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INSPECTION NOTICE .?
City of Tigard Building Depar
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type cif Inspection _. --------------- -------
Date Requested ✓�—f ?-'_ __ Time -_ A.M. P.M.
•7_7 B✓�
Address i _ W �"��/ � W��`� Permit #__ 1 40 1LQ
Owner __-- -_'_-- Lot #_— _ �►
BuilderThe following Build;ng Code deficiencies are required to be corrected: J
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Inspector Disapproved
Date L �
CALL FOR '?f,'IWECTIG,''
❑ YES ❑ NO
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City of Tigard Hull;inq D oac[seent •-�'?5f�(f'f'
13125 BW Miall 81^d. Tigard, tregon 97223
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Inspection Line (Rec-O-Phone): 639-4175 Lusiness Phone: 639-4171
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Footing P.bg. Underslab Mech. Rough-in A r dwlk
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Found. Plbg. Top out
Gan Lina
t FINAL: -
Post/Beam Struct. San. .Sewer Framinj -Bldg.
41
PO"t/beam Mech. Ra Ln Drs.in Insulation -Plumb. S
1
Pl.bg. underfloor Water Line Gyp. Bd. ) -Mer_h. , 4A
Date Requeated: �� PM
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1'NE FOLLOWING CORRECTIONS ARE REQUIREn:Inspector—Dater__•-1
APPROVED DISAPPROVED
—__ APPROVED SUBJECT TO ABOVE
—_—Call For Reinsp.
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iN^u,-SECT.ON NOTICE 7
City of Tigard Bu-
Department -
131.25 SSI Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 619-41`5 Business Phone: 639-4171
3
Inspectlon:�
Footing Plbg. Underelab Hoch. Hough-in ApprjBdwlk
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Found. Plbg. Top out Gas Line FINAL: zD
Poet/Beata Strutt. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain IneulatLon -Plumb.
Ping. Underfloor. Water Line > Gyp. Bd. �/-/Koch.
Oeto Requonted: �� - ! pK
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Address:_-_
RuiIder. —-- --C'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
—
Inspector: 7
' '— nates
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APPROVED DISAPPROVED A� APPROVED SUB.TUCT TO ASOVE r'•'
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Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Department /
3125 SW Hall Blvd. Tigard, Oregon 97223
Inspection La.1,4 (hoc-O-Phone): 639-4175 Business Phone163 -4171
Inspections--__---. -- --_--- --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
- \ I
Post/Ream Struct. San. Sewer lr / -Bldg. j
Post/Ream Mech. Rain Drain Insulation -riumb. !'
Plbg. Underfloor Nater Lina Gyp. Bd. -Hoch.
1 221 40
S Date Requestedr C 7�� �� Time/: AM PM �
{{� Address:_ `� S Parmist •:—� �y
S THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspector: l Dates
_APPROVED DISAPPROVED _ — APPROVED SUBJECT To AjMM
__-_Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SN Bahl Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
�1
Inspection:— -- _-- -- --__-- - --—
I
Footing Plbg. Undo-slab Mech. Rough-in Appr/Sd,,lk
Found. Plbg. Top Out Gas Line FIN7., . f
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested:—_ r3 _Time: AM __pN
Address: -5 rmit #: `lf
Builders._ — `
THE FOLLOWING CORRECTIONS ARF REQUIRED:
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Impecttari Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
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City of Tigard Building Department
13125 SH Hall Blvd. Tigard, Oregon 97223
Inerectioi Line (Rec-O-Phone): 639-4175 Aneinoss Phone: 639-4171
lnsprctions__— —_--^ -`—_--
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
F.vnd. Plbg. Tod Out Gas Line FINAL:
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10
st Sttuct. gen. Sewer Framing --Bldg.
Be; io
P st/Beam Mec� Rain Drain I lotion -Plumb.
Plbg. Underfloor Water Tine Gyp. Bd. -Mech.
Date Requested:_ _e'/ Time/:: -- AM ____PM
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Address: � ermit 1s
Builder:_ — ___��_—__�— �•
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ nate: a ��
APPROVED i;rSAPPROVHD APPROVED SUBJECT TO ABOVE
call For Reinep.
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INSPECTION NOTICE rr^
City of Tigard Building Deptirtmen'.
1312- SW Hall Blvd. Tigard, Oregon 9i223
Inspection Line (Ree-O-Ohone): 639-4175 Bueineao Phone: 9-4171
Inspection:
Footln� Plbg. Underslab Hoch. Rough-in Ap+r/Sdwlk
Fouwl. Plbg. Top Out Gas Line FINAL: 9
Yost/Beam Struct. San. Sawor Framing -Bldg. -
Post/Beam Mach. Rain Drain Insulation -Plumb. w
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Dat.: Regt:eetadt - ---_.imo: AIL-�
i Addrrass:__��;,jj�`. Permit
BuilQer:-7l—��[—� - — --- - ----
THE FOLLOWING CORRECTIONS ARE REQUIRED:
X4EInspector: __ Date=
- APPROVED DISAPPROt';D —_ APPROVED SUBJECT To ABOVE
--Call For Reinep.
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r,liC.; PERMIT #. . . . . . . . BUP91-001V+
Ty 0
CPP ( RATE ISSUED: 01 t 1 c,/a 1
CRYOF TR ARD r
1 �{ �a•�,•'�N{TY DEVELQp EN� DEPAR'TMENT �� OREOOIV PARCEL: ='a 1 12CA- l X00
161P6 8W SNI�W. N.O.Box 23.'.0. Ores '23(603)639 4175 —
SUBD11J151Uiv. . :A I1:. L:_..i:� i'_� _. ZONING: 5
BLOCK. . . , . . . . . . . LOT.. . . . . . . . . . . . . :6
[41LISSUE: FLOOR ARS AS____....._.._._....__ EXTERIOR WALL CONSTRUCTION-
CLPSS OF WORK. :ALD F I RST. . . . :3`0 s f N: 6: E. W.
YPE OF 115F'. . . :Sj_ SECOND. . . :3-1-4 s f PROTECT OP N I NGS?-.•-_____.____.. -
fYPE OF CONST. .-5N THIRD. . . . :664 sf N: S: E: W:
OCCUPANCY GRP. :R3 TCl'TAL _____._._: l c'8 9 f ROOF CONST. FIRE AF ' '; .
OCCUPANCY LOAD: BASEMENT. : sf AREA SEF'. RATED:
STOP. :ti' H-T. :20 ft GARAGE— . - sf OCC'U fiE.P'. RA'rk_D:
PSMT'? : ME Z Z., : RE.t;D SETBACKS-------- REQU I
FL.00R LOAD. . . . 0 ps f LEFT: ft RGHT: ft F'I R SPKI-: SMOI'. DET. .
DWELLING UNITS: 1 FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
iA DRMS: PATHS: IMF' SURFACE: PRO CORR: F'ARKTNIG: rmr
VALUE=:. $ : 30544
Remarks : addition
Owner-. ___________._____________.._____._______ _._P__.._.______.___.__ FEES[' type
RUCK HESS tv a amol_1nt b r
date er_p
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7755 SW GE:NTLEWOODS DR F='RMT' 197. 50 1 /
PL_CK $ 1.28. 38
TIGARD OP 9724 5PCT 9. 88 / 5
Qhona PAYM $ 76 PILL 01/15/91 ;
bf'ontr-ar tor.: -.__..__.______•--__._..___.._.-.__.__.______
S & S CONSTRUCTION '
7825 SW F'F 1'ERS RD ;
T IGARD OR 97224 __----____.......__-_____________________- r
Phone 4#: 503--f-20-4662 $ 335. 76 TOTAL.
Req #. . 6r'2264
REQUIRED INSPECTIONS
This permit is iisued subiect to the regulat ons contained in the foot/found Insp
Tigard Municipal Code, State of Ore. 5pecial�y Codes and all other Post/Beam Insp
q of icable laws. All work will he done in accordance with Framing Insp
aq,oved plans. This permit will expire if work is not started Insulation Insp
with n 180 days of issuarce, or if work is suspended for more GYP Board Insp _
than 180 days. Rain drain Insp -
Fi.rial Insper,tion
her,mittee Signature-
Issued Bv :
for- inspection 639-4175
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CITY or lICARD RECEiP'T OF PAYMENT RECE IPI' NO. »9 1-.20864 t;
CHECK AMOLK.' a 335. 76
NAME a S & S CONSTRUQJION CO. CASH AMOUNT v 0. '00
ODDRESS r 7825 S14 PETER,! ROAD PAYMENT DATE c 01 /15/91
SUBDIViSION i 1I
TIGORD, OR '.)72;-'_:4-- 7755 $33W GENTLEWOODS
PURPOSE OF PAYMENT' AMOUNT PAID
PURPOSE OF' PAYMENT AMOLIN't PA I D
BUILDING PE M BLIP90-0010 197. 50 ST. BUILD PER 9. 88
PLAN GFIECV FE I eS. 33
rurAL AMOUNT PAID 335. 76
t,
13125 SW Iiau Blvd. Pl_NCK/RECT # —� ' -----
CIrlN OF I'IGARD f'OuoxL1397 PERMIT #
COMMUNITY i) NVTOPMENT DF?"ARTMENT Iipprd,Ore2J _
� (501)6399-4171-4171 DATE ISSUED
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JOB ADDRESS: TAX MAP/LOT c�S I- /z��/� 1300
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SUB:
LOT: _ ��'_ LAND USE: —
VALUATION: -----
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SPECIAL NOTES
OWNER
NAME: _�`���' ��r S 5 — _ REISSUE OF:
ADDRESS: S'��t 2 �� _ __ LAST REISSUE: __ ---
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
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CONTRACTOR APPROVALS RE TIRED
1 NAME: L!'r.s_%/%u PLANNING:
ADDRESS: �k� S �iJ r<°-/�� � ENGINEERING: _ --
FIRE DEPT:
PHONE: -- OTHER:
CONTR. BOARD #: L2 _*IEXP DATE:
j ITEMS RETUIhTD
SUBCONTRACTORS: PLUMB: �� "" LIST/SUBCONTRACTORS: .------
MECH: BUS TAX: —
1 ARCH ENt,iNEER CALCULATIONS:
ter' TRUSS DETAILS:
NAME: —
ADDRESS: -`_ OTHER: — --
PHONE:
# ! PROPOSED BLDG. USE-
COMMENTS:
SE COMMENTS:
APPL CANT S TORE
Received By: _-_— Date Received:
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PERMIT >< ACCT DESCRIPTION AMOUNT AMOL'N1 PD. BAL. DUE'
10--432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees — ---
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5q) —
Building �r _
PIk:mbing
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
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10-2.30 06 Fire ---- -
_ 30-202 00 Sewer Cor tion —
30-444 00 Sewer Inspection --
25-448-02 Commercial TIF Fees _—_-- — —
I 25- 448-04 Industrial TIF Fees __-
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees — - —
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25-448-0.1 Residential Traffic Fees _.
25-448-05 Mass Transit TiF Fees —
j 52-449 00 Pzrks System Dev Charge (PDC)
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31-450 00 Storm Drainage Syst Dev Chrg
(SSC' ) - - -- -- —
24-445-01 Water Ouality (Fee in lieu of)
24-445-02 Water quantity (Fee in lieu of)
TOTAL
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WASKI NGTON COUNTY OREGON
This plst is for your all in
lOtat ll4 your L:nd with rete Circe
n i to Nroets anu other parcels.
SCALE 1 s 100 Whila this p.ai i; Wit'vc-d to
be orrp:t, tha oomaeny assumes
no W t:IAy for a•.y loss occuring `
SEE �Iq A P by misor of reliance' wr0Or1.
Map No.
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SAFcCU'iAr,(T -HLS0 JW CDM
I I 9011 S W.BrTN-HLuO.►IWY. 1
PORTLAND.OR 97MPm
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S;-ItADING/FR )SION ( ��N'I IMI, INIQILN t(
CASEFILI:NO.: —_
GENERAL -Oi ITRACTOR NAMfi&ADDRESS: pj.-0M1T NO.'.
7 s $ as v
APPLICAi"T NAME AND ADDRESS: °
EXCAVATION CONTRACTOR
NAME& ADDRE-SS:
BGr� is S G a fl -/L� 3 NAME
7` oAND��nRfS.
_ S GI vv 00tJ �I)/` /2
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'IELEPITOMi NUMBERS: PROPERTY DESCRIPTION:
APPLICANT:: i
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OWNER:�39-93d 3 STREET ADURE.SS AND CROSS STREET/LOCATED ,� •�-y�,c. L- — �.dh7�
GENERAL-CONTRACTOR:
EXCAVATION CONTRACTOR_� i L 3 —
SITE/JOB: ( 39~7 3d 31--- — LFOAL DESCRIPTION:
?A IIIA/AFTER HOURS> MER.GENCY "1 AX LOT NO.----
1/4 SECTION:
CONTACT
PERSON,TITLE,TELEPHONE: SITE SIZE,ACRES:
DISTURi FD/WORK AREA,ACRES:
IjOCATION&ADDRESS WHERE SPOILS SITE RUNO[T DRAINS TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKEN
(NOTE.PERMITS MAY IIF RFQUIRED) CATCH BASIN <!&a) PIPE CREEK
'— (CTRCLE ONE) PRIVATE PR PERT7(J
— PUBLIC RIGHT OF WAY
Rg�iON/SEI�iMEN�A7'�ON CONTROL (ESM MEASURES
MINIMUM ESC REQUIREMENTS MIMMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMPNTA'1 ION I A LCTIFS ST 01LIZE EXPOSED SURFACE f
STABILMED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER L,UNOFF C(?NTROL FACILITIE.;
CLEARING AND GRADIN(;RESTRICTIONS CCLEAN ANT)REMOVEALT,SILT AND DEBRIS
CPRAM ENSURE OPERATION OF PERMANT FACILITIES
COVER LEAR
CONSTRUCTIO' ,SEQUENCE OTHER
OTIIER I
PLAN FOR.EROSION CONTROL PEEPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HAM)BOOK-.
RROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDDIG EMERGENCY �
PHOI\T?NUMBZR. SCREDULE'STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASORES,AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILLCONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON TIE CONSTRUCTION SRI-. Jr r2
OWNER SIGNATURE PPIJC SIGNA RE
s • • • • • • • • • • • • • • • • • . . • • • • • • • • • • . • • • • • • • • • . • • . . . . • • . • • • • • • • • • . •
OFFICIAL USE O
RECEIPT DATE ACCEPTED
FEE _ NUMBER — RECEIVED By _
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` INSPECTION NOTICE
,r City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 839-4171
Type of Inspection
Date Requested— –�+" - `'` `` Time _A.M._�P.M.
� ' G
Address ,..� Permit #�
Owner _ _ Lot #
Builder
The folliow- ng Building Code deficiencies are required to be corrected:
-- �l'•�`-t.i�'-"Zr'�- � '`^1' ice._�ie']�>--Yi l:L- f
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Presented to FY— Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
YES KNO
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777
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JOHN R. LOW
CONSULTING ENGINEERS, INC.
1750 B.W.SKYLINE `I.VO. TELEPHONE
PORTLAND,OR B7QB1 5031297-3708
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March 5 , 1985
!
terry Smi th
Sam Gotter Construction
3575 N. W. 178th Avenue
Portland, OR 97229
Re: Job N V- 1167
Dear Terry: '
Enclosed are our calculations for the reinforcement of the garage
floor at:
Your Job 1103 : Lot 6
7755 S. W. Gentlewood Drive
Tigard, Oregon
For further information, please do not hesitate to call .
i
Sincerely,
7. 6
jCONSULTiNG ENGINEERS , INC.
In P.E.
S _ngineer
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INSPECTION NOTICE I
City of Tigard Building Department 1
i 12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171 I
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Type of Ins — — —
YP P
Date Requested f t,Time--_A.M. P.M. {
Address _ / / ^' -Tt�[- t 1�..� Perm
it #—
Owner Lot
_ # I
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The following Building Code defic'.encies are required to be corrected:
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✓,l'1`.J�GL Lala _
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Preseitod to _ Approved
Inspector _��...._._._..__ — sapproved
Date /
CALL FOR REINSPECTION
)KYES 1�1 NO a
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223 't
Phone: 639.4171
Type of Inspection
Date Req",ested � -•� Time_ MIA
Adorns -_�(_
Owner_ Lot
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to — TP.pproved
Inspector r ❑ Disapproved "
Date
CALL FOR REINSPECTION
❑ YEE F1 NO
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BUILDING PERMIT APPLICATION TIGARD DATE inc'v�1II r 84
THE 5086
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FUR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ 4w
OWNER LOT NO.
5�ot Got ter JOB ADDRESS _7755 SW Gentlte wMis _ (�eutls W0044";
ARCHITECT _
ENGINEER
UILDER $ ADDRESS 7i 10 SW Geatlewouds DESIGNER �r
STRUCTURE W N%W _ F REMODEL I I ADDITION L REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE_❑ DEMOLITION
FjRESIDENCE 17 COMIA ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STOPAGE ❑ SLAB C7 FENCE
OCCUPANCY R^� LAN..USE ZONE !!n7YD BLDG.TYPE �H FIRE ZONE_i.PLO N CHECK SY _SCR HEAT— �
Construct single family dw*4ling w/attached garage•
- - 3 Bathroom :3 bedroom
SEWER PERMIT# _ 27b63 Garage 624
OCC.LOAD FLOOR LOAD 4(; HEIGHT 20'-6"NO.STORIES 2
AREA 2219 NO.BEDROOMS 3 VALUE$(1oJ(JEI.
BUILDING DEPARTMENT
SETBACKS F�iONT_ 5 REAR _� LEFT SIDE f 1.13 RIGHT SIDE
Permit _ +� 313.Uo` CHIS PERMIT IS IiSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
11 Plan Check y 242.45 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCE:' THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
415.45 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
a ICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stat+Tar * 14.92 Jr
S Dr.-
Total _ 630.37 _'
PDCN APPLICA T OR AGENT -
By Q.
Receipt No. t'. I
Approved BGk ADDRESS - - PHONE
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DATE IINSP.I TYPE INSPECT'ON ' REMARKS PLUMDINO DATE
Pvrinit No
Fixture
� 1��,�J� ��•j� � _ _r i Final
HEATING Contractor
44
C
Cr I
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Permit No
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T� - -- '.T -— �
or Oil
,i Rrnlnh n "
Final
•
— w.---- - —'— SEWER
_4 (�Final
! I 1 nRIVEWAY I
Storm Drainage —
_ i 1(Rain Dram)Final
1 Side�t7lk j
a _
—�Curb&Strw Final
Apmoech
�,.
BLDf3. DEPT.FINAL - '
TEMPORARY CER'fIF7CA."E OCCUPANCY
'CERTIFICATE OCCUPANCY I Final
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— _ Zomv•Final
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TNF UN 05A51GNE0 HE,HEUY AP✓LIES 10 14 APEHN1I I I•UH I/lt .vUi1n riul�„v 11v01L.%,Lu
OR AS SHOWN ANO APPROVED IN THE ACCOMPANYING PLAN AND SPECIFICATIONS. Cr�mler.T►�l --
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II OT'PIO
N �•ar�EPt_ �., C.� -fYi
JOG
-" -F ARCHITECT
ENGINEER
:iUlLp.'t ! 'lit ADORE.". / " [�(r/LCT-t�-7.+ �I�c�L[Y_[ DESIGNER
11gUCTVAE-_ NEW ❑nc,,i oEL -_0AOOIT10-11 ❑RcP:.IR ❑BENE':/AL _ ❑FIRE OA?MAGE ❑OE:.IOL.I
nEs1aEMCC ❑CO►IM LJ�EOVCATIONAL C]GOv'T ❑RELIGIOUS❑�AT10 UCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FII
I �
I,IAf_•�y - LAND USE ZONE_LP—OLOG.TYPE_ —. — PLAN'CHECK BY C '� HEAT Q?
I
CONSTRUCT 5,�N • • FAMTLY 12M.LING, WIATTACHED GARAGE
BATHA00M BEDROOM _
S UERto
EERf1I Garan e s.a _
4 H Ya r _�f O. ,STORIES ' AREA �1� 0�� Al 0CIAO
WALOING OEPAR rMENT SRT BACKS FRONT_ , 9 REAR LEFT SIOE RIGHT S12fi `
FP
THIS PERMIT IS ISSUE) SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z ,
I I'•1R C:eCk REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANp IT IS HEREBY AGREED THA
f—� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN r.OrSIPLIkNCE
b�ti•total I � � � ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT
t' RESTRICTIVE COVENANTS. CONTRAr:OR AND SUB CONTRACTORS TO HAVE CURpEf/T CITY BUS
(':;ate Tax /�? �� LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER. PLUMBING AND HEATING.
I Total -�:-y SDC -
3 `� PDC#
der APPLICANT OR AGENT --
;i IAGo t Receipt No.
y; .nnRE55 MON
SDC (Storm
SDC - c.�`� J y q -
POC -
SEWER CONNECTION
SEVER INSPECTION
SEWER SURCHARGE
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CITYOF TIFARD No. U 3 F 9 s .
12755 S.W. ASH
P.O.BOX 23397
Date ��
TIGARD,OR 972.23
f
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Name
Address �..
Lot Block/Map Subdivis'onlAddress
Permit N's— Bldg. Plumb Cash Check
Sewer Other Other Rec. B
Acct. No. Description Amount
10-432 Building Permit Fees
10-431.600 Plumbing Permit Fees__
10-431-601 Mechanical Permit Fees
10.230-501 State Bldg. Tax _ ____ I�'•.
10-433_ Plans Check Fee
10 435 Other Licenses & Permits_ _
30.443_ Sewer Connection_ _ r
30.444 _ Sewer Inspection
24.448 _ Street Syst. Dev. Charge
25-449.610 Parks I Syst. Dev. Charge _
25.449620 Parks 11 Syst_Dev. Charge
31-450Storm Drainage Sysl. Dev. Charge
10.430 M BusinP_ss Tax
10.434 Alarm Permit
10.227 _Bail ----i --�_ ��— ---_ --
10.4s5 Fines - TrafficlMisdlParking �-
10.230• _ _CPTA TrafficlMisdlVic. Asst.
10_456 — Indigent Defense
30.446-401 Sewer Service/USA
30-446-402 Sewer Service/City _
31-447 Storm Drain;ge
40-4_75 Bancroft Prin. Pymt. —
40-471 Bancroft Int. Pymt. -- —
10.451 Other Charges for Services li
DEPT. ��--
T ,
Oro
MEN
{ KHE UNDERSIGNED HEREUY APPLIES FUft APE HMII FUfI ItIL vvUHK HUILIN INUII.NILU U01LULI(V.'IU11Ly- i �/ `/' j
OR AS,;HOWN AND APPROVED IN ','HE ACCOMPANYING PLANS AND SPECIFICATIONS, OVnJEI'Pro(lr-
��. LOT NC) r� y
D'NNEA _�/\..1''�C i" f f�JOB AD'JRESS r a_� _'i/_/i_11-1_r 1yL7_- ),F, f/\i % V/.
0
ARCHITECT J
�" UII7i 1 ENGINEER
ARESI CH
z4 •./l, A-rr ( \Vl_'1 ,DESIGNER
bt iTAUCTUAE _ NEW ❑FlFh1110cL U��OOIfION ❑FlcP.:IR ❑RcNEY/AL ❑FIR:pA+AAGE LJOE7.IOLIT
r1ESIOENCE ❑COW..M ❑EDUCATIONAL DGOWT URELIGIQUS❑PATIO []CAR PORT ❑GARAGE Q STORAGE❑SLAB ❑FE
C •ClLyAN'Lv__ LAND USE 2n1IE f l ' _Ot UG. TYPE _ PLAN CHECK BY �'Y� } MEAT F
_ CONSTRUCT SINGLE FAMILY DWF.LT.TNC WIATTACIIED GARAC'F
_ BATHROOM ,L BEDROOM
SEW R PE;RMI1' lc Garas;e
2X,LOS!? E OOR LOAD HEIQHT G NO.STORIES .�. AREA.'.' /i` NO.BEDROOMSVA
SUILOING OEPAR tMENT -� LEFT SIDE 1 RIGrtT SIOfi ,17
SET 8ACK5 FRONT _ AR + <'
I :1t
`& THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, XO
I I•.tIn k �I REGULATIONS AND ALL APPLICABLE C001S AND ORDINANCES, AND IT IS HEREBY AGREED THAT
�— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
i ALL APPLICABLE CODES ANO ONOINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W '
t' RESTUN
RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSH
`e:�t+l Tax I �c t.� `' LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
1SDC
Total I G� ._V
r— PDC#
APPLICANT OR AGENT
APprovM Receipt No.
nnq f SS HON
SJX (Storm) o
SDC —
NDC —
C/�'ELS i r��' `•'
SEWER CONNECTION $ `j 2-_S_ JCC 6 .,
3 3
SELIF_R INSPECTION $ f'Er�Y`i '7 4' 7963
e5 3 v 3
SEWER SURCHARGE
7
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CITYOF TIGARD No. 0892
12755 S.W. ASH
P.O-BOX 23397
TIGARD,OR 9722, Date I r
r
Name _ --
Address -
Lot Block/Map ubdI IsionlAddress (� i
_:
Permit #'-s Bldg. Plumb Cash Check
Sewer Other Other Rec. By Y
i
—1Zl Description Amount
Permit Fees
Permit Fees_~
al Permit Fees
0-230-501g. Tax
eck F'ee
enses & Permits
nnection _ --
pertlon
24-448 Street Syst. Dev, Charge
25.449.610 Parks I Syst. Dev. Charge
25 443 620 Parks II Syst. Dev. Charge
N 31.450 Storm Drainage Syst. Dev. Charge
1U-430 Business Tax —
10-434 Alarm Permit
10.227 -- Bai—I --
10-455-
- - Fine
10 455• Fines • Traffic/Misdlparking -
10.230 _,•_ CPTA I rafficimisdIVIC. Asst.
10-456--
Indigent Defense_ --
30-446-401 Sewer Service/USA
30.446-402 Sewer Service/City
31.447_ Storm Drainage u
40-475 Bancroft Prin. P_ymt. -
40 471 Bancroft Int. Pymt.
10-451 Other Charges for Services i
t _
----- TOTAL '
DEPT. .
y
x
F
vt
BUILDING PERMT APPLICATION TIGARu 19-
5033
THE UNDFRSIGN_ED I1E:REBY APPLI FORA PERMIT FOP 1,4E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.- 6
OWNER_�a;g r'()tter _ _ JOBADDRESS 1155 fjW fentYewaod a.
' ARCHITECTENGINEER
A
i ' TU sw Gontlewood DESIGNER
BUILDER Sams (,otter ADDRESS
STRUCTURE _Ll NEW F1 REMODEL Q ADDITION ❑ REPAIR ❑ RENEWAL [I FIRE DAMAGE ❑ DEMOLITION
[A RESIDENCE ❑ comm 11, EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT O GARAGE ❑ STORAGE ❑ SLABC] FENCE
OCCUPANCY ' LAND USE ZONE tl BLDG.TYPE T` FIRE ZONE, �PLAN CHECK BY Z1. * HEAT
—v le T'amfly owt+llin+? wlattached ?arngfs
-- ---- __ — Z Bathroo-ins 3 Sedrooms
SEWER PERMIT
OCC.LOAD FLOOR LOAD "` HEIGHT_ "A NO.STORIES AREA I�I'{I NO.BEDROOMS 3 VALUE GFt,000
BUILDING-7*��DDEPARTMENT SET BACKS FRONT ' REAR LEFT SIDE_ ? RIGHT SIDE E.{I
Permit '3 •"` THIS PERMIT IS ISSUED SUBJECT TO 7 HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2119.0 REGJLATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan CheckWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
.05 RESTRICTIVE
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub •
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
S•� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax u a
:LICENSE.
SDG— 50000
r _ f
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Total _ '',x.53 i L iSO.i�C1 APPLICANTORAGENT - - -
PDCN
By
Approved
i Ptl Receipt No. (�r ADDRESS - PHONE
1
M
1W
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DATE INSP.I TYPE INSPECTION REMgR!($ i I
PLUMBING DATL
i
---- � Perc, jugh-m
mi�:0
- -- I F nal -- .
HEATING
— I Contractor yy�,
-- -__ Permrt Nn S
Gat or Oil i
Rounh•m I
Finil---- ---- -� -�----- - {
SEWER
-_. -- - --- ------- i Final
DRIVEWAY -- �I
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'Storm Drainage
_
IR nrain)Final '`a-
- — — Sidewalk I
- Curb&Street Final kp3al
_ Aopmnch
BLDG DEPT. FRa 1._ TEMPORARY I CERTIFICATE OCCUPANC-
CcRT IF7CArE OCCUPANCY Final r.
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1-?229
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BUILDING PERMIT APPLICATION TIGAaD DATE----
THE UNDERSIGNED
ATE__.._-THEUNDERSIGNED HEREBY APPLIES FOR A PERIMIT FOR TIME WOR EIN INDICABUP.DER PHONE
ORASSHOWN AND APPROVED IN THE ACCOMPANYING PLANS 9f�D SPECIFICATIONS. NJNEP PHONE
OY'JNER `i�nc�G/k JOB ADDRESS / /-/(r
/ OD� O. Q _---
ARCHITECT
-r� ENGINEER
I BUILT'&R ADDRESS r GIJ fA AfZESIGNER xdr� I -
I STRUCTURE trNEW ❑ PEMOQEL C] ADDITION ❑ REPAIR ❑ 11 NEWAL ❑ FIRE DAMnGE ❑ DEMOLITION
CkMES10ENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ 55�!9I91JS ❑ PATIO 0\1PAR POR GARAGE G STOR E ❑ SLAB❑ FENCE
OCZUPANCY —LAND USE ZONE -2-/' LD .TYPE��--FIRE ZONE PLA CHECK BY HEAT
SEWER PERMIT K 6m, 6 — ---- 0-0
-J If
OCC.LOAD /- FLOOR L ID HEIGHT NO.STORIES AREA NO.BEDROOMS Vl-LUE —
BUILDING DEPARTMENT SETBACKS FONT R R EFT SICE RIGHT SIDE �cS
PermitG �.
00
-- --t ---
HIS PERMIT 1S IS UED UBJECT TOHE REGU ONS CONTAINED IN THE BUILDING CODE, Zorw4:
ULATION5 AN ALL PLICABDES A OROINa`JCES, ANU IT IS HERcdY AGREED TY.AT TF'E
Plan Checky • (7 S yVL� WILLBEDO E INA CORD WITH T c PLANS AND SPECIFICATIONS AND IN COMPLIANC!
WITHAL APP 'CA E COD D ORDINANCES:THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
Sutrtetal '� lRESTRI VS COVEN NTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
G� u, LICENSES ARATE P AMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
, Tax
Total f, Ste'
PDC# APPUCANT OR AGENT ——�
By .
Approved Receipt No. AODRESS PtIONE --
S 0 C - `� �17t�• o___
; POC
SEDER CONNECTION S �5�
SEWER INSPECTION S 3s o
SEWER SUhCIVRGE S
Cn"1 m n rl 1".C ___.._ <_']--Gc.._�c� --- -tY-------� ------. ._i[/�..s•
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