10324 SW LADY MARION DRIVE e s/
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LNSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Lim (Rec-O-•Phone): 639-4175 Business Phone: 6 - 171 „
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Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL_: )
Poet/Beam Struct. San. Sewer Framing
Poet/Beam Mech. Rain grain Insulation
Plbg. Underfloor Water Line Gyp. Bd. IC-_:
Date Requested: l> _I l0 ' ----Time: r' AM PM •
Address: l� L �`\�LJ_�`��t — Permitil:
Builder:!!__
ThE FOLLOWING CORRSCTIO 'REQUIRED:
IC f
� ? Inspector: ------__ - --= _------- Date:—gr6N
_ APPROVED _ DISAPPROVED APPROVED SUBJRCT TO ABOVP'
.-----Call For Reinsp.
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CITY
0 TIGAR
CERTIFICATE OF ?�r f
QCCUPHNCY
D PERMIT #. . . . . . . i MST9., .1502
COMMUNM.' DEVELOPMENT DEPARTMENT DATE ISSUED: 08/16/94
13125 SW HMII Blvd.Tigard,Onpon 97223.8199 (503)930.4171
PARCEL: 2S I 1 1 Cid--04800
SITE ADDRESS. . . 1 10324 SW LADY MARION DR
SUBDIV iSION. . , . : MARION ESTATES ZONINGxR-•3. 5 �
OCK. . . . . . . . . . c
LOT. . . . . . . . . . . . . :0L1
CLASS OF WORK. :NEW
TYPE OF USE. . . s SF
OCCUPANG"e' GRP. :R3
OCCUPANCY LOADs228 4
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TENANT NAME. . . s r
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m�rrk 's
Owner: ._._...____...__..___w__..,.__. ._._._....__.___..____.
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► M 7_ CONSTRUCTION
1:540 SW 6C!T4 PARKWAY
T I Gaal?D OR 97223
Nhnne #e 639-••263'?
Contracture ---..._......._.._.______.__.__. .__..___._.._.._.. ---
M7. CONSTRUCTION
t 858 5 SW ROSA RU
ALOHA OR 97007
phone #1 639--2639
Reg #. . 4 60869
Urc upatrr..y of the above referenced building i y her-eby given, and certifies
the complievic + with the Stun Of Uregeo Specialty Code's for the group,
occ:vpanc"y. and ►.ise under whir.:h the ,. s'prenr_ed +await, was 5 .d.
a B INC, NISPECTOR
t 1A61ILD m CIFFICIAL
POST IN CONSPICUOUS F)LACE=
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INSPECTION NOPICE I�
City of Tigard Building Department
131!5 BO Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4'75 Business Phone: 639-4171
Inspection:—
Footing Plbg. Underelab Mach. Rough-in (ALppr/SddDw1k
1
Found. Plbg. Top Out Gas L .ne FIhiJ.-
post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Pluwb.
Plbg. Underfloor Water Line oyp. Bd. -Mach.
Date Requested-_q—/13- _—T AM ---PM
lam, rn�,o�
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Address:
Builder: 1 idnl
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THE FOLLOWING OORRECTIONS ARE REQUIRED:
774
�2 /11'x` -
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Date:
Inspector:_ _�
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APPROVED VVV DISAPPROVED -..J/APPROAMD SUBJECT TO ABOVE
Call For. Reinep.
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NSPECTION NOTICE
City of Tigard Building Departzent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phon 639-4171
Inspection•_
Footing Pl.bg. Undorslab Mech. Rough-in Appy/Sdwlk
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Pouna. Plbg. Top Out Cas Line FINAL:
Poet/Boaro Struct. San. Sewer Framing -Bldg. ? F.
Post/Beam Mech. Rain Dratn insulation -Plumb.
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Pi.bg. Underfloor Water Line royp. Bd. 1 -Mech.
Date Regae/ntteds_J /� Timss AM PM
Address I V '77 f i.-"`kclPanoit :�IUI� , 'T3 ISO -
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Bull.d,rs
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ T_ Date Sr
OVER _ DISAPPROVED - APPROVED SURJECT To ABOVE
For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departiment
13125 SM Pall Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone)s 639-4175 business 639-4171
Inspection:_ _
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struc�J San. Sewer DraminQ -Bldg.
qt -�_ Rain Drain C�T:IENlatiO� -Plumb.
PU . Un, derflocj Water Uno Gyp. !d. -Meeh.
Date Requested: L Z ime: f �AM _ PM
Addreea: V l7 l- f �.Alt Ll 1• "�/ lUln��( Permit i s r f r l2 �r�VL
Builder: _� C_,c� -�—t�t/ �I ■
THE FOLLOWING CORRECTIONS ARE REQUIRED: 0
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Inspector._ J' % v Dates
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"7►PPROVED DISAPPROVED APPROVED SUBJECT To ABOVt
---__Call For Re,nap.
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kN6 ECT NOTICE / 1
City of 2lgard Building Departionnt /
13125 SX Ball Blvd. Tigard, Aragon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Ph 9-4171
Inspections. --._, ---
FootingPlbg. Underelab h. Rough-in ) Appr/S1wlk
round. Plbg. Top Out fiae Lin FINAL:
Post/Foam Btruct. Ban. Sewer Framing
-Bldg.
Post/Beam Mach. Rain Drain
Insulation -Plumb.
PlIst, Underfloor Water Line (� Gyp. Bd. -Hoch.
Date Requested,
,� - / Timet __J AH _ PM
)73
Addrems%t
c� SG✓ /`�-a�'"' Gfli lilt #
Builder:_ --� -"
j, THE FOLLOWING OORRECTIONS ARE RBQUIRED:
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4 -•
p Inspectors Date:--r--` --
—I&P"D DISAPPROVED _ — APPROVED SUBJECT TO ABOVF
'+ Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
.�%
131.25 SW Ball Blvd. Tigard, Oregon 9722
Inspection Lino (Rec-O-Phone): 639--4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Data Requested: _Time: _AM PN ■
J Permit
Builder: �'� l c c'
THE FOLLOWING CORRSCTTO ARS SQUIRED:
' �s
' -
Inspectors Dates J/—CjU
APPROVED DI APPROVED APPROVED SUBJECT TO ABOVE
_—_Call For Reinsp.
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INGPECTION NOTICE �Y
City of Tigard Butldl.�q Department =
13125 HW Hall Blvd. Tigard, Oregon 97223 1
Inspection Line (ROC-O-Phone)t 639-4175 Business Phjnes 639-4171 I
Inspection: —
Fooring Plbg. Undera.lab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIMA'-t
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rair Drain Insulation -Plumb.
Plbg. Underfloor Hater Line Gyp. Bd. •-MeCh.
Date Requsotedt (0 C,q Time: AM h PM
Address: �~_� l`�i 1` �..((f[51�-1�1 Permit I#t
Builders
THE FOLLOWING CORRECTIONS ARE REQ')IREDs
CjQ C4
Inspectors ` �-'- Dater
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I --jAPPM'HD DISAPPROVED APPROVED SUBJECT 110 PJNWR
is — —
5
s�Hie Call For Reinsp.
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DEPARTMENT OF LAND USE 6 TRANSPORTATION
;I LAND DEVELOPMENT SERVICES DIVISION
WASHINGTON 155 NORTH FIRST,HILLSBORO,OR 97124
COUNT,/� INSPECTION REQUESTS: 503/640-3561/693-4415
i . PHONE: 5(1^,1648-876i
OREGON Page 1 of 1 '
Date 01/26/94
';role 11 : 29
Permit Type Residential Electrical Permit Permit # 05049062
Permit Status APPROVED Applied 01/21/94
Situs Address 10324 SW LADY MARION DR Tl issued : 01/26/94 �
Permit Title SFR - E.'LEC/ALL E:NCJMPASiNG LV Completed
Permit Descr. . MARION Es,rATE:S To Expire 07/25/94
Project Title SFR - ELL(, EROSION# P0037487
EROSIONPro)ect Descr . * * F
Parcel Number : LS1'1'1 - Land Use District F
valuation U
Legal Descr. ■
Owner INSPECTION - '1'1GAHU Construction UTH
Applicant Name GARY ' S VACJFLJ Classification S00
Applicant Addr . : `3015 SE E'LAVEL Occupancy K3
PORTLAND UR 9'7'266 Validated by KF
Applicant Phone: '7'/5-2042 inspector Area :
CONTRACTOR : GARY ' S VACUFLO Lic. C 26-728C 775-2042
Fee description Units Fee/Unit Ext fee Data
--------------------
---------------------------
WLimited Entegy/Alter./Extension 1 40 . 00 40 . 00
Subtotal Electrical Fees : 40 . 00
State Surcharge of 5% 2 . 00
Total Electrical Fees : 42 . 00
*** Fees Required * k* *** E'ees Collected & Credits
-------------------- ----------
Method check # Receipt No . Date Payment
CK 9052 01/26/94 42 . 00
TOTAI• TH1S DA'Z'E: ********* 4Z . 00
Fees ; 42 . 00
Adjustments : UU Total Credits : . 00
Total Fees : 42 . 00 'Total Payments : 42 . 00
w Balance Due: . 00
AM
NOTICE: This permit tx moo null and vold If the work or construction for which It Is Issued Is not commenced within 160 days. Once construction has started,
the permit becomes null ef.d void It construction Is Interrupted for a per:od of 160 days. I certlfy that 1;ie Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false end misleading Information may invalidate this permit All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans at noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant aulhorlty to access private property or to use easements. 1 further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during thn•Plocas i of construril—and the building
Inspection staff verifying compliance with the vartove codes. Use or occupancy of the building or structure permitted prior to appmval by the
Building Department Is solely at the risk of the appllcrnt and:Auch,ase or occupancy is revocable until all Inspection requirements are satisfied and
approval In given by the Building Official. I further ackn,)wledge that a filen may be placed on the title of the property upon whlch the permit Is Issued
specifying that the use or occupancy of the building or+•truclure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
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WASHINGTON COUNTY RESTRICTED
Department of Land Use dr Transportation
Electrical Inspection Section ELECTRICAL ENERGY
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i , North Firs'.Avenue,#350-12
Hillsboro,8464 .34Oregon 97124
information: 503 070 Fax:: (5.73) APPLICATION 893412
PLEASE PRINT ''JJ
• • • • • Project Ntr�/Permit No.
Label No. Date
1. Location fns a/ai n Issued By office
Address
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City zip code 4. Type of work:
Tax Map Map No. RESIDENTIAL R+strlcied Energy Fes $40.00 �
Thomas Map Book: Page Section (for all systems)
Directions 414 Check type of work I volved: ,
udio and Stereo Systems*
Commercial ❑ Residential urylsr Alarm,
Tenant Name die a Systems*
(if commercial) _ aye Door Opener*
This permit becomes null and void If the won.authorized by the 411ra Alarm
permit Is not commenced within 160 days from data of Issuance eating,Ventll tion and Air(-:ondltioning Systeme'
of such permit or If the work authorized Is suspended or abandoned .m
of any time after work is commenced for a period of 180 days. aruum Systems
Electrical Permits are non-refundable and non-transferable.
2. Contractor app cation;, COMMERCIAL Fee for each system $40.f1p
Electrical Conr 4'tract (s+%OAH 916-260-260)
Adj,.3ss _ -2e-zm 41v — Check type of work Involved:
DatoJobber
Pruparty Owner
Contractor's L'.rPnse No. Boiler Controls
Contractor's Board Reg. No. Clock Systeme
Phone No.27 ad Data Telecommunications Installations
Fire Alarm Installation
.3. Owner application: HVAC
Inetrumentatlon
Print Owner's Name Phone No — Intercom and Paging System
t.r.ndscape Irrigation Control*
P ddrose �� — Medical
Nurse Calls
Outdoor landscape Lighting*
This permit Is Issued under OAR 918-320-370. The applicant agrees Protective Signaling
to make only restricted energy installations 000 volt amps or less) Other
under this permit and to do the following:
1. Only use electrical licensed persons to do installations where
required. (C'erfaln residential and other trans*coons are exempt Number of Systems
from licensing. These h*vd asterisk*I*). All others need Ilcens-
Ing.) "No licenses ory required. Licenses neer ulred for all other installations.
:. Cel!for an Inspection when all the In,'illatJone under this permit � e4
are ready for Inspection.
3. Purchase seper*te permits for ah Installations that are not ready 5. Fee S
for Inspection when the Inspector is out to Inspect under this
permit. Enter fees $
4. Assume responsibility for assuming that all corrections required
by the Inspector are done,and 5% Surcharge (05 X total above) $
3. Assume responslblll►v for calling for a final Inspectlon when all of
the corrections are c i npleted.
The
Per*on nH must bs the applicant or a poison Total $
.uthnriz p Ilcanf.
eignatui Space below reserved for validation.
Authority if other than applicant
For inspections call
6403561 or 693-4415
24-hour recorder,one working day In advance ,if need 11/92
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INSPgC'��ON NOTICE -- .
nitT of Tigard ,wilding Department
13! 'c P,A Bell Blvd. Tigard, Oregon 97223 I
Inspection Line ..r-O-Phone). '.39-4175 Business Phones 639-4171
Inspections r
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
,ost/Beam Struct. (dan. Sewe-V Framing -Bldg.
r
Post/Beam Mach. jl�s^�e'_ � Insulation -Plumb.
----------
Plbg. Underfloor �Lltater Lingj__ Gyp. Bd. -Meeh.
Date X-,TuemtiW-. 1 1 Times
Addreees �i.7 c.. L � �-� lCry, -� � Permit
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Builders. -- /,1 - bLl
THF. POLLOWLAG CORRECTIONS ARE RJWIRED:
Inspectors Datr12
4
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
FSU
Call For Reinap.
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INSPECTION NOTICE. M
^lty of Tigard Building Department
13125 ow Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)► 639-4175 Business Phone: 639-4171
Inspection:
Pooting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plb/q. Top Out fins Line FINAL:
Post/Beam Struct. xkA.j4 rVj_,j Framing -Bldg.
Foot/Beam Mach. (t.. Rain Drain Insu'ation -Plumb.
Plbg. Underfloor Gyp. Bd. -Hoch.
Date Requested.: Iltl, f 3 ._Time: AM PN
Addraoei i( "�-) (! l `( `'IC 1 ( .- Permit #tq 3 -C/51
Builder.: _ �((> O,
TBE FOLLOWING OORRECTIONS ARE REQUI.GiD:
P;f
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Inspectors- ✓�' _ Cates 1 Z �
_APPROVED D74.11
OVED APPROVRD SUBJR(IT To ABOVE
For Rei.nep.
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INSPECTION NOTICE r
Cita of Tigard Building
13125 sW Ball Blvd. Tigard. Oregon 9
Inspection Line (Rec-O-PlhOn\G)Is,`y�639-4175 Business P net 639-4171
Inspections `-�'�"d
_—_ 0 - '
/optlljq Plbg. Jnderslab Mach. Rough-in Appr/Sdwlk s
*oundy' Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam l:aah. Rain Drain Insulation -Plumb.
Plbg. U:sderfloor water Line Gyp. ad. Cech.
1
Date Raquseteds I U �1> Times AM _PN
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Address Permit #:L
Builder.:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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.. � ----------__.---- ------".��_W-. a �
Inspectors, ! —__ — Dated
_ BPil:OVBD _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Cali For Reinep.
t tihbM1�R'rh at,�4dtiW YAi�" zl�1 .YI�6a1➢V47 Mot,
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INSPECTION NOTICE
City cif Tigard Building Depart"nL
25 611 Ball Blvd. Tigard. Oregon 97223
Li1
Inspection Line. (Rec-4-Phone)c 639-4175 Business Pho 63 -4171 '
Inapeotions _
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11 Plbg. Underalab Koch. Rough-in Appr/Sdwlk
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toss Plbg. Top Out Gas Line FINAL:
Post/Beam Struct.. San. Sewer Framing -Bldg.
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Poet/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor M.tor Line Gyp. ad. -Koch. .
Date Requestedt_ i Time: AM PM
Addreses 2 f tl� G1. cV-N ,
Builders 1'70 Z�j /� ■
TBE FOTAAMING CORRECTIONS ARE REgUI BDr O
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Inspector: C ' Date:_ /I
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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_Call For Reinsp.
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TI�ARD '-'LUM I NG PERMIT
CITY OF T'IRC+II T #. . . . . . . : MST9?,,-950�:
HATE: ISSUED: 10/22/93
COMMUNITY DEVELOPMENT DEPARTMENT d
{ 13126 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)639-4171 PARCEL.: 1 1 1 CD -I.E0 L I
SITE ADDRESS. . . . 1.0:. 24 `3W LADY MANION UR I
SUBDIVISION. . . . : MARION USTAT ES ZONING: R- i. c;
BLOCK. . . . . . . . . .
CLASS OIC' WORE. . :NEW GARBAGE: D).GPC):7A1.._5. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . ., ., . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANC';+ GRP. . : R3 F"LOOR DRAINS. . . . . . . .'Z1 i TRAF-"G. . . . . . . . . . . . . . :0
STORIES. . . . . . . . .._' WATER HEATERS. . . . . . : l CATCH }_IASINS. . . . . . .
FIXTURES--._..._._.-.__..._.---.._......_.._ L.(AUNDRY TRAYS. . . . . ,. r, .1 5F RAIN DRAINS. . . . . : 1
G I INKS. . . . . . . . . - 1 GREASE 'T RAP5. . . . . . . :O ■
LAVAT C1R I CS. . . . . :`; OT•Fik:R F I XTURLS. .. . . „ :;0
TUB/SHOWERS. . . , : SEWER LINE. (f•t ) . . . . :Vl
WATER CLOSET'S. . :3 WATERI_.TNI.:: ( ft ) „ . . . : 100
DISHWASHERS. . . . - 1 RAIN DRAIN '.ft . . . . :0 ■
Remar-ks :
OWNER: --- - _.__..._.._.._.__...._._.._._._-----.._._.___._.._..._............_.__..._ __ ._........_.__--..-._-_.._....____ -FEES-___._.__..._.__.__....____
M L CONSTRUCTION TIF $ 152121. 00 JI-] 10/L2/93
12 540 SW 68TH PARKWAY BPRT $ 498. 00 JFI 10/22/93
I L-PLC E ::23. •70 JH 10/212/93
TIGARD 012 97223 LA55PL $ .1'4. ')Zi J11 IIZI/.�2/93,
Phone #: 639•-26.39 SSUC: $ LE.`80. 00 JH 10/22/93
1='ARI! 50171. Oki JI] 1012x_'/93 -
P11..unbi.ng Conti- actor: ___._. .__..___...__ _....__ __.._.... MPRT 45. 00 JF] 10/22/93 -
MF-'LL 11. 25 JH 10/.::2/93
$ 2'. E5 JH 10/22/93
l Addre s s : ou S ` PPR•T $ 16c_. 50 JH 10/22/93
City : State :_ F='5PC $ 8. 1u JI..1 10/2C" 9-1 ....
Zip: . ._97, -4.j Phonw#h ✓ 9�.:=.`�.�.g.� __
Rey
._._...__.._._......_.. REQUIRED INSPECTIONS -.--_.._..._....
This rarmit is issued sl_ibject to the r"eg-_ y
ulations contained in the Tigard Munic ipal Foot/found Insp Rain drai;, Ir• p t
Code, !:,tate of Ov,e. :.,per ialty Codes rand all Post/Beam S;tv-uct Water- Line Insp I
other applicable laws. All work will be done Post/Beam Mer_han Appr/Gdwlk Insp
� i
in accordance with appr-oved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Filial
within 1.80 clays of issuance, or, if' work is, Ill echaniCa1 l:nsF7 Buildi.ny Final
s,.lspeoded for more than 180 days. Plumb Top Out Erosion Control
Framing ]:nsp
F=ireplace Insp
Gas Line Insp
Insulation Insp
C_7 y u Board Insp
A1_r h ,i.zed Plumbing Xontractor-; ignAtut-v s
Call for inspection 639- 4175 F
C:ontrar_tav, Motes :
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MAS`(ER PERMIT
CITY OF TIGARD
_ rf itMll' #I'. . . . . . . hIST93•-9502
CO MUNI TY DEVELOPMENT Df?�ff T DATE ISSUED: 10/22/9.3 �
131 SW HNI Blvd.Tlgud,Oregon 97723PS g.. 03) 3 171
i
PARCEL: _S I l l CD-MF_02'l '
(.lI'rl_ ADDRESS. . . 3.0324 SW LADY MARION Dry
SUBDIVISION. . . . : MARION ESTATES ZONING: FR-3. i
BLOCK. . . . . . . . . . : LST. . . . . . . . . . . . . :0 "l ..
BUILDING
REISSUE: DWELL I 1\1b UIU]: l S• I BASEMENT. . . . . . . . :864 s f
CLASS OF WORT:. :NEW DEDRMS:3 BAT i !S.3 GARAGE:. . . . . . . . . . :712 s f
_ - REUU I RED SErTBACI',�--_...._--..-.-___.
TYPE OF USE. . . .r.�I" F-L_UCIR f�iRFA� ..._.___ _.___ ,
TYPE OF CONST. :5N FIRST. . . . : 1238 5f L..EFT. . :7 ft RIGHT. : 10 ft
UCCUF'AIV(:.Y GRI'. :R.; GL:CC.Ir.ID. . . : � 3f.3
� f 1-'RUI�IT'. :20 Ft ROAR. . :35 ft �
STORIES. . . . . . . :2 FFI1RD. of REIIUIFRED
___..-.._...____.__.__...__.__._.__. y
HEIGHT. „ . . . . . . :2L' f t - :;L2'.:236 s f SMOKE DETECT ORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . .F : 1.c:5BC,7 I'ARKIrIG SPACES. . : 1
Remarks :
PLUMBING _...__ . _. ..._ .__....._.._._._._._....._...._..._.._.....____.___.._._.._...___.__...__-.-_
1311\1KS. . . . . . . . . . : .l I L_OUFR UI�A1N4i. . . . :�Z� BACKFL_014 PREVNTRS. . :0
LAVA-FCIR'.ES, . . , . :5 WAJER HEATERS. . . ' I TRr.
F=1F�.a. . . . . . . . . . . . . . .IZ,
r'JB/SHUAER5. . . . :::3 LCUNDRY TRAYS. . . : 1. CN'TCH l3ASINS. . . . . . . :0
WATER CLOSETS. . ::; SEWER LINE ( ft ) . .0 ;CRE=ASE TRAE'S. . . . . . . :0
DIGHWASI IERS. . . . : 1 WATER LINE (ft ) . : 100 OTHI_R 1:- I XTURES. . . . . : .5
' GARBAGE DISP. . . : 1 RAIN DRC-11N (ft ) . :0 4
' 5F RICIN DRAINS. .WASHING I�IV rIW(.:I•i. . . . 1
MFCHANIrAL - .___._...__..__.____._._.-___.__.___..__.__._ _..__...-- FEES
FUEL TYPEta--_-._._.... .__....._..___-. U N 1 T HTRS. . :0 type amol.rnt by date I- pt
r - � -,
i /GAS/ / / VENTS . . . . . .0 TIF 1�,�:�. �� J'Fi i �.._c
E MAX I NPU'T :0 BTU VEINT FANG. .. :4• D P R T $ 408. 00 J11 10/22/93 -
FURN ( 100K . . :0 HOODS. . . . . . . I BPL..0 $ 323. 70 JH 10/2*a -
FURIV . . : I WOODSTOVES. :0 B15PC: $ '17.4. 90 JH 10/22/9,a -
F=•LOOK F"URN. . . . ,0 CLO DRYERS. : 1 SSDC; $ 280. 00 JH 10/42/9;3 -
BOIL/CMP ( 3HP.0 OTHER UN]:"I"5: :1 PARK $ 500. 00 JH 10/22/93
GAS OUTLGTS: 1 IyIPRT $ 45. 00 JH 10/22/93 -
Owner --
M Z CONSTRUCTION M5PC $ 2. 25 ill 10/2:1a 9,3 -
1i:-'54Y, SW 68TH PARKWAY PF'RT $ 1h 50 JH 10/22/9:3 --
F15F'C $ 8. 13 JH 10/c:_/93 -
TIGARD OR 97223
Phone #: 639--2639
Contractor': _--.-.__ _'_ ._.._______.___.,._._._ ....-.__._.._...___
M Z CONSTRUCTION CO
I nSB5 SW ROSA RD
ALOHA OR 97007
Phone it: 649_ ':51:
Rey it. : 64124
T $ 3375. 7.:.3 TOTAL_
This permit is issued subject to the regulations contained in the ------•-- RE'G!UIREL) INSF'ECTIUN5
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foi.tnd Insp Fir,ep1ac:e Insp
applicable laws. All work will be done in ac:ordance with approved Post/Beam Str^l.rct Gas Line In5ip
plans. This permit will expire if work is not started with n iA0 Post!Beam Mechan Insk_rlation Insp
> days of issuance, or if work is suspended for e e th Vs
. Plm/�_rndslab Insp Gyp Board Insp
PL...M/Underfloor Rain drain Insp
t Per'mitter� :�ign,�ti_Ire : �6 �- l.i J 1+1echanical Insp Water- Line Insp
� Pli.rmb Toa OUt Appy,/5dwlk Insp
issl_red By : _-.._ _., Framing Insp IYIec.,hanical Final
Call for inspection -- 639--4175
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fR,[,- L. .. y, - a w.�:.r:,., r . ...-.•w. rwN.:•.,,.,.._ _, .. ,. .Gf:+a
5E:WER CONNECTION
CITY OF TIGARD . . . . .
J �-'rRMIT � . swR93•—�4,3�
COMMUNITY DEVELOPMENT D R TDATE: I 5 G)I.JED: 10/, ,_/c.3 d
13.125 BW Nall Blvd.Tigard,Oregon 07223.81 (303)' 171
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PARCCL - l C 1 11 CLI--I E021
1 .;ITE ADDRE:::ia. . . : 10324 SW LODY HAR l ON DR �
5JBDIVISION. . . . MARION ESTATES ZONING:
:021
f/ TENANT' NAME.. . . . .
U51.1 NO. . . . . . . • . • . F I XTURc UIVI rs. . .
CI_ASS ClF WC]F?I:. » » 'hIEW DWII._.L.I N . : 1
G l.1hl L'Ta» .
TYPE OF CJraL. . . . . :::iF NO. OF ECJ I L.1:)I NG5: 1
]:M1=ERV SURFACE. � `'fI N:,TAL.I_ TYC-'E. » ,• . :I3CJSWIR ■
Remaly-k5
owr•rer'. _.__....._._...---.._.__. ...._._._...__.._._._....._._.._._..__ FEEB
_._..___..__.__
ih 2 CUN�T'RUCTIC)h! t yHre amol.rnt by daft a r'ecpt
r_`RM-r" 1; 2200. 00 .1H 10/22/93 -
I _'5 r4'r iw 6a,rH PARKWAY
Ihl::if 1 ;';•. 00 JI...I 10/22/93 —
E 1 I GArRD OR 97223
Phone #: 639--•2639
rONTRACI-UR NOT ON FILE:
1�
I 'i�orre #: s 2'2'35. 00 TOTAL r
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1 __....._._._._._._ REOU I RED I NGPECT I ONS _._..._.._
This Applicant agrees to comply with all the rules and regulations E,ewerLL`In >pPcL' i u i
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 sha;'. prospect 3 feet in all directions from
the distancr given. If not sn located, the installer shall purchase ______. __-__ -- -• -- i
a "Tap and 1jide Sewer" permit and the Agency will insateral.
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in i t t e 5,1 y n A t I.A r' c � (�_. _. L)
I r e d H y .
Call for inr raer_tinn — 639-4175
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1 �V
CITY ®F TI GARD 13125 SW Hall[3Md
/r PLNCK REST
� PERMIT I
T��
COMMUNITY DEVELOPMENT DEPARTMENT (So3)63gon9
DATE ISSUED
i
JOB ADDRESS: �U �� �-a��Y • ASE'/C�/ll TAX MAP/LOT
SUB: �'✓1L�' �Sif TG' LOT: - / LAND USE: —b'-
VALUATION:
■
OWNER SPECIAL NOTES
NAME: r'�L C TSO/l/ REISSUE OF: _ -_•
ADDRESS:
�-`'``/�� ' G� PlAw[ fx LAST REISSUE: •
7 FLOOD PLAIN/
PHONE: h.3_9 SENSITIVE LANG: _
CONTRP.CTOR APPROVALS REQUIRED Sq6 lc'--000',
NAME: '_5�, I/- _ PLANNING:
— I
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: 1/>r
CONTR. BOARD �'y�' ` _ EXP DATE: i/
ITEMS REQUIRED
SUBCONTRACTORS:. PLUMB: �.L 1�1� LIST/SUBCONTRACTORS:
MECH: !�/ C �c f,1/T y _ . BUS TAX:
ARCA ENGINEER CALCULATIONS:
NAME: ALaA-1 M-7/4-5(for-L-2 . TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: Y _
COMMENTS: v iE" CIL,,.n �. 1L�iJ l S G,J/+1�/'u�✓_ Sr 1 7_ %Lf�l�' F��
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APPLICANT SIGNATURE
Received By: [late Received: ` /
MOUNT / AMOUNT PD. BAL. DUE
PERMIT # ACCT # DESCRIPTION A
rvJ _
IY)Sl;_ aZ 10-432 00 Building Permit Fees GZ/w f2 -y
10-431 00 Plumbing Permit Fees /
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building —
Plumbingr-
�,z�
Mechanical �
10-433 00 Plans Check Fee 3 3
Building 32 jr
Plumbing --
Mechanical Mechanical
10-230 06 Fire
�Su,R43.0�/;L 30-202 00 Sewer Connection 22 1
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees — —
25-448-06 Institutional TIF Fees -- —
25-448-03 Office TIF Fees — —
25-448-01 Residential Traffic Fees 4 -L&-
25-448-05
L& -25-448-05 Mass Transit TIF Fees —/ -��--
I ,�
52-449 00 Parks System Dev Charge (PDC) _ —
i 31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) —
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
1
TOTAL S3(Db 13 1/
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nm/3587P.WPF
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a U I"F Y OF f I rtARl t " kr:l.:f~I P1• OF r LAYMEN F REMC;E I P1 NCI. %93—c'�►��410 i
AMU)UN T a 51360. 73
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NAME tt M7.. C ON":iTRUCT ION C:A;YH AMOUNT a 0. 00
PAYMkLNI DATE- a 10/22/93
lalaraFlr.'pf� tt S1.1141)i V I'i 1 UN a
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WURPCISR: OF PAYME_N T AMOUN T PA Irl C)F- LAYMEN TAMULIN r PA I E.) i
Ia1_rlt..EI1.N13 PERM ;+ tf. Foan_ PLUMBINGr•'E:FtM____. _
..62. til"
ME C:I-IAN I CAL PF.`,. 405. 00 EST. BUILD F'E.R ,.i5. i Ft
PLAN I:;HFC:K F=E 84. 95 SEWLR USA c!r'.00 WIJ
'ciR"WF.R INSPECT 3111. 00 F='ARKIi ,"-.'iDC 5fAv. NW
'iTORM DRAIN SDI x'60. 00 RE'SIDENTTAt.. TRAr=I" IL FE.E ! 1�+1t�. Nit
MASS TRONSIT TIF FFF:f 110. 01A
i,ty•T 21 MARION ESTA-F Ef
10324 SW E...AUY MARION UR
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rrrrm. AMOUNT PAID - -> "360. 73
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