9405 SW NORTH DAKOTA STREET 9405 SW NORTH DAKOTA STREET
m
m
J
m
Ln
Lf)
O
d
G)
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection __.
Date Requesteid�� _ Time.; ,A.M. P.M.
Address �LZ_ S .K% � Permit
Owner r - --- - - Lot #---- -
Builder
The following Building Code deficiencies are required to be corrected:
- -- ------ �-- ems_
Presented to ___ _�_ /Approved ^�
Inspector _ - [❑ Dhepproved
dp Date .1 � ,-3
CALL, FOR REINSPECTION
❑ YF8 / NO
r;""Y OF TIGAHD Plumbing Permit 3 1 7 6
Building Department NO. _
Residential L, Commercial L_l
New Installation Replace Addition ® Alteration Date t:
Licensed -
Plumber Owner ... L r: $ .
Address ,� ; rt" -�� �. _`� glob Address=;7,.-Z,�,2 xApplicant
CITY
Phony l
�------ -------- --- - —�
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM _ NO. FEE TOTAL _ ITEM — NO. FEE TOTAL
Fixtures-Traps 7.50 Sewer:First 100 ft. 30.00
Dishwasher _ 7.50 Each Addit.100 ft. 15.00
Garbage Disposal 7.50 Ejector Pump —! _ -- 7.50
Water Neater 7.50 Water:First 100 ft._ -- 20.00
Backflow Preventer —_�— 7.50 — Each Addit.200 ftp — _ 15.00 __
_
Storm_8_Rain Drain:First-1 00 ft. 30.00
Each Addi!.200 tY 15.00 —
Mobile Nome Space 25500 �—
Other(Specify): ,_ Rain Drain-Single Fam.Dwelling _ 15.00 _—
PERMIT FEE Comments:
Issued By:
STATE % t,; /
--- Receipt No.�__rL_ Applicant
TOTAL '" Signature
--------- For Plumbing Inspection Phone 639-4171
INSPECTION NOTICE i
City of Tigard Building Department
12420 S.W. M?in St.
1 gard,Oregon 97223
f Phone: 639-4171
Type of Inspection )01 4.4- vej `—
DateRe uested Z .�.
_ q 1 , Time___A.M.�_P.M.
Address A J 5w O• &Sc u+2— Permit
1 � n
wrier— _ �Y� QQ w 1 5 Cao YV _ Lot #
J
Builder
The following Building Code deficiencies are required to be corrected:
S
i
Presented to Approved
Inspector - [� Disapproved
Date
CALL F'O REINSPECTION
I
0 YES ❑ NO
� 61
Ar'r.4ress d� ,1Jtiv R Permit No. —
Permit. charge _ 2; v 1-,7
,rrer � GG?�rLt Connection fee
Paid by
Type of building 1/1L12 _ _ Date connected
Service rate / SQ Inspection fee
Contrac; ui paid by Date
Size of connection _ Assessment paid r _
y —11 7 ? G 1 7 e t: < -
IJWJW
of
>
OF
G�� OC`
�.�,. `✓
CITY OF 7 IGARD I e
Y OREGON
O •ner:......L.a.dd...Arnoti. . . . . _.....Permit No.. 1098
ra .. . .... .. . . . .. .
Building Address940' SW North.. . . . ........Dakota......... ta......... .. . ..... . _ _.._ . ;•,
�t
Certificate is hereby given this...15 day of. March , 19 77
i
that said building may be occupied and
, s that it complies with all requirements of �
the Building Corle for the City of Tigard,
1 as approved by the Tigard City Council. )
��;,. !1.:?. ?� ... l+GG� i.�'t•............ .
R
Buildinp Ih5pector
.. - `, s C, ..� 1 V 1. S.."► r. 'a f !- � `
J,
I
�w
City of Tigard
INSPECTION TION REQUEST
for
INSFECTION TIME: �`'' _ PERMIT NO. :
DATE : I /14/27 DATE ISSUED —L-1—
OWNERS
SSUED _ L_ —
OWNERS NAME : —.__�_r'`'1
ADDRESS: ____ cl 4 0- 5:
CONTRACTOR :
BEST : Air [a, Water p , Visual Laboratory p
RESULT: Approved pp ,� , Disapproved C Pending []
SKETCH.
I
I
sem.
INSPECTOR DATE
C01E: Attach supplemental feet data bereta]
airMI
?•y_ Ilk va I I I I 1
i
'u0 I
4 r N IQ
. 10 f+ tf7 Q V I ,
m
v 1-i
+?
,JI
> r
I
ry
t�
t0 n `t^ I rrI C7 .r� �0
o
® t' I u
0 ccr� .G41,
V c,
> n
« `ri 0 tri r� ry ri r ci ui o_ pM c. ts�
flLU r (a
� L. t
w � Q
o ZC
W -0 ' u.U.;? I 3
IIQI'J cu N �7 w w n
13 .V
J h
03 41 1A
r. U
r 7 7 I- .c. J
f� O t w e u u
n m Y I lu ► I I
E a c c
fy p �, y 3 rc to v n v .� �y
�, q F to r rt a ... »: GC
r q t,, rm� o ra u 0 A
H ' C. o I .ci ( m0 L4
t_ H $ m
CLn
O r . LL
� ty0 .v c J �' a x to
it3 x x iX
'I'll
or; a 'U
N
3 cc ro .0
LL. V, n Q ti dry n r1 'I •7 �I I" l�
i
3
ti
f
t'
76
//-/ 5--7,6,
E:ITti� TIC�ARD DATE 9-30-9-30– ,19 76
BUILDING PERMIT APPLICATION 0 of
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HE INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACC PLANS AND SPECIFICATIONS. oOTNO.-
HONE
—
OR
NTnOti
9405 SU DaftOte AVGLOTNO.
OWNER JOB ADDRESS HOME ADDRESS
ARCHITECT
Earl paeaeueeen ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE MEW ❑REMODEL ❑ADDITION ❑-7REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
L.JRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO CARPORT ❑GARAGE ❑STORAI;EC1 FENCE
O.BOND []MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVEDaI ❑SIGNS
FiN
HEAT
CUPANCY LAND USE ZONE- BLDG.T PE FIRE ZOON g PLAN
CJ EECCK BY • Ila��l�taV® >CU $�
ona .ung a aA y t ua ng m a ac ® vg
Zft�a yri off —- g ga . .
ro
OCC�LQA1�' ._ . FLOO�t LO D _�F� .I1L�-_ �,� NQ�SIQfi��'g�,� AREA_._ NOH09_ —_rYALUE ,._
-ZQ_— X17---
B J_IL!1ING DEPARTMENT SET BACKS FRONT_ REAR LEFT SIDE _ RIGHT SIDE -
Permit . I_ ` —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONF IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRt`IT CI `.' BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING,
Total
BY _ _ _--
T��! A/' -ICAN1 OR AGf NI -
Approved Receipt No.''
..... PHONE
WbbAFSS
UNIFIED SEWERAGE AGENCY NO 1_0661
WASHINGTON COUNTY DATE 9-30-76
CITY OF-- --- Tigard — ---
APPLICATION FOR SEWER CONNECTION PERMIT
OWN{-_R: Ladd Ar noti
OWNER'S ADDRESS: --
STREET
CITY STATE %IP
BUILDING SITE: LOT. _ BLOCK ___ _ ADDITION
TAX LOT NO. . TYPE OF OCCUPANCY residence
ADDRESS 9405 SU Dakota Ave. _
DWELLING UNITS 1 - FIXTURE UNITS
SURCHARGE IF APPLICABLE - ___--_---------__ - --
PERMIT FEE 575. 00 INSPECTION FEE 25..,-0-OTOTAL DEPOSITED �IlQ.IlIl__
(NEW) (EXISTING) BUILDING SEWER SYSTEM _-F—a_Df14-CsE-ek_-__ ______
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLIC
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE NEWER ,,{STEM.
LINE SIZE INSTALLER
RECEIVED BY
(AGENCY OR 1 AGENT)
COMMENT. Bldg._fi1098
This Application and permit expires in one hundred and twenty 1120E days.
The amount paid will be forfeited should expiration occur.
V w 7 w n
Z w I Z i > w
O U -� I 7 ~ Q2
r W n O Q w
J
CI I w� Q10
Op JZF-
o g z r u; °Wa (A
j ❑ N H = c o
w w ~I p Z ~ 41
2 O0
—I mm 27 O
p I acr
4 V J 2 w d w U 2 n
Y "I ia Q Q p �o IINa
¢ w Z O y O F- to C)
rn LH w \ Z
3 � w L Ll G W I LL O 0C)L)
O m O �) w a C Q 2ZLL0zd
t7 a > v Q Q U
N
Q J m ) wl F WdUl
UOZ
I w Z X O Z ,� U -
F d Q U U of O U 2 Q ¢�
1 �
C cl 3 CI o � ` W Nza z .
O U w I U 7 1 _i OQ z uc j
v Z LL. w Q CI a rn ~- C) < Mul
Z_ U O r ui 50a --
w w 0- V1 Q I Q ] Zw I�
C) oozy
a ul u 3 � wN~ uao =
C) T w u i �. W I -•W LL T
Y ll- 5 Z CJ O ~ Q u
a Q O C N 7 ¢ FU � 70 'L
Z 7 Ln
u d 2 w
ryry O � u � r � 2 u,
l!, l..J w Q 4 aa H c m O O
u a
off± = a 1 [� w u UuC, a d a
O
Ftp d U ] auN �, '
' LL Y Q U YJ y i Q w F
V ' Z N w u Z .i v wJZOOad
Q w z r O ¢ ui F ] aWU7w
a o J o7 wa 0 i
° a � � z aotadw ¢ UW o�
C Q U `` 7 G D i u f Zd < wa
� Q � � p Z 1 N - 0 ) -. > w o
Fr dui O Ci m v cr a,
U.
U. , ( I F �+ w <3avU;
C.1 N F C) m d :) � T 1
u� 7�I y p¢ J y ui d
Q U,D F-
o
I w U �► 1
LL1 Cr Q ] C;
>' Uri Q I u O u, c)
Ut
L l w t>! >; o `' a ` :?
p' 7 p ¢
C Z Q u 'i)i) r ,
V t Uli ( II [ LL n y \
l
H
w � n
u w r a C) =1 `" v
d Q uQ w 7 Z t` Q
- Ul ? _ O O Q 1 O tr Tv 9
CC1 f U c a ' w �) n , u E a
Q
N