10455 SW NORTH DAKOTA STREET u
�P
ll�
LP
i
a
I H
t7
I
i
yy ,
10455 SW NORTH DAKOTA STREET w
14125 S.W. HALL BL—
VD-P.O. BOX 2339"r
CITYOFTIFAFM
TIGARD, OR 97223
(503) 639-4171
OREGON
O: - -/ C�l� V 4 AlvV Il c,
M
� �6�n t 4'f�P-Y 1CI�V� ���� Jr !� ;h r•'S i- CSC' ..�. 6.drf 7�'�' Occ�.+,�tl rt cam/ _��if__
yb� �1ccv s� `f ti
.k - �Y^^' � i y� sT tai� i?� .� � ✓ y �wl 1 �/l G '._
REPLY__...^.. -----_ -_- _--------------..�__._.-____----------
SIGNED _- ' -- Y DATE
- PLEASE RETURN ORIGINAL COPY WITH REPLY. KEEP PINK COQ'" FOR YOUR RECORDS.
ORIGINAL
`,,1,, �• }p.�`"*�1 �,y \ �sl� pg ��'„4iV1h���"'; :���aj j •�h""�,b�.j,{�,0.�.:.�•"rr,�,��� -r��� �'Y' fl
ti�i'' ��►'��r�,+b�p�" i�„���ro�. ��p�- �n.� ,'��,► •h���j�'� \— �+�'afa�,wni' ,��ir"�",��,�,,+i�► 1'''� ��4 �'`�'�,�
,
�ry �i f
ylrr�
Of 00
00
J + 1 y� Rf yam\ i/I
4 p bb06
J OD
O ,
Rp 11)
CIS
PLO
(� C d 'd
' O r,7
4} OQ o z ur;
N
e
d1
1 �+
ry
ro
4-1
blo
Ln 1.4
00
bo
CIS
•, W — .ie�a�l.�,� ��► i"�
I
a.
INSPECTION_NOTI E
C / City of Tigard Building Department G G 3 Z
P.C. Box 23397 7
10� / Tigard, Oregon 97223
j Phone: 639-4175
Type of Inspection —_
Date, Requested �`—' me A.M.__--. PAC
Address />J Ls1�--.�—i�-- "`"`� — Permit
Owner __ � j2� >� t_ot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to [ Approved
Inspector Disapproved
Date f ��
CALL FOR REINSPECTION
DYES 0 NO
�.
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard. Oregon 97223
Phone 639-4175
Type of Inspection _
Date Requested, 2. Ti ma _ A.M. P.M.
Address _._ Permit #
Owner Lot #
Builder C
The following Building Code deficiencies are required to be correc*.ed:
t
Presented to _ Approved
Inspector [_1 Disapproved
Date 7 —
CALL FOR REINSPECTION
YES U NO
wir �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Sox 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ���'� � � Time
A.M. P.M.
Address 'w ��� Permit #__ ----
Owner
Lot
Builder
The following Building Code deficiencies are required to be corrected:
,--a ,
Presented to __ _ Approved
Inspector __ — - �_� Disapproved
Date —
CALL FOR REINSPECTION
DYES ONO
bUILC)IN" PERMIT
CITY OF T117A Re �, � P-SMI
17 d 6 at')
COMMUNITY DEVELOPMENT DEPARTMENT � DATE ISSUEDe 11 2 8"
13125 S.W.Hall Blvd.,P.O.Box 73397,Tigard,Oregon 97223.(503(639-4175 PRIM.PMT.NO. (!04)(12
JOB ADDRESFse 1045'5 SW NORTH DAk(OTA ST
TAX MAP/LOTiSi'�4DA11:11! SUP: I_.T: >=+F
LAND USEr P12
LOT SIZE: '1AL1_IATIOhIe f 2t6, 12'8 SETBA0 S
ITRONTe PEAR.,
WORK CLASSI NEW LrWELL.UNITSe B LE::FTe RIGHT;
USE TYPEa 5+ FAMILY NO. BEDROOMS: 16 EXT.WALL CONSTe
CONST.TYF*Ee YN NO.LIATHSe 16 Ne Se EI We
OCCUP.GRP. : R1 PROT.OPEN I Ni-iGi e
OCCUP.LOAD Ni So E: W. �
TOTAL AREAI 7408
NO.STORIES: 2 tSTI 3704 ROOF CONSTI A FIRE: RET?
HE 1 qHT t "Al4N0I 37o4 AREA SEPAR": YES FATED t -2 HR
BASEMENT' NO RDI OuCUP.SEPAR7 NO RATEDt
MEZZANINE? NO BASEM'T
FLOOR LOAC1 a 411 GARAGE I FIRE SPRKLR'' NO AL ARM'7 NO
FL.OW(GPM) DETECT " YES
HEAT TYPEI ELEC. HDCF'. ACf:ESS? NO COFF "' hd0
FLAN (--HECK SY a be r•
REMARKS I
bl.i t 1 d 1 ng 02 REISSUE OF NO.
LAST REISSUE
spec tum Nrbper t 1 e% I PERMIT $7 2 55.7'*'
N 111 * w 5th PLAN PEUIEW $471 . 5C-t
F por t I and or 8721'14 FIRE DEPT �+`�i. 4.. '
(51)3) STATE TAX 417�6. c
_ OTHER
C DEVELOPMENT CHARGES?
0 SDC (STORM)
N SDC (STETET) $2.8811).06
T
R PDC (IM 1 r $72(l. (Ifd
A PREPAID $761. 78
C
T
0 TOTAL# $4.1.61 .
R
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and it is hereby FOOTING SEWER
agreed that the work will be done in accordance with the plans and
Specifications and in compliance with all applicable codes and FOUNDATION WALL. PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST •, SEAM WATER LINE
covenants Contractor and subcontractors shall have current city PI-F.UNDER SL AE+ CITY APPRCH/SW
business tax permits This permit will expire and become null and �LAF+ FINAL
void if work Is not started within 180 days,or if work is suspended or 31-A.TCIPOUT
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure FRAMING
all required inspection, are reruested and approved FIREPLACE
CTAS LINE
INSULATION
----- ---- GYP. FIOARG
Permittee Signatt7F6
Issued By- _._._. T-_r---_r-rt - x;TM�-4fi''"r—
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
— _--——— -mac - -- _ ._ _. .W_..___. -. __._, .. .., .............�.w.d.�. ..�.w.,
t
5
4
i
}
d
C
t'
CC,
PA 7 R.914T UN10; 11)1 00187
CI°�1P'OFTIFASEWER PERMIT
RD PERMIT NO. . SE870('.)(:)7
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175
JOB ADDRESS: 10455 SW NOFTH DAk'IOTA fT__ USA NUMBER:
TAX MAP/LOT 1S134DA1(')0 SUEii LTi RK:
LAND USES R12
LOT SIZES
SECTION: 34 TWPs IS RNGif w
WORK CLASS NEW
USE TYPEII 5+ FAMILY
The applicant &grows to comply with all rules and regulations of the Unified
Sewer-age Agency. The permit expires 12T) days from the date j.SSUPd. The total
amount paid will be forfeited if the permit P>fpirps- Tlip Agenr-y, does not guar-
antee the ACCLIt'aCy Of the location of the side sewer laterals. 14: the sewer is
not located at the measi.irement given, the installer shall. prospect .. feet in
aI ] directions from the distance given. I (- nat so located, the installer --;h;:'11
P,jrahase A- "Tap and Side Sewer" Permit and the Agency will instaXl a lateral .
Stift:DYNO 03LL114LFR 1P'II�EfftV1UtJn Arcr-Am
FIXTURE UNITS: TENANT IMPROVEME'NT':
DWELLING UNITSli 8
NO. OF BLDOS. t I
T-EF 7S i
0 SpeCtLlm Properties PERMIT $45. 0.0
W 111 s w 5th CONNECTION CHARGE $8.80(.1.00
N Portland 'nr 91�'Ii(141 LINE TAP INSTALL.
E
R
5
OTHER
C
0
N
T
R
A
C
T TOTAL it $8,E145.()o
0
R
RECEIPT NO.
----------
This permit Is issued subject to the regulations contained In Title 14 REQUIRED INSPECTIONS
of the TMC. State of Oregon Specialty Codes,zoning regulations ROUGH—IN
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
Permittee Signature
Issued By: . 110_� - CALL FOR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA
RD PLUMB
I . : PERMIT
� F'Ef;MiT NfJs F'L871.It"127
CITY OF TIARD
COMMUNITY DEVELOPMENT DEPARTMENT aaF«).4 PAI Fl.TM$IJND: 8)7 0 002-,87
13125 S W.Hail Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639-0175
t ... 75 0 ,'DW NORIH .]
TAX. rlAF' LOT 1 S 134DA 11:1(0 SUB: I.. 'I ESI c
LAND USE : R 1.;
LOT 'TEs
TEMi IVOx NOs
WORK CLASS: NEW WATER CLOSET 16 TRAP
USE TYPE: 5+. FAMILY UR 1 NAL Bk:FLOW PPk)NTR
CONST. TYPE VN LAVORATORY 16 'T'RAP PP'IMEP,
01'...CUP. GRP. s RI TUB SHOWER 16 GPEASE TRAP
DISHWASHER S
GAPBAGE DISPOSAL a
NO.STORIESIl .r WASHING MACHINE e
DWELL.UNITS: 8 LAUNDRY TRAY BLDG. DRAIN (DIA
FLOOR DRAIN
SINK H SEWER (FT)
1 .
WATER HEATER P STORM RAIN e F T 1 f iI'
OTHER
REMARK'S t
building #
Spectum Prope31•t i es r''ERMI T
O 111 ffi w 5th
N Portland or 972t14 FIXTURES
( 1 r*) STATE TAX
OTHER
C
O
N
T
R
A
C
T TOTAL e ' '
O
R
—� RECEIPT NO.
This permit is issued subject to the regulations contained In Title 14 REQUIRED INSPECTIONS
of the TMC, State of Oregon Specialty Codes,zoning re , dations PLB.UNDERSLAR
and all other applicable codes and ordinances, and It is hereby POST & BEAM
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and WATER LINE
ordinances The Issuance of this permit does not wai!e restrictive PLB. TOPOUT
covenants. Contractor and subcontractors shall have current city RAIN DRAINS
business tax permits. This permit will expire and become null and FINAL
void if work is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
(Pe,m,tteeSignature
Issued By:
p CALL FOR INSPECTION 6_ 9-4175
_ _-
SEPARATE. PERMITS REQUInED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY
�� TIGA
� BUILDING PERMIT
u1�;
PERMIT NO. a 8U87(:)127
cITYZ— tm
17
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDI 11/t''rl6/8*7
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175
L--- — —_ `'FcIM-PMT PMT-N11- Et7S►:�
JOB ADDFRESSI 11135SW NORTH DAKOTA ST
TAY MAP/LOT 1 S 134DA 100 SUB I LT o Pt< 1
LAND USEe R12
LOT S I ZE:I VALUAT I ON if >i{ 5,000 SETBACKS
FRONTI REAPI:
WORM': C'LASSa NEW DWELL.UNITSe E LEFTe FIGHT -
USE TYPEII S+ FAMILY N0. 8EDROOMSe 16 E'vT.WALL CONSTa
CONS'T.TYPE1 VN NO.BATHSe 16 Ne S1 Ell W1
OCCUP.(3RP. 1 P1 PROT.OPENINGSs
OCC UP.LOAD N1 S1 EI W1
TOTAL AREA1 7408
NO.STORIESe 2 1ST: 3704 ROOF CONSTI A FIRE PET? YES
HEIGHT# 22 2NDt 3704 AREA SEPAR'? YES RATF..D1 2 HF
BASEMENT? NO 3RDe OCCUP.SEPAR? NO RATEDit
MEZZANINE? NO BASEM'T
FLOOR LOADII 40 OARAGElf FIRE SPRK*LR? NO ALARM',' NO
FLOW(GPM) DETECT ' YES
"9:A1 I yP– :—a1.w r kll CR- ACC 942; IIIA GRI", nIrI
PLAN CHECM E1Y I bcr-
REMARKSI
building M2 REISSUE OF NO.
f ol.,m is t i on on.1%, LAST REISSUE
F'EEG I
W pi-c trim PropPr,t 1 o�,tc PE'RMIT
N
E 11t ■ w 03th PLAN REVIEW
l� rot, t 1 and or 972(:)4 FIRE DEPT
STATE TAY
------- OTHER
C DEVELOPMENT CHAPBESI
N SDC (STORM)
r SDC (STREET)
R
A PDC(M1
C PREPAID r
T
01 R _ TOTALa +/52.50
This permit is Issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC State of Oregon Specialty Codes, zoning regulations —•—__.__.._�____._._____—
and all other applicable codes and ordinances, and it is hereby PE4U I RED INSPECTIONS
agreed that the work will be done in accordance with the plans and FOOTING
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It she'I be the responsibility of the permittee to assure
all requILLIld inspections are requested and approved
7
Permittee Signature
Issued ByJ.�f -- I I__.----.
CALL FOR INSPECTION 63q-417/5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1.2 �G 8
PLAN CHECK APPLICATION
PLAN CHECK /
PERMIT /��-�,
DATE ISSUED
JOB ADDRESS: J//�3!z S �� -N ^leo r TAX MAP/LOT
SUB: _ - LAND USE: .�
VALUATION: /2 SETBACKS: FRONT: REAR: LEFT:_ RIGHT: •
WORK Ci.AS HEIGHT: 2 ti TOTAL ARCA. 7 yC�r
USE TYPE: r'✓`rL FLOOR LOAD: yn 1ST:
CONSTR TYPE: HEAT TYPE: f- 2ND: nr,
OCCUP GROUP: ,�'.-�_ DWELL/UNITS:-�i 3RD:
OCCUP LOAD: _- NO BEDROOMS:_- BASEMENT:
NO STORIES: NO BATHS: Zr GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: W k REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: k- LAST REISSUE: _ BUS TijX:
FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS: _
OTHER: SEN LND.: _ _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER:
COMMRNTS:_
Ar,CT f DESCRIPTION Mph
OWNER 10-432 Building Permit Fees d.2 s o
N ����� ,F��•� 10-431-600 Plumbing Permit Fees „�2; : -
ADDRESS: /// _� •''r�k -'A=,,,,I0-431-601 Mechanical Permit ''jea
CP ;_m ,,i 10-230-501. State Building Tax (5x) -;fe
10-433 Plana Check Fee
PHONP.:_,,�,y�;!�., , ,�- ,,,;�; r c -30-4/i3 Sewer Conuection (202)
30--202 Sewer Connection (80x)
CONTRACTOR 30-444 Sewer. Inspection Ave-Ar
NAME: 51•-448 Street System Dev. Charge (SAC) s o
ADDRESS: _ 52-449-610 Parke ' System Dev. Charge (PDC) ; ]2 p
52-449-620 Parks 11 System Dev. Charge (PDC) 3 _
31-450 Storm Dra.nage Syst Dev Chrg(SSDC)
PHONE: — 10-230-505 TRFD (95%) s�
10-435 TRFD (5x) s�
ARCH/ENGINEER 10--230-506 Washington County Fire /1 (95X) 3 y
NAME:,y 10-435 Washington County Fire #I (5X) t / y _-S-,i
ADDRESS: 3 10-220 Amart/Wedgewood
TOTAL
PHONE: a — `--
_ PFtEF'A 1 U
/`i�•—�
REC /
RAI.ANCE DUE
APPLICANT SIGNATURE
Received 11v: Date Received:
w1E �!p AR � M1 A
C17Y OF T117A RD C.fTYOFTI6ARD PLAN CHECK APPLICATION
COMMUN,�TY DE1iELOPMF14"f DEPARTMENT PLAN CHECK
oREoov�
13125 SW HM Blvd P.0.BM2Mw �
,TW.or*gomMM(6M)03&4PERMIT d �?C�r-�9"� � 70
DATE ISSUED
JOB ADDRESS: // -s�Jr �ssL1�Iiz.Q TAX MAP/LOT- L-3 'c/ DA//OJ
SUB:_ LOT:_ LAND USE:_ z �—
VALUATION: �-v v o _ SETBACKS: - FRONT:_ REAR: LEFT: RIGHT: _
WORK CLASS: N F w HEIGHT: TOTAL AREA:
USE TYPE: ��f/�T/ F FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: 2ND: _
OCCUP GROUP: _.4'/ DWELL/UNITS: 3RD:
OCCUP LOAD: - NO BEDROOMS: BASEMENT:
NO STORIES: _ NO BATHS: GARAGE:
IMP SURFACE: -—
APPROVALS REQ'D SPECIAI. NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:_ _
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEFT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND. : TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PI.,AN:
PLAN CHECK BY:. OTHER:
COMMENTS:
AC-C-T-7 DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees
NP.ME:�PCC 7'it �_ ' 10-431-600 Plumbing Permit Fees
ADDRESS:]// S „=rH s,>10-431-601 Mechanical Permit Fees s
yr�,� , 1 , 1.0-230-501 State Building Tax (5X) .5
10-413 Plans Check Fee 3 __
PHONE: 2 Sz_/y , 30-443 Sewer Connection (20X)
30-202 Sewer Connection (80x) s
CONTRACTOR 30-444 Sewer Inspection
NAME: .51-449 Street System Dev. Charge (SDC) s
ADDRESS:--- '52-449-610 Parks I System Dev. Charge (PDC)
52-449-620 Parka II System Dev. Charge (PDC)
_ 31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: 1.0-230-505 TRFD (95X) 3
10-435 TR.FD (5%) S�
ARCH/ENGINRER 10-230-506 Washington County Fire /1 (95x) 3�
NAME: >=d _,i�,rz -'k1'yn:;r- 10-435 Washington County Fire #1 (5x)
ADDRESS: 10-220 Amar.t/Wedgewood s
TOTAL
PHONE:
PREPAID
R. Z t- f C y
BALANCE DUE
APPLICANT SIGNATURE
I
Received By: Date Received: