10940 SW 79TH AVENUE ADDRESS:
I C940 SW
79 Avg� ua
a
ri
N
J
G7
W
J
iMecordsWicrol!rn\larrelsV)uiIding.doc
INSPECTION NOT79F.
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_.,__ _ �--- -- -------
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Franing =-Bldg. i
Post/Beam Mech. Rain Drain Inavlation -Plumb.
Plbo. Underfloor Water Lina Gyp. M -Mech.
Date Request/eddt I�~ 1 T�ilt� . /P p AM PM
Address: / [�� -' P/., it �s�el �
rullder:_ V✓C/C( -/ // J / /1`5 .
TAE FOLLOWING CORRECTIONS ARM REQUIRRDs
(--CL
Ll,
p
1 -e J.�'i ✓ / ; S r Pw 'r C rJ C
W j
Dates
ln.pectocs
APPROVED DISAPPROVED APPROVED SDE.7ECT To awn
6 ) Call For Reinap.
CIT'' OF TIOA RD CCW4� TWA RD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 0110m i-%ERMIT #. . . . . . . : LAUP92-01,"19"
13125 SW HWI Blvd. P.O.Box 23397,Tomud,OrogDn 97223(603)830-4176
SITE ADDRESS. . . 10940 SW 79TH AV PARCEL- 1S13GCA--0;-,,7.j*)jr
SUBDIVISION. . . . : ZONING: R-4. 5
BLOCK. . . . . . . . . . I OT. . . . . . . . . . . . .
------------------------------------------------------- --
REISSUE; FLOOR EXTERIOR WALL CONSTRUCTT'r ".
CLASS OF' WORK. -ALT FI RST. . . . : S f N: S E W
TYPE OF USE. . . :SF SECOND— : S PROTECT
TYPE OF CONST. :5N THIRD. . . . .- S N: S: W
OCCUPANCY GRP. - R3 1-(]TnL---- ----- 0 z f ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
'5 T OR. : I-11-. : ft ( ARAGE. 5f OCCU SEP. RATE
BSM-I'? : MEZZI: REOD SETBACKS------------ REQUIRED--------______._._.__.
F=LOOR
EQUIRED-------
FLOOR LOAI). . . . - P,f LEFT: ft RGHT- ft F IIS SPKL: 5mnv. DFT, .
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM- HNDICP ACCO
DEDRMG: BATHS: IMP SURFACE: PRO CORP: PARKING:
VALLI $: 1500
Rema--)4s. ALT' INSTALLING NEW CABINETS AND NEW WINDOWS
OwnerFEES
JUE AND BETTY MORGAN type amount by date V-erpt
l
3 -,' 04/,,=-' ./')2 --
10940 SW 79TH F`R M T $ 25. IL
0 JLI
PLCK $ 16. .F.5 JLH 04/20/92 226246
TIGARD OR 97.2-23 5PCT $ 1•. 25 J L H 04/;=1./9:' -
Phone #:
Contractor,,
PUWELL BUILDERS
1709 VILLA RD
1qLWBLR6 UR 9/132 _--_________.,.__-_-._---____.______.____.
Phone #: 538-0717 $ 42. 50 TOTAL
Req #. . - 46074
REQUIRED INSPELTIONS
This pervit is issued sub'iect to the regulations contained in the Framing Inst:
Tigard PIunicipal Code., State of Ore. Specialty Codes and all other ItisLtl-Ation Ins
applicable laws. All work will be done in accordance, with GyD Board Insp
approved plans. This pervit will expire if work is not started Final Inspection
within 180 days of issuance. or if work is susoepdpd for more
than IAP days.
T. ,,,ed Ley :
Call fot^ inspectivri 639-4175
INSPECTION NOTICE
City of Tigard Building Department /14
1.3125 SW Hall Blvd. Tigard, Oregon 97223
Inopuction Line (Rec-o-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer rami g -Bldg.
Poet/Beam Mech. Rain Drain t-'--insulation J -Plumb.
Plbq. Underfloor / Water Line Gyp. Bd. -Mech.
Date Requesteds H ` —Times AM PM
Address:, �L _ Permit #:�
Builder: s [�'-f-
TNS FOLLOWING CORRECTIONS ARE REQUIRED:
d
LLIR:
F--
tn
1—
J
J
Inspectors — Dates Z
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
• Call For Reinsp. I
� M
M
I TY Gtr' T 1 GARD — RECEIPT Or POYMENT RF-:(.E 1 r,-r NO. :92-226246
CHECK AMOUNT 16. +L'5
NAME: s PnWEI_L I NDU9T R 1 AI... 81...DR8 CASH AMOUNT s 0. 00
AI)DRE. 1704 U T LL A RD Flf)YMFNT DATE a 04/c"0/92
.-;I..IBDIVISION w
NE'WB RG, OR ')'y 132—
PURPOSE
.3 '—PIJFtPG1S OF PWMENT AMOUNT PAID Fel IRPOSE OF r,AYME:NI" AMOUNT PA 1 o
F'LraN CHEF', F=E 16. 215
v;
J
Ci
J
10940 3W 91'I-1
TC! Ik1. AMOUNT t,Ain -> i6. 251
A
:TTY CIV r I GARU - `:EC F I P1' OF' PAYMENT RE CE I PIT NO. tt 9%?--cRI'..16 3:56
CHECK AMOUNT 25
NFA E t PN)WP_t_I._ TMJILDE'RS, CM-3H AMOUNT 0. 00
ADDRESS a PAYMENT DATE s 04/P1!c)J!
SUB0lVlgloN
PURPOSE. OF RAYML.NT AMOUNT PAID PURPOSE Or PPYMENT MOUNT PAID
Fa►JIL.D+INLw PERM ....,. '15. 00 Cil. 81.111 D pE R
ca
W940 f�tl 79TH
c�
J
TO F At., AMOLIN't PA I A _ _ - ? e^h. 25
i
ITY OF r��1�L��� 13125 Sw t1a11 uFvd. PLNCK/RECT #
1'O 1ox 23.397
COMNIUNI"I'1' I)I-;VI?I.0l'A1FNT DEPARTMI-N Y 'Iigand Oregon 97M PERMIT M
(303)639-4171 DATE ISSUED
JOB ADDRESS: 107 0 72 G� r � TAX MAP/LOT 151 3GCI;
SUB- c'- _ LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAP1E: T N REISSUE OF:
ADDRESS: ,�1(1�,t�� LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTO `"� APPROVALS REQUIRED
NAME: 4��� _ PLANNING: 02L.-Ay-
-
ADDRESS: I7C��' ALL Q ,be_t.J , 991 d ' ENGINEERING:
FIRE DEPT:
PHONE: �� Tl OTHER: R•-'O
CONTR. BOARD #: ���) EXP DATE: f `�
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTOkS:
MECH: C c ,� �� V(2 lubw2 BUS TAX: •_,
ARCH/ENGINEERCALCULATIONS: _
q
NAME: _ C��cJ� �� TRUSS DETAILS: _
ADDRESS: OTHER:
PHONE: _ 7�d►�l�
PROPOSED BLDG. USE: _ �e_S!d rue- e—,
COMMENTS:
r
1
4APMCCANIT—AIGNA'TURE
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. GAE. DUE
�
10-432 00 8itilding Permit Fees
10-431 00 Plumbing Permit Fees ----- - —
_ 10-431 01 Mechanical Permit Fees ---- ---
10-230 01 State Building Tax (5%) /, Z.�, �. `-5
Building
Plumbing
Mechanical
r
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire -- --
30-202 00 Sewer C)nnection -- -
30-444 00 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 (PUC) -
3.1-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
~ 2.4-445-02 Water- Quantity (Fee in lieu of) — -
J
2s-
c' TOTAL.
J
nm/358711.01