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11076 SW 95TH AVENUE .............. - y ._-__.. C_ --------------- ------------- -4z I 1 ' 0 CL�. w lo � I I i I19911, I1 IIIIII OCTOBE 1111 IIII�-■IIIIi,I� IIIIIIIIII II,II II1 I ( II . 1 11 � _1 _I I {{►,� I{II I I 1111 11 IIIII lil,I IIII III �, Iill_l_I.l_ _ll lil II IIII1� I I � IIIII4 II I11.111I 1.11 :.{.il III,i�,�►I II Iilllll�' I. R ledJill IF THIS DOCUMENT IS LESS 112 3 LEGIBIE THAN THIS NOTATION , j 6 O QUALITY OF tiIt � � tL T:111lc �, �ITIDUE TO THE oII 116 9TaL DOCvMFNT Z izIIII IIIIIIIIIII{IIIIITvIE ORIGINF � � LzIIIIIII IIII 11 , Illi III :.. 11076 S.W. 95th Av©Nue r CITY OF TIOARD OREGON Cctober 30, 1992 Clayton Michaelis 11076 SW 95th Avenue Tigard, OR Re: 11016 SW 95th Avenue Permit # MEC 91-0198 Dear Mr. Michaelis: s The last inspection conducted on the above project was a woodstove inspection on 10/2/91. The next, required inspection will be a woodstove re-inspection. Please advise the Building Division of the status of this project as soon as possible so the file may be kept current. Please note that any permit without activity for over 189 days becomes void. If you need additional time to complete the project, please contact this department so that an extension can be discussed. Sincerely, Mike Sheehan Mechanical Inspector Notice.A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — -- - i EAK .111 i MISVE-VON NOT? City of Tigard Building a 1 Blvd- T19ard• Oregon 97223 v 13225 9M � 639-4175 Business Phone: 639-4271 1 / ction L • (R•c-0 p one): Inepe ,�- Inspections- L� pl�j, Underelab Mech. Rough-in pppr/Sdwlk Footing FINAL: Gas Line plbg• Top Out round. _Bldg. San. ,awwer Framing Poet/Beam Struct. ine..lat:ion -plumb. Poet/Beam Mech. Rain Drain / Lino Gyp. 8d. -Nech. � Plbq. Underfloor Water pN PH Times Date Requested /_ i c_ ! //h �k1 3 permit 1 . Addressz G KJ THE FOLTA MIMO OORRE CTIONS ARE PROIRBD: — � ^fir%�� � --�������E��_�_._-•-------� _ l Dates ...-. ,nspecto _ APPROVED SUBJECT TO ABOVE OtSAPPROVFD 11 For Reinep• � t � MECHANICAL / CITYOF ® PERMIT ✓ �'��� r�rIF'E:RM I T #. . . . . . . ME:Cy i• O19Ei CWYOFT RD COMMUNITY DEVELOPMENT DEPARTMENT \ oa,eoon 13125 SW Hell Blvd. P.O.Baa 23997,Tipard,Oregon 0223(Wi)63"175 \ DATE: ISSUED: 09/EC--/91 ,3I TES ADDRESS. . . : 11 0- 6 SW 95TH AV — PARCEL: 1 S 1 2,51)B-- (0600 3UBD I V I S I ON. . . . : AGH1."ROOK FARM ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . :2E (.A-.HSS OF WORK. . :ADD FLOOR FURN. . . . : E:VAP COOLERS: TYPE OF USE. . . . -SF UNIT HEATERS. . : V1-'NT FANS. . . : (JCCUF'ANCY GRP. . : R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES. . . . . . . . : BOILERS/C:OMPRESS7R5 HOODS. . . . . n FUEL TYPES----_-_____.__— 0 HP. . . . : LIMES. INCIN: : i WOD/ / / 3-15 HP. . . . : COM1 1L. I NC I N: IYINX INPUT: BTIJ 15-30 HP. . . . REPAIR UNITS: F IRE DAMPF-.RS?. . : 3k7—0 HP. . . . : WOODSTOVES. . : l GAS PRESSURE. . . : 50+ HF''. . . . CLO DRYERS. . : 1\10. OF UNITS------- - AIR HANDLING UI\I l:TOTHER UNITS. FURN ( 1O0K PTU: (w 10000 r_fms CAS OUTLETS. FURN ) =100K BTU: > 1.017100 Cf In : Remarks : WOOD STOVE: Owner-: ______.________-____..__.__..___.-__.__._.-•- _-_- FEES ----- - CLAYTON MIC:HAE:LIS type amol.mt by date rec_pt 11076 SW 95 PRMT $ 25. 00 NCR 09/26/91 _ ;PCT s 1. 25 EACR O9/26/91 - TIGARD OR 97c":23 Phone #: Contractor-: --------------------------------- OWNER Phone #t 26. 25 TOTAL Rey #. . . -- --- ---- REQUIRED INSPECTIONS ------ -- This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all ct�.r applicable laws. All work will be done in accordance with approved plans. This uervit will expire if work is not started within 190 days of issuance, or if work is sespended for more than 180 days. E'er•m i t t e e S i y n a t i.1 r e : _ __ ' vf6 447 -- - - __ 1 _1 a cJ B y s Call for inspection - 639-4175 V' 1 CITY OF TIGARD _ RECEIPT OF PAYMENT RECEIPTCECK NO . :91-217915 ,;"ME. : MICHAEI-IS, CLAYTON CASH AMOUNT : 0.00 f.)RESIi : SUBDIVISION 119176 SW 95TH AVENUE PAYMENT DATE : 09/c'-6/91 ; TIGARD, OR 97223— ;.JRPOI?E OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID PR_.f.;HANICAL PE �Mt~C91-198 25.00 ST. BUILD PER i i i J11�3TALLtNf3 GI WOODSTOVF. !,),rpt- AMOUNT PAID — ~> 26.25 i •r V rrrr Unified Sewerage Agency of Washington County 150 N. First Avenue Hillsboro, Oregon 97123 503 648-8621 January 18, 1980 Randy Stevens 1 I L)-7(U, City of Tigard 12420 SW Main Tigard, Oregon 972231 Dear Randy: I have discussed the sewer service billing problems we discovered on SW 95th Avenue in Tigard with Tom Blankens}iip who is in charge of administering the Agency' s contracts with our various member cities . Since the homes I discussed with you are all located within Tigard city limits , Mr. Blankenship would like City of Tigard to do the sewer service billing for all the properties involved. Iam providing you with a list of all the properties in dispute and with the most current owner information we have for them. In the case of properties that have been billed. in the past by U.S .A. or not billed at all , I have indicated that billing by City of Tigard should begin as of 7/1/80 . U.S .A. will send a letter to the property owners explaining the change in billing procedure that will occur on 7/l/80 and will handle billing and colleL.,:ion of sewer service charges for the properties through June 1980 . I Please let me know if you have any questions or encounter prob- lems with this transfer of billing responsibility to the City. In the future, we hope to initiate a uniform procedure for correcting the billing jurisdiction for annexed propercies arid preventing situations like the one on SW 95th from occurring. Sincerely, Sally Starbuck Chief Bookkeeper SS : jf Enc . i Property Address/ Property Owner Billing Instructions Identification As of 12/79 Charles W. Peterson Billed by USA througi a/80 ! ) 1.1.070 5W 95th ),, ; City of Tigard to bi ? i a-; of 7/1/80. 1S1 35AC 1600 Rt. 2 Box 569 ——— -- pt. Lor 22 Ashbrook Aurora, Oregon 97002 y Cla ton W. Michaelis Currently billed by City of Tigard- ! 11076 SW 95th i . Continue billing. ISI 35AC 1500 11076 SW 95th — — pt. Lot 22 Ashbrook Tigard, Oregon 97223 3) 11090 SW 95th Robert Flabetich Billed by USA through 6/80 IS1 35AC 1400 "''' 11090 SW 95th City of Tigard to bill as of 7/1/80. pt. Lot 22 Ashbrook Tigard, Oregon 97223 4) 11100 SW 95th Charles W. Peterson Billed by USA & City, Tigard to ].S1 35AC 1300 Rt. 2 Box 569 disregard current unpaid balance pt. Lot 22 Ashbrook Aurora, Oregon 97002 and discontinue further billing until 7T7_�. h Michael E. Rulli , Never billed previously for sewer- 5) 111LU (11094)** SW 95t1S1 35AC 1200 11094 SW 95th should have been billed by City of Tigard, Oregon 97223 Tigard from Permit #10660, issued Lot ?. Mayfair g 9/30/76. City of Tigard to bill *(11120-legal) as of 7/1/80. 4 -- (1.109 -mailing) 95th William I. Bryant Never billed previouFly for sewer- 6) 11140 94 111 35SW AC 1100 11140 SW 95th should have been billed by City of Tigard, Oregon 97223 Tigard from Permit $10659, issued Ti Lot 1 Mayfair g 9/30/76. City of Tigard to bill. as of 7/1/B0. 1) 11.1.60 SW 95th Richard J. Burton Currently billed by City of Tigard- 1S1 35AC 1000 11160 SW 95th Continue billing. Lot 5 Mayfair Tigard, Oregon 97223 City of 1- ga'rd �aq� CT1C�� INSPE � f o r TIME* P ERM I T N G. : Cll i INSPECTION T DAT SS�!ED ._. . DATE : 1_LL. OWNERS NAME � ADORE S S. CON TRACTOR TE 1-T : Air D , Woier U , visual 4 ! fending [a �• [)`Supprov P ... 94E51Jl ApprrvE SKETCH: a I F i I iSPE,CTOR DATE I NOT f tr n Olt I f T ' City o Tigard INSPECTION REQUEST for IINSPECTION TIME . ` ' PERMIT NO.: DATE: n_ DATE ISSUED: I OWNERS NAME : ADDRESS : . I CONTRACTOR :------_. — -- TEST: Air O, Water ❑ , Visual,.1 , Laboratory [] RESULT: Approved ,� Disapproved O Pending (J I SKETCH: I I I I I INSPECTOR DATE INOTE Attach supplementu' psi' Saga 11e10tI I x I City g of Tigard a rd I INSPECTION REOUEST for INSPECTION TIME :___._.---- PERMIT NO : DATE: DATE DATE ISSUED:—, OWNERS NAME : L/ IADDRESS : =L , i_-=� '_.. IC ON T R A C'T 0 R :_______ ---__-___---- --- TEST. Air l� , water [1 , Visual D , Laboratory D IRESULT: tkpproved�o , Disapproved D , pending U I SKETCH: I e,le I TO I � I _ Cr I NSPECTOR DATE ' EOTE Attoch supplemental fest data heretic t 1 1 1 I -W +. as! a1e1 NXXX Rei. # 9304 C � � OREGON MU-fUAL INSURANCE COMPANY Awo (:E11'I9FICATE OF INSURANCE Certificate Issued to- State of Oregon Department of Commerce Address: Builders Board _204 Commerce Building t._-.Salem, Ore-P on 97 10 __-______ This is to certify that the following policy, subject to its terms, conditions and exclusions, has been issued by the company indicated above. This Certificate of Insurance does not in any way amend, extend, alter or vary the coverage afforded by the policy referred to herein. It is simply a synopsis of the actual insurance contract. POLICY NO, GJA 2111350 Insured: Name Charles D. Gardinier 11090 S. W. 95th Address Tigard, Oregon 97223 land Zip Code) Certificate Effective From 5/P8/75 To: 5/28/?8 8 LIMITS OF LIABILITY KIND OF INSUnANCE ----- — --------- BODILY INJURY PROPERTY DAMAGE $ 100 000 Each occurrence $ 25 ,000 Each occurrence COMPREHENSIVE- GENFRAL LIABILITY $ ]•QQ ,000 Aggregate $ 25 ,000 Aggregare MANUFACTURERS' AND CONTRACTORS' $ 000 Each occurrence $ 000 Each occurrence LIABILITY $ 000 Aggregate OWNERS', LANDLORDS' AND TENANTS' $ 000 Each occurrence $ 000 Each occurrence LIABILITY $ 000 Aggregate $ 000 Each occurrence $ 000 Each occurrence CONTRACTUAL LIABILITY $ 000 Aggregate AUTOMOBILE LIABILITY $ 000 Each person $ 000 Each occurrence* $ 000 Each occurrence" "Each accident - Standard Auto AUTOMOBILE MATERI kL DAMAGE AMOUNT OF INSURANCE Comprehensive - Excluding Collision $ Actual Cash Value Collision or Upset $ dedr�tible from Actual Cash Value Fire, Lightning and Transportation $ Theft $ OTIiER: SUBJECT OF INSURANCE (If Automobile Give Description of Vehicles) Carpentry - Construction of Dwellings I No Cancellation Notice Required I ) Cancellation Notice Required I X) If it is indicated above, as "Required" the Company will give days advance notice by mailing to the party to whom this certificate is Issued at the address stated above. The mailing of such notice shall be sufficient proof of notice. OREGON MUTUAL INSURANCE COMPANY Date 5/28/75 OMG-50 (Rev. 1.73) All States Authori;7rd Representati Insurance A✓ssociates Inc. MLLMARK INSURANCE COMPANY P O.Bos 5269•Madison,1A,s 51705 Surety com03136 Rond No. STATE OF OREGON SURETY BOND KNOW ALL MEN BY -1'II1:.SE PRI-SEN IS: That CHARLES D. GARD I N I ER as principal, and HALLMARK INSURANCE COMPANY a corporation qualified and authorized to do business in the State of Oregon, as surety, are held and firmly bound unto the State of Oregon for the use and benefit of the State of Oregon and of any other interested person, in the sum of .____-f-HB-E_E.-LH.L)USAND__DO-LLARS-- _ ---------------- - --- ----- ts-3-000-00---► lawful money of the United States ol'America to be paid to the State of Oregon for the use and benefit stated above, for which payment well and truly to be made, we hind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the above-named principal has made application f'or a Certificate of Registration with the Depart- ment of Commerce, Builders Board, of the State of Oregon, or for renewal of a Certificate of Registration, for carrying on the business ora - - _HOME _-___- _ builder, within the State of Oregon; and is re- quired by Oregon Laws 1971, chapter 740, to furnish a bond in the penal sum of _-THREE THOUSAND dollnrs, with good and sufficient surety, conditioned as herein set forth. NOW, THERFFORF,, the conditions of the foregoing obligation are that if said principal with regard to all work done by the principal as a "Builder", "Home Builder" or "Specialty Builder" as defined by Oregon Laws 1971, chapter 740, shall pay all taxes and contributions due to the State of Oregon, pay all persons furnishing labor or material,or renting or supplying equipment to the builder;and pay all amount-, that may be adjudged against the principal by reason of negligent or improper work or breach of contract in performing any of said work, then this obligation shall be void, otherwise to remain in full force and effect This bond shall become effective on the ----28TH,-- day of --MAY-- _ 19 75 , and shall remain in force until cancelled This bond may be cancelled by the surety and the surety be relieved of further liability hereunder by giving 30 days written notice to the principal and the Builder's Board of the State of Oregon. This bond shall be one continuing obligation, and the liability of the surety for the aggregate of any and all claims which may arise hereunder shall in no extent exceed the amount of the penalty of this bond. IN WITNESS WHEREOF, the Principal and Surety have hereto set their hands and seals this _ 28TH day of _---MA Y __- 19.75• CPrinripol c Name. ll �1�t✓K.ti1M.t !—By Surety Name-__HALLMARK-. INSURANCE COMPANY Cr4TitIeATTORNEY I N—F-ACT Street Addn_-aa l Oroo SW BEAVERTON—H I LLSDALE HWY City_-REAV-Efl1Q'�_. 9isONE G—ON Zip 97005 HB-439 CITY Of SM28 j;.N° 0304 BUILDING PERMIT APPLICATION TIGARD DATE_ — 19 fHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFI:ATiCNIS OWNER PHONE.-- _.—__- OWNER Charles G+ardinie1r ADDRESS 11076 SSU• �btn Avg* BUILDER PHONE ENGINEER BUILDER owner ARCHITECT DESIGNER STRUCTURr ONEW ❑RE.MODEL ❑ADDITION ❑REPAIh ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑FIOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS -- c iG OCCUI'ANCY �_LAND USE ZONE_-- �7 BLDG.TYPE ' FIRE ZONE— PLAN CHECK BY IIEA ----- .10.32 cryo,. 4 4'�-* fraffta uwiji A-' nW wi t!'+ Z L.tachad garage - --.__ ---_----- and utility rain – according to approver plans 3 bedroom* _�- - state lic. applied for » old number 9304 -- — OCC. LOAD FLOOR LOAD 40 HEIGHT NO.STORIES AREA "1542 VALUE'+9l upu BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 124.00 — -- -_ -_-----_- - ---- - ---- ----- THiS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COnE 20NINU Plan Check 62,00 REUULAT10NS ANO Al I APPLICABLE CODES AND OROINAN('FS, AND 1T IS HtHEBY AGREED THAT THE -"' - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR P.ND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State 1. ya7 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 187,24 BYf fA _----__-- ------ -------- -- - APPLIfANr OR ACEN1 Approved r ! Receipt No. --• ADDRESS r wetIL _UL IIIIIIXMW�11 DATE INEP. TYPE INSPECTION REMARKS iPLUMBING DATE -� �n,�G _/) �+q 1'e' Contractorfu p,. , Permit No. Ale Flough-in Cio�1— -, i+.�e e�- Fixture Final C� Cn 8, �.�. AJAj' HEATING Contractor ,(�L Permit No. l4� Gas or Oil --- �- Rough in Final SEWER -//-75- (9,e- etc ,eetcFinal ' DRIVEWAY o Cylid� Final Storm Drair. .,,A (Rain Drain) Final — r Sidewalk Curb&Street Final Approach _ BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY— / CERTIFICATE OCCUPANCY rnn caping g Final �" ''r q► wf I I i I 17 7 ADDRESS ��� �o- PERMIT NO. i . ..�L.1. Cl:t -------=---- ------- - --, PERMIT CHARGE OWNER t� r �� ��sv,,i CONNECTION FEE PAID BY TYKE OF BUILDING Lr,-WL-.l � DATE CONNECTED SERVICE RATE 4 tLi 1 _ INSPECTION FEE CONTRACTOR Ah , 4 �.,�,�� .�'+s-�� ti PAID BY DATE SIZE OF CONNECTION � ASSESSMENT _ PAID bm I I E