9020 SW PINEBROOK STREET 9020 SW PINEBROOK STR:l,:i'
1
0
0
N
w
c
CL
m
0
N
0
m
I
T
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 /�.�L•!OC
Type of Inspection
iia+.e Requeste
d _ Time A.M.-_" '�_P.M.
^' 1 '
Address Permit #
r '
Owner_.__ — - .� GCS-64 .>r�. _ Lot --
Builder _—�--- -------The following Ouiiding Code deficiencies ,re required to be corrected: "
ICY I/
Presented to
Inspector / _� _ Disapproved
Late
CALL FOR REINSPECTION
0 YES r7 NO
INSPECTICiiq N—OT—IC U
City of Tigard Building Depto Tient
P.O. Box 23397
Tigard, Oregon 97223
l , Phone:639-4175
Type of Inspection bI
Date Requested J v�-f L Z Time q M
P.M.
Address �7 ^�U J /��� �� �-b� Permit #
Owner _
_ Lot #
Builder — -- -- ---
The following Building Code deficiencies are required to be corrected:
Presented to
7proved
inspector
. � y -- [] Diwpproved
Date
CALL FOR REINSPECTION
® yes ❑ NO
{
ti.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type
Type of Inspection _S`= 4a�c.CO✓L � �
Date Requested__— -� Timm 'r A.M.---P.M.
Address ---_.(� D _-' _ Permit
Owner _ OI'S.O�x2c�.t..JO� - Lot #-.---- --
Builder - - --_..-- --- — ----------_ —___The following Building Code deficiencieb are required to be corrected:
Presented to L_J Approved
Inspector �J T _ v [J Disapproved
Dart?
CALL FOR REINSPECTION
YES 0 NO
- ��17 INSPECTION NOTICE
tG/ City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —_ f ''t^=►��'L L t y
D-ite Requested _�" Time A.M. -. P.M.
G
Address - _� 2 �� L o.ap-- •t Ati Permit # cc~
OwnerLot
Builder ------------- --- _.�— — -_.--...._.-. -- -......._...
The following Buildinq Code deficiencies are required to be corrected:
Prezeoted to /CEJ/!` _ _ Vpproved
Inspector ��v� _ ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES O NO
INSPECTION NOT, :E / C
City of Tigard Building Departr.rent "
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspecti�n 'j Q�y�
Date Requested
('�C> X1
1 Time A.M. P.M.
PermitAdd-ess
Owner _ �
---------r.' ��4��• Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Pr�,sented to -
—_ — — roved
Inspector
►'� -- �� Diwpproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
CITY OF TIGARD 639.4171 61.67
BUILDING PERMIT DATE July+ 7 19 66
TAX MAP2b-_L`1IAU_LOT N04b00 SUBDIVISION
OWNER Ii. Tarasa�a x9020 S W Yi'W brink SC.
�t-- - --k ---- _ JOB ADDRES
BUILDER - � � !; ,_ _- STATE REG.N0. EXP.DATE .—
BUILbER'S'PHONE ( T -
ARCHITECT PHONE _-____._—._OTHER
STRUCTURE I NEW LJ REMODEL_ ADDITION REPAIR MOVE 1-1 OTHER DEMOLITION
RESIDENCE COMM I ! EDUCATION i j IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY _LAND USE ZONE !`1 BLDG TYPE50 FIRE ZONE PLAN CHECK BY HEAT
_L&=fA1 nCt addition to oxiHCAn, ALM I& tnmlly jlde lijW all per aDjryymd glans, Iu•;')ln 1, 4w=ziiL
required. Addition of kiteben, ginkiftroom, storage rouT.. _
SEWER PEHMIT M nude r(Igo
OCC.LOAD FLOOR LOAD 40 HEIGHT ; NO.STORIES ,1 AREA 48(,1 NO.BEDROOMS VALUE 1,1,UUG
BUILDING DEPARTMENT i SETBACKS FRONT rb RFAR LEFT SIDE RIGHT ';IDE ri
Permit _ 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 ib4.U3 WORK WILL BE DONT' IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCF. OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY HUSINESz'
TAX PERMI7S.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax ?.94 •I
166.4! SDC- (
Total /
PDCM
Prepd. _q j (: `► ,'y / '�
Receipt No. ADDRESS ---pE�—
Bal.Due _lr,b.l+i_-_
Issued By,? Approved By___.�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
n� 5 Fixture
Final
HEATING —}
Contractor
Permit No.
— Gas or Oil
— — -- — —
Rough-in u
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk —
��� Curb&Straet Final
Approach
tjLDG.DEPT.HINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CURTFICATE OCCUPANCY —'-- —"—"
Landsca,Ing
Zoning Final
1!
I.or inspections call 639•-4175 1
CITY OF TIGARD 639.4171 ] 7 19 grG ?
OATS
BUILDING PERMITA 0
P.O. Box 23397, 'Tigard OR 97223 TAX MAP 1 >>•N LOTNO. yG�8 BOIVIgION
OWNER__ ` SC�Si4.vA JOB ADDRESS
--4f Mrs
BUILDER _ +� -J /~A C 0 4STATE`TEG.NO. EXP.DATE
BUILDER'S PHONE
ARCHITECT 1A6'^� PHONE __ OTHER
STRUCTURE ❑ NEW ❑ REMODEL Jff'AODITION U REPAIR U MOVE -�❑ OTHER DEMOLITION
RESI,)ENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS U ACCESSORY GARAGE U OTHER U FENCE
OCCUPANCY _-;;iD USE ZONE _'K-1 BLDG.TYPE FIRE ZONE-=-PLAN CHECK BY _fEZ--- I AT -
( (
, v —
SEWERPERMITI.
OCC.LOAD FLOOR LOADy HEIGHT % NO.STORIES AREA r(/ NO.BEDROOMS VALUE 3 D"
BUILDING DEPARTMENT
SETBACKS FRON,��, REAR �j�• LEFT SIDE 1 RIGHT SIDE
Permll 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 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIGNS AND IN COMPLIANCE
WITH ALL APPLICARI.E CODES AND ORDINANCES. TIIE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
P1.Ck Firs RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS 10 HAVE CURRENT CITY RUSINf SS
TAX PERMTTS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
Slate Tax
-- SDC;
Total APPLICANT OR AGENT
I Pt)Ca
flff
Pr _
Recelpl No. ADDRESS � PHONE
Bel.D
i Issued By. --Approved By---
SSDC --- 5
SOC
SEWER CONFECTION
`EWER INSPECTION
SEWER SURCHARGES /
om,mente: _-
�f
....+n -..,._.w.. ...w...�. '.w... ...w_p.w.r•F�1ar...-.r«_r« .wr�w--.�..., ._.�.
11T
BUILDING PERMIT APPLICATION o Y TIGARD DATE_ 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AJ SHOWN ANL APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PI,.JvF-
F rwd 1T1arZlL aw, r1 LOT NO.�-
OWNsrlr A C;-, JOB ADDRESS gogo SW G� sbrook HOME ADDRESS _
ARCHITECT
ENGINEER
BUILDER ADDRESS _ DIESIGNER�_
STRUCTURE ❑NEW ❑REMODEL _ ❑AD_DITION 00INAIR_— LIRENEWALy
� IJFIREDAMAGE ❑DEMr'LITION
Q_t,MS Ej� NCE OCOMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUSOF;_ ❑CARPORT ❑GARAGE ❑STORAGEE]SLAB []FENCE
_ OBOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGA REVIEW ❑COUNCIL APPROVED _ ❑SIGNS
OCCUPANCY_I—LAND USE ZONE _BLDG.TYPE —FIRE ZONE 3 PLAN CHECK BY—�tU HEAT—
i -:ruaf IuKi®ting hUUse. romovo yr icting rutifinLi Inaterisi and rF;pdir any damaged
fugf de-,;kiriW runlac6, all to uuiruu flashill» b court+ra: If l siejttl7ij- liter: L)uiltiurr r oryf ..t
cls Lau >shratg, min. 235;;` - --- ---
F L90B LOAD LJSzHI.--— —..IzTQ$1E5.---AB.E-----.1 D.JLFQ kQMS Y.ALIJE _`_��-
BUILDING [)I PARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
—-- TH13 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 DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES ANO T ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS T'O HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS RE.OUIREU FOR SEWER, PLUMBING AND HEATING.
Total a 3e 52
By APP1,ICANT OR AGENT
Approved 3 t-Lt 1leceipl NoX.
_
i�OfRF 5555 --
..,Y:w.hrori'�W.rrfa'rwraal.r.,r«M.r+'uJ---".•••-..v.r.a+....W....sru+ ..Yu.w•;•+-n..,... „oww»..�aan...a..,n::YSMr_-••.` .s. "`-•..-.•-•-.wr4Y�iiiiWLis� =..•.'��z.wt..:::Owl'a�'
4
z W z I r >W
o z
►- w ON w 3 in
...
U.
/ IZH
l� w CJ H OWaZr
0 m CZ7 Q O UwaNU
��//�� J J w pmL "' r
1"� N N I > p zIQOUQ W
C,1 '^
W a r °>zh z
w z
z ' o Q a mZzcac�
O I Z m w w a w w 2
CL Q u a 0 IIZ ° >►=
Q w z Q rN p r N 0 U l
z N cur, L, > P: 7:
w LL p W C1Qu h O
m ° ❑ w a � j cr
a zaLLo �: a
�JQCL
a m w aNu? u, Oc7
1
CUD, z a U U J��l p zCW1N2 QC]
oO J 0 z W N U
a C.I oo 7 l u1 ZzaLpa
U z -1 O Q z u
zLL w z a [) a N ~Qa3s � �`
2 V 2 r. a w J Q a F
U
w 111 LLI LL 2 � z w
a u v
,3:
o UCC p = \ wII w �7 N w� � 2mLL i
Z� [) z o O a o
I Y Q ¢ w O z x � � z „
O t!1 du. a O Z cc W W O JCJmr 0 Q W
ZQ w as O 2 Q r m O d c
O �'''�. W1 a C.� W u � � QQ � a n c�i
� j n � � ma0° COu � Q <
�_) , N Q a u N
h `l ,
�► '_' z y w F z w hl upigzoas
Q W 0 a, Q W U W
Cl- Q 7 Z rmt 6 i F N O Z.
O O U t Cl w > p z H z O w > a
W p O z Z p h O Q p J 0
0. Q w Q p w LL H mum
U a H J O Z U. U, c
_ Q , W
C7 a v
0 O !! i V1 w� �e 7
"r. U. s C. �'- a' a J Q N a
L) LL Z Q1 ul J H W u
O U W O _I W U EN
Q_ Q n O U vi �` cc � amJ
o C) OC
Q m o w u z r►
L p c
f' W p �_ � N a
L! w z r•
aW of ( �I 4 LL a
7 U
r
C) 0 v' a ui
u > ° x
rn
N u, a u z � a 'u' `
1 L'1 `` 7 1 V O Q ! 02 V v «?
R -' E
1 [(1 h U [�
i
f
r-�----- -----
1
I
II
!!
I
��r � '
.. .�
_.-`
z
1�
-----
PERMIT TO CONNECT
Tigard Sanitary District
FERMI 1 N9 1059 DATE -- --
PERMIT I5 GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
Ai U _._--
ti i
THIS PfrRMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION rS MADE AND INSPECTION OF CONNECTIOn HAS BEEN COM-
PLFTF,D.
PERMIT FEE PAID ;..... .... .......................TIGARD SANITARY DISTRICT
OBy
CONNECTION INSPECTED AND APPROVED
Date Snperintendent
4ddress Permit No.���
Name of Occupant Permit charge
Connection fee
Paid by
Date connected
Type of Building Inspection fee
Service Rate,_
._.__. Paid by ___._,___Datel�z
Contractor_ Assessment Paid
Site of connection __ _
2 INSPECTION NOTICE
v City of Tigard Building Depart hent
P.O. Bo- 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- - --.-._-- -- - --------
Date Requested—__ 7 ••�,, y _ Time— A.M._- '_`=P.M.
Address ___ L? �--�� L��`�" -- Permit
Owner�— �'�'-�--- - Lot —
Builder -- __ ----The following Building Code deficiencies are required to he corrected:
Presented to _-_ _ - -- L. Approved
Inspector Disapproved
Tate
CALL FOR REINSPECTION
❑ YER ❑ NO