9541 SW INEZ STREET 9511 Sia 1NEZ STREET
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INSPSCTION NOTICE
City of Tbtard Building Department
1.3125 SM Hall Blvd. Tigard, oregon 97223
Inspection Line lRec--O-Phone): 639-4175 Ruuineen Phone: 639-4171
Inspections
Footing Plbg. Uiderelab Mer-h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Pl-bg. Underfloor 'Nater Line Gyi,. Bd. ech.
7
Dake Requested:—��` � ___-- Ts -- —_.—PN
Addrees:_C ��
c�!
Builddrs —
THS FOLLOWING CORRECTIONS ARE REQUIRED:
f
I
Inepeoto _-�V Dates
=-Z
APPROVED DISAPPROVED APPROVOU SUBJECT '!O ABOVE
Call For Reinep.
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ir7sP�.cTIo ;crrzce //�
City of 'Tigard Buildin.; Oen►arta%- .t -(
13125 SN Hall Blvd. Tigard, Oregon 972.2:;
Inspectivn Line (Rec-O-Phone): 639-4175 Bodineas Phone: 63�i-4171
I`
Inspectionx _-- -- ----. ----------
Footing Plbq. Underslab Mech. Rough--in Appr/Sdwlk t
Found. Pl.bg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Aldg•
Pont/Ream Mech. Rain Drain Insulation -Plumb.
l.bg Unlorfluor Nater Lina /G Hd -Mach.
Date Requesteds C//lam Timee'
Addrees:__�1y2 L Permit
Bu i lder s ------
THE TO1.LfMINO CORRECTIONS ARE RE(tIIRED'
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Inspectors �/� Date' J
APPROVED DISAPPROVED APPROVED SUBJECT TO ASM
Call For Reinap.
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d
_NSPECTION
City of Tigard BuiLiiny f'a,-art.ment
13125 SM Hall Rl.wd. Tigard, i3ragou 97223
Inspection Line (Rec-O-Phone)i 639 4175 Rusiness Phone: 639-4171
Inspections -- -------- — — -
Footing Plbg. Underslab Mech. Rrnigh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mw-h. Rain Drain `Inavlar.ion -Plumb.
Plbg. Underfloor Mater Line Gyp. Ed. Mach.
-� 7 -y,� Titoet !1M PM
Date Reg,iaeted: L--s
Address:-
C— L Pe�i51 tt 1--L�,�tc-L--
BuildersLe
_.
TRI: FOLLOWING CORRECTIONS ".RE REQL'RZD:
c
Inspector ____ Dates_4_L L__�_l
�PROVZD _ DISAPPROVED —� APPROVGD SURJRCCT TO ABOVE
Call For Reinap.
LNS�E�TION NOTi,C.j �^
City of Tigard Nasi " est
13125 sN Rall Blvd. Tigard, Oregon 972
Inspection. Line (RQc• ,-Phono)s 639-41.71 ��sr+inee. Ph
-- _ --
I n epect ions_—_—_--
����"g�? Appr/&dwlk
plbg. Underelab Mme•
Footing --
FINAL=
Found. plbg. Top Out
Lio1�-•---
Frami -Hldq.
Post/Beam struct. Ban. savier. rl-
Post/Ream M—',- Rain Draln
In.ulation -.plumb.
plbq. underfloor Nater Line Gyp. ed.
-Mach.
/I II
rime= AM k_PM
-
Date
Address:
.� --- Permit
Builder
THE FOLLOWING CORRECTIONS ARE REgUIREDs _� —__
.
--------------------------
6.
-------------
------------
_` - -- ---- -- —�-
----
Inspectors_ ------- -
__APPROVED --- DISAPPROVED ___ APPROVEP BUR?ECT TO ABOVE
Call For Reinep.
IN1PECTI0h NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. TigrrJ,, Oregon 97223
Innrwirt4,.n Une (Rec-O-Phone): 639-417: Business Phone: 639-4171
Inspect ion:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Az. 'Plbq Top Out Can Line FINAL:
Pose/Beim Struct. San. Setter Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line h Gyp. Bd. -Mech.
Date Requestedt_—L��•)���`� _Ti.mua: AM PM
Address: J�''"'
3uilder: Le�ti..�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
Inspector: ,� �'---- Date:
APPROVRD DISAlMMWW APPROVRD SUBJRCT TO ABOVE
Call for Rein'p.
s � �
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INSPECTION NO -'CA I F�/ i
City of Tigard Building Deperlsant
13125 Sal Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspections_--g.
PlbUnderslab Mach. Rough-in Appr/Sdwlk
Footing
PlbTop Out ` Gas Line
% FINAL:
g.
Pound. —
Poet/@eam etruut, Srn. Sewer
Framing -Bldg.
Rain Drain Insulation
-Plumb. �
post%Ream Mach.
Plbg. Underfloor Water t.f.ns
Gyp. Bd. -Koch.
l Timet ----
Date Rwquosted: T T
Address&
B•.i ides: �
THE FOLLOWING CORRECTIONS ARE REQUIRED: �✓
rte_ -----'
00,�
- I
Inspectors �
EPPROVED DISAPPROVRD APPROVED SU"jrCT ro ABOVE
ssss���----��- Call For Reinep.
W W1 WA
MASTER PIERMI'r
CITYOFTIFARD ® V
CrTYOFTWAND PERMIT #. . . . . . . . M5-91 188
COMMUNITY DEVELOPMEW DEPARTMENT oMvoM
13126 SW FW:Blvd. P.O.Box 23397,T%pml,Oregon 75
DATE ISSUED: 12/e.9/91
SITE ADDRESS. . . : 09541 SW INEZ ST PIARCEL: ;::-'Sj111BA-0681710
SUBDIVISION. . . . : BUTLER TERRACE ZONING. R-4. 5
BLOCK. . . . . .. . . . . LOT. . . . . . . . . . . . . :2
BUILDING
REISSUE: DWFLLJNG (.JNITq- : l BASEMENT. . . . . . . . :0 f
CLASS OF WORK. :ADD BEDRMS:3 BATHS: 1 GARAGE. . . . . . . . . . :0 sf
TYPE OF USE. . . -SF FLOOR REQUIRED SETBACKS
1Y4'(-. OF CONST. :5N FIRST. . . . :725 Sf LEFT. . :0 ft RIGHT. :0 ft
OCCUPANCY GRP,. :R3 SECOND. . . :0 -,-F rPONT. :0 ft REAR. . :0 ft
STOR-AES. . . . . . . :2 THIRD. . . . :0 s
HE I GHT. . . . . . . . .�25 ft TOTAL-------:*725 S f SMOKE DETECTORS. .-
FLOOR LOAD. . . . -40 psf VALUE. . . . . $ : 333304 PARK I NG SP'ACEC,;. . :0
Remarks : additi,.n add,ng 3 bed rooms and 1 hath 1.tp stairs Above gar-age
PLUMBING
111 NKS. . . . . . . . . . :0 FLOOR PRAINIS. . . . :0 BACKFLOW PREV1,4TRS. . :0
L A V OTO R 1 E'S. . . . . :2 WATER HEATERS. . . :V' rRAr-,-;. . . . . . . . . . . . . . :0
TUB/SF40WE FR�-7. . . . : 1. LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :'D
WATER CLOSETS. . : 1 SEWER LINE ( -,'7t ) . :0 GREASE TRAP'S;. . . . . . . :0
DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OT14ER FIXTURES. . . . . :0
GARBAGE DISPI. . . !0 RAIN DRAIN (ft ) . :0
WASHING MACH. . . :0 SF RAIN DRAINrj. . Q,
MECHANICAL FEES --------_.--_-._
FUE!_ UNIT HTRS. . :0 type amcii-int L)y date rp(_pt
/GAS/ VENTS . . . . . :4 B V.,R T s 211. 00 FILL 12/09/91 220476
MAX INP,UT:0 BTU VENT FPrIS. . BP,LC 137. 13 PILL 12/09/91 t 0476
TURN ( 100K . . :0 HOODS. . . . . . -.0 B5P,C 10. 5b FILL 12/09/91 220476
WOODSTOVE5. :0 MPLC -7. 00 PILL 12/09/91 2204ti
FLOOR FURN. . . . :0 CLO DRYERS. : 0 M5PIC 111 1. 40 PILL 12/09/91 C"'20476
BOIL./CMP ( 31-4p:0 OTHER UNITS:O P,PFRT $ .:30. 00 PILL 12/09/91 220476
GAS OUTLETS:O P,5P,C $ 1. 50 PILL 12/09/91 220476
Owner-: ......... MP,fRT t C.8. 00 PILL 22047E,
TFD AND TRHC IE OLSON
9'2541 13W 1NES ST
-I(jARD OR 97224
P#i(.)ne #:
3ORRENTO CONSTRUCTION
lr'--bbO SW 2ND
BE AVERTON OR 97005
F-1hone #.- 5036439602
RPLI #. . : 6884
4216. 60 TOTAL
This pvuit is issued subject to the regulations contained in the REQUIRED INSF-,ECTIONco-
Tigard Municipal Code, State of Ore. Specialty Codes and all other V,LM/Uiidet-f 1 out- !-`1 1-1 m b V-'i n LR I
applicable laws. All ,cork will be done in accordance with approved Mechanical Insp Building Final
plans. This perait will expire if work is not started within ;% P11-imb Top OLit
days of issuance, or if work is suspended
than 1*dal,,s. Framing Ins
1119I..11ati(JI1 ITISP
Pet m i t f op !-,)i El"at'Ir^e (3ylj Board Insr..)
Rairi drain Insp
I,;,ni.ted By : lyleuhanical Final
Call for- inspection - 639-4175
CI'TY OF' TICARD RECEIPIT OF PAYMENT RECFIPT NO. al-820476
CHECK AMOUNT 426a60
NAMIT, : ',-.,0PRF'NT0 Co"NOTIRUCTION CASH PMOUNT 0. L710
PI)DRE.SSIV 3 12550 SW SF'COWD PAYMENT DATE 10/09/91
iSU13D I V I S T.ON
BEAVERTON, OR 97005- 954J. SW 161EZ STREET
PURPOSE OF PAYMFNT AMOUNT PAJD PUPPOSE OF' PAY'ME'NT AMOUNT PA 11)
BU 11.D I N(3 74f4--M-s T--91--o I aa- I-1.,--0-0- P,—LU M--B,I-N--0, FIE R M 30. Oki
91'. BUH-D PEP 213. 00 MECHANICAL PE 1.�',. 415
PLON CHECK FE 144. 151
TOTAL (IMOUNT PAID
■
125w a11 d. PLNCK/RECT #
� � 97CITY OF TI1ARD 3
PERMIT #
COMMIJNFIT I)ENE'LOI',IN11?NT I)EPARTNIEINT 'Iogard,Oregon 972D ,
(503)639-4171 DATE ISSUED
JOB ADDRESS: C1 � 33. zI TAX MAP/LOT —_—
SUB: _ �` LOT: �_ _ LAND USE:
VALUATION: ( �
OWNER SPECIAL NOTES
NAME: !�.�1_(� 1�}1� REISSUE OF:
ADDRESS: "l LAST REISSUE:
� A-t��� r 22 — FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: C�� _ _ PLANNING:
ADDRESS: ��ZS� ,17 �r _ ENGINEERING: — —
�`� FIRE DE PT,,..----- ---
PHONE: I1' --� — OTHER:
CONTR. BOARD #: ' EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: __— —__ LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: ----^_ TRUSS DETAILS: -------_,_ --
ADDRESS: — _ —� — OTHER: _-- ---- - _ --
PHONE:
PROPOSED BLDG. USE: _—
COMMENTS:
CIrli SIGNATURE
Received By: ,, :'<�� Date Received: ----..--
PERMIT # V C1 # DESCRIPTION AMOUNT AMOUNT PO. BAL. DUE
� f911�f 10 432 00 Building Permit Fees _• � / / '
10 '31 00 Plumbing Permit F,2es 3v '' 3d
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building 0,5 �
Plumb .ng /,So �
Mech�nical
10-433 00 Pins Check Fee y
Building 137, �S V
Plumbing
Mechanical 7.6,1)
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25- 448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
2.5-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic fee,-
25-448-05
ee:25-448-05 Mass Transit TIF Fees _
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _
21-445-02 Water Qua�it.ity (Fee in lieu of)
TOTAL
i
nm,/3587P.WPF
MEMORT" T)UM
CITY OF TIC.. 3, OREGON CITYOF T'GARD
TO: All Agencies Fo.- Addresv Updates OREGON
FROM: Laura Freeman, Mapping/Information Technician "Y
s
DATE: July 31, 1989 �-
SUBJECT: Address Updates - July 1, 1989 - July 31, 1989
New Addresses Single Family
- Family Homes of America (WCTM 2S1 3BA, TL '.10)
12055 SW Ann St.
Tigard, OR 97223
- Sam Gotter Construction (Formerly WCTM 2S1 12CB, TL 500 - MLP 85•-04)
9541 SW Inez St.
Tigard, OR 97224
New Addressee__- Commercial
- First Commerce of America (WCTM '�S1 1D7, TL 1100 - Tech Center Business Park)
7409 SW Tech Center Dr. #149
Tigard, OR 97223
Addresa Changes - Si.n41eFamily
- Titan Properties (WCTM 2S1 14BB, TL 14800 - Lot 89 Swanson's Glen II Suud. )
OLD ADDRBSS
10453 3W Riverwood Ln.
Tigard, OR 97224
NEW ADDVESS
10455 SW River-wood Ln.
Tigard, 0R 97224
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 — ------
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w■►
IW ECTION NOTICE
City of Tigard Building Department
P.O. Box 2339.'
Tigard, Oregon 97223
Phone:X6,3,9-44>175
Type of Inspection --_--_--
D3te Requested__—_-_�.1..' ____ Time A.M. _..___ _P.M.
Address _ ? _,.�L�� Permit #_--_---_ _.
1
Owner Lot #
------.� -- �s^_-------
Builder
Che following Building Code deficiencies „re required to be corre^ted:
Presented to
� I
Inspector I Disapproved
Date -- — -
C'AU FOR REINSPECTION
C YES ❑ NO
I
W s �r aar as -ar s
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639--4175
Type of Inspection —
Date Requested Time(C .— A.M.__P.M.
Address -- .'SS���— ----------- Permit #�-�
Owner . — — - J�� Lot
The following Building Code deficiencies are required to he corrected:
d�
I
I
Presented to _ pproved
Ins,-�ector _ --_-- -- --_.-- � � Disapproved
Date _ 17, ------------_--
CALL FOh REINSPECTION
C 1 YES C7 NO
INSPEr,TION NOTICE
City of Tigard Building Depart-nent
P.O Box (�
Tigard, Oregonon 97 97223
Phone: 639-4175
Type of Inspection -
Date Requested _ E'- Time_ ` A.M._ P.M.
n
Address 1� __..._— Permit #....L/
Owner— --- Lot #
Builder ---- -- ------- --The following Building Code deficiencies are required to be corrected:
Presented to44 roved`
Inspector --.--� _
Disapproved
Date - —- — -✓
GALL FCR REINSPECTION
F] YES [A NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard. Oregon 97223 1
Phone: 639-4175 r
Type of Inspection --- _ —_--- '�'
Date Req �---
uested_ —s_s Time A.M. P-'� P.M.
Address Permit .-
Owner---- -- _ Loi
Builder _— ----- -..-- -`------_The following Building Code deficiencies are required to be corrected:
.i
PProvrd
-----��
Presented to _ _ __ --
Inspector �12�
Disap,iroved
Date - — .
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City c.! Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —'et ----
Date Requested Time A.M. P.M.
Address '�FP • Permit
OwnerLot
Builder
The following B-jilding Code de iciencies ave required to be corrected:
- Aj
—L/P- SI
_e Le
016
A-1
eq
04, Ak
v 14
4r
colf -ZT-)
Presented to Approved
Inspector approved qi
Date
CALL FOR REINSPECTION
E] YES 0 NO
la► � ��i � a i� A
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Pnone: 639-4175
Type of Inspection
Date Requested __--- Q -_- Time A.M.�_P.M.
Address ( S��_ ___ Permit
Owner _��y�'� _ Lot # --
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented topproved
Inspector -_--_-_------_-----_— Disapproved
Date - — --- ---
CALL FOR REINSPECTION
O YES L7 NO
CITY OF TIOARD &ECHANICAL PERMIT Receipt#
Permit#
Oescription
Table 3A Mechaninal Code _)TY PRICE AMT
City of Tigard
1:3125 S.W. Hall Blvd. 1) Permit Fee —_ — 0 0 - 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 (/!� J/-� 1) Furnace to 100,000 BTU 6.00
incl.ducts&vent! _
Furnace 100,000 BTU +
z 7'50
incl.ducts&vent;;
Name of Development 3) Floor Furnace 6.00
incl.gent _
,Job Address -- - )
4 Suspended heater,wall.seater 6.00
Address �i `•, '� ` _or floor mouoted heater _ —
tax Lot Map No 5) Vent not incl.in 3.00
Lot Bloc), subdivision _— appliance permit
Name(or name of business) 6) Repair of heating,refr ig., 6.00
_ cooling,absorption unit _
Mailing Address — Phone - 7) Boiler or comp to 3 HP 6.00
Owner _absorp,unit to 100,000 BTU _
c;uy%sne _ zip 8) Boiler or comp to 3 HP-15 HP ^ — 11.00
— absorp.unit to 500,000 BTU
—� Boiler or comp 15-30 HP
Name 9) 1 E.00
_ absorp.unit 1/2-1 million _ _
Mailing Address Phone 10) Boiler or comp to 30-50 HP _ 22.50
absorp.unit 1 -1.75 million
Contractor aiy state ----- zip --- - 11 Boiler or comp to 50 HP----- — 31.50
absorp.unit 1_,750,000 BTU _
State Negistratlon No. City Bus Tax No t 2) Air handling unit to 4.50
10,000 CFM
Air ha —
I hercty aci,nowiedge that I have read this apilication that the information given is 13 l) AirhanCFM +ndlinyunit 7.50
correct,that I am the ow:, r or authorized agent of the owner,that plans submitted are in ------- --- --- --
compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given is correct.(if exempt from State ruglstratlon please give reason below) evaporate cooler
15) Vent fan connected 3.00
_ to a_single duct
- 16) Ventilation system not^' 4.50
included in appliance permit
Hood served by
1 mechonica!exhaust 4.,0
Signature(owner or egent) J _ Date 18) Domestic type 7.50
Describe work ❑ addition ❑ alteration I I repair ❑ incinerator _ _ —_
to be done residentialnon-residentialJ non-residential L 1 19) Commercial or industrial 30.00
Existing use of type incinerator _-
building or properly _-- _ _ __- 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property - 21) Gas piping one to four outlets 2.00
Tyrie of fuel - oil ! ! natural gas I I LPG I I electric - -
-_ - 22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- ---- -
STRUC TION AUTHORIZED 13 NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, ON IF CONSTRUCTION Oft WORK IS SUSPENDED OR PLAN PEVIEW 25%OF SUB-TOTAL
ABANDONED FOR<,PERIOD OF Ido DAYS AT AN1' TIME AFTER
WORK IS COMMENCED. TOTAL
Special Conditions__..._
Date issued by_
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 f
Type of Inspection1dl�C�C_L--_-__.___�_
r �
Date Requested—_ — Time___ A.M. ti' P.M.
Address � ] �_— r,Q 1 7 _ Permit #_ �—
Owner _ - -- T Lot
Builder c . � `C-,y �]{- -1� - — -----_ ---
he following Building Code deficiencies aro required to be correcned:
J
Presented to
Inspector �'---����_ ---- ------------ -- PProeed
_ [. Qisapr roved yy
Date
1
CALL FOR REINSPECTION
C_] Y E s El NO
r
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 233,7
� Tigard, Oreg A17�223
'type of Inspection
Date Requested— _z— i"4— Time
Address __c% n q/ _ Permit
Owner
Lot
Builder - _--_--- — ----- —-- -----
Th,, following Building Code deficiencies are requited to be corrected:
Presented to - -- ----- ------- j Approved
Inspactos
_ � _ Disappro•ed
Date -----
CALL FOR FINSPFCT ION
❑ YES 0 NO
INISPECTi , NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
P one 539-4175
'type of Inspection
Date Requested .___-- 2� Time A.M.__ P.M.
Address 1 --__ _.__ Permit
owner-_ ..__- --- ------- ' - ---_--
Lot #
Builder -----The following Buildivg Code deficiencies are required to be corrected:
Presented to
// \ Approved
- -. ----9. ----- - --
{'
Inspector - -__ - ___-.- _ — Disappioved
Date AZ/
' —
CALL FOR RF,INSPEC77ON
I-1 YES 1-1 NO
CITY OF TIGARD 639.4171 6431
BUILDING PERMIT DATE 19 - '
TAX MAP Z&L jjW OT NO. �4___ .. SUBPIVISION BULL 'Y T
OWNER _ Sam (outer construction _ JOBADDRESS �
BUILDER 7710 $w ("s_ q1 lc'og4a Drive I'1Lasd. 57223 STATE REG.NO. 3402 - EXP.DATE �j4l
BUILDER'S PHONE _ 63�bA _—
ARCHITECT �AmP --- PHONE -__ OTHER
STRUCTURE S NEW [I REMODEL f_1 ADDITION i REPAIR MOVE � OTHER _ DEM0I-ITIO11
Ir' RESIDENCE �_] COMM 1 EDUCATION IND [-I RELIGIOUS ACCESSORY GARAGE OTHEH FENCE
OCCUPANCY '-J- LAND USE ZONE -L4_- BLDG.TY11EFIRE ZONE _ FLAN CHECK BY' --- HEAT —'-".
condpruct ninj4i<#amily dwelliciA K/attached prage, all p*x o igrucad 111wsro —��
Subject to 85 Godo.
SEWERPERMIT# 32.(,,16 ( hits): ? hunts: 19, I;arage area: bib traps:
OCC.LOAD FLOOR LOAD 40HEIGHT IK N0.STORIES 2 AREA'� NO,BEDROOMS. VALUE i SL,UUl1
BUILDING DEPARTMENT ^ SETBACKS FRONT 31 REAR 21 LEFT SIDE '71GHT SIDE 17
Permit_ i+511J•SQ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COBE, ZONING
3j �3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRECO THAT TH
� E.
Man 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
PI.Ck.Fire _ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN�E S
—__ TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMB114G AND HEATING.
State Tax 20o42 SLt, 2 ju*uu
962.75 SDC_ 6UU*UU
Total _ PDC#T IAPPLICANT OR AGENT
Prepd. I UO•wil
762.75 Recelpt NOv
Bal.Due -, ADDRESS' - PHONE
y Issued By __Approved By
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING up DATE
7fp-�l'I ? 7i-�--_- Permil No.
19
- - -— O -
i Rou h in
00 ' rr "" �-`` ��• /� Fixture
Final
HEATING
r
��- ConlraclorS
jJ � OD1? - -7
`,�—ZD—� -- � ws�t•a L r. PMiµN rmit No. Y� �
S� ?-- 'g 2
�d�'� �' Gasor011
-- - -- -
S'�3�8/ �l Rough in
--- - --- - -- - -- - -
Fina!
-- - -
SEWER -
Final
DRIVEWAY
Final
--_ �--�-
Storm Drainage
Y --- (Rain Drain)final
- - ----- —- —Y
Sidewalk
- -- Curb&Street Final
Approach
BLDG.Df PT.FINAL TEMPORARY CERTIFICAIE OCCUPANCY Final
CERTF'.CATE OCCUPANCY - --- --
Landscaping
Toning Final
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PLAN CHLLK NO.lz__��
for inspections call 6'19 -4 11�
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CITY OFTIGARD 639.4171 II o PERMIT N0. Y.T�
BUILDING PERMIT DATE ZZ
P.O. Box 23397, Tigard OR 97223 TAXMAP/=_ � �� 2(L,6T . SUBDIVISION , a
OWNER `' m (�'C -�►t' < � BAOORESS
�1� +� JS�
T Z
BUILDER A"N.I �71C� 'q�a lE. hl CX lS Z.>r i STATE REG.NO. _ _EX .OATF. —
BUILDEWSPHONE
ARCHITECT
PHONE_ —OTHER _--_
STRUCTURE PNEW ❑ REMODEL Cl ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER L] DEMOLITION
RESIDENCE ❑ COMM a EDUCATION Cl IND ❑ RELIGIOUS ❑ACCESSORY Q GARAGE ❑OTHER O FENCE
OCCx/4ANCY LAND USE ZONE BLDG.TYPE ' ' FIRE ZONE PLAN CHECK BY
Construct single family dwei l inal I err— jppr: —ued P1�nc. --
SEWERPERMITI ZG/G '(Idu) ba Lits, / _,rap5� drlrsL9e area is __
OCC.LOAD FLOOR LOAD HEICHI H0.STORIES AREA NO.BEDROOM S
BUILDING DEPARTMENT SET BACKS FRONT i� REAR 1 LEFT 510E _ 1, RIGHT SIDE
Permit %O.S_b THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS MCF4EDY AGREED THAT THE
Man Check 3 l : WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA"ONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE tMANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck F" RESTRICTIVE COVENANTS,CiDNTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE.,S
!'AX PERMITS.SEPARATE PERMIT AEOUIRED FQ)1 SEWER PLUMBING AND HEATIN2
Slate Tax Cs --
SOC
Total APPLICANTORAGENT
-
PMIi l
:P:1:1:pd:::::] l-
Receipt No ADDRESS PNt1N1
Bal.Oue G
76_
Issued By.._— . ___. -.__-Approved By
SSDC
SOC RECEIPTPOC
DATE PD. /',�G� 'R. G
SEWER CONNECTION S 7 `� AMOUNT PD.
SEWER INSPECTION S 3IS�`"
SEL1ER SURCHARGE S
;OMMente: ---
CITY OF TICARD BUILDING DEPARTMENT PLAN CHECK NO.
PLAN CHECK APP'L�CATION DATE RECEIVED: �d
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: /DQ CQ
This is to' certify that. the attached . sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edition
�f Dr,
PROPERTY OWNER: --)A A-,A-,I (-1(A,f, C � OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: /�Gc �le,eT�r� +' NO. b MAP: Y --
I
DESCRIPTION OF WORK: �/� I„i�4,.")4-
Approvals Required SPECIAL. NOTES
Planning Dept. � Reissue
OEngineering Dep- . C Flood Plain/Sensitive Lands
OFire District C) Sewer Availability
OOther C) Other
Items ReSLuired
0 list of subcontractors
CBusiness 'fax
0 Calculations
O 'Truss Details
0 Parking Plan
Landscape Plan
I
C� Other
COMMENTS
Ci i v I Tigard Bu Iding Department
By