDC —
SEWER CONNECTION $ 7 .- S �` �'� �> c,►-J
SEWER INSPECTION $
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SEWER SURCHARGE:
Comments. S ( `/5f� �5.!�* tr ��
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DEVELOPMENT •
155"B"Avenue#300 Bu i 1 d i rig P era i Nc. _V 7 o _
Lake Oswego,Oregon 97034 �Lt 635-1551 244-3693 244-3693 Locat ion
ba t e
Greg Heinz*
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Certification of Registration
With the Bu i 1 kers Board
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doing business as (dba) ,
Ilexe� — am registered under the provisions
of ORS Chapter 701 Oregon Homebuilders Law) .
My Builders Board Registration Number is y Z 3
hly registration is in full force and effect and expires on
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Jlgfiatur a
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'JUILDING PERMIT AFPL.ICATION TIGARD DATti _2_1'J____- '19 '114—
4?63 '
TFIF Uld•DEt�31C,NED HEREBY APPLIES FORA PERMIT FON [HE WORK F EREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANn SPECIFICATIONS. OWNEFl PHONE—
LOT NO._34—
OWNER JOBADDRESS !13911 ;i.11rp drivv __ — t"neeland LstaC.ea I_
�� ARCHITECT —
"r.tlke c_h,r, 97034 ENGINEER y
BUILDER ADDRESS r ++ ++ DESIGNER
STRUCTURE C (NEW Cl REMODEL ❑ ADDITION 1-1 REPAIR ❑ RENEWAL _❑ FIREDAMAGE0 DEMOLITION
C RESIDENCE I_1 COMM Ci EDUCATIONAL 1-1 GOVT ElRELIGIOUS 11 PATIO D CARPORT ❑ GARAGE CI STORAGE ❑ SLAB[__j FENCE
OCCUPANCY $`- _.LAND USE ZONE —k_1 —' hLDG.TYPE 5 y _.FIRE ZONE__ .PLAN CHECK BY I' a t; HEAT__f."as
ConsCruct.
SEWERPERMITN ?.11'33 t:,yrk: e 57..
OCC.LOAD FLOOR LOAD 4tI HEIGHT ..010— NO.STORIES ' AREA NO.BEDROOMS VALUE 1 i .t►+ �•
BUILDING DEPARTMENT SETBACKS FRONT REAR 1`,r + LEFT SIDE RIGHT SIDE
Permit 346.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF "ING CODE, ZONING
T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS Lett. 'REED THAT THE
Plan Check 1112.14 .`10 WORK WILL BE DONE IN ACCORDANCE WITH THE: PLANS AND SPECIFICA' ONS . Idi, . ' COMPLIANCE
WITH ALL APPLICAQLE CODES AND ORDINANCES. THE ISSUANCE OF THI;. ^FPM17 I ES NOT WAIVE
Subtotal 5111•It) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax I }• °��
:e+4 IU.UC
SDC
F M1
Total 5. 4.14 n `�
PDCq lr;l1�II{. APPLICANTOAt3F.NT
By 011
App•oved — ,;']'�j — Receipt No. ADDRESS j — PHONE
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DATE INSP. TYPE INSPECTION REMARKS r LUMBIN(i DATE
3�y�f�/ • Permltni- am
Fixture
AOF _ A� _ _ Final
HEATING
/ `� -_ -- _- ----- Controctor_a ,
Permit No.
Oat or Oil
Final _
_._.—SEWER
Final
DRIVEWAY
i � ._� _..____ _- _ ._ _._ ______._____.— ---• Final _--- --
5torrr+Lrreinagp '
(Rum Drain)Final
— 1 Sidewalk
Curb h Street Final
Apprnaeh r
BLDG. DEPT, INAL 7EMPURARY �—CERTIRICATE OCCUPANCY Pirtal
CF.Ftt•IPICATE 0CCUF'A r j ---_
Land, i •g
Zoning Final
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