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CiTY TIGY ARD OCCUPANCY
i PERMIT #b. . . . . . . : 11 T95_N1,99
COMMUNITY DEVELOPMENT Dk DARTMENT DATE ISSUED: 10/ 12/95
13125 SW Hell Blvd.Tigard,O►pon 97223•BtilD (503)$39-41
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PARCEL: 2G 1048A--1417800
SITk ial')DCiI' �;.;;. . . 1 sl:i4,c :::,W L 10I=fid LAR
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SUBDIVISION. . . . a C;AS7LE HILL. #j,' Z ON I NG i R•-12 AD
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 1113
CLASS OF WORK. a NEW
TYPE OF USE. . . i SF7
C)CCUPAN,'Y GRP. 344.1..
C)C:C:UFFINC%' LC.JAD t L-'29 k
TENANT NPME . . . : I
Remarr-k s t c"AT'H I
Owner ,t ...... -_____._.._._ ._._._._....._ �_ ... .._.._....
DON MOR1a1,3EzTTE
5000 SW MEADOWS RD
:31.I I T'E 1.51
LAKE OSWEGO OR 970;35
Phone #s 620--75:30
DOIV MORISSET'TF_ 1-40MES
5000 SSW MLADOWS RD
Sul TE 1.x;1
LAKE OSWE GO OR 97035
Phone #t 620...75,38
Reg #. . t ;35533
This (:err••tific,ate+ rOv-tifies� thiiit the k)0ve referenced hui .ldirl
4T or portion
thelr,eof hala beer. inspected fc,r^ com;iIi,anc:e with the Tinsar,d Building Clyde
for, the gr-oup Find division of or-•cuperncY II<1111i ose for which the above
z^ef"erpne:eld permit was issl.ted, and occupanc-y is hereby gran fed. �
HUII_UtNCz INSPECTOR BUILDING OFF'ICIAL_
i� POGI IN C(JNSF'•'TI.;LJOIlS PLACE
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CITY OF NGARD BUILDING INSPECTION NOTICE
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Inspection Line (RBC-O-Phone): 639 4175 Businass Phone: 639-4 �
171
Inspection: q>, n1,r ,'',
Footing Susp. Ceiling S rink. Rough-in APPrlSdwlk
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Foundation Plbg. Underslab Mech. Rough-in Fireplace T;
Post/Beam Struct. PlUg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. '
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Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation 111:ec .
Underflr. Insul. Shear Wall Gyp. Bd. Elect ,
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Date Requested: rr � fd " �//Z -G1 5� rime:—,A m PM 1'
Address:
Builder Permit #:
THE FOL OWING CORRECTIONS ARE REQUIRED: �S
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Inspector: J, Date: �� 1✓ 4 t,i�+,
._APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF'NGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Businoss Phone: 639-4171
C Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Be_.-.i StrUCt. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. 5,, -er Gas LineBI�
Plbg. Underfloor Rain Drain Framing -Plumb. 100 e -
Alarm Water Line Insu' ion
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Dale Requested: C1._ "CA r _
q _ � Time: AM PM
Address: �Tc, --- _ ��� ��
Builder: �j Z Z Permit :
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
1 _APPRO\IED ,DISAPPROVED ROVED SUBJECT TO ABOVE
Call For Reinsp.
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. iS� CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec•O•Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Coiling Sprink Rough-in Appr/Sdwlk
i
Foundation Plbg. Underslab Mach. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:J
Post/Bearn Mech. San. Sewer Gas Line
� � a
Plbg. Underfloor Rain Drain Framing (-Plumb.
Alarm Water Line Insulation
Underflr. Insul• Shear Wall Gyp, 8d. -Elect.
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Date Requested:_ ( b– I I– Time: AM PM
Address: J7?7Vj
Builder: y ' S 2 Z Permit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPrIOVED DISAPPROVED APPROVED SUBJEC TO A OVE
—Call For Reinsp.
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CITY OF TI
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BUILDING NG
INSPECTION CT
ION
NOTICE
Inspection Line (Rec•O Phone): 639-4175 Business Phone: 639.4171
Inspection: y
Footing Susp. Ceiling Sprink. Rough in AppNSdwlk ,�t
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.
PILg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
•
Underflr. Insul. Shear Wall Gyp. Bd.
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Date requested: "7 1 �1 Time: AM PM
t. Address:
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Builder: 1 r — a– Permit #: 7 C C/ ��
THE FOLLOWING CORRECTIONS ARE REQUIRED: 1¢.
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CITY OF TIGARD BUILDING INSPECTION NOTICE k
t; Inspection Line (Rec-O-Phone): 639-4175 Lousiness Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in
Foundation Plbg. Underslab Mach. Rough-in Fireplace a
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach. a' '
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:` Time: x AM PM
Address:
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Builder: Permit#: s"
THE FOL OWING CORRECTIONS AilE Rf:QUIRED:
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Inspector:_" �h-!?221.R=S Date:
_APPROVED _DISAPPROVED PROVEDSUBJE_TO VE �
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 �-
C
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
PoM/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: 'f
1
Post'Bgam Mach. San. Sewer Gas Line -Bldg,
Plbg• Underfloor Rain Drain1
Framing -Plumb.
Alarm Water Line Insulation ✓�,,r -Mach.
Underflr. Insul. Shear Wall
YP.TBd.
Date Requested: �f Time.'X AM PM
Address:
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Builder.
Permil
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
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APPROVED —DISAPPROVED PPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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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/Sdwllc n
p .
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/FJEfam S,ruct. 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.
Undertlr. Insul. Shear Wall -Elect.
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Dave Requested: �-a /`7 Time: AM /> PM
Address:
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Builder:_ Permit #:
THE FO'..i_OWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Dale:
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_APPROVED _C;&kePROVED _APPROVED SUBJECT TO ABOVE
Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (ROc-O-Phone): 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 9 FINAL:
Post/Beam Mech. San. Sewer
Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line
nsulation
-Mech.
Underflr. Insul. Shear Wal
' SGyp. Bd. -Elect.
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Date Requested;
Q
Time:&AM PM
Address: ��� U Co
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Builder:
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIR':D: r`.
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Inspector: yip
Date:
APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE f
_Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O•Phone): 639-4175 Business Phone: 639-4171
pection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Foundation Plbg. Underslab iQlech. R hX Fireplace
Post/Bean Struct, Plbg. Top Out Elec. Rough-in �-/((# FINAL:
Post/Beam Mech. San. Sewer
Gas Line -Bldg,
Plbg, Underfloor Rain Drain Frami
•Plumb.
Alarm Water '_ine
Insulation -Mech. ■
Undertlr, In tl• Shear Wall
R Gyp. Bd. -Elect.
Date Requested:
PM
Address:
Builder.
Permit #: I ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Vit_ + ax`LA°s
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Inspector: c _ .�--
Date:
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVF
` ( ,Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
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Inspection: �-C.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwl /M)
=oundation Plbg. Underslab M 1. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall G Bd.
YP -Elect.
Date fiequested:
Time:
__KAM �—PM
Address: `^
Builder. Permit #:_Mrj 5--G I� ''
THE FOLLO IN CORFiEC.QW! ARE RE IRED:------------
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4APPROVE'D _DISAPPROVED _APPROVED SUBJECT TO ABOVE k
Call For Reinsp.
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C►r'( OF TIGARD BUILT IG INSPECTION NOTICE (�J
Inspection L{ne (Rec-O-Phone): ".3-4175 Business Phone: 639-4171 �.
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslabech. Rough in Fireplace
FINAL:
Post/Beam Struct. Plbg. Top Out 1/ a Elec. Rough-in
Post/Beam Mach. San. Sewer Gas Line g!� -Bldg.
Plbg. Underfloor Rain Diginramin ) 11-11
Alarm Water Linex Insulation -Mach.
Underfir. Insul. Shear W, �L1 Gyp. Bd. -Elect.
Date Requested: S X15 Time: AM PM
Address:
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Builder: Permit#:
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 TIUARD BUMMING INSPECTION NOTICE
Inspection Line (Ree O Phone); 639-4175 Business Phone: 639-4171
Inspection:
Footing i 9 Susp. Ceiling Sprink. Rough-In Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Bearn Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as Line
JC Fj;,,,- -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line
Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ) '
Time: AM PM
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Address:
Builder: C
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Insrdctor:
Date:
/ Pr'ROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE i
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( ,) Call For Reinsp. I
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i
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Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundaticn Plbg, Underslab Mech. Rough-in _Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. SewerGas Llrtg 'W , - Bldg.
Plbg. Underfloor Rain Drain ra
Framing -Plumb.
Alarm Water Line Insulation
-Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:
T /l 5� Time: AM PM
Address.
Builder: Permit #: _'
THE FOLLOWING CORRECTIONS ARE REOUIhL-n:
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Ins
vector. Date:
lue
/APPROVED _DISAPPROVED
/ APPROVED SUBJECT TO ABOVE
1` _ rCall For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phonh): 639.4175 Business Phone: 639al/
Inspection: 11
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 Watei Line Insulation -Mech.
Underflr. Insul. '_Shear W Gyp. Bd. -Elect.
Date Requested: Time: AM _4PM
Address: 7 i"
Builder: C"
Permit #:—1 – (.:2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In.spectoi --- Date•
AOb 0 DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone)): 639-4175 Business Phone: 639-4171 '
Inspection:__1
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bea, 6truct. Plbg. Top Out Elec. Rough-in FINAL:
Por',deam Mech. San. Sewer Gas Line
-Bldg. �
Plbg. Underfloor Rain Drain Framingr
-Plurnb.
A!arm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: - (F (C�S
Time: AM pM
Address: O
Builder: f
Permit k: 1—z� --o 1 0�l
Ti IE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector C C,
,2 y �_ Date: 17
APPROVED _DISAPPROVED
/� APPROVED SUBJECT TO ABOVE
Call For Reinsp. A
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection: C �� C�� /7
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.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ ' •
"` ime: AM PM
Address:
Builder:
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:!�G1�C-I�JQ F- /` U C
Date:
_APPROVED
4DISAPPROVED APPROVED SUBJEI T TO ABOVE
—Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NCC FICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling ik. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. (15-1bg. To^r p_ O ��j Elec. Rough-in FINAL:
Post/Beam Mech. Sari. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:--2
5 Time: AM PM
Address:- l "ZC3
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Builder. -��= .. ) ')�z Permit #: C?
THE FOLLOWING CORRECTIONS ARE REQUIRED:
R'
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Inspector.
Date.
Y)vPROVFD
—DISAPPROVED _APPROVED SUBJECT TO ABOVE�' I
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_Call For Reinsp.
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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/Sdwlk
Foundation Plbg. Underelab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINA
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plun b.
Alarm Water Line !. Insulation -Mech.
Underflr. Insul. ear W Gyp. Bd. -Elect.
Date Reques 1: ? !'i'.-�__Time: AM PM
Address: __
CC ��..s-
Builder. Permit
1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t t-.(� - 1 S t-
Inspector:__ �. - Date:/ 24
_,APPROVED ,//XDISAPPROVED _APPROVED SUBJECT
III`"T---O'ABOVE
\ Call For Reinsp.
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WASHINGTON COUNTY ELECTRICAL PERMIT
� Department of Land Use & Transportation
Electrical Inspection Section
155 North Firfft Avenue, #350-12 APPLICATION
Hillsboro, Oregon 97124
Information: 5031640,3470 Fax: LSL31 6934412
Project/Permit i
Number
`" l_ �' ci )_. G1D'I Date cf--, i
Pifease completesections, . •
1. Location of Installation 4. Complete Fee Schedule below
Address `-,W"e! Number of Inspectlone per permit allowed
�- Building Service included: Items Cost(ea.) Sum
City � -- Suite No. i
A. Residential-per unit
Tenant N94 /���
(if commercial) 1000 sq.ft.or less $110.00 i v�v 4
Each additional 500 sq.ft Uv
Tax Lot— Map No. or portion thereof A�— $25.00
Limited Energy $25.00 _. 1
Thomas Map Book: Page:_ Section: Each Manurd Home or Modular
Directions--_ Dwelling Service or Feeder --_ $68.00 _ 2
B. Services or Feeders i
Commercial ❑ Residential Installation,alterations or relocation I
200 amps or loss $60.00 _ 2
201 amps to 400 amps $80.00 2 i
2a. Contractor Instaliation only: 401 amps to 600 amps $120.00 2
Electrical Contractor d ty �..�_ 601 amps to 1000 amps $180.00 -- 2 i
Address /oil/ r�r�_ Over 1000 amps or volts -- $340.00 2
Date s-i el -, X: — Job N tuber Reconnect only $50.00 2
Property Owner Qert �k:sc-_N____=_4&&ie��
Contractor's Liconse No, -�6• -I kel Gl _ In Temporary Services or Fee tars
?—y„�'/ ��. Installation,alteration or relocation
Contractor's Board Reg. No. —
200 amps or less $50.00 _ 2 ,
201 amps to 400 amps $75.00 2
Signature of Supr. Elec' 401 amps to 600 amps $100.00 _ 2 t
License No,�— Phone No. c -c Over 6o0 amps to 1000 volts see'B'above !
€
2b. For owner installations: D. Branch Circuits I
New,alteration or extension per panel r
Print ner's FWnTe hone fro — a) The fee for branch circuits with i
purchase of service or feeder lee. f
»a Each branch circuit $5.00 2
b) The fee for branch circuits without
i� — State --TI purchase of service or feeder lee.
First branch circuit $35.00 2 t
The installation is being made on property, 1 own Each add'nl branch circuit $5.00 __ 2 �.
which is not intended for sale, lease or rent.
E. Miscellaneous (Service or Feeder not included) 4
Each pump or irrigation circle_ $40.00 — 2
Owner's Signature __ Each sign or outline lighting $40.00 2
Signal circuit(s)or a limited
3. Plan Review section (if required) energy panel,alteration
Please check appropriate hem and enter fee In section 5B. or extension $40.00 2 4
1 & 2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable
of
4 or more residential units in one structure in any Per insppee the above F
-- ction _ $35.00
Service over 225 amps; feeder 400 amps or more Per hour $55.00
System over 600 volts nominal In Plant __— $55.00
_ Building over 3 stories in height c1� �
Building aver 10,000 sq. ft. 5. Fees 5,
Occupant load over 99 persons A. Enter total of above fees $ —_
_ Manufactured Structures Park or Recreational 5% Surcharge (05 X total fees) $ IG)
Vehicle Park; new, addition or alteration Subtotal $ _
Classified area or structure containing special B. Enter 25% of line A for
occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $
Subtotal $ _
Submit 2 sets of plans with application where any of the Less Bulk Label F=ee $
above apply. Not required for temporary construction
services. Balance Due
For Inspections call This permit becomes null and void If the work authorized by the permit Is not commenred
640-3561 or 693-4415 whhln 150 days from date of issuar a of such permit or It the work authorized Is
suspended or abandoned at any time after work Is commenced for a period of 150 days. i
24-hour recorder,one working day In advance of need Eleclricai Permits ere non-refundobis and non-tranelarable.
5193
L '
e
1
CITY OF TIGARD BUILDING INSPECTION NOTICE t
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Pei t/Beare Siwet; Plbg. Top Out Elec. Rough-in FINAL:
eam Mech. San. Sewer Gas Line -Bldg.
P g. Underflr�o4 Rain Drain Framing -Plumb. 1
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elec t
Date Requested: `, /'� S �� Time:LAM PM
Address:
Builder. Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: 5`
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
y -
Now,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection 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. Gas Line -Bldg.
Plbg. Underfloor Framing -Plumb.
Alarm Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect ■
Date Requested: Time: _PM
c ' ^
Address: < _
Builder: Permit #:
« T
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecto . y� Date: ��//7
fyAPPRO` .0 _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
d, �1i1i�' i e "?s; i 1 y •
Y ,
,.J118ING PERMIT
CITY OF TIGARD D REIT • . 5 MST95..01.,., r
ti
DATE ISSUEISSUED:: 05119195
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 07223.0100 (503)030.4171 F'ARC:rt.: ti i 04BA- 2r713G)Qi
TIS ADI,, -14 L.ID�Pa DR
'JBD I V I S I ON. . . . : CASTLE HILL #i ZONING: R-12 PD
0CV. . . . . . . . . . . LOT. . . . . . . . . . . . . : : 13 �c
j. Ars a Or WORK. . c NEW GARBAGE DISPOSALS. . -. 1
YF'E OF USF`:. . . . :SF WASHINIG MACH. . 4 . . . . : 1 BnCKFLOW PREVNTRS. , : 1
.`'7:UPANCY GRP. . :R3 MOOR DRAIIVw3. . . . . . . :&1 TRAFS. . . . . . . . . . . . . . :0 �t
T'0RIES. . . . . . . . .C WnTER HEATERS. . . . . . . 1 CATCH LEASINS. . . . . . . 10
i"IXTURE. 3_._._.. ..._ _._.._._____. LouNiDry f?r"a'r'4,. . . . . . .0 r RAIN DRAINS. . . . . : i
SINKS. . . . . . . . . . . 1 MrnSE: TRAPS. . . . . . . :i7.r
'l'JI';T(]RICr. . . . . OTHER " IXTIJRCi. . . . . .Z
UB/SI40WERG. . . . s SEWER LINE (ft) . . . . s@ ■
WATER CLOSETS. . :?, WATER 1. I PJC (ft ) . — : 100
TGHWA`:3HERS. . . , : 1 RAIN DRATI',l (ft ) . . . . o0
i
;lei MORISSETTC "bil'1 $ 1OW). 00
"00 SW MEADOWS RD FUM $ 100. 00
ITCIr'I DPQ- $ •113. 00 05/1'1/9;
'.KE OSWEGO OR 97035 DPLG $ 401. 70 - 0W119/95
one #: E,, P1�.. x5313 Li >='C $ w4?�. 90 05/19/95 ._
PARK # 500. 00
Aml,inp Contractor" : _ h9r'RT $ 45. 00
P 5 P.C $ 11. 2S
t
11ciclil: iu ial fens nul: -.11owr llev'R. . . . . . .. . .
REQUIRED INSPECTIONS
iB pec'mit i � .i si_b jeiµt t0 tile- CE?y
ationrs Contained in the Tigard Municipal Footing Insp Insulation Insp j
i_Je' State of Ore. apec.ial.ty Code) ear.; all for.rnd ,k�; i.un InSIa Gyp Board In-:p
1'•e'r applic,E•able laws:. All work will be donee Post/Deam Str~'_rc_--t Rhin drain Ins, j
a c!::urdance with approved 131,uns. l)';��, /1�,�Ea m Mf: n W6'r_,iLine ln~ii.i '
,ev"mit will expire if work is not; started Crawl Drain W&ter ServiceIn
within 180 days (if i t )Or k i 5 PIM/i_rncislab In!:;K; Ar_npr/S(Jwlk 11'r!;)
ispended for more than 1.00 daryis. PLM/Underfloor" MechrAnical Final
Mec-;h an icia'l Insp p1.i.k.m1.) 1-11raI
r. lumb Top Orrt Building Final
fir aminy Tnsp C'i osion Canis"ol
F i r•e p l a(_Ea Insp
Ir1SI, __.. -. ....
C rA 1. 1 f O r i n s r',o r:t i.C r1 r. 71 -r,-•
r;E.r"dC1.pr" Not NS :
L � I
- 'Ft9q'. y,��4->.,yyhe'�iw;-t�N,a .*y�{7 ,�•;4 b. rY:y. M� ,�Y.. _e. Q '� "F"i•P, ,�, Y' ,grL�.:,'. •->tin., -I...c,..I.v rt.aHe.. 'I h q, :�..
i%.
y - y (, - MY ( ' b.. I• il{ y yb ro
i6Jp1 6 j
R1TT ti4 L' 14 1 T`4/
� � ��f f p;'•n t t ..p. 4 r 1 ;•.rt',., n° � Sa�M � ,,
` CITY OF TIGARD
MASTER PERM17 �
1 PCf?Mi7 #. , . . . . . : MST95_..Z1 t':,c'i
COMMUNITY DEVELOPMENT DEPARTMENT DATr IS SUED: OS/19/95
13126 SW Hao Blvd.Tigard,Orpon 07223.6199 (603)630-4171
PARCEL. 2S 104 L}fa_.QI i fj171I('I �
- Y
{ , yTE f�L- 1-11)LIL' i.ii
CASTLE HILL #2 ZONING; R-12' PD
IMJILDIN ,
RE`ISSIJE: DkELLING LJNITS: :i DA SE:ME:N-I'. . . . . . . . .k'7 Sf
''LASS OF WORK. :NEW SE DBMS:4 BATHS:3 GARAGE. I . . . . . . . . ..S75 f
Yp'E OF USE. . . :1F 7"I.0nR ARCOT, —_ .._ __._ Pr-FI_I I RCD SC'TLIACKS.__.. _ ...... _ �
VPE OF CONST. :SN F I RST. . „ . : 1250 S f L.ErT. . :5 f t R I GH T. s S f t
_ '1'.1.JPPNC`r GrP. :R3 SC:COND. . . : 1,7*8 5 Sf FRONT. 120 f t REAR. . : V5 fit
iORIES. . . . . . . :t=' FINB►:'MENT:0 Sf RE VUIRCD-
I Il:'.I GI;' . ft TOTAI._ f r'1101:.0 Df TECTCJR^. :
FLOOR LOAD. . . . 440 p VALUE:. . . 173,26E1 PARKING SPACES. . : 1
......... .._.- .. .._....... .........._.......__ _._...._ PL.UMDINrr
1 FLOOR DRAINS.. . „ . :0 BAE:i-c.rl_.OW PRE.VNTR a. . : i
11VATORIFS. , , . . :3 WATFR HEITE:'RS. . . s 1
TRAPS. . . . . . . . . . . . . . s0
LAUNDRY TrAYS. . . :10 CATCH BASINS. . . . . . . .0
':-)TCR CL.OSCTS. , :3 CrWER LINE (ft ) . :0 (3RCASE TRAPS. . . . . . . :0
[SIaWAwhICE?!'. . . .
; I WATCR LINE ( ft ) . : 100 C'1T)irR r XTURCS. . . . . ;0
:1RBr)Gr DISC'. . . : 1 RAIN DRAIN (ft) . :0
1SHINC 11GiCH. . , s 1 .F FAIN rRnll l':,. . . 1
.__._..__,.._.__..... ._..._ ME'CHAIJICAL. __._ _..... F`C'fS
"'I.. TYPED)_. - _._._.. UNIT ItTr . -0 +-y Do .:�1nc1.lnt by date r-et.ht
VENTS . . . . , :0 SWM t 180. 00
=4X INPUT c O PTI_J VC"NT I-AN S. « .A. SWM 11J.IZ)0. 00
' !RN ( . i 110K , . .0 JACODS. . . . . . . 1 1r n—, t 618. 00 05/1 9/9$ -
I IRN ) =10011 . . . .. WCOD ST(?`/4: ;,, :0 1 PI._C t; 401. 70
L
Oc1R FURN. . . ., :0 CLO DRYS K7'. : 1 P5Pr- $ 301. 90 05/19/95
IF', w OTI;E%R U111-7 : I. ?"dit t "00. k*��
GAS nL) L—ETc'A Mf''I<T 1t 45. 00
)N MOR1 SSE ,TE M PC f 2. ca
V171 W V!Enn we R1'
l I TE 151 pt`..F'^
IKE OrWrOO nR f.`:7 1. ?, (,4. 0 e,
I :
c,ne #s 6; ti... 7C;.3E1 riiPC t* 20. 80 t
1) :cact0". ; r f?I"r 1 ;''17). a
;:JN MORICSETTE: HOMES
'1><o Sim MCCI)CWS PD
;ITE 151
)Kr r}`3W[GE7 OR
•one #: 620....7538
q . . . 35033
per•ait is is;-ie :;Jcject to the reg6at: ,.i the _.._ __.____ Ftf G1LIIRf~Il IN""r`1:CTIONS
_lard Municipal wade, State of M-e, Speria' all other routing TnsC Plumb- Tnp Out
.fliCable laws. All worwill be dcneEk"t
) approved rclutidatic,n Insp F" -'Amxnq 1"Sp
Li+s. 'his permit will expire it Rhin 188 C'0St /tF,?v,1w-- rtl,t_tct F-i-etplrar.i Insp
Pot-t/L�eam MechAn Gets. I.. ine Insp
rt'awl 01,•air. T�,sulation Insp,
Tn9p Gyp Vrar•d In p
'-'LM/UnderfIoor- Rrmin di-ain frnsC,
Mc(-I1a1t'il_'al I,tSla Water 1..i`I�, rrlsp
Call far, irlspection N,39- 427;
%E.WEr r,o'p,ir'C:TIC?r1
CITY OF TIGARD . . . .�.L. . ,
i. COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUCD z /; ;9
fi 13125 SW Hall Blvd.Tigard,Oregon 97223•8199 (503)639.4171
PARCEi_: i2S 104SA--07000 r
"ITE AI;DRr_5 . . . '3W LTIDEN DR
f
SUBDIVISION. . . . . CASTLE HILL ;#L: ZONING: R -10' FAD
PLOC1{. . » . . . . ., ,, . LOT. . . . . » . . . , . . , . 11.73
TCNONT NAME. . . . . ;
USA NCI. . . . . . . . . . . rIXTURC UNITS_ :
'LASS or' Wor"R. . . SINEW DWELLING UNIT . . ; 1.
TYPE OF USE. . . . . :Sr' NO. OF DU I LD I NGS: 1 �
INSTAL` TYLE. . . . :1~U y4Jn MPERV GlJri''7Cl`. ,. : : of
Remarks e PATH I
■
Owner: -_. .... ___._ ..__ _...._._.... .._.._ _._...._.._....._.._..._. _ ._._...._.___.__._.._.__. FEES
PON MOPTSSF.-TTE t ype cmorant; by irate r-eapt
000 514 MF..ADOWL RD PRMT $ :;:.00. 02, S 05/15/95 -
r.1ll"r" 1411. TNSP s 3r. 00 D 05/15/9"
x -
AKE CSWEGO OR 970.35
"Iodea M . 6 2
I
"ONTRACTOn NOT ON r'ILE
r
pira;7e #c CL`3 . 00 TOTAL
R
..._.. _.__. _. REQUIRED INSPECTIONS __�_. .._...
This Applicant agrees to cooply Lith all the rules and regulations faewr r^ Irrspec_t inn
of `hp Unified' sewage Agency. The perait expires 30 days free
the date issued. The total aeount paid will be forfeited if the
I oerp't expires. The Agency does not guarantee the accuracy of the
side sewer )ateral5. If the sewer is no'
given, the installer shall presrect 2, fa; a
`e distance given. If not =.:. ated a .,_e6ase
a `Wap and aide Sewer" N Age1c; a lateral,
Call sur` ine.pectiori 6.39--x+170
P.
Residential Building Permit Application
City of Tigard
13,115 SW Hall Blvd.
Tigard, OR 97223 i
(503) 639-4171
Jobsite Address: 3 g rf Z S G✓ l�+� D �'
Subdivision: CGS f// Lot# //3 _ Office Use Only
7 l,� Planck/Rec # �- y �• a
Valuation: 3 _ G
Permit#
Corner Lot? Y N
Reissue of
Flag Lot? Y N
Map&TL# 1S�D� ag-07�'Gd
Owrner. J/dn rf G r p SS r �-I Approvals Required
Address: S(/y0 ScJ h1 padoy Rd. Planning
5c, I ISI 44 /4 U,F w#jLW2 �✓' ' Engineering
Phone: (gZf/ - 7 r3 r Other
Contractor. .f2yn Mu✓r ss .#.e r t c Items Required
Address: �� ' Subcontractors
Truss Details
Phone: Other,
Contractor's License #— Z,SS 3 3
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Arch itect/EngIneer
Plumbing: Address:
Mechanical: Z/ - no o,
(attach copy of current OF�Contractor's License)
Pho-ie:
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: Date Received:
x
I
Pernat# Account Description - Amount Amt, Pd. Bal. Due. _
Bldg. Permit (BUILD) al-S,C, _
Plumb. Permit (PLUMB) ? ozi 2y' ,
Mech. Permit (MECH) ysw
State Tax (TAX) 2. 2,Y
Bldg: J 4' f d
Plumb: L ► •
Mech: L
Plan Check (PLANCK) All Z
Bldg:
j
Plumb:
Mech: �/• �-S
Sia i 0 Sewer Connectlon (SWUSA)
Sewer Inspection (SWINSP) 3r 3J
Parks Dev Charge (PKSDC) sAy aU
Residential TIF (TIF-R)
Mass Transit TIF (TIF4YM
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (riF-IS) L.
Office TIF (TIF-0)
Water Quality (WQUAL) 9�v
i
Water Quantity (WQUANT)
Fire Life Safety (FLS) _ ±
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN) gar,� -
Erosion Planck/COT (EROSN)
TOTALS: le Jr..� r1) O . G 3 32-
I
. •y ',p h41 .,+ ,1n}
' FRGr :FIRST AMERICAN TPNPSBRN TO S03 S20 0947 1996.05-16 11143 #741 F.02/03
r
r�.:�qi ,;i�`t +i t"sa�j t� darao;• '•a.y4 i;, c�t� ,�,,+,;• ,.tityi�t. i• .�•'i;,;i4's .s� r �,
"i} •♦r't�Mc
s�I p q .s;• �.," r.. o.p...j rI •. a a r ;� • �.�f,'i.. a.i l + 0.
���•. � : .Fye '�+��,` +��. ,rr'is 1S; !�� Oi+i��r�,�iii�.y,i��,yr tits�� 'r.= 1, ..k. 1' 9 '�� �,�. .1,•t• � , 'r i
��7�rf�.IE: 'r h +• r R,� dI• 4'•;; ;M •a, rSY76.:' ,`!�h!! +'%" ;'.` ;'r �.'
.n,° Yn'T,f
�Ef'•ji i Credlt No:
Date Issued:
7P 4P-77C IVPACT FEE
n l CREDrr V041CH20? r it
In ecrordsnce w;'
h the TrFt<c Fie Ordinenco Matr&Development C'orporatlon
p ,
is angled to SIn Traffl�m act Fee Credit
--1S50 p s the, „an be applied to 71F charges
r on Jot(s)6c?-i31 of the Castle Hi!No, 2 Devei t. i ne c.edits
opener, use of TIF • rr.
are sJbject to the rules rnd limit tions of the 7/F Orli,,an»e. WARNING:
his VIL/Cher must ba presante at Ghe time of issuance of the 3ulldlnp Psn�it, or if deferral ••"'
r�is+r
ryas g,antes Issuance of an Occ I pency Far,-rlt. k
4 MA 7'R/X De L c!OF,�tENT CO!"•IPORAI SON hereby} ;�.:;,.�• y rss;�rs 81/its richt,
�t title and interalst in ' d to that centairr, Traffic Impact Fee Credit ro be r
rnrad f f
upon the Issuance a a building permit for Lot Q
n}moi•^ CASTLE ,� 113 •f„`ti
HILL N0.2 su dlv.�sion, Weshi.�'-tor, }
�. �ourty, Oregon, to the order of
'`'•"'• DON MORISSETTE HOMES, INC. ,:•.•;;;
5000 S.W. MEADOWS ROAD '" ��
r:;•:; SUITE 151 •'
c l'. LAKE OSWEGO, OR 97035
nmert cf '
ri
;s assfg f rc Ir,FiC. Fee Cradt:Is rade end rIva r, 'Vs
�
of 17995.
.fj MA 77R/,v% DE✓_!OPIENT CORPORATION '♦ti
or, Cor,»oration
'=•••�� �i. s or aosltion �r�;,ti +
i
r
.•, r. ,!�• t t' t�•�1 J'; ;. ! iS" ` rr,.! •"S� ! '��'!Z' '
•�--::r:i it • : ti�••.7:?e i�}t. �i •'i94iti., � •`,� , 1, •.,,. ..,j 4�:;;. r��• f'i• �.S'".' '!!"?��••i,•'•. '•-i�.'�!•
�,�c:.•,t = �, ; � �yy .,,,':l,i r ". � ;';,.''-t .;:.•,��'i ,; •l,aa.• Y •'i , . ,,.,t, r�"�� •, �y . .,,f
.,• ',ar�r rt41,..,.' >, l;.�• ;1�.,., ,,::,. ,t;i�,tirati ''•a.•��r} , ,•f�'s;,y,,• :,,,�• t'' ,, • .
N
f
e
�t 1j. a,MM'x►'��� �.. .. _......�, •uw•n^t«w..... .....,, ...w,. .«,,,.,,_. ....+ar.•,•�1,..wtFVA * '.'�,� . ��'�
6000 S.W.Meadows Rd.,Ste.161
Lake Oswego,OR 97086
Phone:(608)620-7688
' q FAX:(608)620-7486 '.
0912�
E?a`s MEs�1,�1P.EPLALG F/'F-• s v
.y `'ilA cr—Tl4gATJ7
9 �
r
4
Y
d
, r
�o' T:v o CAt
&VAR 1(1
ZZ�R ZA
� � �k BD¢M. ►�'_ 14' q
FFte•zr-i3 r
ATIn I v' I
117,
ZIoD Coll.I'�y� 2 S5
9�
,
I ,u
t '/R
•iilu.,
l
is
1
I
i
1
(;ITY OF TIGARS FtF-"CFIF+T OF" r-T)YMC'NT RECEIPT NO. a95_ f,:;hNb
CHECK AMO I `
NAME 1 DON MIIRIS SETTF HOMES INC INT a 44L-+. .3c"_
CASH AMOUNT a x. 00 �,,
F�1�URE 5, s 5000 F W MEADf 616 RD. S—151
PAYMENT UFYTF a 03!1.9/91,i
LAKE 09WEGO, OR FiUBD 1 V I S I Ohl s
PURPOSE E OF PAYMENT AMCILINT PA I D PURF OSF Of" I+A YMENT AMOUNT PAI 1f
BUILDING PERM � MST95--0199. . ......._4P. 9591 ST. �BUILD�PrtR_.,,_.. 2. 12
PLAN C HECK F'E 401. 7Q� .t 2
II
I
3892 SW L I DEN DR.
TOTAL. OMOUNT PrP(,h
44f�. 32
n.
i
v
CITY OF TIGARD BUILDING INSPECTION NOTICE
In.,pection Line (Rec-O-Phore): 639.4175 Business Phone: 639-4171 1 /�
Inspr.;tion: r
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
oundation 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
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ` Time: KAM PM
Address: C'
c-
Builder: _Permit #: L / 71
THF FOLLOWING CORRECTIONS ARE REQUIRED:
r
Inspector. i1-- Date:— '5
-_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp,
i
l:
R;
I+ ,
Lr +s
PLUMBING FSERMIT
CITY OF TIGARD
P E ?MIT ##. . . . . . . . M3T)S .0.171
HATE ISSUED: 05/15/95
COMMUNITY DEVELOPMENT DEPARTMENT
13126 iW Hall Blvd.Tigard,Orpon 97223*!199 (503)939.4171 r-`A F7C C`I_;
i
aITE ADDRESS. . . . 13,t39 5W I_?P,EN DR
SUBDIVISION. . . . : CASTLE HILL #2 ZONING: R--12 GD
SLOCK. . . . . . . . . . . LOT. . .. . . . . . . . . . . : l13 +,
CLnTS Or WORK. . .-NEW (;nPBAGC DISIPOSALS. . : 1
TYPE OF USE. . . . :Sr WASHING MACH. . . . . . . : 1 DACKFLOW PREVNTRS. . s 1
OCC.L:nANCY _IRP. . :R:3 FLOOR DRi4I1NIG. . . . . . . :@ TRF�rlS. . . . . . . . . . . . . . :0
'TORIES. . . . . . . . ;2 WATER HEATERS. . . . . . : 1 Ci)TCH LIPS I NS. . . . . . . :0 �
F"IXTLinr-S _. . _ .... _...._. LAUNDF Y TRAY",i. . . . . . .0 Sr" RAIN DRAING. . . . . : 1
SINKS. . . . . . . . . .
. . . . . : 1 GREASE TRAPrS. . . . . . . .0
LAV f1TORT[ 0 1 rlkl'UR"5. . . . .
TUB/ShOWERS. . . . : SEWER LINE (ft ) . . . . :Q1
WATU.R CLOSETS. . ; I WATF-'R LINE_ ( Ft ) . , . . : !V,0
DISHWASHERS. . . . .. 1 RAIN DRAIN (ft) . . . . :0
Remai-k a : PATH I
OWNER,-
DON
WNER4DON MORI SUTTE " t,M 1 1f10. 4'�0 Il 0�i 15/ 35 -
3000 SW MEADOWS RD SWM t 100. 00 B 05/15/95 -
' SLli7'[ 17I BPRT 4, ;7!x. 50 0 05/15/95 -
'_AKE O WEGO OR 9703'S SPL.0 ,74. 00 BON 04/19/95 95. 2643'7 F.
Phonedi: G��7+- 7 3'3 nSPC 4 "(3. 7C 0 05/1.5/95 �
BPLC # 50. 00 B 05 i 15/95 -
Cont Tact:ai- . PA)kK "rID0. 00 n; 05/15/15 -
.1 MPRT 45. 00 B 05/15/95 -
. .�•-i/I r), 1)1.1
..�\�r��t�1��J► �.1� J �1'�� . � I�IF�IL1. `t, 1 L. �,a !1 / ..
�'addr- `� �. M5�'C $ . `5 B 05,/15/9.:; -
:it1 rAtll�
?' t4l 'S �;�:`�. 00 P Op-, ' 5/'�3Zip;, (o� P 5 P C P ii. ��5 c� 05/15/9``r
Itel1 S63S _. Additional fees nor. shown here. . . . . . .
REQUIRED INSE'ECTION5
i'his permit is issued SlAbie:::t to the r•eg•..
ilations oontained in the Tigard Municipal Footing Insp Insulation In-,�
-ode, �,tcate of Ore. SPeci.Aalty Cedes and all F'oundatiarA Insp Gyp Board Inap
7ther applicable laws. All work will be done Inst/Ream Sti-uct Rain dr-ain Insp
in anc:.or-&Anr.:a wi.tr, .al,�?i : ;c�.! plan E.. Thin F.ijr^t/Beam Mech,:an Water, 1-ine Insp
opt-mit will expire if work is not started Cr--awl Drag in Water Ser-vice It
,Nit:hin 1,^0 shays of i. ,a�aA.nca, i if wl._, t< i ,, Plnr/undslab Insp Ap1_,r./Sdwlk Int:p
�suspvnded for mora than 100 'days. PLM/Underfloor Me, hanical Final ?
Mechanical Insp Plumb Final
P1umh, Toa out, Building Fire
F'r,aminq Insp Erursion Cron'
rir^eplace Insp
_._.
4u,at:
wr r.nsprrct i Era 639-41.7',
7onty attar Notes:
_. __.......,._._..M._. _.__ .__.._.__..........._.... _ _ ._.......,._...._..._.__..
1
(
MASTER r'ERMI T
. RD PERMTT 4. . . . . . . :, MST95--0171
CITY OF TIGA
COMMUNITY DEVELOPMENT DEPARTMENT Du I E ISSUED: /15/95
1 13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)039.4171
rARcr_I_: 2151434r-A--07800 �
SIT,'-. C=DDRE:f . . . : 133912 '3W LIDEN DR
SUBDIVISION. . . . : CASTLE 14I L_L #2 ZONING: i k PD
BLOCK LOT : 113
BUILDING
RC I OOUE i DWELLING UN I T a: 1 BASEMENT. . . . . . . :0 s f
CLASS OF WORK. :NEW SEDRMF3.4 BATHS:,,3 GARAGE=. . . . . . . . . 1550 Sf '
TYPE OF 1.2"',r- , . :'?F FLOOR Al2rAr.____.,. .._._ REQUIRED 5 -
TYPE
.TYPE 0r CONST. :5N F I RST. . . . : 1:'30 s f LEFT. . s 5 ft R T GHT. :5 ft �
OCCUPANCY C!RP. : R:16 CCOND. . . : 1010 f r"ROOT. :' Ft R17AR. . :23 ft
STORIES. . . . . . . s2 FINPSMENT:O =f REQUT
HE=IGHT. . . . . . . . . 13 f`t TOTA(... :;::~:1143 mr1K DC_TECTORS. :Y
FLOOR LOAD. . . . :4@ ps f VALUE'. . . . , f . 1' PAR.: AR I NGrlPACES. , s 1 B
` Rem.aY-I,-s : PriTll I �
v
S1NK G. . . . . . . . . . : 1 FLOOR DRAINS. . . . ACKr-'LOW r,REVNTRG. .,. 1 i
LAVATORIES. . . . . :3 WATER FlEnTERS. ( TRAPS. . . . . . . . . . . . . . :0 i
Y TUi!/01 1OWERS. . . . I_fi;1P,1r,,PY Tr"! ,/ '. C C:ATCIA DA;INS. . . . . . . :0
WATER CLOGCT S. . :3 SEWER LINE- :0 GREASE TRAPS. . . . . . . 0
D I SIIWASIAERI O). . , . : 1 kATE f; LIN!'. . : 10 OTI IER f I XTUilES. . . . . :id 1
GARBAGE D I SP. . . 31 RA I N i
WASHING 110CH. . . : 1 SF R
MECHANICAL FEEC,
r- UEL TYPrS__.._____....___ _ _ UNIT TR . .0 type amakATIt hey date r,e,:pt
/GAS/ / / VENTGI :Q! .1WM f 180. 00 B 03/15/95
1.1AX INf='UTre VTU VENTFAt. " SWM 11 100. 417, PL 05/151135 k
('URN ( 1001•11 . . :0 HOODS. . . . . . 1 Br'n- T $ r=. 50 P 05/15/95 -
ruRN ) -1001! . . : I WCIODOTOVIZ: :0 T'r!LC t, 374. 08 1?019 04/19/15 9 5 2611
FLOOR F'URN. . . . :0 CLO DRYS . . 1 B5F'C $ 28. 78 D IE'13/13'!/95 -•
DOII_,'rMf� ( ?blr':f7t
CTI IER !1C '"Cs 1 13PLC $ Se. 00 P 05115/'3` f
GAS 01.17 E.TS: 1 PARK $ X01% rho S 05!13195 -
gwne•. ; _ . _ _ _ M C2 ". 4`' e.o E1 0Fj/15/95
DON MORISSETTE MPLC $ t1. ?`'i B 05/15/95 -
K �O ,w M-Apo~!] PD "15PC r. -J r_� 0 /II/9 3
SUITE: 151 313TH f ~:25. 00 B 05/15/95 —
i._AKC 0iWE:LGO OR ;703!j 1='!7.1: $ 11. 3 S 0S/17/` 3
�tonw #. 620-753E1 CR0C' $ C-�4. !110 0, 05/15/95 '-
�ntr»��ctor": _. .... _._-. r:—PPC $ ;10,, rel r... cI�r1K .,,�
_._ 1, �.
:)N MORTSSEwTTf= HOMES EPPC $ ':0. D0 B 05;'15/x3"- -
;T-0 ':;W MEADOWC RD
,UITE 151
:,one #:
is pereit is issued sub,jec to the regulatiors contained ir. the -- '--'- REQUIRF"D INSPECTIONS ---
gard Municipal Code, Stat of [h•e. Specialty Codes and all othv Footinll Inrip 7111 imb Top Out
7lic0le laws. All Nor• ill be dole in accordance with approved rrjn.m lntion Insp; Fi-aminy Insp
yns. This per:it Nill xpire if Nowt is not star} - SAA most/Btaam ^,truc-'t Fi.r'eplaCE� In17p
c.f issuance, or if Nark is S:!•^ended 131- 'aye. r'os;t/Beam Mechan Gas Line Insp
C.'I-awl Drain InsIalat i nn IT715p
F'I_M/Underfloor^ Rain drain Insp
;3�.tstd F•, : s """` W�..4 ! _._._ _.... h+lpc_hanic.a]. TYI�; } wate'r• Line Inip
Call for inspec=tion 624")-4175
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CITY OF TIGARD CONNL'Cl TON
��RMIT
COMMUNITY DEVELOPMENT DEPARTMENT F'E`MIT #. • • " • " • . SW R9 4,,i
it
13126 SW Nall Blvd.Tigard,Oregon 97223H/99 (603)639.4171 DATE I S)UE'C: 03,1 1 5/n 5
-i F'faRG1=t_: �a14'.�4fa4—Q�7f_lQtO ,�
ITC, IIDDRE5 a. SW LII)EN D7
'3UFlt)IUIsION. . . . : CASTLE HILL. #a ZONING: R--121 PD
1CN;. . . . . . . ,, . . . . . . . ,
ENANT NAME. . . . .
USA NCI. . . . . . . . . . : r!XTURE UNITS. . . :
CLA Ski OF WORE. , . s NEW DWELL I NG UN I TS. . : i
"YN!~
OF USES'. . . . . s GF NO. OF SU I LD I NGS: 1
TN TALI_ TYPE. . . . ; 9lJSWr, I!rPERU GURrACE. . : S
7emzwks: CATH I
DON h1Cf..T8SETTi" type amni_tnt - by at ti
r t t: t
p
5000 SW MEADOW7, RD PRMT $ ;::>Ztm. 00 S 05/15/95 -
SUITE; ;,7--,1II`!!Jp 4 00 D 4"`,'15/95 -
LAKE OSWEGO OR 97035
Phone #. 620--7530
-ONTRnCTOR NOT ON r-'TLr,
i. l7one (b: t-__-_'-��5. ID0�TOTAL
_.._._____..__._____._._.... i
eq #. . .
REOU I RED INSPECTIONS
This Applicant agrees to c-sply wit` all the rules and reg-alations Se�wEar l'ns.pect i un
of the Unified Serage Agency, The permit expires 180 days from
the date issued. The total amo+,nt paid will be forfeited if the
;;emit expires, The Agency does r.ct guarantee the accuracy of the
side sewer laterals. If the suer is not located at the measurement
given, the instaA er shall P-ospeCt 3 feat it all directions from
'.he distance given. If not so located, the installp irchase
"Tau and Side Sewer" Pei-sit and the Pu, i I lateral. ...._----
__
er'mittEre ^�i r4nat ;r
5 S'..t e d 1.1 y
n inspection - 639-4175
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.'�-+.7n'rrT.!1��ItiUVFF.
711
7
Residential Building Permit Application
City o
ff Tigard
13125 SW Hall Blvd.
i
Tigard, OR 97223
(503) 639-4171
/obsiteAddress: blo/
subdivision: Office Use Only I
Lot � l I
Valuation:
73 Planck/Rec# �
Corner Lot? Y N Permit#
�—
Flag Lot? Y N
/�Reissue of rr
Owner: Dpt�l M O°_I SrurlTT �-b►��, i l�l� ,
Approvals Required
Address: 5_VV M tgE I�j( planning
Engineering
Phone: ( OO - -"5�
Other
Contractor: :50d–, P �5 Items Reuuired
r Address:
Subcontractors
i
Truss Details
i
Phone: 1 1
Other
Contractor's License # _555-3 e1l�.
(attach copy of current Oregon license)
l�- ?D
Contact Name & Phone:
Subcontractors:
Architect/Engineer:��P
Plumbing: N(3 Address: C '� �N M
eS �• Sim• 15 ► I
s /Mechanical: [�U►`R� –�$.-� Imo. _ LSE p�,��� ���35
(attach copy of current OR Contractor's License)
Phone: (..2_6 -
JOB DESCRIPTION:
Applicant Signature & Phone number !
Received by: 1/=y,�,,
Date Received:
NIWDRDlCOMDE VViE sAoP
R
i
7 7j
a
Permit# Account Description Amount Amt. Pd. Bal. Due `
pti
hrs� Bldg. Permit (BUILD) S 7�.)y 7
Plumb. Permit (PLUMB) ;2 2-
Z ��
' Mech. Permit (MECH) 4 i _
State Tax (TAX)
Bldg: F,7 ELI`
Plumb:
Mech:
Plan Check (PLANCK)
/
Bldg: 3,7 09'
Plumb:
Mech: //• 2-
Sewer Connection (SWUSA) �- y
I
Sewer Inspection (SWINSP) 3 _ 3 J,
i
Parks Dev Charge (PKSDC)
i
I
Storm Drainage Chg (SDSDC)
i
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) I' 0l't&Or
"Y
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O) _
Water Quality (WQUAL)
Water Quantity (WQUANT) G �'
Fire District (FIRE)
Erosion Critrl Permit (ERPRMT) d
Erosion Planck/USA (ERPLAN) 4-7)
Erosion Planck/COT (EROSN) rFv
TOTALS-
F'
I
�h
'h
Y
'u r
j 1 •
� 1
1
i
C:T TY OF T 1'fiARD - RE:.'CE.I PT OF PAYMENT RECEIPT NO. a 95-L'65445)
CHECK AMOUNT t 4t9:3. 71
NAME t DON MORIEiSETTE HOMES, INC CASH AMOUNT a 0. 00
t 5000 5W MEADOWS RD. 5-1.51 PAYMENT DATE 0`1.'15/95 j
LAKE 083W G09 OR SURD I V IS I ON t
970 S5~-
C�''LIRPOE;E OF PAYMENT AMOUNT PAID PURPOS5 OF PnYMFNT 0MOUNT F-41ID
HUIt_nING PERM MST95-0.+171 575. 50 PL.UME;ING t'FRM c':=�• ��
ME'CHAN T CAL. PE 45. 00 Sr. BUILD PER 28 t
r-'IE..AN CHECk FF 18 r. 31-5 SEWER USA NO k
tit=WE�E2 Ih19pF_C'1' 7E+. 00 PARKS SOC, 500. 00 �I
1.120 QUALITY FACILITY FEE 160. L710 H21.I 00ANTI'fY F'nCIl.ITY FEE: 100. 9.1
PROS I ON CONTROL PE RM I TFH E 64. O0 1=ROG I ON C'ONTROt_ PLAN C:6? E30
`EROSION CONTROL. 20. 80
I�
I�
113892 SW L T DE=N DR.
it l'C:iTlal.. AMOUNT PEAK? 41931. 7J \ v"
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