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C11Y OFTi�,%RD
COMMUNITY DEVELOPMEAT DEPARTMENT CFRTXFICATE OF
13125 SW Hall Blvd.Tigard,Lr:,Qon 97223.8199 (503) 9.4171 OCCUPAPICY
x x n x PERMIT 4#. . . . . . . : MST9:3•-0066
639--4171 DA 1,E. ISSUED: 06/19/93
I TI_ ADDRESS. . . : 14 t 'O SW L I DEN UP
':;UBU I V I S.I ON. . . . c CASTLE I III-L 7.UN I NG i
13LUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 1031
:LASS OF WORN,. aNEW s
Y P E- OF' U!3L. . . a SW
t 13CCUPANCY C_•RP. a R:3
OCCUPANCY LOAD 1222 4
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F-NAN T NOME::. . . e
4 remarks a POTN .1
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M&F DEVELOPMENT
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I;untr actora -_.._.._._�_.__...._...._ ..-.. .. _ ... .. ._ _ ........_. . _ _._ 1
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I+! +!# f` DEVEI..OPML'NT Cly. ,
17707 SE OPTF I ELD
11LADIGI UNE OR 970E7
Phone 4#: 6052 '7092
Reg #. . o 57484
ilccupancy of the above rFeferencwd building is hei-eby given, And certifies
rhe c^ompl ..anc.e with tha• State Of C7r-wy.:n Specialty C1ides fur the gromp,
o cupancy, and use under which the r-eferenced permit Wa(a issued. �.
FIRE DEPAR tMt=NT ED#I IMC, IN." EGTOR
f,.
BUILD C I AL
POST IN CON SP I C.:000!3 PLACE:
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I mix 9 1122N NOTICE
City of Tigard Building Department �.
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspecti`on Line (Relc-O-Phone: 639-4175 Puniness Phones 639-4171
Inspectlont -Y
Footing Plbg. Underalab Mach. Rough--in /Appr/8dwlk
Found. Plbg. Top Out Gas Line ( IIKAL)
Post/Beam Struct. San. Sewer Framing
Post/Beam Mach. Rain Drain Insulation \-Plumb.
Plbg. Underfloor Nater Line Gyp. ed. (7 P. ) i►
Date Requa/Cads r� �' JJ Timet / '3
Address/,�L I. /� « y D 2 J RC1- Permit s n U R'
Buil.derl
t1i .!ifii.2 Q
THE T'OLI.:7SiIN: WRRECTIONS AAE REQOIREDt
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Inopector: Dates
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t^, ) APP110Vib DISAPPROVRD APPROVRD SUR"cT TO ABOVE
I� ��, Call For Reinap.
IN&pg�^zort Na;,�ac
city ca' Tiy*rd Building Department
]L3735 sir Bal blvd-
Tigard, ,)ragon 97223
InspactLon Line (Rec-O- ne)t 639-4175 Business Phonet 639-4171
Inspectiont
Footing P1 Gnderr�ab Mesh. Rough-in Appr/Sdwlk
Fount. Plbg. Top out Gas Line FINAL%
Post/Beam Struct. 3an. Sewer Framing -Bldg.
40
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Fater Line Gyp. Bd. -Mech.
Date ReguestedLtt / f Time: _ AM PH
Address: / ! �Vek
Permit yt f✓u
Builders
THE FOLLOWING CORRE moms ARE REQUIRED:
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Inspector:_ Dat-e: 7_2'
LZ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Relnsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639.4175 Bla.lneas Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Me.:h. R�ugh•in Appr/Sdwlk
Found. Plt_ . Top Out Gas Line /C FFIN 16 '
Poet/Ream Struct. San. Sewer Framing C -81dQ
Post/Beam Mech. Rain Drain Insulation —P1 '
Plbg. Underfloor Water Line Gyp. Bd.
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Date Requested: i_ ri:aet AM PM
Address: r/ti U S[�/ �L�a_ Permit I,�Y[
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
h lJb v GJGrh
E;P4 7LO
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Inspectors C Date 3 ,J
APPROVED�� DISAPPRO'/ED APPROVED SUBJECT TO ABOVE
' Ca'l For Reinap.
INSPECTION NOTICE
City of 'Tigard Building Department !�••
3 13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Rhone: 635-4171
i
Inspection:_ -- ---�— —��
Footing Plbq. Underalab Mech. Rough- in Appr/Sdw1k
Pound. Plhg. Top Out Gas Line PIAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulaticn -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
7>
Date Requested: 'C> t Orr] —Time: AM _ PM .
Address:_�1;2_0 lel L)C--,"j __ Permit
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Builder:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Si6q 1667714-1A
i er,�$r4 kyr : e
AS M 1IRK-0
ACA' Pp&rve
Inspector:___ Date:__(J.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Departsrant
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspec-tion Line (Rec-O-.Phone): 639-4175 Business Phone: 634-4171
Inspection:
Foot..ng Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Lias, Line PINAL:
Poet/Baam Stru._rt, San. Sewer !laming -Bldg.
Poet/Beam Mach. Rain Drain
Insulation _Plumb.
Plbg" Underfloor Water Line (/
Date Reusted e
qeAll PM
Address:_,Li—j 42-U •- G/
Permit r s O {r9
THE FOlJA*:INO CORRECTIONS AKE REQUIRED:
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lnepectors
Date:
APPROVED DISAPPROVED - APPROVED SU6JRM TC: ABOVE
call For Reinsp.
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j&SPECTIo N�r1ICE
City of Tigard nul.lding DePartaent
13125 NM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_—_.— -- - —_ --
rooting plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL-
Post/Ream Struct. San. Sewer Framing -Bld`7• �
poet/Dean Mach. Rain Drain
Insulation 1 -Plumb.
plbg. Underfloor Nater Line GYp• 2d• -Meeh•
Date Requested:
L/1 2 LO - � , Times AM pn r.
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i .permit #s
D 6
Address• r'r
!1 Builder:
THE FOLLOWING CORRECTIONS ARE REQOIREDi I f
TTt.It� t
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Inspector: Dates L6
f� /APPROVEO DISAPPROVHD APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Depi.rteaent
13125 SW Ball Blvd. Tigard, OLogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Rusiness Phone: 639-4171
Inspections _ -- —
F oting Plbg. Undvrsla.: Mech. Rough-in Appr/Sdwlk
Pound. Pl':g. Top Out Gas Line FINAL.
Poet/Bea,: Struct. San. SewP- CPaning p-A -Bldg.
Poet/Beam Mech. Rain Drain Ir2-:lmtion -Plumb.
Plby. Underfloor Water Line 7 Gyp. Bd. -Mech.
Date Requenteds / Timet AM PM
Address: / Permit tt
Builder:__ 111'k
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspector, ' — Date:
APPROVED DISAPPROVED 4//APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE - y/ l•
City of Tigard BAilding Department
18125 BM Hall Blvd. Tigard, Oregon 97223
1 Inspection Line (ROC-0-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Gas Line FINAL:
�
?ost/Beam Struct. San. Sewer! Framing -Bldg.
-Plumb.
Poet/Beam Mach. Rain Drain Insulation -
Plbg. Underfloor. Water Lina Gyp. Hd. -Mach.
Timet AN PN
Date Requested: 'Q
Addreest Permit #i � �"3 QC-)u) 40
Builders _ `� _
TRS FOLLOWING CORAF. TIONS ARE REQUTAEDS-
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::� �� Date: S�
Inspectors �_ --
APpI':'M DISAPPROVED APPPOVRD SUBJECT TO ABOVE n,
Call For Reinep. j
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INSPECTIP NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tiqard, Oregon 97223
Inspecti, n Line (Ret-n-Pho,:e): 639-4175 Business Phone: 639-4171
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Inspectlon:.__�
Footing Plbg. Underslab Neth. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strutt. San. Sewer Framing
yyyy f�
Poet/Beam Mech. Rain Drain insulation -Plumb. iIP�ti�
Plbg. Underfloor W ter Line Gyp. Bd. -Neth.
Date Requested: Timet _ AM PM [[
Addreae• �� eF Permit ft 3 -C1 CJ 8� 1 `,1 t •
Builder: ! F
tib
i TIS FOLLOWING OORRBCTIONS ARE REQVICIEDt ,r'e ,
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Inspector:` ,( Data:
APPROVS;` DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INS—PE CTI41L1 NOTICE
City of Tigard Building Depa*+awet
13125 SN Hall Blvd. Tigard, orecon 97223
Inspection Line. (Rec-O-Ph ne): 639-4175 Business Phone: 639-4171
Inspection:__ - —_—�
Foot, Plbg. Underelab Mvach. Rough-in Appr/Sdwlk
4
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer raming > -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Roqueeted: &/// Timet A—AM PM
Address:--L'4/- Permit #t
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Builders
THE FOLLOWING cortncTIONS ARE REQUIRED:
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Csfda�3L�L� �"5w
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Inspector:V -- - -------- Dater
APPROVED ✓ DISAPPROVED APPROVED SUBJECT 10 ABOVE
e'Call For Reinsp.
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INSPECTION NO
I _ TICE
City of Tigard Ru.ilding Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4" ', Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-.in Appr/Sdwlk
Found. Plbg Topp Out Gas Line FINAL:
Poet/Beam Struet. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor W ter L e Gyp. Bd. --Meeh.
Date Requesteds Times
—_ _AM PM
Address: Z U
Permit ,,
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Reinsp.
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INSPECTION NOTICE
City of Tigard B•:ildinq Department
+, 13125 SN Ball Blvd. Tigard, Oregon 97223
�,- Inspection Line (Re -O-Phone)s 639-4175 Business Phone: 639•4171
Inspect ion t____---
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk �
Found. Plbg. Top Out Gas Line PINAL:
--
( oot/Beam btruct.\) San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested. ^/lJ - Time: AM __PM
PM
Address: G
Permit
Builder:._
THE FOLT.OWING CORRECTIONS ARE REQUIRED:
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Inspector: - A
Date: V
--- -- __ 3' ,SGS 3
A" APPROVED 1
_ DISAPPROVED --�-_- APPROVED SUBJECT TO ABOVE
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---Call Fnr Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. '"ard, Oregon 97223
Inspection Line (Rec-O-Phone): -4175 Business Phone: 639-4171
Inspection:
Footing P1bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
AeA-/Beam Strq=t. San. Sewer Framing -Bldg.
Beam Mech Rain Drain Insulation -Plumb. r'
Plbg. Underfloor Water Line Gyp. Bd. -Mech. -
Date Requested: - Time: AM FM
Addtess: (� �.�l� Permit 1: ;:� ' SLI��o
Builder:__
THE FOLLOWING CORRECTIONS' ARE REQUIRED:
— 7r (�_ �f/LC.-1-
/ GT'71��t
�fQ._/ _ ' rl mow•-t'�..-� (.�'I/'t' � —�— v.n i
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Date:
_APPROVED /F DISAPPROVED APPROVED SUBJECT TO ABOVE
100�Call For Reinsp.
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INSPECTION_ NOTICE
City of Tigard Building Department
`i 13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Pl1q. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
•, ,,.,;.�.....:.r :;;., Poet/Beam Struct. San. Sewer Framing -Bldg.
• r•: ••e '- Poet/Beam Hoch. Rain Drain Insulation -Plumb. loop
16g. Underfl Water Line Gyp. Bd. -sech.
Date Requested: Times _AM PM
Addr:est /�J l 'J 1 Permit ti/p OQ
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Builders ��z'1 G'1/I ���•✓ — ----- tly
THE FOLLOWING COP3iECTIONS ARE REQUIRED:
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Inspector'
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
_TCall For Reinap.
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INS_PECPION NOTICE
City of Tigard Bui+ling Department
13125 SK Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-Phone): 639-•4175 Businr_aa Phone: 639-4171
Inspection:_ -- — -_.�-----.._— ----
Footing Plbg. Underalab Mach. Rough-i:: Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain I Insulation -Plumb. j
Plbg. Underfloor Nater Line Gyp. ed. -Mach.
Date Requested• � �_ Time: _ AM PM v
Address- �� L/ /fes: Permit i:�'
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ i�, � Date:_�^ —
)ZAPP?OVED Y DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
J .!^"/1a4.•Y.YWA-.xF.1.-{YMd:i.lNoxlFlMx-QaMAlY1Y.iY'6..
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__ --
Footirg ^Ibi. Underslab Mech. Rough-in Appr/sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Se,,ir Framing -Bldg.
p
Poet/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Lines Gyp. Bd. Mech.
Date Requesteds C? Time: AM __PM
Address:-,L/�r7 n �li M..� Permit t:�L,__
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�SLL.����yt`=!L_.t41_,c�s YYt L!��-v'(��.,0►�
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Inspec:tors � bate..
---"PROVED DISAPPROVID APF•ROVED SUBJECT TO ABOVF.
Call For Reinsp.
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-CITYOF TIGARD
CffV'OFTMRD PLUMBING PERM1IT t
COMMUNIrf DEVELOPMENT DEPARTMENT PERM1 1" #. . . . . . . r MST'93-0086 '
13126 8W FMI Blvd. P.O.Box 2XW7,TOW,Oregon 97223(603)63114176
SITE ADDRE.bb. . . . 14i.:Vl bW LiULN Ok PARCEL: 2S.lt(.1%DLl
SUBDIVISION. . . . . CASTLE HILL ZGNINGi
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :031
CLASS OF WURK. . :NEW GARBAGE_ DISPOSALS. . : l
TYPE:. OF USE. . . . :SF WASHING MACH. . . . . . . : 1 B►=►CKF-L1)W PREVNTRS. . :0 w
OCCUPANCY GRP. . :R,3 FLOOR DRAINS. . . . . . . !0 TRAPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . .. 1 CATCH BASINS. . . . . . . :0
FIXTURES------.__._.___ _._ LAUNDRY T'RAYS. . . . . . ..0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . .. 1 CREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . 10
TUB/SHOWERS. ....' SEWER LINE (ft) — . 30
WATER GLOSEI S. . ::3 WATER LINE: (ft) . . „ . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
i
Remarks .- PATH I
OWNLR: - -____._______._______._.____._____.__.___ ___-._____._._.______FEES-------------._
M&F DEVELOPMENT T1F $ 1460. 00 JH 02/18/9:3 --
BPRT $ 424. 00 JH 02/18/93 -
BPLC $ 275. 60 JLH 02/02/93 93-
B5K'C $ 21. 20 JH 02/18/93 -
Phone #: SSDC $ 280. 00 JH 02/18/93 -
PARK $ 500. 00 JH 02/18/93 -
PIumbiny Cunt rActo►,:- - --- - - MPRT $ 43. 50 JH 02/18/93 -
n MPLL $ 10. 88 JH 02/18/93 -
N a m e: A i x_,n_,,., 1,c.�f_.a..� M15PC $ 2. 18 JH 02/18/93 -
Address : �y _. _ PPRI. s 132. 50 JH Q12/18/93 - I
City: _ _ State :_ Ll�4 _..._ P5PC $ 6. 63 JH 02/18/93 -
Z i p r � I� Phone#:
Reg #C
-------- REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the 'Tigard Municipal Foot/fol.1r►d Insp Rain drain Insp
Code, State of Ore. Specialty Codes and ail Post/Beam Strl_1ct Water Line Insp
other applicable laws. All work will be dune Vlost/Beam Meehan Appr/cadwlk Insp
in accordance with approved plar►s. chis Plm/undslAb Insp Mechanical Final
permit will expire if work is nat started PLM/Underfloor Plumb Final
within 180 days f :isi3uance, or if work is Mechanical Insp Bi_►ilding Final
suspended for mare than 180 days. Plumb lop Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line I n,;p
Insulation Insp
Gyp Board Insp
Atlthorixed Plumbing Contractor Signature
Call for inspection -- 6,39-4175
Lontractor Notes:
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CITY OF TIGARD
MArtD
COMMUNITY DEVELOPMENT DEPARTMENT 0*100N MASTER PERMIT
13126 SW HWI Blvd. p.o.BM 23397,TOM,OnVon 972M(6000)&W-4176 PERMIT #. . . . . . . : MST93
t139- -xl 71 DHTE IS',::)UED3 02/18/93
SITE ADDRESS. . . : 14120 SW LIDEN DR PARCEL: ES104BB-03600
SUBDIVISION. . . . : CASTLE HILL ZONING:
BLOCK. . . . . . . . . . : L07.. . . . . . . . . . . . . 1031
----------------------------------- BUILDING
REISSUE: DWELLING UNITStl BASEMEN7.. . . . . . . . 90 sf
CLASS OF' WORK. :NEW BEDR11S.-4 BATHS-.3 GARAGE:. . . . . . . . . . :450 S f
TYPE OF USE. . . :SF FLOOR REUU1RED SETBACKS—_—__—____
TYPE
ETBACKS-----------
T,YPE OF CONST. .5N FIRST. . . . : 1180 sf LEFT. . 15 ft R I GHT. - 15 ft
ULCUPANCY GRP. :R3 SECOND. . . :740 sf FRONT. a20 ft REAR. . a15 ft
STORIES. . . . . . . :2 JHIRD. . . . -0 sf REQUIRED
HEIGHT•.. . . . . . . . 122 ft TOTAL-------: 1920 sf SMOKE DETECTORS. 1Y
FLOOR LOAD. . . . 340 psf VALUE. . . . . c 96420 PARKING SF-`ACES. . : 1
Remarks: PATH I
------------------------------------- PLUMBING
SINKS. . . . . . . . . . el FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. 0
TUB/SHOWERS. . . . :2 LAUNDRY 'FRAYS. . . :0 L A I L H iA;4 1 0
WATER CLUSETS. . 13 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . ..0
DISHWASHERS. . . . 31 WATER LINE (-Ft ) . : 100 OTHER FI XTURES. . . . . ..0
GARBAGE D I SP. . . : I RAIN DRAIN ('ft) . :0
WASH I NG MACH. . . : I SF RA I N DRA I NS. I
----------------- MECHANICAL FEES
FUEL UNIT HTRS. . :0 type amoi.tnt by date recpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH
MAX INPUT :O D1 U VE19T FANS. . :4 BPRT $ 4c--,4. 00 JH 02/18/93 —
1:URN ( 111117.1K . . : I HOODS. . . . . . 11 BPLE $ 275. 60 JLH 02/02/93 93—
FURN ) =1111VIK . . .0 WOODSTOVES. -0 B115PIC $ 21. 21ZI JH 02/ 18/93 —
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 02/18/93 —
BOIL/CMP ( 3HP:0 OTHER UNITSo I PARK $ 500. Q10 JH 02/18/93 —
GAS OUTLETSsl MPRT $ 43. 50 JH 02/16/93 —
owner: $ 10. 88 JH 02/18/93 —
M&F' DEVELOPMENT M5PC $ 2. 18 JH 02/18/93 —
PPRT $ 132. 50 JH 02/iB/93 —
V15PC $ 6. 63 JH 02/18/93 —
Phone #:
Contractor:
M & F DEVELOPMENT CO.
17707 SE OATFIELD
ULADSTONE OR 97027
Phone #s 652--7092
Reg #- . : 57484
$ 3156. 49 'TOTAL
This permit is issued subject to the regulations contained in t1te REQUIRED INSPECTIONS
Tigard Municipal Lode, State of Ore. Specialty Codes and all, other Foot/foiand Insp Fireplace Insp
applicable laws. All work wilt be done in accordance with awroved Post/Beam Stri.tet Gas Line ITISP
plans. (his persit wili exoire if worH is not started within 160 Post/Beam Mechan Insulation Insp
days of issuance, or if work is suspende ) i Plm/undslab Insp Gyp Board Insp
PL1vl/Un d e r f 1 o o r Rain drain Insp
Permittee Siyyiati-tre : Merhanical Insp Water Line Insp
Plumb Top Out f4ppr/!,3dwlk Insp
J,;S1-kPd By : Framing Insp Mechanical Final
Lail for, inspection 639-4175
16
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C17YOFTIGARD (CrnTYOF TWA RD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT anoa+s PERMIT
13125 SW HWI Blvd. p.o.Bax 2"97,Tlpad,Oregt-97223(15W)6304175 PERMIT #. . . . . . . : SWR 9 3 -0081
�— --- 639-4171 -- DATE ISSUED: 02/18/93
SITE ADDRESS. . . . 141E0 SW LIDEN UR
PARCEL: 2S 104PH--03600
SU' I V I S I ON. , . . : CF-151 LE HILL LUI\I I NIa:
LUT. :IZr31
l�Lr . . . . . . . . . . . .
TENANT NAME. . . . . : •
USA NO. . . . . . . . . . : FIXIUftE UNITS. . . s
CLASS OF WORK. . . ::NEW DWELLING UN I'T S. . : 1
TYPE OF USE. . . . . s SF NO. OF BU I LD I 14GS I I
INSTALL TYPF. . . . :HUSWR UVIPERV SURFACE. . s : S e,
fiemAt-k ri
FEES
Owner
MRF DEVF:I_UF=,hIu\i C type amor.rnt by date r-e`pt
PRMT $ 2100. 00 JH 02/18/93
INSP $ 35. 00 JH 0 /18/93
Phone #:
Lontrac:tor,s
CONTRACTOR NOT ON FILE
----------------------------------------
Phone #: $ 2135. 00 TOTAL
Rely #. . t
__..._.._..-_ REUU I RED I NSPEC7 1 ONS
y
This Applicant agrees to ccmply with ali the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amolint paid will be forfeited if the
pet-sit expires. The Apency does not guarantee We accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect .3 feet in all directions from � .,,• —__ _..--_,�__.__._. _ —_____ _-_.. ..
the distance given, if not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agen nstall 1 eras.
P e r^m i t t e e S i g n a b r i r-e :
.r
Issued By :
Call for- inspection 639--4175
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13113 SW Iiall Blvd. PLNCK/RECT #
CITY G z I GA.RD .1-gortL arCgon 97n3 PERMIT # M.5113 - 0
COMMUNITY 1)LyEI.OPMI;N'I'I)EPARTMEN'I' (503)639-4171
DATE ISSUED
l�� _�c� `lldo,`_1_" TAX MAP/LOT
JOB ADDRESS: ��'" --
SUB: - �a , 74e LOT- 3� _ LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: ! �"'/ REISSUE OF:
AUDRESS: __ — LAST REISSUE:
FLOOD PLAIN/
PHONE:
C s, 2-— � Z--- SENSITIVE LAND:
CONTRACTOR APPROVALS REQU I REDQ
NAME:
PLANNING:
ADDRESS: ENGINEERING: -
FIRE DEPT: _
PHONE __ __ OTHER:
CONTR. BOARD #: - s y �.�__ EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: «'' _ LIST/SUBCONTRACTORS: _ f
MEC{;: Sal!-vim"'" __— BUS TAX: ._ --- _
ARC{I ENGINEER CALCULATIONS:
NAME: _ -�k` � ��'����------�— TRUSS DETAILS:
ADDRESS: _7U �C� f"j' �° __ _ OTHER:
PHONE:
PROPOSED BLDG. USE: —
COMMENTS:
-- ----- -----
1
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1
APPLICANT SIGNATURE:
Received By: ''- __ _- __ Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT ., AMOUNT PD. BAL. DUE
uU ' 2'
10-432 00 Building Permit Fees c , ,U2 (/
_ � - -
10-431 00 Plumbing Permit f=ees /3 L Z"�0
10-431 01 Mechanical Permit Fees 3•�Z ___ `� •So
10-230 01 State Building Tax (5%)
Bui1dirig 2/ 2U
Plumbing 4-1.�3 /
w
Mechanical ,
10-433 00 Plans Check Fee 6, qS ^� z)
Building
Plumbing
Mechanical
10-230 06 Fire _
30-202. 00 Sewer Connection
3 � '--
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees —
25-448-04 Industrial TIF Fees
i
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees %i�' _ 11 L)
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) - s-y — -- Sy-
24-445-01 Water Quality (Fee in 'lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL ,5 "�' SU l• y y
nm/3587P.WPi
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d4 a
1
G71Y Or- -1 TOARV FrE=.CLAVIT OF PAYMC'NT RE.CI:;IPT NO. 2J-s68.?7
CHECK AMOUNT s j'041 . 4`'I
M & r= OrEVELI)PPIEN f CASH AMOUNT t III- 00
-1 ARE SS s 17707 SL CIATFI E.I..D PAYMENT UFA rt s Qac/113i 93
61—ADSTCINE, OR 9-70187—
PURPOSE:
.7V187--PURr"OSE: Ul'' PAYMENT 0MOL.IN"r F-,o I IJ PURP(I'+E. OF PAYMENT AMOUNT POI D
P l 1 T I-DING ;:'E,,PM 424. 00 PL.I.IMB I NC; F-'ERM 13P. so
i �':,HAN.ICAI.. fro* 43. 50 S•1". JAUILJ) PER 30. VII s
! i IN C FIF CK FF 36. 4S SEWER L.19A 100. 00
�:JER IP f,r,'r"rT 35. lao PPRKt:; IDC 5010. WIA
ir'ht DRAIN EDC, ilso. 0141 R :31.1:CN-rINi.. TRAFF"'IL F•E:LS' 12550. 00
TR(INS 1 7 T I r= FEES 110. 00
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IAIT 31 1.;f+37'I_F: F111_l.
1 4120 SW LIVEN Dk
J i f t Cl (".)MOUNT PA I D 7,04 J . 49
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