11245 SW 94TH AVENUE _ 1.12,,,5 SW 94TH AVENUE
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CITY OF TIGARD
CODE ENFORCEMENT ACTION REPORT
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LOCATION:
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TAX MAP: TAX LOT:
NAME OF OWNER:
ADDRESS OF OWNER:
ACTION TAKEN:
-atter Citation
Phone Person Gintact
Site Vir.it (s) Other
OVER OOPViENTS: _jIC CS'til
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S'r pi 6 JC04_jhj rill
TYPE OF COMPLAINT:
Business lax Sign
T� Noxious Vegetation Zoning Violation
_ Open Storage of Junk _ Noise
Filling (Sensitive Lands) Animals
Abandoned Vechiles ....___. _... .. . ._ . ,...
Others
COMPLAINT- __._._DATE:
ADD& '.96 t PHONE NUMBER
Refe'rroii to PLANNING- ENGINEERING OPERATIONS DATE::,
Case Opened: Case Closed
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BUILDING PERMIT APPLICATION TIGARD DATE_-� is `_._�_ _ 4100
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED JUILDER PHONE
CR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAI iC i.S. t:AW I l PHONE_ � I—
LOT NO. 7 0'fillse_.ACiE:r.
OWNR-
E - .t Fawn =Cmmr, JOB ADDRESS 11245 W7
. „ 94th Av�i. -
A14CHITECT
BJILDER Shc'sYC ADDRESS 8955 S.W. ccrimert,ia.1 ENGINEER DESIGNER Studio 5
STRUCTURE. IXNEW ❑ REMODEL ❑ ,ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE_ ❑ DEMOLITION
C3 RESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOV'T CJ RELIGIOUS ❑ PATIO Ll CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY k— LAND USEZOI'E —R 55 BLDG,TYPE _ _. FIRE ZONE__--PLAN CHECK BY --,!--HEAT L -
- wlt.shed G1%rp9�.___
Secy comection sheet attached. Note: Permit 0 4086 void 2 Dedro ml
erh !)A,01 Credited to this •:mssxmit �(sarm aAdresx)
SEINER PERMI I N ! Also 5Ef, t Z t JI Garage +SZB
_ 3Gv g
OCC.LOAD FLOOR LOAD �U HEIGHT 12 NO,STORIES 1 AREA 960 NO.BEDROOMS 2 VALUE
BUILDING DEPARTMENT SET 8ACKS _ FRONT REAR 12 LEFT SIDE 12 RIUHT SIDE
Permit 4u.S ?b/- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS rONTAINED IN THE BUILDING CODE, ZONING
2��3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANn n' IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANC SPECIFICATIONS AND IN COMPLIANCE
S� 0doWITH ALL APPLICABLE CODES A%'] ORDINANCES. THE ISSUANCE OF 'THIS PERMIT DOES NOT WAIVE
Subtotal , ,7 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CLRRENT CITY BUSINESS
sate rax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
' /6.7t�
Twal �3a Q SDC— j)J fc
By.
w, POC# /Q U I APPLI ANlR AGENT
�yqh Receipt No
A proved ADDRESS --
-----6------ -- _ - _ - --PHONE
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DATE INSP. I YPE INSPECTION REMARKS PLUMBING DATE
Contractor a to S-/,z
ermit No.
8 Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Main Drain)Final
Oidevalk-
----- --- Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Lpndscapine
Zorw U Final
Lo1/l ,
' -- _
BUILDING PERN11T APPLICATION TIGAR] DATE "� ,.��ir,.l 1�T ���
`THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR Tl'E WORK HEREIN INDICATED BUILDER PHONEt.2 '� _
OR AS SHOWN AND APPROVCD IN THE ACCOtAPANYIN�"G�PLANS
j AND SPECIFICATIONS. OVINEP,PHONE
JOBACtDRE5S I�2 �` (t•) 77l" ke. LOT NO. 0' I(Ss'4t s t
OWNED Q.'Cp 1 — —
ARCHITECT
� ENGINEER Q� f�
BUILDER— s,'Me. A0DRESS� � 1MIM�t: DG5IGNER.- .7�NJo[�� ,�
STRUCTURE X51 NEW ❑ REMODEL__ Cl ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
(X RESIDEN lE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE G STOR GE ❑ SLAB❑ FENCE
OCCUPANCY RY3_.LAND USE ZONE p'BLDG.TYPE _�L�—.FIRE ZONF" PLAN CHECK BY
_
SEINER PERMIT M
OCC.LOAD FLOOR LCAD _ HEIGHT NO.STORIES NO.BEDRO IMS <"' VALUE4/6 LUQ
BUILDING DEPARTMENT SET BACKS _FRONT /t~ EAR �� —LEFT SIDE J,'? ;'IGHT SIDE L?
Permit _ Q• o 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 SPECIFICATIONS AND IN COMPLIANCE
�+ a WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _G ' Q 3 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 663II.ESS
LICENSE SEPANATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
i:hate Tax � �"Z•-
- SDC_ I�..1)
Tot;it
PDG# APPLICANT OR AGENT
By
Receipt No. -------.__
Approved ADDRESS Pr0NE __r (�
_ cl)• �•3 L pi�� 4•ISt '` u +
-To qL 5DC (eta lat�7 P6. 10174 1'G
�..�'�
PDC lou ..
171•!8
EWER CONNECTION $ > Rece T
S 4' 097 To y9�s
> �°•
SEWER INSPECTION i Irl �5� ,23�. ��� (,'g
SEWER SURCHARGE
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Comments:
CITY OF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97223
RECEIPT l '
DATE: ;� �_1�11 `r' ---AMOUNT:S
. --DOLLARS
+J
NAME: -� CASH: ,
ADDRESS:
• OF
FOR; ACCT. # P/RMIT! SURCHAROI AMOUNT
SEWER BILLINGS 40-364
BUSINESS LICENSE 05-331 --------
PLUMBING PERMIT 05-332 S�
MECHANICAL PERMIT 05-332 -- -
BUILDING PERMIT 05.333 —�_ _--�st• 0-�-
SEWER CONNECTION 40-361 –.---
SEWER INSPECTION 40-365 --
SYSTEM DEV.CHARGE 25-366 _
PARK DEV,CHARGE +IFI 30-367 _--
PARK DEV. CHARGE #2 30-368 ----
ZONING ADJUSTMENTS 05-362
'OTALS $ s
RECEIVED --_—
►IRMIT NUMtIR!AfiIONlD! T �---
Number Amount Num. Amount Num_ bo► Amount
- _ F S-
s S
- — s s "Cll" *10984
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I
BUILDING PERMIT APPLICATION TI( ARD DATE.__-.7une 19 82!
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WOHK HEREIN INDICATED BUILDER PHO
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. 0w N, N
JWNER 'alOca ConetructionjOB ADDRESS 11245 5 W. 94th Ave.
HITECF
SamENGINEER
BUILDER —�^ — _ ADDRESS 6155 S"W' Ott DESIGNER Studio 3
STRUCTURE CT NEW ❑ REMODEL ❑ D TIO _PAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
IN RESIDENCE ❑ COMM ❑ EDUVAT10 L ❑ QV'T• GIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE r7 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _R-3 LAND USE ONE BLDG. YP N FIREZONE PLAN CHECK BY —_HEAT_ E
I1?;iEl 1'_At C}1EIt� ---- ���•— 3 LlQCaXyJ,[lA{Ya
1221 r 06
SEWER PERMIT# 23932 - cXt„j t i,'4100) G��a� 30S M
OCC.LOAD FLOOR LOAD I ` 40 ''HpdHT 12 NO.STORIES_ 1 AREA 1964 NO.BEDROOMS 4 VALUE17,V)t
BUILDING DEPARTMENT SETBACKS FRONT in REAR •R9 LEFT SIDE 15 RIGHT SIDE
229,00
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 _ WORK WILL BF DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
r WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
230.16 SDC-
PDC# , APPLICAt`T011�AOENr —®� —__- .--_----�
By
DWR Receipt No.
Approved ADD-RE9� PHONE
F
W W WA [W-M
SEWER PERMIT N? V932
UUnified Sewerage Agency
of Washington County CITY OF DATE
OWNER . 's1r s:. ^r3rgtr?trhirm
,'HONE
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
❑ SIDE SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE iAP
TYPE OF OCCUPANCY:
E-1NEW ❑ EXISTING ❑ SINGLE FAMILY ❑ COMMERCIAL.
❑ EXIST. (PRIOR TO 7-- 1 - 70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLIN,; (Jr T`-;
ADDRESS OF STRUCTURE :
Permit Conditions: The applicant agrees to comply with all rules and re latioi,:: of 0,e Unified SeweriA a Agency.
When calling for inspection, please refer to the Perini r. The A licalion expires in one hundrer', tw.vnty (120)
days. The amount paid will be forfeited should ex ra n oc r
1-he Agency does not guarantee the accuracy of the loc.-,t n o sid sewer laterals. if the .sewer is not loc2:ed at
the measurement given, the installer shall prospect tnree f in I directions from the distance and depth given.
If not so located, the Installer shall purchase a ' nd ide wer' Permit at the current charge and the Agency
will install a lateral at the iocation specified by!\ianstaller
FEES: ��/
PLPMIT FEE
CONNECTION CHARGE
LINE TAP INSTALLATION
ISSUED E3 Y
OTHER ---
TOTAL
APP CANT r DATE
NOTICE' QAYS 7 H ------ _--.---------------_.--_—_._--_—.--_—____—____
ABOVE DATE, SEWER RVICE SEWER PERMIT
CHEA{nGE WILL BEGIN R THIS N? 23932
'KDDIhSS OF STRUCTURE
TAX MAP TAX LUI SYSTEM — ---
LOT _ aLOCK OF
AFFROVE-D BY DAT[ ISSUEn 9Y PAIS
D . U . ' S REMARKS
.M.
uc
'OYU
�.�BUILDING PERMIT APPLICATION TIGARD 171Ar !2
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WONK HEREIN INDICATED BUILDER PYONE
OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND S�WIFIGATION'3, OVJN'-P P ONE -�_
ii"1"1"JERy� JOB ADDRESS I t y.S g�.t,/ q zc A C' NO.
ARCHITECT
dUILGER ��.,...,,,,��pp A a_ �• )/Z _ 6�od DESIGNER ��,� 4,
"'''�ti.s ADDRESS p_.Z�7 5 ��Mw� DESIGNER -�
STRUCTURE--- NEW ❑ REMODEL ❑ ADDITION _❑ R':PAIR ❑ R_-NEWAL ❑ FIRE DAMAGE �J DEMOLITION
ESIDENCE ❑ COMM G EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE (] SLAB❑ FENCE
O 1UPANCY __-LAND USE ZONE ��_._=,Z_BLDG.TYPE f&-FIRE ZONE=PLAN CHECK BY HEAT
-- �� a ---------p--- p i
SEWER PERMIT
OCC.LOAD FLOOR LOAD .— HEIGHT �Z NO.STOFIE I� A �� NO_BEDROOMS VALUF-37
BUILDING DEPARTMENT
SETBACKS FRONTI
Permit ,2�9, 00 /_� _REAR 1I�.B� LEFT SIC�f�"�� RIGhTSIDE
]THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
.yC �+Yj►� T FREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE PIanC e_ " r"'7�"-o'�J WORK WILL BE CONE IN ACCORDA.iCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
--- - - WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS RC.OUIRED FOR SEWER,PLUMBING i.ND HEATING.
Stats Tax r
-�. SDC
TotalM�
B � PDCA APPLICANT ORAGEP�T — -- -- -- -----_-----
By 2 � �.
Receipt No.
Approved - ADDRESS ^�--- PHONE --�-
SDC - polk z 3 Rett �pu7
i U -
SEWER CONNECTION
27e�
G�
SEWER INSPECTION $ S
SEWER SURCHARGE
X31 �
CnmmonfG� �I ^--
-__^ L v1 6 U It < r 7 � r J � � ' 2-2 . 64'q CW -Vol (me 4.1 ef-4.I*16o:$6W.
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CITY OF TIGARD—12420 S.W.MAID!--TIGARD,OREGON 47223 '—'•-
_ RECEIPT
DATE: AMC7UNT:$_ r)
NAME:
CASH:
ADDRESS:
CK
/CH
" M.O.: _
# OF
FOR: ACCT. # PIRMITS _SURCMAR4iI AMOUNT
SEWER BILLIN�,S 40-364 _ $
BUSINESS LICENSE 05-331
PLUMBING PERMIT 05-332 $
MECHANICAL PERMIT 05-332
B'JILDING PERMIT 05-333
SEWER CONNECTION 40-363
SEWER INSPE; 110N 40-365 _
SYSTEM DEV,CHARGE 2;i-;166
-EV, CHARGE #1 30-367
PAi, IEV. CHARGE #2 30-368
_ZONING ADJUSTMENTS, 05-362
TOTALS
RECEIVED BY: e
PERMIT NUMflRf ffIONID: '9 �'
Numb
erAmount Num Amount Number Amount `
S IA
RICIIPT #
i
..d
1
3 �, s�'7
5-0
G%7��� �2 ►3R alp. �1�).
Kis +10
Q � lbs
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