11550 SW 98TH AVENUE-1 re
f
k
I
I
I
i
I
a
r
5
}
y
r 11560 ail 99TH 11Ywx
INSPECTION NOTICE ,
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection - �'V 9 .c.C, ./�Lc.✓�� `' ��
Date Requested Time A.M. _P.M.
Address; 1 �`,S`[) ._.---.-_- --.___-- Permit # 9D
Owner �. ------- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
P•esr.;. d to _ �Ap roved
_�..
Inspector
Disa pl'.rOVPfj
CALL FOR RF;INSPECTION
YES ❑ NO
I
APPLICATION -- STREET IMPROVEMENT'EXCAVATION COP( TO:
[� (WHITE)-FILE
ORDINANCE NO. 74-14 0.('YELLOW)-INSP.
E3 (PINK)-OTHER AGENCY'
(INSTRUCTIONS ON SEPARATE SHEET) ;, (BLUE) APPLICANT
APPROVED I) APPLICATION NO.: J ^ I
NOT APPROVED I CITY OF TIGARD, OREGON FEE AMT'.. S
PEN DING F EE PM7 L] CITY HALT. RECEIPT NC.:
PENDING SECURITY PUBLIC WORKS DEPARTMENT By
PENDING AGENCY ''OK" ❑ Application and Progress Re(-)rd MAINTENANCE BOND
PENDING INFORMATION D FOR STREET IMPROVEMENT/EXCAVA'i ION ASREQUIRLD
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE: --t
— PERMIT NO -- - -- - DATE ISSUED: BY: ------ ------- - --
(1) APPLICATION IS HEREBY MAGE TO EXCAVATE FOR AND INSTALL ---_---
_- A., DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT _ ; Irl �lu � __..•L—�_ :.- ( � ; r 61 1 1 F. ee r tc*i, �, Y..i
AME j ADDRESS CITY PHON
I ( I
CONTRACTOR NAME ADDRESS
PLANS BY --- -----
NAME ADDRE59 f.ITY — PNONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E
DOLLARS
FOR OFFICE USE
(2) EXCAVATION DATA: _ 0.04 X Ste__
STREET
DESCRIPTION PROGRESS & INSPECTION STATUS
----- —
NAME ffSURFACET CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
! LENGTH WIDTH DEPTH ITEM & QUANTITY
-- -- STREET
OPENED
_ —
INSP C-
R TION
E
Q
U
E
ESTIMATED STREET OPENIN(s DATE:
ESTIMATED STREET CLOSING DATE.
D ---
-- --_ --_ - STREET
(3) SECURITY NO. — _—_ SECURITY AMT.: / __ CLOSED
SURETY CO.: _ ___._. FINAL
—� CERTIFIED CHECLI _ CASH.fd BOND r IMSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL r SPECIAL PROVISIONS /CONDITIONS
FEATURES; EXCAVATION LOr_ATION AND EXTENT.
E
CURB
I I I —
I I 1 I I 1 ----
r
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANT'S TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON,
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WOR,', AND �O SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE DATE
r
iN�r'ECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigerd, Oregon 97223
Phone: 639-4175
Type of Inspection
� l� me A.M. P.M.
Date Requested.---
equested.- /p
Address _ 0 i Permit
Lot #
Owner
Builder
The following Building Code deficiencies are required to be corret.-ted:
Presented to Approved
Inspector %,� - `
Disapproved
Date
CALL FOR REINSPECTION
❑ YEA ❑ NO
11 E("H NI("0l_.
C'TYOFTIGrARD F"E A R IYI]'*I*
MY OF TIGAfRD r.-E.R Ivi FT #. . . . . . . .. MEX90-01,40
CG AMUNITY DEVELOPMENT DEPARTMENT ORFO(W
13126 bW Holl Blvd. P.O.B,)x 23397,TloeM,Oregon 117,Z 2�4176
11550 SW 9811-1 AV PARC'E.L.-
7GWING: R-4, 5
I CH,
...............
CLASS OF WORK. :AI FLOOR FURN. EVnP (;OOLEIRG
'Y'Y OE OF U 6L' SF' t.1hIIT I-ILATERS. . VENT FANS. . .
0 C U I'1 0 I'l C;Y G R 1-1. R 13 v E 1+1'S W (O A F1 1-1 1 VENT' ")Y S'T'F"Ivl(3
51,(OR.1 E G. . . . . . . . . 1401 L E.Tit.*;/C 0 11 P Rl E S 8 0 R H 0 0 D .3. . . . . . . .
0-3 HP. DOVIE.,:S., 111c,"[14.
/GAS/ 3--15 1-1V'., C.'0111`11.— INMN.-
NOX 114:11JI''. 1"i.-30 R r'A I R 1.1 111:T S
F"I:IR 1:-:" D A VI PE.R S?. . s 30 50 HP. . . . - WOODS'I'OVE9. .
G P�C; 1::,R E:(11 G U R E. . . "i0.+• 1.11-'. . . . . C,I.() D R Y IH:F�$::. . 4
KID. 1:":. L)hl*E'TS---------,---------------- AIN 1-40FIDLANG 0141 T5 0'1 H E:R UNITS. -
TURN ( 3,001/1 F`I*TU,-. 1. <- 1(%1000 efill. G A3 0 1.1T'I ETE;. -. 1.
FURN >=100K E"I'U., > 1.0000 e-fril-,
R(F1 01 A I+S:
0 W 1.1 e-v C ..............................................———- FE:1's
W I'L I 10M LEW� aniat.kilt b Y date -recv)t
P1 A Y III $ 18, 90 0*71.1.6190
F,R Wr 1.9. 00
',-'j F,C;J' Cl. 9H
P[I a I-)c?
C,'OI U I'IB 10 14 EW11 N G
2:I.:30 8 F;W 907'H
T 1.1 A L 0 1 .1 N OR 9*7062
F`11 0 1-1(:-� #» 69 2 4320 t. 1.(1. 90 TOTAL
N., 38026
REOUIR"L.1) INSPEC,*TIONG
This permit is issued subjvt to ti,e regulations contained in the
Tigard rMi-.Jvinal Code, Stec@ of Ore. Sperialty Codes and all other
Apvlicable laws. All work will be done in accordance with ....... ...... .......
appreved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for wore
than 180 days,
F.�v in i t t e e 5 i
11 A is U-r e ......... ......
Call f o .........
illsr)Petiari 639-4175
A
-vr,Y, OF TIGAPD PEl'-'.ETPr Ov" PAYMENT RECEIPT NO. r. 0--16 9 a
CHECV: AMOUNT : 18. 9(.1
COLUMBIA HEA'T11,.IG CASH APICILINT t ()" t')Cl
AODPESS PAYMENT DATE : t)7 16+'q(i
SLIBDIY1310N
TUALATIN. OP 97 115!710 BOJ 178 PA
l!F'1^f1aE OF PAYMENT AMOUNT p(Il(, Or' PAYMENT AMOUNT PfilD
MU.IHANICAl.. PE MEC' C.)1/l 1 BUILD I-'EF:"
9".
VOTPIL AMCILIIJI Pf�] D
SENE.R CONNECTION
CITYOF TIG4RD 1::��-R 111,T
DOTE: 1SS*LJEJ).- 07/12/90
rrYOFTMRD [j�pi 'j* 0 S W R 9 0 X130:1
COMMUNITY DEVELOPMENT DEPARTMENT ORFQ*N Ii. '�WR90 0301.
13126 SW Hall Blvd. P.O.Box 23397,rigard,Ovapn 91M
SITE' 1.1.550 13W 9814-1 (IV IS31.35CD-01,50C.)
7
GREENBORG HEIGHTE3 Z 1)1,11.N Cj C,_•4« 5
ENONT NAME.
t.)G(j NO. » « „ . „ . ., « « .42;3:30 F--'I".X I",J R L UNITS..
C:LAGS OF:* WORK.. , »A))D DWELLINC3 UNITS..
f Y PE (IFUG F-,, - .- . . :4i(' NO. OF* Bl[YELDIN(:iS. I
INSTALL TYI.-,E., 1`1.)S W R IMPE'RV G(Jf`41:'*PCE-- f
R P ril e1.(,k.S.
0 W rl e-r:: —.....................———— F"LES
G W U I NI)OLY111 DI—AIR t Y 13 'A ni 0(.t 1.1 t by elate te r e r T)I-
N HILL RD 647G PRMT $ .1 1500. 00
11C.11111ANVII L.E. 0R 9712 8 P A Y 11 1; i.5;35. 9)0 J I H 07 1.2/90
1-41c)vle 0:
Gc)ri-t-r,-..i c.,t c)-(.. ........
KED N Iq E 1)Y P1...1.1111."1 lq G
1.:39P5 (j: W F;'AR11JN6'H)N ROOD
DL:(WERTON OR 9'/005
r,liojie #-. 150364355,35 $ : '535. 00 "TOT W-
r;,tiq 0. 10967 REQUIRED 'INSPECTIONS
fhis Applicant agrees to comply with all the rules And regulations sewe.(, Tr1Sf)?C.'tj.011
of the Unified Sewage Agency. The permit expires 120 days from ..................
the date issued. The total amount paid will be forfeited if the --------
permit expires. The Agency does not guarantee the accuracy of the ——--------
side sewer laterals. If the sewer is not located at the measurement .......
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase .........
a "lip ;,nd Side Sewer" krut and the Agency sill install a lateral.
..........
...........
By: —------ .......................
Cal.1 for jjjspectic)ii 6:39--4:17 5
OF TIGARD PE CTIPT OF PAYMENT PFcE cr.-,r r4o. 3q .,410.,71 61.'
CHECJ� AMOUNT t Ito 7 2*1
OWENDOL.YN BLAIR CASH AMOUNT v
0 0 F'E G'-B 17097 SW EL DOPADO DP PAYMENT DATfE'.
SL*D I V I S I ON
TIC:APD Or,' 1 ". ::'� 1155() SW 98TH AVE`
PURPOSE OF PAYMENT AMOUNT rl:,AID r"UPPOISE OF PAYMENT AMOUNT PAIL!
15WRO4.)—171 1 1 (")o SEWER T NSPECT
'i ((TAI.. AMOUNT PAID
i
i
t
I
t
t
1
BUILDING PERMIT APPLICATION CITY or T11GARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-
OR AS SHOWN AND APPROVED IN THE ACCOMPA 'sNG PLANS AND SPECIFICATIONS. OWNERPF40NL.
LOT NO.—
OWNER �$c l E MQ w JOB ADDRESS'. � �—` HOME ADDRESS _
- ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE GNEW 0R mnDEL ❑ADDITION ❑REPAIR ❑RENEWAL. _ ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'f_❑RELIGIOUS OPATIO ❑CARPORT OGARAGE ❑STORAGELOSLAB ❑FENCE
ONDITIONAL USE ODESIGN REVIEW [-]COUNCIL APPRON.ED ❑SIGNS
❑BOND ❑MO'VING C1 C_(
HEAT
OCCUPANCY-----LAND USE ZONE_ BLDG.TYPE_ _f•IRE ZONE ) PLAN CHECK SY _
_ �.1�13.�S._jS L tie n �tag"L @flL oar L::�U�2�
AREA-,---�1f 9_jPDR00M5 VALa-__---
BUILDING DEPAPTENT SET BACKS FRONT REAR _ LEFT SIDE RIGHT SIDE
M
Permit i ` .!D
THIS 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 CC"APt_IANCF WITH
CES, THE ISSUANCE OF
IS PERMIT DL S
Sub-total ALL APPLICABLE CODES AND T VVAIVE
RESTRICTIVE COVENANTS. CONTRACTORANDHO
AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY APPLJCANt ON AC3t N1
Approved ___----- Receipt No W;Q -
ArwrirJKSK
DATE INS? TYPE INSPECTION REMARKS PLUMBING DATE _
Contactor
Permit No.
Rough-in
Fixture
Final
-- -- --HEATING
-- --- - --_----�^^V Contractor
_--_ �— _-- ---- —----__-_- Permit No.
�'— - Gas or Oil
-- --� -
Rough-in
_ _ ------ SEWER
Final Y I
DRIVEWAY
----- -- -- --- -- — Final
— - --._ Ston'"Drainage
— -- - ---`-- (Rain Drain)Final — _-
- Sdawalk —
-- i - -- — -----------
Curb&Street Final
— Approoch
W-DG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY - -- -`
Landscaping
Toning Final
�I.
P.
"i
^ I;
WFXW
KW
Jul
CITY OF TIGARD
Date
�-� ' Amount $�
4- / dollars
Name� � Cash
M.O.
Address
t-
Bldg. [—] St.Opng. Bus.Lic.
Plbg. [] PubcMs. - Bike Lic.
Elul. El Copies Sew.Serv. - El
Sewer ❑ Filing E] Fine a F. E]
Assmt. M other Zoning
For: 7 '
Z___�, �/a
Permw, �?
CITY OF TIGARD
BY.
wN •c"to POINTING a tt111100120r
14743
�V I�CAN C1iDLX APPLIC`AT'ON
I TY' OF T IG, RD I1,P.O. C�3 PLAN Q" 1P -
)sa316.9a171 PE MIT I `-
OMMUNlTY DLVELOPMENT DEPARTMENT DATE ISSUED
JOB AD(X2I�SS: �_ � : �- _
_ -N TAX MAP/Wr
SUB: — TWIT: IAND USE: — —
VAUJATION:
OWNER SPFf"TAT, NUITF S
NAME:
REISSUE OF:
�.:.� .=-,.���<���v �.9 :�_._! ----
ADCPESS: _ -_ IAJ`T IZUSS.TE: —
FUJGD PLAIN/
-- -- SENSI'ITW. IAND:
PIJC)NE: --
- ��PPf�VAT�S
( iIRACiC7f2 C '� PLANNIRG:
NAME: r i -
PHOM:
B[nDERS BOAM if: -- - EXP DATE: �_ IS.ST/ .
BUS TAX: --
AMiJENGINEEI2NW: - _ TWM DOAMS:
PWIE:
SZA-Yw.-RACPClS: PLUM: -- MMI: -_ --
PF1441T if A(XT ,0 DESCRIPTION At'1.XWr AMOL i' PD. BAL. DW
-� 10-432 00 Building Permit Focs _ —
10-,431 00 Plumbing Permit Fe-l—,
10-431 01 W-dranieal Permit Fees -- -
- _ 19-230 01 State Building Tax (5%) -
Buildir"
Plumbing --_
mods —
10--433 00 PLaM ChOC* Foe
Building _ _-_-__--
Phubing
moth _
30-202 00 Sewer Oormection _- -- -- n
---- 30-444 00 Sewer- IrVPPC- ian
51-448 00 Street System DPv barye _ _--
52-449 00 Paries System Dev Charge V-& -
31--450 00 Storm Drainage Syst Dev 0-mg (SSDC)
10-230 06 Fire
I7VrAI, _.
APDL TCANr SIGNATURE --- -
Rnoeived By: Date Peoeived: --
e.f/3587P.WPF
CITY OF TIGARD MECHANICAL PERMIT Receipt#
13125 SW HALL BLVD. Permit # _.r
P. O. BOX 23397 1 -5 S Description
Lt`•, — ---� —
1 T I GARD, OR 97223 L Table 3A Mechanical Code CITY PAICE AMT
(50.3)639-4175 1) PLrmit Fee -0- -0- 10.00
Name of Dn+-k Amer t 2) Supplemental Permit 3.00
i
Job Address , 1) Furnacv to 100,000 BTU 6.00
1;
Address //7 D s ,:j incl,ducts&vents _
Tax Lot Map No. 2) Furnace 100,000 BTU + 7.50
incl ducts&vents
Lot Block Subdivision — —
Name(or name of businew) S) Floor Furnace 6.00
incl.vent
Mailing Address Ph" 4) Suspended heater,wall heater 6'00
Owner or floor mounted heater
City/State �� zip I 5) Vent not incl.in 3.00
„. appliance permit
-- Nama. oar ie of buss es) `�, 6) Repair of heating,refr ig., 6.00
conling,absorption unit
Mailir,g Addie phone 7) Boiler or comp to 3 HP 6.00
Occupant ' absorp.unit to 100,000 BTU — _
ciryia__ zip 8) Boiler or comp to 3 HP-15 HP 1;.n0
absorp.unit to 500,000 BTU
Name Boller or comp 15-30 HP 15.00
i T 9) absorp.unit 1/2-1 million
Mailing Address Phone 10) Boiler or camp to 30-50 HP 22.50
;3 -) absorp.unit 1-1.75 million
Contractoratyistate Zip 11) Boiler or comp to 50 HP i 31.50
absorp.unit 1,750,000 PTU
State Registration No. City Bus.?ex No. 12) Air handling unit to 4.50
/ 10,000 CF M
Air handling unit
I hereby acknowledge that I have read this application that the information given is 13) 10,000 CI:M + 7.50
correct,that i am the owner or authorized agent of the owner,that plans submined are In —
compliance with State laws,that 1 am registered with the State Builders'Board,that the 14) Non portable 4.50
number given is correct.(if exempt from State registration please give reason below). evaporatf i cooler —
___�.._. 15) Vent fan connected 3.00
_ to a singlet duct
--------- -- — 16) Ventilation:system nct 4.50
included in appliance permit
j 1 y) Hood ser.ied by 4.50
_4L t ) 6e �l _. ce ) _k'4Lct, ?'/G' me:_hanic:alexhaust
Signa ure(comer or agent) Date 18) Domestic type 7.50
Describe work U addition [I alteration fl"" repair ❑ _ incinerator
to be done residential non-residential U 19) Commercial or Industrial 30.00
Existing use of c /O type incinerator
building or properly_r / / 20) Other i.e.,wocdstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property_ — - - 21) Gas piping one to four outlets 2.00 G1
Type of fuel- oil Dj natural gas LPG D electric O
22) More than 4-per outlet
NOTICE SUB-TOTAL �,�' �6)
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CCN- ---- -
STRUC:ION AUTHORIZED IS NO', COMMENCED WITHIN 180 5'A SURCHARGE r o
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AF TER
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued _ by
C WAS
/-r7
0Ic