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THIS NOT ICE •'TT IS DUE TO � TNF QUAL ITY OF THE ORIGINAL •"��• DRAWING. __ _ __---------------------------•----.� OC 6e P( Z 92 S b2 1'2 Zc F c)P, 61 11 01 fi 6 l s b t 1#1Il1lllItfill llll1ttfill tlt1lllllitttll►fill 1iI1I1i111i11111ill 1ttIltt4tlitt�It��tllRtl111ill tlllIII 111111)J till 11IIII11�:I1r11�1111111!1111p111111�1�II�iIiIlfUlli11i1ii1111111I1it)IIIILIIIIIl�IIIlilll�1111�1�11II� IIIl11111111111111111IlIIIUIIIIl11lhIlllllll�llll�l�l11)�IIIIIIIII, III11 11681 SW PACIFI,; HIGHWAY t Q Q �cQ\ SEWER PERMIT 3307a Unified Sower&"Agomy CITY r Tig= DATE: _4-1--_ / n� of Washington county 9 --- ---- -_ -- — OWNER: Tom Springer �- PHONE i ,)WNE R' S ADDRESS — 7148 SE 1 rivo Partl;ind OR 97236 TYPE OF INSTALLATTON: -v U BUILDING SEWER LINE TAP AND BUILDING SEWER ❑ LIN( TAA' FYPE OF OCCUPANCY : NEW ❑ EXISTING SINGLE FAMILY Ll i;k' IAL ❑ MULT . RES . FIXTURE UNITS 44 DWELLING UNITS _-1_3 ADDRESS OF STRUCTURE 11681 SW Pacific Highway Permit Conditions: the applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling for an inspection, please refer to the pr-mit Number. The Permit expires one hundred twenty (120) days from the date of issuance. the iota' amount paid (permit fee, connection charge, liiie tap fee and/or other charge) will be forfeited if the permit e'kptrls The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' Permit at the current charge and the Agency will install a lateral FEES: _NOTE: NO ADDITIORAl -FRMIT FEE $ per Acl Wildon. CONNECTION CHARGE — - --- — Original I.x,tmit N-1058 LINE TAF INSTALLATION calculated .67 akar':: .l < G, OTHER -0- TOTAL E — - --- -- - i DATE OF IC�(I APPLICANT —�� — T DATE OF EXPIRATION SEWER PERMIT ADDRESS OF STRUCTURE 11081 SW Pa( if.ic-. IIiylTway 97223 TAX MAP 1S136CB TAX LOT 102 QUARTER -_ --- ------ --- - SECTIO- --- _— LOT BLDCK -- 0r _-- ETW _ 3--87 APPROVED P3Y —� DATE _ ISSUED BY 0-k T-1 0i I ;IiANC D. U. ' S REMARKS I 0 i CIl " V �. 1 , a, w o / 44) W M 41 u � QQ W � tic, 1 x 3 u cn 44 *14 V Q)fA w �� C rl .A N � ? +� V 'L41 I r WASHINGTON COUNTY INSPECTION CARD DEPARTMENT OF LAND USE AND TRANSPORT"A-rooN PERMIT NO. FOR INSPECTIONS CALL: 640-3561, 24 OUR FOR INFORMATION CALL: 640-3410 DATE J ADDRESS a� #6 n PERMIIEE 1 L I DIRECTIONS 420:11ea PHONE NU._ INSPECTION,: GSTRIICT PLUMB MECH ELECT `— CALLED IN BY_—. APPROVED. REOUES"CED INSPECTION APP`r OVED1:1 - �7 110WEVFR WITE: jv -� --- - (""JNOT APPROVED: I ,REPAIR 0R REPLACE AND RE-INSPECT: LSTOP WORK UNTIL,. /� rf --- —_ ------ ------ -- DATE l INSPECTOR L I C ,►1� INSPECTION NOTICE City of Tigard Building Department 7 A P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -- j — -- Date Requested...— F �i�' _ ime �� A.M. P.M. Address - �'� _ _ Permit # Lot # — Owner BuilderThe following Building Cude deficiencies are required to be corrected: Prelented to _ Approved .] Inspector Disapproved Date _ CALL FOR REINSPECTION 0 yes LINO INSPECTION NOTICE City of Tigard Building Departrrent I P.O. Box 23397 Tigard, Or;)gon 97223 Phone: 6.199-4175 Type of Inspection Date Requested Time_ Q.M. P.M. Address -_. � ° r Permit #_ Owner JC _ _ Lot # Builder C.6 The following Building Code deficiencies ve i quired to be corrected: Presented to _. �_ gof ___-_—__—_____ _ 1 sf''Approved Inspector _ Disapproved - - --r i Date CALL FOR REINSPECTION YES ONO CITY OF TIGARD III(► CHANICAL PERMIT Rftvipt « Permit Dewiptlon Table 3A Mechanical Code-----_ __ GTY PAhCE AMT City of Tigard 1) Permit Fee -0- -0_ 1000 13125 SW Hall Blvd. _ P.O. BOX 23397 2) Supplemental Penni[ 3.00 Tigard, OR 97223 639-4175 1) Furnace to 100,000 BTU / 6.00 - _ incl.ducts&vents 2) Furnace 100,000 BTU + 750 - _ incl.ducts&vents Name of Development 3) Floor Furnace _ 6.00 incl.vent Job Address ----- - 4) Suspended heater,wall heater 6 00 Address �� v / 01/11 1✓jl L C i or floor mounted heator _ Tax Lot Map No. 5) Vent not incl.in 300 Lot Block Subdivision appliance permit -� Name(or name of business) 6) Repair of heating,ref r Ig., G ✓mi�i .00 I Lej, i, & cooling,absorption unit --- Mailing Address '� '' Phone 7 Boiler or comp to 3 HP 600 Owner ) absorp.unit to 100,000 BTU City/state - Zip - 8) Boiler or comp to 3 HP-15 HP Ll I- 11 00 � 1 absorp.unit to 500,000 BTU Name -✓�-j �3 f 9) Boiler or comp 15-30 HP 1500 absorp.unit 1A,-1 million � � �o4tiii, T Mailing Address Phone1 Q) Boiler or comp to 30-50 HP 2250 I ' absorp.unit 1 -1.75 million Contractor ry�stateS ^�f �f''� 'Zip t 1 Boiler or comp to 50 HP - 31 50 absorp.unit 1,750,000 BTU 7./.�. -- ---- --- - - --.._.-- State neglstration No City Bus Tax No. 121 Air handling unit to 4 50 10,000 CFM I heraby acknowledge that I have read this application that th9 informationIven is 13) Air handling unit 7,50 g rxuTect,that 1 em the owner or authorized agent of the owner,that plans submitted are In 10,000 C'FM i— -- ----- - cornpliance with State laws,that I am registered with the Slate Bullders'Board,that the14 Non portal'ie 450 number given b correct (if exempt from State registration please give reason Wow) ) evaporate cooler Vent fan connected 3.00 to a single duct —---- - ) Ventilaf ion system not 1 F 4 inciudrd in appliance permit �-- ) 17) Hood served by 4.50 mechanical exhaust roagent) J Date 18 Domestic type 7 50 L1oscrl - addition FJ alteration I l repair I-] ) incinerator to be done residential [) _ non-residentia[)(C- _ 19) Commercial or industrial m(X)type incinerator Existing use of building or properly— _ _ 20) Other i.e.,woodstove,water 4 R0 Proposed use of - heater,solar,clo-ths dr�rers,eetc - building or property--- _____ . .__-._-J 2.1) Gas piping one to four outlets :1X1 lype of fuel- oil L_I natural gas Cid LPG Cl electric ❑ _---- -_ _--_. 22) More than 4-pair outlet WINE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WOF1K OR CON --- - -- - - -- ---- ` STRUCTION AUTHORIZi'D IS 140T COMMENCED WITHIN 180 4%S'URCHAR011111 DAYS, OR IF CONSTR,)CTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUBTOTAL ' - Ai'4NDONE:D FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ----- - —- --- - _ - WORK IS COMMENCED TOTAL Special Conditions net/ n n,y .�s��Nb�U� Date Issued___ _ _-by -�c 1lrl ■ INSPECTION NOTICE of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-41755 Type of Inspection _� 4��C___—_ __-___C �?/�? e/NE Date Requested 3 ` 6' Time A.M. _P.M. Z . Address ___ �✓_ /.�— Permit #_ _ Owner— ------ ------ ------- Lot # nuilde► --- The following Building Code deficiencies are required to be corrected: Presented to .0�1proved Inspector _ _ Disapproved Date - - -- - _— CALL FOR REINSPECTION [... YES [-] NO t� INSPECTION NOTICE City of Tigard Building D^partment P.O. Box 23397 Tigard, Oregon 97223 Phone- 639.4175 Type of Inspection Date Requested., — T e— ^ A.M. P M. Address ermit #� rT1t� wu-rtZ�l-ys 5 � Owner Lot Builder - -- - -------- —•--_L.��l1� ._-------------..___`—.._ The following Building Code deficiencies are required to be corrected: Presented to r+ pproved Inspector1 --- --. — � I Disapproved Date -. ---- — ——6--�--- - 9 CALL FOR REINSPECTION El YES I.7 NO INSPECTION NOTICE r of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection r Date Requested Time A.M. /P.M. Address _� ' �� Ci Lll Permit #�-a.S — Owner- -— — Lot #-- ---- — Builder ---__-__—The following Building Code deficiencies are required to be corrected: Presented to '� oved Inspector � "� D Disapproved Date c- CALL FOR REINSPECTION ❑ YES ❑ No �I CITY OF TIGARD 639.4171 6559 BUILDING PERMIT DATEF. TAXMAPI'�x.1-36C'8_LOTNO. 102 SUBD.VISION OWNER 'Pnm_-:a;4lS�IIj Etr-- -_�_.. JOB ADDRESS 116U-SW eAC BUILDER l reeve & Flobarg _ STATE REG.NO. _.__�___ ___. ...EXP.DATE BUILDER'S PHONE ARCHITECT_ PHONE _OTHER STRUCTURE NEW J REMODEL U ADDITION REPAIR MOVE Ll OTHER DEMOLITION I RESIDENCE COMM EDUCATION I IND RELIGIOUS ACCESSORY ❑ GARAGE I OTHER FENCE OCCUPANCY LAND USE ZONE BLDG TYPE —FIRE ZONE PLAN CHECK BY _ y HEAT 4)n;itl'U:t LemAaat LaouilCaLion all per approved plass and code rev;uireD�anLa. :ec:y Qvi�� " 'fbe G'uuntry's Beat YagurllC retail frozen yogurt sales. bee shell permit 06353. YlbZ. b in(!cb. pert_iit reed. Extansi.on of Skipper's,on soca, tax loL. SEWER PERMIT N OCC.LOAD FLOOR LOAD 1-'EIGHT _ NO STORIES 1 AREA U00 NO BEDROOMS VALUE 1 , P _BUILDING DEPART MENT SET BACKS FHI)NT f1 REAR }'Z ails LEFT SIDE RIGHT SIDE _ ermit 134 c U __ THIS PERMIT IS ;SSUE0 SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING {REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE Plan Check $l.43 (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 Pl.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTCRS TO HAVE CURRENT CITY BUSINESS -- T TA PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. State Tax 5.3v `')C 45O.UU ------- SDC- Y6U.Ol)(12 ra4ld. Total _ 227.31 APPLICANT OR AGENT -- -�— --�— - - PDCq , Prepd. d 1.4 s .. —_— -_ Receipt No. ADDRESS -- ---------- -----------_�HO�--- Bal.Due 13 .ac: Issued By _._ Approved By ..�. w....��.c:W�.a.•+wY+.YII.+.]ilYWrv.�..�w+......:w. .,,.,.......,.. ,a.:.�+a.ei.,.sdYy/w..v.�RrM:.A�rYre+wMN.wM.+^wr........w....sV....wr',ruu a.rrr::..,.�....dts..:.R.+..xt,aw.orriwWi�:....a...aa...+..,.. I I !p3! !d 1 I I 1 7 INSPECTION NOTICE ( A Tigard Building Department (\ P.O Box Tigard, Oregonon 97 97223 nor Phone. 639-4175 / n Type of Inspectionyt.t Date Requested _. 2 ` Time` A.M. P.M. Address ��le �� Gil G -c ��r Permit # 3� 3 Owner _._ /� Lot #_ Builder The following Building Code deficiencies are required to be corrected: ] Presented to ___-_- -- --- -- proved Inspector I Disapproved Date - � CALL POR REINSPECTION 1 YES 1:1 NO / Plan Check No. : 13125 SW Hall Blvd. Permit No. : CITY OFTIGARD 639.4171 DATE .7 BUILDING PERMIT Insp. Line 639--4175 t�� P.O. Box 23397 Tigard OR 97223 TAX MAWStjTte&OT NO. ---SUBDIVISION OWNER � "�'� d p'R�.yl Ai JOB ADDRESS ,,,a C'. ._ BUILDER STATE REG.NO.-_ EXP.GATE BUILDER'S PHONE opo' en - ARCHITECT ,_ PHONE OTHER STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER 0 DEMOLITION C] RESIDENCE COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY ❑ GARAGE ❑ OTHER ❑ FENCE OCCUPANCY -A-If-LAND USE ZONE 2u,_ BLDG.TYPE FIRE ZONE_ 1 PLAN CHECK BY _&_4- HEAT 77is .• "Oz - SEWER PERMIT N O •�� / J�'K�l /�-� OCC.LOAD FLOOR LOAD -HEIGHT NO.STORIESAREA 12.oto NO.BEDROOMS VALUE 13UILLNNG DEPARTMENT SET BACKc% FRONT • LEFT SIDE RIGHT SIDE ew L Pwmlt (.�I! ,S l;' I i HIS PERMIT IS MS'JED SUBJECT TO THE REQUTAnONS CONTAINED NN THE SUIL04NO CODE.ZONING _ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT tS HEREBY AGREED THAT THE P1anCheck WORK WILL :E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF MIS PERMIT DOES NOT WAIVE Pl.Ck.Fki RESTRICME COVENAXiS,CONTRACTOR AND SUB CONTRACTOR!TO HAVE CURRENT CITY BUSINESS �— TAX PERMITS,SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING Slate Tax 3 Total r APPLICANT OR AGENT V �— �- ProPd PD(N ,/le/ d // vac' ✓J!?:LI/��.J� Bal.Ous 8 Recelpl No. ADDRESS It•usA By _Approved By S S DC SOCvc S PDC — _ �"""' _--_"_ Receipt N SEWER CONNECTION Date Pd: SEWER tr.SPECTION f Amount Pdt SEWER SURCHARGE S ,�,�,N� t,�;,w,,L 7•�+tli�i� Commente. di - 940 `� CITY 0: T[GARD BUILDING DEPARTMENT PLAN CHECK NO. : PLAN CHECK A;`PLICATION DATE RECEIVED: z_- P.O. Box 23397, Tieard OR 97223 P/C DEPOSIT PAID:_ This is to certify that the attached sets of plans have been submitted for plan meek pursuant to the Oregon Structural Code ai,d Fire & Life SaLet.y_Coie,_ Pd� n., �ko9- 133x3 Gc PROPERTY OWNER: �J' _ 01,tNER'S ADDRESS: CONTRACTOR: C.( _j TELH�HONE: G j�its JOB ADDRESS: � I a G c �Iu% LOT NO. & MAP: - DESCRIPTION OF WORK: c`y�f�.,,� ►M 0C Approvals_Required SPECIAL NOTES Planning Dept. O Reissue OEngineering Dept . O Flood Plain/Sensitive Lands `P` Fire District O Sewer Availability 0 Other 0 Other Items Required List of subcontractors c OBusiness Tai; 0 Calculations 0 Truss Details OParking Plan Landscape Plan / , - Other (,)644� , . c-e) COMMENTS: , City f Tigst�d Buildi•,ig Department BY: ��y �' r !� #R �► Rff 1W WASHINGTON COUNTY FIRE DISTRICT NO. 1 20665 S.W. Blanton St. • Aloha, Oregon 97007 • 5031649.8577 February 6, 1987 Skippers , Inc . 1+450 N.E. 29th Place Relleview, WA 98007 Gentlemen: RE: Yogurt Sales (252C-093-002) 11681 S.W. Pari fic 11i ghwe.j Tne submitted plans of the newly revised canopy (awning) is acceptahle by this office for the above-captioned property. Uniform Building Code Section 4506(b) does not allow fixed canopies on huildings with the exception of canopies not over 10 fret in length located over doorways. In this case , however, with canopy not extending around the total perimeter of the building , the building only being one story in height and the small size of the structure (total size including the yogurt stand and Skippers) , this office does not feel it imposes any firefighting or rescue problems . If I can be of further assistance or servi,-e to you , please feel free to call me at 649-8577. Sincerely, WASHINGTON COUNTY FIRE PISTRICT N0. 1 Gene Birchill Plans Examiner ssw cc• Tigard Building Department District Inspector STOP FIVES -- SAVES LIVES '! ! ! ! ! ! ! II�� 6601 CITY OF TIGARO 639.4171 DATE Jxuuar pGC— 1©. fS! BUILDING PEWIT �` • TAX MAPl` --('C6 _LOT NO. IUZ - - SUBDIVISION OWNER__- illiam C'.. kjpbargJOB ADDRFSS ..1 _�;14 enci J.iC. '_iL lvay_-__ — - BUILDERZly, _S __ STATE REG.NO. .-__ EXP.DATE -- - 'no BUILDER'S PHONE —f-3)-1 i dU�_- ARCHITFCT uL_,,;; .,yuttL, f;tak>~.• ](� _ _ PHONE OTHER STRUCTURE ❑ NEW Ll REMODEL L7 ADDITION I-, REPAIR MOVE OTHER l DEMOI-ITION HFSIDENCE r7 COMM F I EDUCATION IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE OCCUPANCY LAND USE ZONE LAi BLDG TYPE - FIRE ZONE_ PLAN CHECK BY 1L. HEAT 1yi]r L4 iLC1!(t►4ll L4 f✓lilltillir All jwr &I-p 'UVtu plans an., mie. req-,_,eine is :;ee 1 ,wrr.dt ',Jj3. SEWER P':RMIT N OCC.LOAD FLOOR LOAD HEIGHT _NO STORIES AREA NO,BECROOMS VALUE BUILDING DEPARTMENT SET BACKS FPONT REAR LEFT SIDE RIGHT SIDE Permit_ _ _I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODED AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE NlanCheck _ _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE -� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PrRMIT DOES NOT WAIVE PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLI!!i�BING AND HEATING. State Tax —. SOC-_ .�.,c� Total PDCP �LICANTO AGENT Prepd. Receipt No. ADDRESS PHONE Bal.Due -` Issued By _ _ __-___-_Approved By_-_ DATE T-INSP. TYPE INSPECTION ��– 'REMARKS PLUMBING _ DATE Contractor -;�_—� Pem•il No -- Houqh in Fixture Final _ - --- — v-- HEATING Contractor Permit No. Gasor0it Rough m Final -- — SEWEh Final —` DRIVEWAY Final S-orm Drainage (Ra,,Drain)Final Sidewalk Curb&Stree!Final Approach BLDG.DEPT.FINAL T TEMPORARY CERTIFICATE OCCUPANCY Final CEh?FIC ATE OCCUPANCY l_ands�aping Zoning Final Ow iffxwjtwl w wr w SHEEf NO. —� -- ROJECTTNO. IF7— —�1? — --- [)ATF-/20 '1ZcrBY xz) /7�x .�j ,mit' / 3lik ' 7 S 45. / JI SGGrI/hem O•[� '� - ���' - - _- �fcrw� ." DG ALL i c /s= TSS • o �z - I /PSI . Q �G—f a:L• CSU r�l✓L� li4 7- 1 f �l�S� -- LGA G.Zo hS'C. �0 el O.Z4.e car,-etc.-Alo- ���� s«r a /�>� - 7trx CONSULTING (NGIN((RS. OER HIGH STREET Schaudt, Stemm & Wildgint. URVEYORS AND PIANNFRS EUGENE, OREGON 97401 SHEET NO. �r PROJECT10 NO. 1�-,9�- LATE BY .ISL - Girdta� TS'r�c �z/1.3/x/39 71 ,004nG/eeeJr,1c l`��. ✓�fifF' ��d /t7a�c �• TL -�,-- - "'oQ- � I ✓�y� .(�/�' N//psi'/ -Si�l4I' � ( '�/O � �ys �`G. 40 7 �7`" CI:.;�"sr�'fr•��. !-O- Lv'c�F'JGL� �"��r�/i/!9 ��/G�i/�l�'/'.� ; L!'S.e >. lee .•«` + i , i^ �% /•� <N//% .Slr��,!'' '/ '' � ACL?' �df- ryr.__- .car--r>-iCo' , C, 3371 G�Rk:�pN N SC�lso dt, Stemm & Wild, nc. SURVEYQRSAND FANNERS E OENI, ORMN 97401 � wr � � v t iTi9 �► f J, !It Y INSPECTION NOTICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 9722.3 Phone: 639-4175 Type of Inspection -- Datc RequestedV__ _ �, / _. Time A.M.�Q�P'.m. Address U 121_ AG'"_._J-'"" _ —_ --_ Permit - Owner - - L G� -- Lot # BuilderThe following Building Code deficiencies are required to be corrected: Presented to ___ f I Approved -- Inspector _! � _- [J Disapproved Date _ J' - Cj — CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION 1I0TICE / City of Tigard Building Department P.O. Box ^3397 Tigard, Oregon 97223it Phone: 639-417E Type of Inspection --- Date Requested r Y Time_�___ A.M. -�P.M. Address �� ` a tt�- 1 Permit Owner. Lot # Builder WID ti The following Building Code deficiencies are required to be corrected: Presented to r I Approved Inspector _ ___—_-_ _ Disapproved l " Dale -7 CALL FOR RF.INSPF�?'IG N [] YES f_• NO INSPECTION NOTICE City of Tigard auilding Department ",0. Bax 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection •y\ Date Requested _ 2 _ TI A.M. P.M. Address / _ mt Owner_ Lot # Builder �l(���� - -_TT -- _ The fo4owing Building Code deficiencies are required to he corrected: F i Presented to ++ ! Approved Inspector - -- �.] Disapproved Date --CALL FOR REINSPECTION U ves 0 NO i` 6353 CI TY OF TIGARD 819.4171 DATE BUILDING PERMIT TAX MAP 1= i`COOTNO. SUBDIVISION • 11661 SW Pacific t:i"Ilwa% OWNER hllliam C. FlobOrg JOBADDRESS — - BUILDER ... — — 0 ;LyA STATE REG NO. __EXP.DATE -- BUILDER'SPHONEli'S-U7 U - _- -- z�-1ssl P.lbert R. Kenney PHONE _OTHER ---- - ARCHITECT ________--- MOVE C] DEMOLITION STRUCTURE $] NE1V r, ' REM_ODEL U ADDITION REPAIR G L] OTHER RESIDENCE 91 C +MM I EDUCATION IND f I RELIGIOUS F ACCESSORY GARAGE LI OTHER ( F[NC-E r FIRE ZONE PLAN CHECK BY _ OCCUPANCY u2 LAND USE ZONE L tom_BLDG.TYPE FW t;n[tll. for yogurt attached tO exit Kldt,. All per apprgved ;,lana G Cede re��uit*Gd. '-C'11 only _ — fi;ecI Rtuir_ul 4 Pigptbint 1'emit l:eyuitPu. -- SEWER PERMIT# — 1 1 AREA VALUE 5 0JUk' 2U NO.STORIES 'ca'U NO.BEDROOMS OCC.LOAD FLOOR LOAD l����HEIGHT -- ___ RIGHT SIDF BUILDING DEPARTMENT _ SET BACKS FRONT ';QP REAR PlaT� LEFT SIDE s— Perrnit $2I5.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 14U.UB WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND GPECIFIc'TIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire X020 RESTRICTIVE COVENANTS. CONTRACTOR `.ND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS - TAX PERMITS.SEPARATE PERMITIS REUUI FOR gtiWER,PLUMBING AND HEATING. 6.6I State Tax 450,40 _ n��Efic�oRUAV�­_4 � 7 .� Tota — PDC# c_ t- / .. r 1 S_L_:`)C.tj - 226.2b 40 }L� ..i — �-.1..- L�'- -. PHONE Prepd. _._ — - s• Receip Bal.Due �Z,• "� Approved By Issued By.. ..y.....w.,...: --_-• ..� - —.— C, DATE INSP. TYPE INSPECTION REMARKSV k4uM 13 l4i TF Contractor Permit No, 113P 30 LLL/-V- C laA-4 --- -/9'- zHEATING Final Z 61 k A -Z 4eQntractor AAA Permit No 5'C5 4;5'P Gas or Oil Rougl,in 7C- Final -30 J? SEWER Final DRIVEWAY Final StormDrainage 11(Rain Drain)Final I Sidewalk I Curb&Street Final IApproach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY Landscaping Zoning Final Ii��r w �► w w IIS Iw CITY OF TIGARD 639.4171 DATE L/ t0 7 BUILDING PERMIT nL �1 TAX MAP� 3u"SLOT NO. l _-SUBDTSION - k)& JOa ADDRESS aC - BUILDER - `- (�Z�S� 7STATE REG.NO. _.-EXP.DATE DUILDER'S PHONE ARCHITECT t1L.BE2T k' f� ,✓,ti Y _. PHONE LS1L_— _OTHER STRUCTURE ).NEW ❑ REMODEL ❑ ADDITION LJ REPAIR CJ MOVE U OTHER C7 rtMOLITION O RESIDENCE COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS U ACCESSORY (i GARAGE ❑ OTHER ❑ FENCE OCCUPANCY LAND USE ZONE. BLDG.TYPE 'r ,FIRE ZANE ^� PLAN CHECK BY _�= HEAT cL) 11 (- { +1`�_ —L A. JE— SEWER PERMIT A OCC.LOAD FLOOR LOA HEIGHT ' 0* NO.S fORIES I AREA I .i; " N I.BEDROOMS VALUtR, G�Zi Bt ILOiNG UEPAnTMENT SETBACKS FRONT 4�A� RF ., LEFTEtDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT.ONS CONTAINED IN THE BUILDING CODE ZONING REQULATIUNS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT TW: PtonCAeck WORK WILL BE DONE 14 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WCrH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Pt.CIL Fire - -U RESTRIC7iVE COVENANTS,CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State'a■ � � Z Total �T '� • qv 1 APPLICANTORAGENT ___.._. --- PDC/ Prepd. Receipt No. ADDRESS — -- PHONE - - -- - 8e1.Due Issued By— .___-Approved By---- SDC y-_ —_SDC --- $ 40 " 'EWER CONNECTION sE'WE:R INSPECTION S ►�1� ��' ,EWE~R SURCHARGE S 1- , ommente: CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK N`J. : � 3 C PLAN CHECK APPLICATION DATE RECEIVED: 7 2 P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAIT': This is to certify that the attached sets of plane have been submitr^.d, for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, i edition. PROPERTY OWkR: /� L r-yk. �� I C''-l�`E� OWNER'S ADDRESS: _ CONTRACTOR: -�—�� L�� TFLEPHONE: JOB ADDRESS: 1�' ( 1 of c-, ��`1 LOT NO. 6 MAP: DESCRIPTION OF WORK: Approvals Required SPECIAL NOTES ePlanning Dept. O Reissue Engineering Dept. n O Flood Plain/Sensitive Lands Fire District j 0 Sewer Availability O Other - Other Items Required List of subcontractors aA 0 Business Tax Calculations C —/ Truss Details /P Parking Plan C.� Land.,cape Plan (fes O Other r CC'MMENTS:`� G?✓1t.1L• ►� �:itv of Tigard BL10d''ng Department BY :-- Cirf OF TO"01ARD No. 16989 1125 S.W. HALL BLVD. P.O. BOX 23397 ?4 TIGARD, OR 97223 Date— Name Address - Lot BlocklMap Su 6d ` .4 Permit M's Bldg. Plumb� Cash Sewer�- _ Other Other Tec. By Acct. No. TD^scription Amount 1_10432 Building Per nit Fees 10.431.600 Plumbing Permit FeP- 10.431.601 Mechanical Permit P; 10-230.501 tate Bldg. Tax 10-433 P ans Check Fee - I 30-443 S►ewer Connection -m` 30.444 _ _Sewer inspection —� -_- 51.448 Street Syst. Dev. Charge _ 1 52.449.610 Parks I Syst. Dev. Charge 1 52.449 620 Parks II Syst. Dev. Charge 31•x!50 Storm Drainage Syst. Dev. Charge 10-430-� Business TEx _ -`- - 111 10.434_ Alarm Permit Y 10.227 Ball 10-455- -.-.10-230- 0-455 10-230• CPTA Traft ic./Misd/Vic. Asst. 10.458 Indigent Defense 36-122.401 Sewer Service/USA - 30.122.402 Sewerr ServicelCity 30% �0 123 Sewer Sevice/City Maint. — 30-125 Unmatched 31 124 Storm Drainage 404 5 — Banc.ruft Prin. Pymt. 40.471 --- -- Bancrrof�t Int. Pymt. j t e�� DOT. `�-� PERMIT 11 PLAN CHECK 11 % ( C � BUILDING RECEIPT GG OF'T� DA f E: NAME: ADDRESS & LUT l' & SUBDIVISION NAME: ACC1'. # DFS':RIPTION AMOUNT 10-432 Building Permit Fees 1.0-431-600 Plumbing Permit Fees 10-431-601 Mechanical Permit Fpes 10-230-501 State Building Tax 10-433 Plans Check Fee 30-443 Sewer Connection (20%) 30-202 Sewer �:•,nnertion (8010 30-444 Sewer Inspection 51-448 Street System Dev. Charge (SDC) _ 52-449-610 Parks I System Dev. Charge (PDC) 52-449-620 Parks TI System Dev. Giiarpp (PDC) 31.• -:50 Storm Drainage System Dev. Chrg (SSDC) 10--230-505 TRFD (95%) 10-435 TRFD (5%) C 10-230-506 Washington County Fire #1 (95") 10--!!i5 Washington County Fire #1 (5%) 10-220 Amnrt/Wed{Pwon,i TOTAL g ` Z k (Sp_parate Check for Leron "eights X15(1.00). (hr/1214P) ■' WX WE W CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK. NO. : PLAA CHECK APPLICATION DATE ►'.ECEIVED: `/ P.O. Box 23397, Tikard OR 97223 P/C DEPOSIT PAID: This is to certify that the attached sets of plans have peen submitted for play cheer pursuant to the Oregon Structural Code and Fire b Life Safety Code, edition. PROPERTY OWNER: OWNER'S ADDRESS: _ CONTRACTOR: -� �� �G TELEPHONE: . [, C J��' LOT NO. 6 MAP: 'OB ADDRESS: � I � Y_�,1 , DESCRIPTION OF WORK: Approvals Required SPECIAL NOTES O Planning Dept. 69- lW lQ� 0 Reissue OEngineering Dept. ) O Flood Plain/Sensitive Lands Fire District j V l (! 0 Sewer Availability 1, ether O Other Items Required T, 'ma�� / C Ll c (n List of subcontractors 'A OBusiness Tax r L� Calculations !S 0 Truss Details 0 Parking Plan �) Laitdscape Plan Other .- COMMENTS: dielt�`d► �t IL G�( C. v � y _ City of Tigard Building Department J4� nuT 1 , X0,.0" "3'r+u►.r1 etas ,' � � Nom-, + �' +3 t ` > ._C'� . 'f'L U V_ 'G7. OW 1/1 r- 6,L Ch�Cti-► � a,,y�•�4 ,,0" rR•'' 01 INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone: fi39-4175 Type of Inspection _ iN�'G K C e* 6!/(J Date Requested Time _ A.M. Addressermit Owner - - - ----- —,_ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to — _ ��4111prlved Inspector _ Disapproved — `— — Date �� 'CALL FOR REINSPECTION ❑ YES ❑ NO