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11385 SW ERSTE PLACE
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J yL�c:a INSPECTIONNOTSCE ` `lop/
✓ City of Tigard Building VMpartment
13125 SIR Ball Blvd. Tigard, Oregon 97223
Insooction Line (Rei.-a-Phone)i 639-4175BB�u'rinese Phone: 639-4171
Inspections._ Ary.
rooting Plbq. U erslab Mach. R0•14h-it) Appr/Sdwl,k
Pound. Plbq. Tap Out Can Line FINALt
Post/Roam Struct_ San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Li.ne Gyp. Bd. -Hoch.
DntP Request
/ i�.7 ed:_ C� — _, Time: --AM PH
Address: //_34tm �t��
Builders�� �Cf.=3`�.�r.4f ,. —
TITZ VOLLONING rORRECTIONS ARF REQUIRPDt
Gi
000
Inspectors ��' _ — - ---- - Dates �� 1
4 APPROV2D DISAPPROVED APPROVBb SUBJECT TD ABM
Call For Reinep.
C17YOFTIFARD
(tcnYOFmAw J
COMMUNITY DEVELOPMENT DEPARTMENTONOOw
13125 SW FWI Blvd. P.O.Bm 23397,Toord,Or.(n)n 97223(603)839-4175
v
__- -- - _ ----------� ril oM n T":cam—i'E;Rm-.TET
PERM T T #. . . . . . . : Pl_M91-01.4::'
639-4171 DATE ISSUED: 08/12/91
SITE ADDRESS. . . : 11385 SIJ ERSTE PL PARCEL.: 231O3DB--O9600
SUBDIVISION. . . . : GENESIS NO. 3 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . :79
CLASS OF WORT(. . :ADD GARBAGE D T`:3POSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTR5. . : 1
OCCUPANCY GRP. . .-R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . .. WATER HEATERS. . . . . . t CATCH BASINS. . . . . . . :
FIXTURES-------------.-- LAUNDRY TRAYS. . . . . . : SF RPIN DRAINS. . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . : GREASE TRAPS. ,
LAVATORIES. . . . . : OTHER FIXTURE,':. . . . .
TUB/SHOWERS. . . „ : SEWER LINE (ft ) . . . .
WATER CLOSETS. . t WATER LINE (ft ) . . , . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : BACKFLOW DEVICE FOR SPRINKLER SYSTEIh
OWTICI�-: FEES
.JON CULBErRTSON type amol.lnt by date r-ecpt
11385 5W ERSTE PLACE PRMT s 15. 00 JLH
1"IGPRD OR 97223 —
5PC,1 $ 0. 73 JLH 08/12/91 -
PF1one #: 684--8885
Contt-aut:or-L
OWNER
Phone #•' -----f--••---15. 75 TOTAL_._._--.-------__._____
Reg #. . -._.
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Tap—oi-it Tnrp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with
approved olars. This permit will expire if work is not started
within 190 days of issuance, or if work is suspended for more
than 180 days. -
I}ermittee Si.ynature • -
Iwo 1.1 p ci B y:
Call forinspert ion — 639-4175
CITY Ov TIGARD RECEIPT OF PAYMENT PECEIPT NO,
NAME CULBERTFON, JON CASH
AMOUNT
ADDRESS 11385, SW ERSTE F.")LACE CASH AMOUNT 00
it PAYMEN"r DATE e 08./1 '/91
TIGARD, OR 9.70:23-- SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID VURPOSE OF PAYMENT AMOUNT PA I D
cu- ST. BUILD
i'
SPRINKLER SYSTEM
TOTAL AMOUNT PAID 5. 7:'j
t .ry
41 dot
71
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I INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phon : 639.1171
i r
Type of Inspection
Date RequestedTime A PQM�/
Address ._-! ✓_�*� Lam _ '�� Permit # L�
Owner _ Lot #—1�-
Builder --- -- ------ ��;
The following Building C-.)de deficiencies are required to be corrected:
I
Presented to //Appiaved
Inspector � /_l_ t
— FJDisap)roved
Date ---- -�-- _/•% —
CALL FOR .REINSPECTION
0 YES Rl NO
Nil i
r
BUILDING PERMIT APPLICAT!ON TIGARD 0ArE_ 11,_ its_ 4931
THE UNDERSIGNED HEREBY APPLIEt,'FOP A PEHM!'l FGH 1 H E WCRK HEREIN INDICATED BUILDER PHONE _6&s_.7u2's
OR AS SHOWN AND APPROVED IN Tllr_ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE __—
//3E5— Ersic QI, LOTNO.____7�.__
OWNER Lt,,. r4,2>; gjNj.1 ZAjj410BADDRESS _ L 'i!+L 4't _-----
it ARCHITECT
ENGINEER
BUILDER i.slinr•.�r Cun,str. _- ADDRESS 8280_ Sid 162nJ DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDI'riON ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM 0 EDUCATIONAL ❑ GOV'T ❑ RE.LIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCOU'ANCY ._..—LAND USE ZONE BLDG.TYPE ---FIRE ZONE PLAN CHECK BY HEAT
Renewal of Permit 114006, to finish house.
For ang other inforr,,ation Liok on Pernit 04005 aloe.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD __ HEIGHT NO.STORIES _ AREA NO.BEDROOMS _VALUE
_BUILDING DEPARTMENT SETBACKS FRONT REAR — LEFT SIDE __— RIGHT SIDE
Permit THIS PERMIT IS ISM-WD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE: CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— — — LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax
SDC—
Total 2 1116.1 It, (.
— PIJCN APPUOANT OR AGENT
BY CU
Approved i�T1d Receipt No. ADDRESS — ---- - -- �---� PHONE
DATE INSP. TYPE INSPECTION - REMARKS PL rdVNG DATE
/� _ ' ------ Contractor --- —N
Permit No.
-- - Rough-in
Fixture -- 8 _._
Final
^H ATING
Contracto
Pe:mit No. Y
Gas or Oil
Rough-in
Final -_--
SEWER - - -
Final
DRIVEWAY
Final
Stem Drainage
(Rain Dreln)Final
Sidewalk --
Curb&Street Final
Approach
BLDG. DEPT.VINAC. TEMPORARY CERTIFICATE OCCUPANCY
- CERTIFICATE OCCU#`ANCY Final
1_andecaping
Lning Final
1,
1�
INSPECTION NC'TICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223 i
Phoi,e: 639.41 71
Type of Inspection
Date Requested 3 Time A.M. - P.M.
Address /�'��=3 `� - � Permit #_
Owner ------- -- — --- — Lot # 7
Builder
The following Building Codr deficiencies ars required to be corrected.,
i
Presented to _ — _—� ❑ Approved
Inspector _— [� Dbepproved
Date
CALL FOR REINSPECTION
It YES C7 NO
.w
BUILDING PERMIT APPLICATION TIGARD DATE.._ 1/191 19 > 400
I-HE UNDERSIGNED HEF,EBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _6- y'_- �
LOT NO.
OWNER 4 ,PBADDRESS 1133 ,S Sy, :'.Z'nte i,iac '
ARCHITECT
ENGINEER
BUILDER_ same ADDRESS �F35f1 `5'T 1A5th,Pvr'n DESIGNER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE G DEMOLrr10�'
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ S_LAB❑ FENCE
77
OCCUPANCY k_ LAND USE ZONE ' �BLDG.TYPE �'' FIRE ZONE PLAN CHLCK BY_1 HEAT��
nen *lsa 11- nayi/at a hid ca Este. 3 p4ZOroamn !' tfh�.
- 1--a O kers:, .t 14(204 (11.265 FP' ont'lle Place)
Plan Ihf1+15 i�-- -
SEWER PERMIT M
OCC,LOAD FLOOR LOAD 4,,l HEIGHT_—
EIGHT _:!3 S VO.STORIES AREA 2 7�"3 NO,BEDROOMS ? VALUE
EUILDING DEPARTMENT SET BACKS FRONT REAR 'LEFT SIDE Ir
RIGHT SIDE
PermitS A 11THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT 19 HEREBY AGREED THAT THE
Plan Check 15 f)0 WORK WILL, BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAT:Oi!S AND IN COMPLIANCE
WITH ALL APPLICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR ANLL 3U^ CONTRACTORS TO HAVE CURRENT CITY IUSINESS
State Tax 1614
LICENSE.SEPARATE PERMITS REQUIRED FOP SEWER,PLUMBING AND HEATING.
d�,
Total ,4 4 Z, SOc - ' 4 t1 O,n o
By
PDC# f l 0 C.(WUCANT QR AGENT
Approved l Recelpt No. / �ADDRESS ----- - F HnNF
li I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DAYS [^/
Contractor ujE,lj �r 6�'772 a -
Permit No. 3Gj`y �(�'1ta
t� --L--L• — Rough-in
,.ut.0 Fixture
p ZK y Final
HEATING
Contractor el _ 363- 334
Permit No. Ir z ,2.�
Gas or Oil
T Rough-in --
Final
SEWER
Final
- DRIVEWAY
Final
-__ 3torm Drbinaga ar
—__ (Rain Drain)Final
_ S idewal k
_ oc� --- Curb&Street Final
4pproanh
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY
Q LandYcbping
II Zoning Final
I'
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