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CiTY C TIGARD JUILDING INSPECTION NO
Inspection Line: 639 4175 Business Phon
#,09-4171
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Footing Ran Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Slab Plbg,Top Out Insulation -Elect.
Post/Beam Struct. Mech. Dough-in Gyp. Bd. Bldg.
`.ian. Sewer Gas Line Appr/Sdwlk Reins. `
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Date: A.M._P.M.. Entry:
I Aduress: (�
Tenant: _ --. _ Ste:—-- MST: .
Con/Own: -- --_ MEC:
PLM:
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THE FOLLOWIN COR CTIONS AREREQUIRED: ELR:
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_—APPROVED VDI5APPROVED/CA.:-FeR.REINSP. CF CO
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CERT'IFICA'TE OF
CITY CSF TIGARD gCcuPAIvCY
COMMUNITY DEVELOPIMENT nEF'�p.'TIMENT PERMIT' #. . . . . . . I MSTti5--0410
13128 SW Hall Blvd.Tigard,Oregon 972.3.8190 (503)830-4171 DATE: I SSUEID I 05/30/96
PHRCEL s cS 1048A•-C a 139
i I F L t=DOR SU. . . a 1.A,1 1 aW I..1 Uk_I v Ull
j -.)USUIVIrICIN. . . . I LASTL.F. HILL Nq. 3 ZO'.INGsR--12 PV
1 BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . : 139
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CLASS OF WORK. I NEW
TYPE OF USE. . . 1aF'l3
OCCUPANCY r3FtV, I
OCCUPANCY LUAUIc
■
Remar•ksi PATH I
Ownere _..__.._ .,...._._..__..__......_.__...... ...... .
DUN MOR I SS T'T C
5000 SW MEADOWS RTI
SUITE. 151
LAKE_ OSWEGO OR 97035
FSI-io n e IPI 503-620- 1538
D[.N MgRISG T'TE HOMES
5000 SW MEADOWS RD
SUITE_ 1.51 '
LAKL (38WEGO OR 97035 �c
Phone #e 620-7538
Reg #. . s 35533
i•': this Certificate grErnt: s Oc:CUpanc:y of the above r efer-eenc:ed building Or portion
.thereof and confirms tPiat the building has been inspected for compliance witl-I
.thereof
-ELtate of Oregon Specialty Codes for the group, orcupancyr and List under
` K- which the i-esferenc:eed permit was issued.
` ,Iq , 11d PEG ToR raUilING OFF I IAL
POST IN CONSPICUOUS
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Insnecon Line: - 5 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling urn
Post/Beam Mech. Shear/Sheath Framing ech
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Address:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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&APPROVED _DISAP PROVE D/CALL FOR REINSP. CF
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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N�' 1 Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling
1 Post/Beam Mech. Shear/Sheath Framing C rte• C °;ti
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
I Post/Beam Struct. Mech. Rough-in Gyp. Bd. -�dg. 6 n�•`
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: A
Date: _
a .M. P.M. Entry:
Address:
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BLIP:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171 F4 ti �4 ira ;
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. ', �`;' 7F'I.
Post/Beam Mech. Shear/Sheath Framing -Meeh.
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Insulation ect, /tt�t�"'", 1 '"t �
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San, Sewer Gas Line Appr/Sdwlk Reins.
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Date: Z _ A.M. P.M. Entry: — mfr w gv,
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: R;-
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APPROVED `DISAPPROVED/CALL FOR REINSP. CF CO
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TOWN s COUNTRY FENCE CO.
OF OREGON
P.O.BOX 443
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CLAC AMAS,OREGON 9M15.0443
PHONE(SM)665.2055•FAX:(503)05-OM
May 5, 19% r
Venture Properties
500 SW Meadows Rd.,Suite 151
Lake Oswego.,OR 97035
V'
Attn: Scott Newcombe
RE: Castle Hill No. 3
Linden Adds.saes:
13537, 13543, 13565, 13577.13581, 13593, 13599, 35611, 13627, 13643, 13665,
13689, 13721, 13733, 13747.
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All the above addresses are in compliance as per plans and specs dated 3/14/96 and
3/26/96,attached. We assume liability for fence,normal wear and tear excluded.
Sincerely,
Dennis Fleck,
President
DF/je
Enclosure
CC: file
SERVING T7-1E PACIFIC NORTHWEST OREGON CCB.032227
SINCE 1975 WASMwarrM OWMN03C17
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CITY OF TIGARD BUILDING INSPECTION NOTICE
� ? Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. t
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Post/Beam Mech. Shear/Sheath Framing -Mach.
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Date: U _ A. __ P.M. Entry: ■
Address: (1-
Tenant: Ste:_. MST: . .5 O.fbo
Con/Own: _ MEC:.
PLM: __
ELC: - —-THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector. . _ — _— Date:
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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Fa• 1' CITY OF TIGARD BUILDING INSPECTION NOTICE J: �
"< Inspection Line: 639-4175 Business Phone: 639-4171,
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Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. Ij
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Other:
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Date: [ _ A.M. P.M. Entry:
Address: _�—` �•—LL� __ — ;t t 7��1;
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Tenant: Ste:._ MST:MEC
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
asbt�''yyhh, � Ilnt Inspection Line: 639-4175 Business Phone: 639-4171
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' Foundation Water LineCeiling -Plumb. j
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Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mach. Rough-in Gp -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: p`"'�t` � ;�. "��' •
A.M. Entry:
Address: _ � � �s' —s.�� o ,��_
Tenant:
Ste: MST: Ok a3r,syt {, � !w
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PLM:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date: !_ /
`APPROVED _ ISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath raming Mech.
PIbg.Und/Flr/Slab Plbg, Top Out nsulatio ',I� Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San, Sewer Gas Line Appr/Sdwlk Reins,
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Date: A.M. P.M. Entry: c_
Address: —._��` T -� ? - ✓�
Tenant:_ Ste: MST: 4
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PLM: - - --
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639 4171
Rain Drain Cover/Service FINAL:
otin l -Plumb.
Ceiling
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Water Line 9 Il
Foundation -Mach.
post/Beam Mach. Shear/Sheath Framing r
Insulation -Elect.
Plbg Und/Flr/Slab Plbg.Top Out -Bid
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Rein.
San. Sewer
Gas Line Ap /Sdwlk w
Other:
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_ A.M. P.M. Entry:
Date: _—.--
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, Address:
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Tenant:
MEC:MEC:__-----
Con/Own: PLM: _-----
ELC:
I THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: IF
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Inspector:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone:639.4171
Footing Rain Drain Cover/Servics FINAL:
Foundation Water Line Calling -Plumb,
Post/Beam Mach, Shear/Sheath Framing -Mach,
Plbg,Und/Flr/Slab Pibg,Top Ou: Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp, Bd, -Bldg.
San,Sewer Gas Line Appr/Sdwlk Reins.
Other: _ Z—oKZ— C A L 0 ■
Date: Jq�llpi. ,EVtry;
Address: LAO, `` /��,�/�
Tenant: 3�— S01
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PLM: _
T FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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APPROVED -DISAPPROVED/CALL FOR REINSP, CF CO
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CIDA INC.
COMMERCIAL INDUBTRIAL DESIGN ARCH"CTURS P.C. 4c , CXOM46
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CIDA INC.
COMMERCIAL INDUSTRIAL DBSlON /1AQHITECTURl� P.C.
PO. OOX 0" - 0300 OW MACADAM AVOL MATE 120 • PORTlANO. O"gCHM 071 Awe»*
TtL: /q0 X000 /AX- SOW*l0 !0-0076 w*e w•ewe. t..►w w w o
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BUILDING PERMIT V
CITY OF TIGARD DPTEIISSUEDs • 03/87/9�C� �1:C '
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall ebd.Tigard,Oregon 97223•/109 (503)030-4171 PARCEL: 23104BA-•C31 39
j" "ITC: nDDRE^s5. . . ; 1.611 SW I_IDEN DR
T ' 21 GUDDIVISION. . . . . CASTLE HILL NO. i ZONING:R-12 PD
13, 0C.I,. . . . . . . . . , . LOT. . . . . . . . . . . . . : 139 r
rEICriJC: FLOOR AREAE EXTERIOR WALL t�CJI+ISTRUCT'If)!r
CLASS OF WORK. :N� I FI RST. . . . : 0 :f N: S: 17. W.
TYPE OF USE. . . : SECOND. . . : 0 f PROTECT OI=J"NlN!'i" �
TYPE OF CONST. :3N . . . 3 0 s f N: G: E. W ,
OCCUPANCY GRP. :P3 TOTAL-_.._____: 0 s ROOF CONST; FIRE ROTI;
OCCUPANCY LORD: 0 BASEMENT. : 0 -.5f AREA SEP. RATED:
CTOR. . 0 IIT. 0 ft GARAGE. . . : 0 s f OCCLJ SCF'. RATED: ■
EtSMT' . MEZZ?: REDD SETBACKS--- _ RE OUIRED. ...... ___
FLOOR LOAD. 0. . . : psf I._f_FT: 0 ft RG1IT: 0 ft f`IR ;PI;L; aMOlt Df*T. . : 1
DWGI._I._ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
OEDRMS; 0 BATHS,- 0 IMP SURFACE: 0 PRO CORP: PARKING: 0
VALUE. d: 2000
Remarks : Install fence on top of rockwall.
Owner; FEES
VENTURE PROPERTIES INC type amaurnt by cyte r-ecpt
5000 SW MEADOWS #151 PP.MT 1,, ^. . 50 CJ;l 96._x:77 350
PLCK $ 21- 13 CJS 03/26/96 96-877350
LAKE" OSWEGO OR 97033 5PCT t, 1. 6.3 CJS 03/26/96 96-.4:'"'7?
Phone #: 503-620-•7538
Cant rac.tor: __. ..—..__._. .. _....--..__..._... .
TOWN & COUNTRY FEIVCE CO OF
ORE_G01.14
PO BOX 443
CLACKAMAG OR 0701 ___..._._ _.....__._�_,__._.____.. . . .. ..
Phone 1f: F 55. C6 TOTAL
Reg 4. . . Ou2'""'L'7
__.__..__.,... REDU I RCD I NSF'FT "f'
This pereit is issued subject to the regulations contained in the Footing Insp _
Tigard Municipal Code, State of Ore. Speciilty Codes and all other Final I n a pe c t i o n
applicable laws. All work will be cone in accordance with
approved plans.plans. This pereit will expire if wcr•k is not started
within 180 days of issuance, or if work is suspended far rare
thin AN days.
r m i t t e e 'Sign,r t u r s? : f
w
s red
By :
Call for inspection � '
• �I
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• Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 2 / 1�Cl I
Jobsite Address: 13� 1 1 S� . F rl
Subdivislon:`Rs4LL di ll A 3 Lot# I ~ ` Office Use Only
" Contact Date / / Initials
Valuation: t- Result
y
New Construction Only: (Square Footage) Planck/Rec #
House: �ei C E Permit#
ase: Reissue of
2 1 y
Corner Lot? YMap & TL# 3/r,/R, - C� Flag Lot? Y N Zone
Owner: lit=r1�v.F�E�ra p���-.�5�,�� Plat #
Address: 6bo o 6u) tnf ):s -4 ISI Approvals Required
K E 05cd F'q d 06 9-7035-- Planning Setbacks Solar_
Engineering i
Phone: ( 5b3 ) (Oz0 —753Y / 392P Other
O( Items Required
Contractor: ��N1 � 0Tl -
Address: �"g�jox 443 Subcontractors
I - Truss Details
LACK,-)Mf�S �97oiS Other
Phone: $p3 ) �vSs_ �� Notes
Contractor's License # 3222
attach copy of current Oregon lic nse)
Contact Name: f0 -f i c,r�cF L
Contact Phone:
Subcontractors: Arch itect/EngIneer: C-7�►�1
Plumbing: _ 'Y1� Address:- 0�c,c (�`i6 � 5200 SwrYlArgdg,"
-►E cIZ� �
Mechanical: h��t _ 4R�L rf<I 0� 9-72,o(
(attach copy of current OR Contractor's License)
Phone: ( 563 ) Z Z(o - IZ 8S
JOB DESCRIPTION: or,
_ r 303 ) 6z0 -7�3�
Applicant Signature Applicant Phone number
Received by: - AL; Date Received: `
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Permit 0 Account Description Amount Amt Pd Bal. Oue Ek
Bldg. Permit (BUiLO) �' I
Plumb. Permit (PLUMB)
Mech. Permit (MECN)
State Tax (TAX) I, ^�
Bldg:
Plumb:
Mech:
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Plan Check (PLANCK) L
Bldg:
Plumb: ,
Mech:
Sewer Connection (SWUSA) t y
Sewer Inspection (SWINSP)
Parks Dev Charge (PK50C) _
1 Residential TiF MF-R)
Mass Transit TIF MF-MT)
Commercial TiF (TiF-C)
--------- -- -----
industrial TiF (TiF4)
Institutional TiF (TiF-IS)
4
Office TiF (TiF-0) i
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRI"
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
YA
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CIDA INC. , ��
COMMERCIAL INDUSTRIAL. DE910I�
N ARCHITSCTUO P.C.
P.O. §Ox 6 666 - 8268 6W MACADAM AVE.. SUITE 420 - PORTLAND. OREGON - 97001 ��oM�*aovuw�-�Ne�N1te�INC
T!L• 6031226-1266 FA Rt 603/226.1670
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CIDA INC.A
COMMERCIAL INDUSTRIAL DESIGN ARCHITECTURE P.C. � , MA^46
P.C. BOX 69666 6200 6W MAOAOAM AVI.. •WTI 420 PORTLAND. ORBOON - 47281 Ap%cHl TecTuPle.ff Hcl .ep%lNo
TEL: eOJ/696-12ee IFAX 606/!26.1670 I N T e Fl I N n• PLANNING
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BUDAYINO PLAN
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
7. Footing Rain Drain Cover/Service/ FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath/. �ra� -Mach.
Plbg.Und/Flr/Slab Plbg.'Top Out,1,o Insulation -Elect.
■
Post/Beam Struct. c_Fi.f uugh-in Gyp. Bd. Bldg.
San. Sewer GasLTne /tit Appr/Sdwlk tmm1�
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Other:
Date: 3 A.M. P.M. Entry:
Address: lF-� S�
Tenant: _ Ste:___ MST .L_�__` 11
BUP: —
Con/Own: MEC: _
PLM:
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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w� vLA
n ector: _..------ --- – ,� Date:
APPROVED
_DI SAPP ROVED/CALL FOR REINSP. CF CO
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tY' CITY OF TIGARD BUILDING INSPECTION NOTICE
�4rt . Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain over/Servs FINAL:
Foundation Water Line ailing -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. 10
Post/Beam Struct, Mach. Rough-In Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
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Other:
Date: _ A.M. P.M _ Entry:
r
Address:
Tenant: Ste: MST:
+a,. ME
Con/Own: MEC:_ "
PLM
ELC ---- - —
0; THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
• i
Inspector: ' GZd
� I A e' Date: Z � �
/APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE W
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line / Ceiling / -Plumb.
Post/Beam Mech. Shear/Sheathtir ra in / Mech.
Plbg.Und/Flr/Slab Plbg.Top Out_)/0 Insulation -Elect.
Post/Beam Struct. Cech. Rough in_ p. 6d. Bldg.
San. Sewer Gas Line"�/�� Appr/Sdwlk Reins.
Other: _
■
Date: r i6l — A.M,A_ P.M, Entry: _
Address:
Tenant:— Ste: MST
j Con/Own: MEC:
PLM:
THE F WING CO RECTIONS ARE REQUIRED: ELR:
(70 gi
rip
Inspector: Date:-
314q
_
_APPROVEDDISAPPROVED/CALL FOR REINSP, CF CO
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f = Inspection Line: 639-4175 Business Phone: 639-4171 tr r
f; Footing Rain Drain Cover/Service FINAL: A r` ' 'jy
i Foundation Water Line Ceiling -Plumb.
POst/Beam Mach. Shear/Sheath Framing -Mach. ?
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. 't.....
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
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Date: A.M. —P.M. Entry:. � !
Address:
Tenant: _------ — -- -- Ste:---- MST: /� y
BLIP:
Con/Own: r � MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Mill
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—APPROVED KDISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 ;r
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. °i;•
Post/Beam Mach, Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Ou Insulation -Elect. h
Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. �r},
,i � u ,
San. Sewer Gas Line Appr/Sdwlk Reins.
yq r FVI
Other:
Date: Z U A.M. P.M.__ Entry:
Address: y
Tenant: _ Ste: _ MST
Con/Own: — — MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
• . � y �p i 4 k Y y r,
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In pectora l/E ,� ,� ':
- _ Date: !�
ROVED _DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
i
I Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Mech.
Plbg.Und/Flr/Slab Plbg. Top_ t Insulation Elect.
Post/Beam Struct ech. Rough-in �*O*'OGyp. Bd. -Bld
9
San. Sewer (,as L—inlet ,0- Appr/Sdwlk Reins.
Other:
_ ■
Date: P —.. Entry: - �
Address: -- ;i
Tenant: _— - — -- Ste: MST
Con/Own: BUP:
--- — —. MEC:
PLM: _
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
S
j Inspector Date
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___APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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Inspection Line (Rec O Pham): 639 4175 Business Phone: 639 4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
•
Plbg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Insulation -Mech.
Undedlr. Insul. Shear Wajl Gyp. Bd. -Elect.
Q._`---
Date Requested: �- `' ` Time: AM PM
Address:
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: v— Date: Z- 01
_APPROVED —DISAPPROVED
Q��ROVED SUBJ T TO ABOVE
_—Call For Reinsp.
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16325 SW Boone,Ferry Road CLIENT �n Of'1(f�G�L �U1e�j P/�,(-3E
Lake Oswego,Oregon 97035
503.636-0784 PROJECT ,
i FAX 503.636-0615 �01' bo e, '.
EL CH
PROJECT NUM[3C RCONSUITING
DATE, I e6ENGINEEkSINC
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DATE FGD 7,1 1 l W
PROJECT NAME /J,. 1ryD
PROJECT NUMBER: 31_
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LETTER
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TRANSMITTAL >�
ATTENTION:
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DESCRIPTION: I`
REMARKS:
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CALIFORNIA [,
1990 The Alameda
Seri Jose,California 95146
408 985-1848 4vA,
CENT OREGON Huvv 14141 SE 3rd BY.
Bend,Oregon 97709
503,383.1828 j
MAIN OFFICE (_
16345 SW Boones Ferry Road
Lake Osweqo,Oregon 97035
503.636 0184
1 I
FAX 503,636.OA 15
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CITY-OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phono. 639-4171 �\
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
I Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line % Insulation -Mech.
Underflr. Insul. ear W6-- l Gyp. Bd. -Elect.
i Date Requested: �"1 / I�] u Time: AM PM
Address: .- 14 t �� 7S
Builder: Permit #:� C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector: _ Date:
_APPROVED ,DISAPPROVED ,APPROVED SUBJECT TO ABOVE !I
Call For Reinsp, i
1
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■
NTY-OF TIGARD BUILDING INSPECTION NOTICE
Irispection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. C�II II Gyp. Bd. -Elect.
Date Requested:_ ` I ` l` , , Time:_AM PM
Address:_
c•I`_
Builder: T-r� Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector: Date:-74
_APPROVED '__ 5I9APPnOVED _APPROVED SUBJECT TO ABOVE `
" M'ror Reinsp.
l
■
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspbction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation P�bg. Underslab Mech. Rough-in Fireplace
---,cam. �
--st/�7rT2_ecfi__,
BeamStPlbg. Top Out Elec. Rough-in FINAL:
Pos
,,-San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul, Shear Wall Gyp. Bd. ,�,1L�
-Elect.
Date Requested: ��//� TimJ AM PM
Address: {.C- C r�
Builder: Permit #: 5 U �� ?
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD
STOP WORK OR ER
BUILDING DIVISION
13125 SW MALL BLVD., TIGARD, OR 97223
j639-4171
JOB ADDRESS: _���� �r� l� _ PERMIT
OWNER: CONTRACI'OI2:—
YOU ARE IN VIOLATION OF THE FOLLOWING:
AND HEREBY NOTIFIED THIS CAY OF 19AT M.
yy THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN
DAYS OF THE ABOVE DATE FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT REIIIIOVE THIS NOTICE-
BUILDING INSI'CCTOR
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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/Sdwik
Foundation Ibg. Underslab Mech. Rough-in Fireplace
u P Top Out Elec. Rough-in FINAL:
��osLVB�eamS
st/Beam Mech San. Sewer Gas Line -Bldg.
f3lbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. I
i
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: ?i AS Time: A PM
7
Address:
I
Builder: Permit #: d 4 o
-fHE FOLLOWING CORRECTIONS ARE REQUIRED:
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11
Ins ector: 7 Date: ` Z ) e
_APPROVED 7QISAPPROVED —APPROVED SUBJECT TO ABOVE
T �� ,Call For Reinsp.
fA
■
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41714
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk j
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Plbg. Top Out Elec Rough-in FINAL:
o �Underlloor
San. Sewer Gas Line -Bldg.
PI Rain Drain Framing -Plumb.
Alarm Water Line Insulation -hlech.
Underflr. Insul. Shear Wall Gyp. Bd. a�lect.
Date Requested: ( � �— 7 �f r Time:,QQ��d3_AM PM
Address:
C
Builder: Permit
j THE FOLLOWING CORRECTIONS ARE REQUIRED:
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I pectora_ ---" Date:
,12
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PROVED __DISAPPROVED _/A VED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undersiab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. --a-n.. Gas Line -Bldg.
Plbg. Underfloor gid Framing -Plumb. ■
Alarm ater Ling Insulation -Mech.
Underflr. Insul. Shear Walll Gyp. Bd. /L� �LTEleet.
Date Requested: ` y( 7 '2 C�� Time` AM PM
Builder: (v Permit
THE FOLLOWING CORRECTIONS AAE REQUIRED:
Inspector: / Dater r^
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
___i
CITY OF TIGARD BUILDING INSPECTION NOTICE r(
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 1\�
t Y(
Inspection: � ti- '
I Footingp. Ceiling Sprink. Rough-in Appr/Sdwlk
L u datiop� Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect
1I -] I C� 5' Time: AM PM
Date Requested:_ i � i
Address: l �&Z4 'C
Builder: _Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector: 77 Date:-
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
wear+-v..,r�,.:..:.,..,...,..,..:,...,�..-....._:.,..,..._.
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4
C17Y OF Tp'l_UMSING PERMIT
Drl . . . . , a MST95;-0 q 1 'i
COMMUNITY DEVELOPMENT DEPARTMENT AE ISSUED:
1L/06/95 rt
13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171
PARCEL . '=:S104BA-03139
SITE ADDRI'-'7. 3. . . : 13611 SW LIDEN DR
SUBD I V I S I ON. . . . a CASTLE HILL NO. .3 ZONING: R--12 PD
r BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 139
CLASS OF WORK. . : GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :NEW WASHING MACH. . . . . . . s 1 BACKFLOW PRE VIVTRS. . : 1
i
OCCUPANCY CyRr='. . :SF FLOOR DRAING. . . . . . . s 0 TRAPS. . . . . . . . . . . . . . .. 0 1
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . a 1 CATCH BASINS. . . . . . . : 0 u
FIX-rI.JRES-----_.__________ LAUNDRY TRAYS. . . . . . a0 SF RAIN DRAINS. . . . . : I
SINKS. . . . . . . . . . . 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . : 4 OTHER FIXTURES. . . . . : 0
TUI /SHOWERS. . . . : 4 SEWER I- I NE (ft) . . a 0
WATER CLOSETS. . : WATE=R LINT::. (ft ) . . 100 `l
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . 1 0
Remarks: PATH I
OWNER. _.___________.__.________. ______-_ --_.__.__...___.-____._ __F"EES--____,-.-_-__._-_
'JON MORISSETTE SWIl $ 180. 00 JSD 12/06/95 95--2-3585
5000 5W MEADOWS RD SWM $ 100. 00 JSD 12/06/95 95-:'7.5585
SUITE 151 ELCF $ 235. 00 JSD 12/06/95 95-273585
LAKE OSWEGO OR 970.35 ELC5 $ 11. 75 JSD 12/06/95 95--.273585
Phone #. 503-G.:20-7536 EI._RP $ 4QfI. 00 .JSD 12/0(.:)/'35 95--273585
ELR5 $ 2. 00 JSD 12/06/95 95--27.5585
r=,lumbiny Contr•actora--- -------- BPRT $ 743. 00 JSD 12/06/95 95--273585
BPLC $ 482. 95 JA 11/14/95 95-272872
n Namea b p:75PIC $ 37. 15 JSD 12/00/95 95--273585
.._�._
Address : .b Vin_. � 6__.._.._____. PARK $ 500. 00 JSD 12/06/95 95•-273585
CityState : (� _ MPRT i, 45. 00 .JSD 12/06/95 95--273585,
_.._.
?i �:....__._ ?0....3 _ Phone#: 63�d ( MPl_C $ 11. 25 JSD 12/06/95 95-273585
Re # Additional fees not shown here. . . . . . . . .
_._ _....._....._. REQUIRED INSPECTIONS
This permit is is SI.ied StAbject to the reg-
Ulations contained in the Tigard Municipal Footing Insp Low Voltage
Code, State of Ore. Specialty Codes anti all Foundation Insp Fireplace Insp
rather applicable laws. All work will be clone Post/Beam Struct Gas Line Insp
in accordance with approved plans. This Post/Beam Mechan Insulation Insp
permit will expire if work is not started Crawl Drain Gyp Board Insp ;v
within 180 days of issuance, or if work is Plm/undslab Insp Rain drain In5p
suspended for more than 180 days. Pl_M/Underflaor Water Line Insp
Mechanical Insp Water Service In
Plumb Top Out Appr/Sdwlk Insp
Electrical Ser•vi Elects i :al Final
Electrical Rough Mechanical Final
f r
_ .._ ._ a m i n Insp r 1 -I m la !-i n a 1
Authorized Plum_.__bi ontractor^ 5i gnatur^e
Call for inspection 639-•41.75
Contractor Nat 1?S
f
y�t. S
i
CITY OF TIGARD MASTER #ERMIT
PE:RM I T #. . . . . . . IhST'3'3 41tr l o
" COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDi i r7lE, 9ti.
13125 8W Hell Blvd.Tigard,Oregon 07223.0109 (503)639.4171 ARCF_L.: c51�4BA—C;,31 s�3 "
SITE: ADDIRESS. . . : 1;3611. l4 LIDE N DI1 +%
SUBDIVISION. . . . : cAL,"FL( HILL_ NO. _ ZONING: R-12' F'I)
BLOCK L_01.. . . . . . . .. . . .. . . .. 1 ,
Roaarkss PATH I
---------------------------------------------------------------- BUILDING
REISSUE: STORIES.......: 2 FLOOR AREAS------- -- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------
CLAM OF WOGK.:NEW HEIGHT......... 31 FIRST....: 1910 sf GARAGE.....; 430 if LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE. ..SF FLOOR LOAD....: 40 SECOND...: 1440 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........s 5
OCCUPANCY GRP.:R3 BDRM: S BATH: TUTA_— 0 sf VALUE..1: 223607 REAR..........1 17
--------- PLUMBING -----------••------- ------------------------------------- ■
SINKS.........: 1 WATER CL0r3ETS.: WASHING MACH..: 1 LAUNDRY TRAYS.. 0 RAIN DRAIN fts 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TU'3/SHOWER3...: 4 GARBAGE D15G..: ! WATER HEATERS.: i WATER LINE ft: 100 BCKFLW PREVNTR., I GREASE TRAPS.,: 0
OTHER FIXTURES: 0 F'
----- ----- - -- --- - ------------- -- MECHANICAL - ....- --------------------------------------------------_--_
FUEL TYPES•-----•------ FURN ( 1009 ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN i=100K ..: 1 UNIT HEATERS,.: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP,: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
----------------—----------------------------------------------- ELECTRICAL -----_--__-----__-------------------------------------------- .._
--RESIDENTIAL
UNIT---- ---•SERVICE/FEEDER---- --TEMP SRVC/FEEDERS- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 200 aslp..: 0 0 - 200 amt)..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF., 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : 0
LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM,'SVC/FDR: 0 601 - 1000 amp.: 0 601+amps 1000 v: 0 MINOR. LABEL -10: 0
10NIs amplvolt.: 0 ------------------------------------- PLAN REVIEW SFCTION -- ----- ..- ------......--- ----- s
Reconnect only. : 0 )=4 RES UNITS..: SVC/FDR)-225 A.: ! 600 V NOMINAL: CLS AREA/SPC OCC:
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------------
A. SF RESIDENTIAL----------------------------- B. COMMERCIAL--------------------------------------------------..-•------------------•-----
�r AUDIO 8 STEREO.: VACUUM SYSTEM.,: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
1 BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGN-:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........ : OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS ...: TOTAL # SYSTEMS: 0
Owner: -----------------------------------Contractor: --- ------ - - ----...___._ TOTAL FE.ES:1 2821.80
DON MORISSETTE DON MORISSETTE HOMES
5000 5W MEADOWS RD 5000 SW MEADOWS RD
SUITE 151 SUITE 151
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone N: 503-620-7538 Phone #: 620-7538
Reg #.. . 35533
i
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This oer-sit will exuire if work is not started within 180
days of issuance, or if work is suspended for more than 188 days.
----------------•----------------------------------------- REQUIRED INSPECTIONS ------------ _ ------------ -------------- ------
Footing Insp Ple/undslab Insp Electrical Rough Insulation Insp Appr/Sdwlk Insp Erosion Contral
Foundation Insp PLM/Underfloor Frasing Ins Gyp Board Insp Electrical Final '
Post/Beam Struct Mechanical Insp Low - Rain drain Insp Mechanical Final
Post/Beam Mechan Plumb Top 0 t it lace so Water Line Insp Plumb Final
1 Crawl Drain Electric Servi Ga Li nip Water Service In Building. inal
F'r'r rn i t t e e E3n.z
i t �V
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y _. I55t.let3
CiRlI for inspectinr - 639 175
t i
y�tYF� .
c
PI r1*1ITPERl
CITY OF TIGARD DATEIIS#UED: . 12/06/955
y046
7
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tlpard,Orpon 97223.9199 (503)539.4171 PARCEL.: "'S 104BA--03139
5I TE ADDR1wSS. . . : 131011 SW L..i I:r1_-rJ Dr
ar r ZONING: R--1.' PI.)
URDIVIaIUN. . . , CASTLE HILL NO. 3
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 131)
TENANT NAME.. . . . . :
USA NU. , . , . . , . . . FIXTURE_ UNITS. . . . � '
i t:l..-A:'S OF WORD, . . :NEW DWI L.l._I NCS UNITS. . : 1
1 TYPE OF USE. . . . . :SF NO. OF DUILDINGS: 1 �
i INSTALL TYPE. . . . :BUSWR IMI°ERV SURF(ICE: 0 sf
Remarks; : PATH I
Owner . -- - -_____..._.___.___._________.___.._.___......_______._._________._._ FEEr __._..._._�_.._.....
DON MORIGSE:TTF tyPr? ,amount by date rec.t
5000 SW MEADOWG RD F'RMT $ 00 JSD 12/06/95 95--273585
SUITE 1.51 INSF b S"x. 00 .7SD 1`/0&/,)5 `)a-,M7I'M 5
t_ARE OGMEGO OR 97035
Phone #: 503 -6c"0-7536
r�
Contractors
CONTRACTOR NOT ON 1='II_E
:a
Pirnr e J#: 21.;35. 00 TOTAL...
Rc
REQUIRED IN5PE:CTIONS ---__...._..
This Applicant agrees to comply with all the rules and regulations newer InsFrect :ion
of the Unified Sewage Agency, The permit expires IN days from
the date issaed. 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 d row
the distance given. If not so locat , the alae shall pl chase
a "Tap and Side Sewer" permit an he A cv will r-rstall lateral. ____•____. _ __._�_ __ _,_ ._._-_—.__- ---._ 4
Permittee 5 i.9 n ea
Issued Ley e'
r
Call for inspect i.or7 639--41 15
i
a
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
n
IMPORTANT PERMIT NOTICE
a
CITY ELECTRIC & SUPPLY CO
10014 SW CANYON RD
PORTLAND OR 97225
a�
Electrical Signature Form
Permit # . . . . : MST95-0410
i Date Issued. : 12/06/95
Parcel . . . . . . : 2S104BA-C3139
Site Address : 13611 SW LIDEN DR
Subdivision. : CASTLE HILL NO. 3
Block. . . . . . . . Lot : 139
Zoning. . . . . . . R-12 PD
Remarks :
y
PATH I
r
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELEC I L CONTRACTOR:
DON MORISSETTE CIW'-E !•C, C S P LY CO !
5000 SW MEADOWS RD 01
SUITE 151 '8C'70 50 /�Ji Av
LAKE OSWl'a0 OR 97035 AW 25
Phone # : 5- 1-620-7538 Phone # :
Recc # . . : 42422
S, ture of Supervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
i
i
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I
_J
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: C L\
Subdivision: �� V- �� i 1 Lot# � _ _Office Use Only
, ,,; Contact Date / ! Initials
-Valuation: Result
GCS,
Result 2
New Construction Only: (Square Footage) Planck/Rec # 7
Permit# h95t y� Ct /�' a
House: . 5 i' Garage: �:' 4 Reissue of
i
Map & TIL# '64 -G�sl3 !
Corner Lot? Y Flag Lot? Y N Zone 12- Z /'
Owner:
Lam' N D�Ls5EITE Plat #
Address: c�C H 92M—Z\(\6 ED, SPCJ Approvals Required
p 7v2� Planning Setbacks Solar
1 ..L Engineering
Phone: ( J Lis �Jj
Other
Items Required
Contractor: .
Subcontractors
Address: Truss Details
Other
Notes N I f Vl 0 U
Phone: ( )
Contractor's License #
attach copy of current Oregon license)
R Contact Name: _M
Contact Phone: ("�_0�7) CD�CU
Subcontractors: II Arch itecVEngineer � '�tSV
•.1 &4 Aj9Q
Plumbing:`" INE_ P�. OH&I k1b Address:
Mechanical: Q3-1 =:A
(attach copy Qf curie t OF Contractor's License)
t i f t) 1( c l( Phone: (��tn u_X���J
JOB DESCRIPTION:
Applicant Signature / Applicant Phone number
Received by: ;_1.��L�2u Date Received: S
N vepn�emv..,oe
e
Permit# Account Description Amount Amt. Pd. Bal. Due
�h I Bldg. Permit (BUILD) ►'
Plumb. Permit (PLUMB) ;l_ 2
Mech. Permit (MECH) �)✓ 4 j✓
State Tax (TAX) -Yv �-
Bldg:
Plumb: L
Z
Mach:
Plan Check ,4' ,`,�o . oo
Bldg: ,
Plumb: ✓� L"
Mach:
<<< 4 Sewer Connection (SWUSA) o -' L)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
�A Residential TIF MF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) 14""
UY
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) i
r;
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT EROSN '0 (o
TOTALS:
A
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5000 S.W.Meadows Rd.,Ste.161
Lake Oswego,OR 97036
' y Phone:(608)620-7638
FAX:(60.9)620-7486
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