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11675 SW TIEDEMAN AVENUE I i O + 4 7 i ! 11 I R. 11675 SW Tiedeman Ave IINSPECTION NOTICE City of Tigard Building D.3partnent 13125 80 Ball Blvd. Tigard, Oregon 97223 lnnpe7t-Jen Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:---------- -------- -- Footing Plbg. Undersiab herh. Rough-in Apps/Bdxlk Poune... PlM. Top Out Gas Line FINAL► Post/Beam Struct. San. Sewer , Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. UnderfloorWater Line Gyp. Pd. -Mach. Date Requested: �a �� 7 y�7I Time: AN G7/ PH Address: /l7 � /� �__. Permit ti Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: T- A!"•h�wRi% DISAPP.AOVED � APPROVED SUBJECT TO ABOVE / a .Jell Far Reinn, FERMIN- INSPECTION NOTICE City of Tigard Building Department 13125 11R Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phine): 639-4175 Business Phones 639-4171 Inspection:_ Footing Plbg. Underslab Hoch. Rough--in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beim Struct. San. Sewer Framing Bldg. Post/Beam !loch. Rain Drain Ineulatirrn -Plumb. Plbg. Underfloor Hatez Line Gyp. Bd. -Necly �~ Date Teq,testeds La� '� /j�/� __Timet /� `—�1 PM Address: //fes /� _/_ c�j�.>>t /� Permit 1:!YZ ,//6 2— nil i I der: — Builder• �G 7 THE FOLLOWING CURRECTIONr ARE REQUIRED: Inepnatort_ _-- Date, G APPROVID DISAPPROVRD APPROVED SUBJISCT To A90VE Call. For Reinr-r N 4ww w W- w MI 4wlm 1AF CITYOFTIIFA RD BUILDING G F'C'RM I T CRYOF F`'C_ESM 11' #, « . . . : BUP91 -0 t 6:: COMMUNRY DEVELOPMENT DEPARTMENT 77 DATE ISSUED: 13126 SW FWI Blvd. P.O.Bau 2: 97,Tipud,Omgw 972M f iO3)634-1176 PARCEL: 90817 t V I S I ON. . . . : ZONING: Fli..lJl"!;. . . . . . LOT. . . . . . . . . . . . REISSUE: FLOOR IaREA ._.._ ...__ _.___.._._ EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ADD FIRST. . . . .00 Sf N: S: E: W.- IYPE OF U'SE. . . :SF SECOND. . . sf PROTECT I YF-,E OF' CONST. :bN THI Rt). . . . S f N: 5: F: W: I'K.'( UPANCY GRP. :F?? TOTAL __.._.__..---; 10 .;f rOOF CONST: FIRE Rt.T? : OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RA'P'ED: S'TOR. : 1 HT, : 15 ft GARAGE. . . - !i f- OCC:U SEF'. RATF:?:i SSMT?: ME Z 2?: REM SE:'TBACKS---.---_-- RECIU I RED—__ --- -------- -- F LOOR LUAD. . . . :00 psf LEFT: ft RGHT: ft FIR SPKL: SMOK UET, . DWELLING UNI'TS:O FRNT r ft RERR: ft F'IR ALRM: HNUICP ACC: DE.DRMS: BATHS: IMF=' SURFACE: PRC) CORR.— PAPK I NG: VALUE. $: 1000 eMAr^ks: building porch onto front of house [DANIEL AND SHIRLEY DILSAVE:R type amount by date recpt 116'"5 SW TI!`DEMAN AVE PRMT g 17. 50 G't_L 07/16/91 F='LGK �+ 11. 38 JI.H 07/15/91 15382 i. �H1 1 OR 972,' 0. 88 PLL LA r"i 16/111 - Phlt�ne #t: 639-9440 Unnt rat:t or: CONTRACTOR No ! ON F I l_E 9�w76�1"ClTAL RPg REUUIRED INSPECTIONS This perait is issued subject to the regelations contained in the Fr am:ir1p Art:p Tigard Municipal Code, State of Dre. Scecialtv Godes and all othe- F= inal Insperti.on applicable laws. All work will be done in accordance with _ - aporoved plans. This perait will expire if work is not started within 188 days of issuance, or if worw is suspended for gore than 100 days, C tt.t J Pnr inspection - 639-4175 C111Y OF TIGARD RECEIPT OF PAYMPNI' RECEIPT NO. :91 -215437 CHECK AMOUNT - 12. C-16 NAME : DAN & SHIRL-FZY DII-SAVER CASH AMOUN V 0. 00 ADDREfC : 11675 SW TIEDEMAN PAYMENT VATF d 07/16/91 T.TC,ARI), (m SUBDIVISION PURPOSF OF PAYMENT AML' UN'r i:,n I L) PURPOGE (IF I)AYMI--**NT AMOUNT PAID ql. 88 PL.AN CHECK FE 11. 38 PL-NC,K lo-rnt. AMOUNT PA I T) 12. 26 UMANUM r e� f . V YN Jnr 0 4 e loll :2 r oc LIABILITY, The City of Tigard, Oregon, or WS employees, shall not be responsible for discrep,ucvs w1 Ma'; appear heron. APPROVED FOR CONSTRUCTION CITY OF TIGARD PERMIT NO.&fjt-0[ , S!Tr-' ADDRESS/1.4?f--v!!.b By S.LT_ DAT EJ _4--I I ie. e I � 1 I , Fx151 �n s r I � 1 � 4 ct .. ... ........ .. ��--ni t1 1 ��t'a' i� "`� i � �l ,s�� �� �"' �� � ~� � _ ` �; ,, .�- f1fl� _ r ,Y� 'PFK up �[I�w�r� heti✓ u.{f,� � n �'�-^..i �- 1ao ?;f rY f• aPth M# gdw4,rA flow 'O'i 6"elf r � •• a . CITY OF TIGARD — RECEIPT OF PAYMENT PEC.",*E I PT NO. 1—P 15 38;F' CHECK AMOUNT n 17, 50 NAME 2 DILSAVER, SHIRI—EY CASH AMOUNT 0. 00 ADDRESS c 11675 SW TIEDEMON PAYMENT DATE 07/15/91 SUBDIVISION TIGARD, OR 97223— PURPOSE OF PAYMENT OMOUNT PA l!) PURPO'tE OF pr,yMENT AMOUNT IDA 11.) E-71c" N E`'1—4 E—E—K— FSM 17. 50 h. i' TOTAL AMOUNT PAID i'7 50 C- 131is sW Fi ll Bw, PLNCK/RECT # CITY OF TIGA RD PO Box 2.397 PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT 7lprd,Orcgon972D — (503)639-4171 DATE ISSUED JOB ADDRESS: l S -� /e C/ e 4i4 I'l TAX MAP/l.OT j51 LL OO 012 vy SUB: _ _ LOT: LAND USE: _ VALUATION: I, O O o (, OWNER , / SPECIAL NOTES NAME:, !- � le J ,e/� REISSUE OF: — — ADDRESS: r S, �% {�/�->e LAST REISSUE: a,/!/� `�2- FLOOD PLAIN/ PHONE: = 'q- / 7 _ _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: ADDRESS: ___ — EAGINEERING: FIRE DEPT: PHONE: -- OTHER: CONTR. BOARD #: _ EXP DATE: ITEMS REDMIK T SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: v.- _ - -- - BUS TAX: -- -- — -- �� - ARCH ENGINEER CALCULATIONS: _— NAME: __ ___ TRUSS DEW:.S: __- ADDRESS: �.� _! — _- 01HER: _—^ -- PHONE: PROPOSED BLDG. USE: COMMENTS: nl� x'10 �` v r, �� t' L4 — PO e APPLICANT SIGNA URE Received By: ___ Date Received: ____�— PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAS. DUE 10-432 00 Building Permit Fees l�, i"`► / �"Q,_ - __� 10-431 00 Plumbing Pormit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Puilding Tax (5q) Buildinc Plumbing Mechanical 10-433 00 Plans Check Fee 1l 3 br ILA- Buildingj' Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection ~ 30-444 UO Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Stcrm Drainage Syst Dev Chrg Y (SSDC) 24-445-01 Water Quality (dee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) _ TOTAL , -71 nm/3587P.WPF ��IIgB(_T'[O�i N�r�ICE City of Tigard Nuilding Depaatwsnt 13125 = Ball BI.vj. Tigard, Oregon 97223 Inspection Line (Rec-a-Phone)t 639-4175 Business Phones 639-4171 Inspection: looting Plbg. Ursarxlab Mech. Hough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Poet Beam Strutt. San. Bawer gaming -Bldg. Poor/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Ed. --Both. Date Requeeteds_^ __—Timat ? PH Addreae: J ritt it Builders THR FOLLOWING CORRECTIONS ARE R[QUIREDt } - l Inepeciort Dates._ - - APPROVED DISAPPROVED .PPROVED SUBJECT TO ABOVE Call For Reinep. � I IN5pEC1'i01( NOTICE City of Tigard Building Department • 13125 Sp Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-t1-Phone): 639-4175 Buniness Phone: 639-4171 Inspections -- — — -- — - --- —---- -- Footing PlOg. Underslab Hoch. Rouah-in Appr/Sdwlk Plbg. Top Out. gas-Line FINAL: Post/Beam Struet. San. Sewer lruiltsq ^� -Bldg. n—t/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line oyp. ad. -Rech. .I Date Requested:_ I V f Time: AK PM Address:•_ ," Builders TBE FOLLMING CORRECTIORs ARE PJWIREDs C is w rJw.ri,�( 7 � �"'✓` -- IV Inspectors ----_._T_ �_-- Dates v / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. WUN CITY OF TIGA IO C11YOF1NARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW HWI Blvd. P.O.Box:IM97,TigaM.Oregon 97223(6o3)6304175 I)ITL f.-IDDRE1,3S. 11675 SW TIEDEMON PARCEL: IC-134DD '-iUBDIVISION. . . . : ZONINGs LOT. . . . . . . . . . . . . . ----------- r?EISGUE: FLOOR EX RJOR WALL CONSIRUCTI(11\1 LLASS OF' WORK. .-ADD FIRST. . . . :60 S f N: S: Et W: IYPE OF USE. . . :5F GECOND. . . : f PROTECT OPEN IYPE OF CONST. -.5N THIRD. . . . : s f N: S.- ED W: CCCUIP(INCY CRP. :R3 (-,0 Sr ROOF LOi,49T F IRE RE'T? OCCUPANCY LOAD: s AREA SEP. F?A,rED: TOR. - 1 HT. : 15 ft GARAGE. . . S f, OCCU SEP. RATED: �-iM'l ? - MEZZ?J RECD SETBACKS----------.-.. REQUIRED-------------------- FLOOR L OAD. . . . -40 psP LEFT.. ft RGHT.- ft FIR SPKL: SMOK DET. . : DWELLING UNJTS: 1 FRNT: ft REAR: ft FIR ALRM: HNDICP ACC: 1-,EDRM9 OPTHS: IMP SURFACE: PRO CORR: PARK I NG: vALUL.. 3000 }remarks : addirtig closet and fr,ont window 13wrier. FEES DANIEL AND "'HIRLEY DILSAVER t v p e Amof-trwt by date t,ecpt 11675 SW TIEDEMAN AVE PIRMT $ 313. 50 JLH 05/16/91 — PL C K $ 25. 03 JLJA 05/16/9i — 11GARD OR 9721-:1-24 5PCT $ 1. 9;a JLIA 05/ 1.6/91 — ")one #. 639-9440 uwitractor,: t,JJNTRAC"r0R NOT GN FILE 65. 46 TOTAL REQUIRED INSPECTIONS is pe:-sit is issued subject to the regulations contained in the Foot/fol.tnd Insp 19ard Municipal Code, State of Ore. Solcialty Codes and all other Post/Seam Insp applicable laws. All work will be done it accordance w,;'th Fr-amirip Insp approved clans, This Dereit will expire if work is not started InsLtlatiorl Ifisp within 10 days of issuAnce, or if work is suspended for more Gyp Poar-d Insp than 188 days. .......... Permittee Siqnati-tT Tsstied By Call tor- inspect iork 6 34-41 75 00 ciTy oF, -rianpo RECEIPT OF PAYMENT RECEIPT NO. e91- ;:343 CHECK AMOUNT 4 NME x DILSAVER, Sil I RLEY CASH Amn(JN,r 0. "DDRESS x ;-.10YMENT pn-rF- a 05/16/91 SUBDIVISION 1-1URPOSE CIF PAYMENT AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PAID PkRM CIL 50 B AWIiEfFE P5. 03 ST. BUILD PER 1 . )3 11675 SW TIEWMAN f AL, AMOUNT Vln I V 65. 46 CITY �" �' SW" ° d�� "" PLNCK/RECT #OF TIGAIZDI`O floc 21397 PERMIT # COMMUNITY DEVELOE'MENT DEPARTMENT Tigard,Oregon97213 (503)639-4171 DATE ISSUED jOB ADDRESS: 116 1'2.5-_5, TAX MAP/LOT ISI- U Q0 2 SUB: _ LOT: LAND USE: —� VALUATION: , ov, OWNER SPECIAL NOTES NAME:. °� ✓ �' < Q ver REISSUE OF: ADDRESS: �� ,�Sr S, ccs. LAST REISSUE: Old G JC�.c23 FLOOD PLAIN/ PHONE: l� - ���/� SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: `-(' .Q ✓ --- PLANNING: r tk'(1-._ _---- ADDRESS: _ ENGINEERING: --_ FIRE DEPT: PHONE: ___ OTHER: CONTR. BOARD #: EXP DATE: — ITEMS REQUIRED SUBCONTRACTORS: PLUMB: —_-- �— LIST/SUBCONTRACTORS: MECH: _ BUS TAX: __-_---- -.— ARCH ENGINEER CALCULATIONS: NAMF: _ — _-- _ TRUSS DETAILS: _-.- 1DDRESS: _ OTHER: ('HONE: __--- —� PROPOSED BLDG. U,SE:� -- �:OMMENTS: �t��3 -- - APPLICANT SIGNATURE Received By: _yam/_ Date Received: '�J/ PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. 'SUE 10-432 00 Building Permit Fees ,'s•� ;� i ✓B 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building / Plumbing Mechanical 10-433 00 Plans Check Fee Building _ Plumbing _ Mechanical 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 25-448-06 Institutianal TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 21.-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL — nm/3587P.WPF Permit i.:.ucd CITY OF TIGARD, OREGON Permit No. - City Hal Application -- - - -- Application Appro%ed Building Department Cost of Installation Fee for Permit-__ -J Altl►licant shall fill in cost. of installation only, above this double line. Street sewer Permit repair Plumbing Pipes or Fixtures according to plans and specifications and Application is hereby made to alter install description/as given below- Location of building--Number and Street — Lot - -_-. _ Block_-- - -_ _ Addi ion Nameand Address of Owner >�� _ '► Name and Address of Plumber_-- t /� Building (Old or New) .. _ Height in Storles _ _ _ Occupied as_ '0 d'4 r11� SCHEDULE OF WORK I NUMBER _ NUMBER__ FIXTURES _ - ' New I Move I R'pl'ce FIXTURES New + M► d I Wpl'ce Water Closets-- Fountains, Drinking_ Bath Shower Fountains, Yard-- Bath ard`Bath Tub-____ _ Fountains, Soda I Basins Hot Water Tank Sinks, Ordinary--. Sinks, Bar _ Sinks, Dishwashing �'—�_---v'--_ —I _ Sinks, Slop _— Automatic Dishwasher___ Drains, Refrigerator Laundry Trays _ j I _ Drains, Ice Box----.---- Drains, ox___-_____Drains, Floor_ — i Urinals Drains, Area— I ))_ Catch-Basins, Yard_ Rain Drains___-__ ..II Catch-Basins, Garage Automatic Washer_= � Catch-Basins, Sub Water Permit No.-.-_ Bldg. Permit No.— REMARKS: IMPORTAN rt—Plumbing shall not be installed in any building, (Hither new, altered,or repaired), except as shown or designated on the corresponding building plans as filed with, or required by, the Building Department in accordance with the provisions of the Building Code and Ordinance 62-19 of the City of Tigard. repair the plumbing sys em according, to this description, pia d specification aWePing Lode of the I agree to alter Cit> of Tlga t ingall �Plumbin Firm �_ �y 1fGf ��% Supery