11100 SW 95TH AVENUE f
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Busine.;s Phone: 639-4171
Footing Rain Drain Cover/Service _r h_
Foundation Water Line Ceiling. -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _^
Date: _ A.M. P.M. Entry:
Address: � �l C) 0 J
Tenant: Ste:-__ MST: -I- OS
Con/( 17 r"IY ��- MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: _ Date:
APPROVED DISAPPR ALL FOR REINSP. CF CO
CITY OF T!GARD BUILDING INSPECTION NOTICE
Inspection Line (Rei:-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Su sp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing �_
Alarm ater Lin Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. / -Elect.
Date Requested: !� U ! Time:x AM PM
/
Address:
�(� G G 3 7 G`
Builder:_ C/� _Permit #: �1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: A)
'APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
- CITY CSF T I GARD
COMMUNITY DEVFLOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)639-4171 P'LUMBINI~ PERMIT
r-,qRMIT #. . . _ . . -, PLM95---03.':_-.1lZ1
,L.31.) ifl 'il DATE ISSUED: 10/19/95
PIARCEL: 1S1_`5DB--1V1400
SITE ADDRI_- 'z::)*5. . . : 1. 1100 SW 9'J11-4 AVE
.SUBDIVISION. . . . : ASHBROOK FARM ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :22
1------------------------------------
CLASS OF WORI-I. . :AL-T' GARBAGE DISP'OSALS. . : MOBILE HOME 73FDACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW V,REVI\ITRS. .
OCCUrDANCY GRF,. . : R3 FLOOR DRAINS. . . . — : TRAIDS. . . . . . . . . . . . . .
: TORIES. . . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . .
FIXTURES—------- LAUNDRY TRAYS. . . . . . . 5F RAIN DRAINS. . . . .
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . . GREASE TRAP'S. . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . .
WATER CLOGETS. . : WATER LINE (ft ) . . . . : 1
1)P-)HWASHERS. . . . : RAIN DRAIN (ft ) . . . .
[+einar-ks . One residential water, servirp.
C)Wner.- FEES
DAN M11-LER type a in o 1_(n t by date r-ecpt
11100 SW 95TH P,RMT $ 30- 00 CJS 10/19/95 95-271882
5PICT $ 1. 50 CJS 10/19/95 95--27188
TIC3ARD OR 97C223
Phone #: 684--9749
CHPISTIAN PLUMBING
c"2919 SW STAFFORD RD
fi-JAILATIN Of? 97062
I'-,hone #: 503--771 --9449 31. 50 TOTAL
Req #. . .- 42671
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Set-vice In
Tioard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if work is srspended for more
than 180 days.
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Call for- inspection 639-4175
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City of.Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # ir-LZ�!V S=033.1
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
01 Diw100'"""" New Single Family Residences Onlyl
tj kik-)
AdOen L31 BATH HOUSE $140.00 C12 BATH HOUSE$195.00
T
Job ,(/01��, i i,Aj rr�' ❑ 3 BATH HOUSE$22C n1
Address QWelu. m Fee includes all plumbing fixtures in the dwellir;f and the first 100 feet
/C/%!`h'-/ c*0' �,�,�;2L-3 of water service, sanitary sewer and storm sewer. See fees below.
~
No"(W.N .1&W.0") FIXTURES CITY PRICE AMT
Sink 9.00
~V Afton �` Ah.". Lavatory 9.00
Owner �/(0U ^, 1-.0. L( 6, yTub or Tub/Shower Comb. 9.00
Shower Only 9.00
te eh, f j 2- 7 Water Closet 9.00
Dishwasher 900
Garbage Disposal 9.00
Occupant M.tio,es«. a,.". Washing Machine 9.00
-Floor Drain 900
:V Water Heater 9.00
Laundry Room Tray 9.0C
"""• Urinal
n � 900
w I Ltd �� P/ Other Fixtures (Specify) 9.00
aa... PMn. 9.00
Contractor /
1.31 ) S.iJ, .3-- /A �r�/P_d / �� 9.00
cxw9m+ no 9.00
Sewer 1st 100' 30.00
9f1'""W"U""'' ary&A T'•"°- Sewer -ea. Addit. 100' 2500
f :2 6 ';71 17 y.7G Water Service Ist 100' moo �
I hereby acknowledge that I have read this application, that the Water Service ea Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm $Rain Drain ist 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (if exempt from State registration, please
give reason below.) Mobile Home Space 25.00
oBack Flow Prevention
�r ,�« �-- ^._ �� /?• ?o Device or Anti-Pollution Device 9.00
5'4"A"i0M11'a"'t °i' Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition Q alteration IF repair Q Catch Basin 9.00
to be done residential C non-residentia f7 Insp of Exist. Plumbing 40 00thr
Specially Requested Inspections 40.00/hr
Existing use of
rr building or property Rain Drain, single family dwelling 3000
V) Residential backflow prevention -
devices 15.00
Proposed use of ,
building or property _
(Except residential backflow
cc
prevention devices)
LL)
-� NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5116 SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -- - —
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN P,EVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions /
Date issued by L/'Gt 4-s- iq�
Cq� �
City of Tigard
Building Division C%
We hired George Morlan to replace our water line. They performed the work, but
told us that a permit and inspection was required.
I was here on 10/20/95, when an inspector arrived, approved the work, and told
me to fill in 0-te trench. He handed me a 'Building Inspection Notice" with the
tollowin : Water line and -Plumb circled, 10/20/95 written in for date requested,
A X'd, l 1 1 95th written in for address, 771 -9449 written in for builder, and
I M950320 w 95th
in Ior Permit #, GS written in for inspector, and a check in
fr t of a Wed. I doubted this would xer l would send a copy.
The letter you sent, however, has pe it #MST93-0549 • the top. Perhaps these
different numbers is the cause of the e r.
Thanks for your 11elp.
\ �,l 5T q
i ke Sawyer C, 4
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N 132oai� r� Rm S
1 1 100 SW 95th
Tigard, OR 97223
684-9749
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STATE OF OREGON CONSTRICTION CONTRACTORS BOARD
REGISTRATION CERTIFICATE
This certifies that the person named hereon
is registered as provided by law as a
SPEC CONTR/ALL STRUCTdRES Registration
EXEMPT Number: [ 45294
INDIVIDUAL
Expires: [ 08/30194
[
ROBERT HODGES
[
13912 SE CLAYBOURNE
PORTLAND OR 9Z3"-0000
SIGNATURE OF REGISTRANT
f C=hi T-�F==X)C-�1==1 1C====X►C====>j 1C====>4��I 1C-=l I C-_�t 1C====>4 F==4 K--
POCKET
-=POCKET STATE OF OREGON I CONSTRUCTION CONTRACTORS BOARD
CARD Registered as: No. [ 45294 Bond [ 5..000
( SPEC CONTR/ALL STRUCTURES Insurance [ STATE FARM INS
DETACH [
AND EXEMPT [ 970965640
CARRY [ INDIVIDUAL Employer Accounts:
WITH Expires 0$/30/94 o
ON FILE
UI
YOU [ �.
[ ROBERT HODGES Rev
[ WC
13912 SE CLAYBOURNE
[ PORTLAND OR 97326-0000 IRS [
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August 17, 1994
Traci ' ivingston
11100 SW 95th Ave
Tigard, OR 97223
11100 SW 95TH AVE, BUILDING PERMIT #MST93-0549
The last inspection conducted on this project was an insulation inspection on
11/8/93. We have no record of any subsequent or final inspections for this
project.
Please advise the Building Division as to the status of this project within 15
days frorn the date of this letter. At that time, you may schedule the next
required inspection.
Please note that permits become void if there has not been an inspection
performed for over 180 days. In that case, the Building Division may require
a new application and fees to continue the work. Also, a notice of non-
compliance against the property may be record( J by the City. If you need
additional time to complete the project, pease contact the Building Division
so that an extension can be discussed.
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MASTER IDERMIT
CITY OF TIGARD PERMI1 #. . . . . . . .. ms*rq3oti,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/;:__15/93
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PnRC111_: IS1351)0 -10400
- 1 TE AL -
1DREC'S. . . : I I 101IJ SW 931 -1 r)()E
..)UBL)I V I S I ON. . . . t ASHBROOK FARM ZONING: R--4. 5
. . .. . . . . .I LOT. . . . . . . . . . . . ."'12
BUILDING
ZE:I SGUL UNIT13: 1 BASEMENT. . . . . . . . :0 S1,
-iS- - V1
C'LASS OF WORK. REP
BEDRMS:O BATI .0 GARA(31�. . . . . . . . . . .- 5 t
T 1,---,E 01:7 US1 E-3F IFLOOR AREAS——--------- REQ.lJ I RED 0ETBACK3-------- -----
rYPE OF CONST. 51\1 F IRST. . . . -0 s LEF*1". . :0 ft RIGHT. :16 f t
: 1,43 SECC)ND. .. . -,A to f FQONT. :121 1't R Ei A R. . 0 1-t"
�',TORIES. . . . . . . . I THIRD. . . . :0 s f FREPUI ---
!CIGIA].. . . . . . . . : Qt ft l'OTAL------ -----------113 S f S1y1C)KE T7ETEC70RG. -
'LOOR LOAD. . . . .40 psf VALUE. . . . . $ - 517101 PARKING SPACES—:0
C.,M, RL PAIRING DRY ROT IN FLOORIE, OF HOUSE WILL F'Ir::.L.D CHE(,V,
PLUMBING
I INKS. . . . . . . . . . ..0 FLOOR DRAINS. . — ;,0 DPCKFLOW PREVNITRS. . .0
..0VATORIES. -,V, WATER HEOTh:RS. . . :0 rROPS. . . . . . . . . . . . . . :0
'UB/SHOW=R� :0 CAT BASIN5. . . . . . .
S LOUNDRY TRAY�. :121
,,JATER CLOSETS. . 'O 5EWER LINE (ft ) . :O GREASE TRAP'S. . . . . . .
D It-HWASHERS. . . . :0 WATirR LANL'.. (ft ) . .0 OTHEER FIXI'URES. . . . . li.,
GARBAGE DISP. . . :0 RAIN DRO IN (f't ) . :0
WASHING MA(D-1, V! SF f R(11 N DRAIN'S. . 0
MECHANICAL ........ FLES
r'(.JEL UN 1. T' H'T RE). . :111 type amol.tnt by date r-e(:pt
VENTS . . . . . :0 8 P R I $ 56. 50 JF .10/25/9,:�
,h'-)X 11\11`L)T':Qi LATU VENT FANS. M :Q, 36. 73 J'F 10/25/932
URN ( 1.00K . . .-0 HOODS. . . . . . :0 B5F-"C 1 2. 83 JF 10/25/93
"URN 0 WUCIDSTOVE . :17
"LOOP rURN. . . . -O G L 0 D R YE R . 0
11H17,:0 orHr-IR UNITS-0
GHS OL!TLI.:."TS:O
4111 MILLER
11100 SW ')'3:1'H (AVE
!GAR0 OR 972,�3-0000
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96. 06 TOTAL.
ri5 pe-vt is issued subject to the reguiations contained in the REUUTRED INSPECTIONS
Ira-d M,,Acipa, Lode, State of Ore. Specialty Codes and all other Post/Beam tjtt^urt ..........
aoos. -
L) cplicablf I All wcr� will be dent in accordance with approved F't-aminq I n s p
i an s, 'ht s persit will expire if work is not started within 180 Insulation Insp
=ys of issuance, or if wo!1-k is susoendedcr sop( than 180 days Building Final
f Ev-clsiclTi LuiitrclI
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Cal .1 ft.r^ n si p e c t i u n, 639--4175
INSPECTION NOTICE
City of Tigard Building Department
1312S BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: T `
Footing Plbg. Underslab Mech. Rough-in Appr/9dw1k
Found. Plbg. Top Out Gaa Line FINAL:
Post/Beam 8truct. San. Sewer Framing; / -Bldg.
Post/Beam Hoch. Rain DrainInsulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Mach.
Date Requested: 11 $ / Time: _n AM PH
Address: M � G�� - Permit
Builder:_i
TBE FOLLowim OORRIlCTIONr ARE REQ"zRED:
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Inspector:, (�v � Dates 114
APPROVIM DI9APPROVED fi APPROVED SMINCT TO ABOVR
Call For Relnap.
Y 111 1 1 1" 1 to f A ymt-t4l PI GV J I I NIL
(.I A il-.f-,K OMC:UNI 9t'. 06
NAME 14. I-svill fjcj()Ijj\jj W.
ADDRESSW : ' J POYMIrel 1 ))WI,
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P I R P C)cS F.,. OF 1--,PYMF'N I "MOUNY PAID PURI.-IOSE OF PAY MLNI fill(AM VIA ID
1-4,611-DINGo P.-'RM 10--71P kno PLAN CHECK FF- 36. 73
,;T. BUILD PFR 83
iiv,mcioi t o'r i t i.oo w c),-)T ti t4vF--
'I LI ML. NMCILIN f PAID 4b. Of”
Residential Building Permit implication
City of Tigard
13125 SW Hall Blvd.
I.g►ard, OR 97223
(503) 639-4171
113- 1Oc/vv
Jobsite Address:
- `
Subdivision: Lot # Office llsg'Only
Valuation:
�� c-c PlancklRec#
�
Pemnit #, •'� � _
Owner: Reissue of
Address:
Approvals Required
Phone:
Planning "'),4 y'� _
// Engineering
Contractor: FAD //OZ>C�-s
/ Other
Adccress:
items Required
f/ 2 � U Sutcontractors
Phone: �G
'�/"� » �� y TrussDetails
Contractor's License# , 14°
(attach copy of current Oregon license) 'er
Subcontractors:
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License)
Architect./Engineer:
Address:
J
�y Phone:
J COMMENTS:
•�-'� s�u d 'LGA---~''"
Applicant Sig nature s& P ot e number
Received by: __ �} - Date Received: A;i�j
Permit # Account Description Amount Amt. Pd. Bai. Due
�5 j--O Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech.
Plan Check (PLANCK)
Bldg: *
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge tPKSDC)
Storm Drainage Chg (SDSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
'— Office TIF (TIF-O)
Water Quality (WQUAL) _
Water Quantity (WOUANT) _
Fire District (FIRE)
TOTALS:
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BUILDING PERMIT APPLICATION DATE
rHF UNDERSIGNED HEREBY APPLIES FOR A PERM 11 FOR I HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHO'hN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER JOB ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL Cl ADDITION 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
C� RESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY LAND USE ZONE ---._-BLDG.TY E FIRE ZONE PLAN CHECK BY HEAT
v
SEWER PEFIMIT N
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES AREA NO,BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONLLS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS 4EREBY AGREED THAT THE
Plan Check _I WORK WIBE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND - I COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT D"ES NOT WAIVE
Sub-total RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
-- " SDC-
Total
PDC# APPLICANT OR AGENT
By
----------- Receipt No. � - - ----
Approved ADDRESS PHONE
DATE INSP. TY INSPEC ION REMARKS��- PLUMBING DATE
Contractor
//��`►� �_�s_-it
-- D !l --- -----_ _. Permit No.
Fixture
Final
Z �'t�•1A _ �it�,wr,� �H HEATING
Contractor
Pei mit No.
3• t7 it ,a.re V� .� _
1 _3 /r / L •,L -— Get or 011 _
/ _ ` / Rough-in
CL �� ..fes p.
Final -
N .S r g^ 'L �_ i r__IC•- SEWER ,
Final
DRIVEWAY
_
Final
1-•
0
Storm Drainage
(Rein Drain)Final
Sidewalk
Curbs Street Final
Approach
BLDG.DEPT.RINAL TEMPORARY CBRTIKICATF OCCUPANCY Fuca!
CE'.�i1FYCATE OCCUPANCY
Landsrnping
Zrminq final