11011 SW GENEVA STREET - � � Y
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NSPE ._,ION NOTICE "
city or Tigard Fuilding Department `' 1
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171 ¢
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Inspection:_
Rooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
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Pound. Plbg. Top Out Gas LineSINAL=
Post/Beam struct. San. Bower Framing -slug. ! -
Post/Beam Mach. Rain Drain insulation Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Meeh. � Px
Uate Requaetads _�� � Timef// -� ,
AddreeA: PP.1t #t-_, V CW 6
uuil.ders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Con 4z-
Inspector,
rZn• ctor: � /�— Dat l
APPROVED DISAPPROVRr A2PROVR,; 4UB.F,4CT TO ABOVE
-Call For Reinsp.
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INSPECTION NOTICE
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City or Tigard Building Departs-.a,,
13125 SR Hall Bled. T49ard, Omen 97221
Ins;�ection Line (Rec-O-Phone: 639-4175 Bus-,,clog .r',.Ie: 639-4171
Inspection:
Tooting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
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Found. N
Plbq. Top Out 4a• Lino lYNAL:
Post/Boom Struc .. San. Sewer Framing
Post/Beam Mecb. Rain Drain Insulatl.o',i -Plumb...
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Plbg. Underfloor Nater Line Gyp. Bu, cY h
Date Requestede Times 02 I Y _ �0 7,
_
AN PH
Addreset_ I �/�(�V� Me
(` Permit
Builder: J� C� 611A
THE FOLLOWING OORRECTIONS ARE REQUIRED: ' —
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Inspector: _,,L7` x n
3 � _ Date: —
APPROVED V DISAPPRO:Ery APPROVED StI TO ABOVE
For Aainsp.
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City of Tigard Building Dep&.-tnmt
13125 SW Hall Blvd. Tigard, Orwr,on 47223
Inapevtion li•.e (Rec-O-Phons)s 639-4175 Business Phone: 639-4171
Inspections__
Tooting Plbg. Underslah Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam St:ruct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
!-
Date Reqr,esteds_ 2- 1 — _` -14 _Time: AN _ PN ,
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Addreas s� ` ` �^✓� "�. ---- Permit 1 s _—
Builders ___ _
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TBE FOLLOWING CORRECTIONS ARIL REQUIRED:
(fir., ` V f 1 t--✓� �_�V - G/�.r�f--
90
Q
Inspectorsy - ' -
Dates
APPROVED ___V16SAPPROVED APPROVED SUBJECT TO AWM
Call For Reinsp.
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INSPECT]OM NOTICE
City of Tigard Building Department i
13LIS SO Hall Blvd. Tigard, Oregon 97223 j.
q Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspection: �� " I/V. 111' _
liotinq Plbg. Underala5 Hoch. Rc-ugh-in Appr/Sdwlk
Pound. Plhq. Top Out Gas Lino lIVLL:
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Post/Beam Struct. Srn. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb. r
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Plbg. Underfloor. Nater Line Gyp. Rd. -Hoch. } '
y N�a-V\'Ar I ur
Date Requested:_ ---Time:
,31' —_Time: AH pll
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fAdreas:.� IL( I �1�N u[.V� F ermit /t 14
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Builder:
TIM FOLLOWING CORRi TIONS ARE REQUIRED: 7 75-3-7
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_ Dates _
�APPROM DISAPPROVED APPROVRD SUBJECT To ABOVIL
`_Cail. For Reinap.
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j LUPECTION NOTICE
City o! Tigard Building Department
13125 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonm): 639-4175 Business Phone: 639-4171
Inspection:—
j FCoting Plbg. Underslab Mach. Rough-in Appr/bdwlk
Found. Plbg. Top Out Gas Line LINAL: ^a-
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Cost/Beam Struct. Ban. 8ewer� Framing -Bldg.
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Post/Berm Mach. Rain Drain Insulation .-Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach.
Date Requonted:____Z / /� Tim: AM PN
Addres.: Psi7litt ^VOQ�
Builder:
TBE FOLLO11I140 CORRECTIOl18 ARE RWUIRED:-
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14" —--——
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Inspector: Datas� 4
APPROVED DISAYPROVED -_ - APPROVED Sf1RJECT To ABOVE
-__ Call For Rainap.
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L,J I Y OF I'l OARD Rf:-C'E'IV I (Al-' PWMFN I RE.A.A.APY] N(J. P.94—P47449
CHF-CK AMOUNT P;?1319. 00
MNLANDFN f,ASH AMOUNTIA. 17.4 0
IJ D R f Ell 3 P() scix (' ,I P14YMF NI OP)TV, OJ /)fAI94
PORTLAND, OR SUB D I v 1.t�j I UN
IRPOSE Of PAYMFINT AMOUNT PA J 1) PURNISF (IF PtlYllf NI (Ap1t)(11,41 PHJD
A-WF"R LIS4.1 SWR94--0009 1110 EWWR 35. 00
S
1()*TAI,.. AMOUNT PAID > P. 35. 00
CITY OF T i GAR® SEWEP CONNECTION
PE Rlyl I T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR94-0009
13125 SW Hall Blvd.Tiord,Oregon 97223*81t -Jqq3)�Fl,�-1111
DATE ISSUED: 01/07/94
PP RCEL: I S134AC—JE002
SITE ADDRESS. . . : 1. 1011. SW GENEVO ST
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . .
TENANT NAME. . . . . :JOHN NEIMEYER
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . :ALT DWELLING UNITS. . : !
TYPE OF' USE. . . - . :SF NO. OF BUILDINGS:
INSTALL TYPE. . . . :BUSWR IMPERV CIJRFACE. f
Rema. s: sewer- connection for- old house
Owner-: --- - FEES
JOHN NETMEYER type amol-Int by date r-,ecpt
111,1111 SW GENEVA ST FIRMT $ 2200. 00 PLL 01/07 "34
I NSP $ 35. 00 PLL 01 /0-7/94
TIGARD OR 97223
Phone #: 650-9337
Contractor-.- .—----------------------
CONTRACTOR 1\107 ON r:,Tl...E
------------------------------------------
$ 2235. 00 TOTAL
Reg 0. . .,
REOUIRED INSPECTIONS
Tiis Applicant agrees to comply with all the rules and regulations Sewer- Inspection
(if the Unified Sewage Agency, The permit expires 180 days from
ihe date issued. In# total amount paid will be forfeited if the
p-mit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If :he 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 Sid- Sewer" Permit and the Agency will install a lateral.
Permittee Signati.it-e :
Issi.ited By :
Call for inspection 639-4175
C-171
P
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Residential Bu lding PerMk Application
City o, Tigard
1312.5 SW Hall .Blvd.
Tigard, OR 9722.3
(503,) 539-4171
J )site EiddrPss: l.,.l.L�l
—� Office Use Only
Subdivision: Lot #
PlancklRec#
Valuation: _ •
Permit # {
Owner: — Reissue of !—
•
Address:
Approvals Rmulred
Planning
Phone:
Engineering
Contactor: _ _ Other
Address: _
Items Required
Subcontractors _
Phone: _— — -- --
i puss Details
Contractor's License # —
(attach copy of current Oregon license) O,her
1 Subcontractors:
Plumbing:—
Mechanical: _
(attach copy of current OR Contractor's License)
ArchltecMnglneer:
Address:
Phone:
CDMMENTS:
Applicant Signature & Phone number
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Received by:_ Jl L _ Date Received: _ i
Permlt # Account Description Amount Amt. Pd. Bal. Due
— Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) —_ Y
_ Mech. Permit (MECH) —_^ —_ •
State Tax (TAX)
Bldg: •
Plumb:
Mech:
Plan Check (PLANCK) _
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) t,2- c"e� )����
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSnC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) _—
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C) —_
1 Industrial TIF
(TIP-0
i —-- —
Institutional TIF (TIF-IS)
Office TIF (-TIF-O)
l Water Quality (WOUAL)
Water Quantity (WOUANT) _
Fire District (FIRE) _—
TOTALS: AS ; `7,
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INSPECT90N NOTICE
City of Tigard Buildl_-gyp Department t
13225 SM Ball Blvd. Tigard, Oregon 97223 '_6
Inspection Line (Rec-O-Phone)t 639-4175 Business 'Phonb<639-4.171
Inspection:,
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwl.k
Found. �PSbq.vTop-atter" Gas Line FINAL:
i
Pcit/Beam Struct. Ban. Sewer Framing -Bldg,
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech. wM
Data Recptestedt��-�---�-^ T t AM _PH
Address:
Builder: p o// Stt) 4
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THE FOLLOWING CORRECTIONS ARE RSQUIRM
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Inspectort_
y1)PPROVED —J�ISAPPROVSD APPROVED SU9JSCT TO ABOVE
`Call For Reinep.
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FF jJy,�,yy�iYj�Aypj�W.ipyi.ryi..,u;:;...,.rss r.m;�.e.w r.,...„,.v.,. ... ..<....... .. ..,uH.+.www+.w..... ,.anlxa.. ,.. _ .,• ......,.,.r..r..
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CITE( OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Dragon 07223.619+1 (503)030-4171
l r"'r"..rm I T #.
)N. . . . . Z0NINU.
. . . . . I,._Etl... . . . . . . .
H('► IE. f)"rI)LE'.'.:i. y
I•'c_ ,' USE. . :SF WASHING MACH. . . . . . WICKFL.CIW PREVNTRS. .
iCLUPANCY LiPP. . :ll';? FL00R URf” IN"a. . . . . ., Tf'AF's. . . . . . . . . . . . . r
:rC''RI EIS. , . . . . . . .. WATER HEATERS. . . . . . : CA'T CH BASINS. . . . . .
i
TX?l.Jllli:y- 1_nUNDWY' CRA�;;3. . . . . , SF` RAIN l ROIN,:.. .
CNKS. . . . . . , . . URINOLS. . . . . . . . . . . . . GREASL TRAPS. . . �
.L:i. N F*I X i US?E.:-;. . . . . .
`t.11l/t31i1,we.rtE1. . . . SLWL;; L"IML ( it ,' . . .
r bra T 1 ? 71_ 't 1. 1
YJ.hfl . .
1.SHWASHCPS. . . . t RAIN DRAIN . ."t . x
•'��nrr�r^k�,: f4C~- 1='LlJM1.(1��11� 1-I(�31t5iiC.:
FEES
> ;a+, aIII rIt: by date recc
1 "QLACKOMAS RIVfP C \ : ' Tc /9.5
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01U., OR 97041j
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CL..F1f,KFIMAS OR 970115 _ _._.... ___...__ .___-_..._.__... ._....._...._..._.__.
r"trine #c e'4�1•—��f+476� ;. '..:71 T0TAI_
Reg 0. . . 11-50&?
__........_._ R :UU I!'?LD I VSPEIfI ONL.2
'1-.s parllit is 'issuEd sutbjcrt to the regulations contained in the 1"c.1p—r)I.c't; Irsp
.jafd lAiripa Coal 5,ate of Ove. Specialty Codes and 911 othfr F. i n'A 1 (n s pec.:t i orr
Gp:icable laws. All wor4 wili be dcne is accordance with
'n'•'ckvd plans, '.his pereit will' expire V warty is not started
,thin 100 days of issuance, o: if Mark is sc;spen_rd ear tore
an in days.
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C;° Y, L)F7 T I GARP ,R• GE I PT OF PAYMENT RECEIPT NO. :93-244`;4 r r
CHECK AMOUNT : S5. 13
NAME MEADEP, TEFF CASH AMOUNT 0. 00
HX)DRE:SS PAYMFNI 09/27/93
SU801VI TON
�= .-IRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYME`NT AMOUNT PAID
PLUMBINGPERM 52, 50 ST. BUILD PER b3
10995 SW NORTH DAKOTA
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fUTAL AMOUNT PAID - - - > 55. 13
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$ $Cf ION NtY��CE �
.i City of. Tigard Building Deparbo mt _.
37125 Sp Hall Blvd_ Tigard, Oregon 9722.3
Inspe,7tion Line (Relc-O-Phone): ,6I39-41715`, Business Phone: 6�9-4171
Inspection:
Forting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Lino lINAL:
Post/Baron Struct. San. Sewer
Framing _Biig,
Post/Beam Mech. Rain main Insulation -ply.
Plby. Underfloor �Water Line Gyp. Bd. -Mech.
Date Requested.: 4 l L
Addreas:� r PerwLt #st;�T 1'
Buildw-:_VeVA G o
TBE ru:JAMINO CORRECTIONS ARE
REQUIRED:
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InspMrtcrt r7
•- --- Dates � a >
9 APPROVED DISAPPROVED APPROVED SDSJECT To AEONS
Call For Reinsp.
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AALOHASANITARY SERVICE
P.O. BOX 3C9, BANKS, OREGON 97106
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644-2797 1 648-6254 / 24--4343 / 639-5188
Ila,
NAME
nDdRESS
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HONE HOME _ WIPBK
.JOB SITE
` aiARGE o PAID 9Y CHEM GASH VISA ❑ _ +�
DIVER i AMOUNT P -
- -- REMARKS --� — is
TYPE OF TANK:
STF�, /–`C`O�NCRETE / PLASTIC / OTHER
NORIZONTnLJ/ VERTICAL- 4 RECTANGLE / OTHER
SIZE OF TANK- 150.1,,L. 500 / 750 K�_�000 1260 / 1500
LID LOCATION' INLET./ OUTLET / MIOD / ,OTHER
WNUITION OF TANK: GOOD / FAIR POOR
f ITTINGE: DAFFELS / CONCRETE / CAST IRON rPLASIIC�
1 NEEDS NEW LID ❑ SIZE
GROUND COVER OVEn TANK
I,
COMMENT ON CONDITION OF DRAINFIELD ETC.
} TOTAL
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£Ed WHO( :8 £551 LZ'd�S 08Zb 8£S £0S nN 3NOHd SNI NOI1JfI�IlShJO� dW3N �j
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