11060 SW 106TH AVENUE-1 rw
11060 SW 106TH AVENUE
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 539.4171
CONTRACTOR:
Pursuant to Sec'.ion(s, of the Uniform Building Code, the
follomog item(s) require correcting:
Date: �""'�'� ¢ —Permit No.---
I n s p e c t o
CALL
o._—InspectoCALL FOR REINSPECTION
R W lAll II
CITY OF TIGARD BLDG. DEPT.
12420 S VJ. MAIN STREET
TIGARJ, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
v �
loe
Date:_. Pe.r:nit No. - --
'f
Inspector
CALL FOR REINSPECTION
ADDRESS D PERMIT NO,__
_ PERMIT CHARGE none
OW^;ER 4" `_ CONNECTION FEE ��.
PAID BY
TYPE OF BUILDING ju—o - DATE CONNECTED
SERVICE RATE _� INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSE55C1ENT PAID ��
tSi1ILUItVta L):'rry`i 1,i1C�`d I r 1 IUHt1L/
MARTIN T. MORLAN PLU!.1G!?!G CO., InCLUPASlwt, PER1117 N0 {
_..__4829-bLZ. UNIORAYE- -204.1109 de- !
hof.._ of a valid p urnbiny contractors license is hereby i
zuthorized to cause plumbing work as herein noted to ba installed in 2ccordance with the plumbing code of
Tigard. Such installations require inspection by the City In:pector who shall be notified not less than four i
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business license required
fur all ntractors and sub contractors.
Owr.er �7" x�ic. +.[4�� _ A.ddre,;_���`�5 A 106-- _ Date_
t
NUA13FR of TOTAL PERMIT NO.'S
TYPE OF PEF;.mi,r ITE:IS FEE ON EACH AMOUNT (Office Ute Only)
_REBID=,VT1�
Sinal+ Fami1v-1 bath-inch _ 25.00
Dltnl+.<-E,;ch 1 ba:1 unit 25.00
Addf tiun_a@_b.tchmumi-each I 10.00 _
hlabiLs Home Space--jach _ 15.00
INDIVIDUAL FIXTURE FEES
I to 50 Fixtvrat in 1 building-arch 9,00
51 to 100 Fix-vet in 1 buildiry_dach 2.50
12_1 "17—ng F_irnlr@i in 1 bu._Iairty-
201 or moLF,e xt_r;2 in 1 builrting e!rh_ 1 50
f,tlSr-ELL�hEOUS --- - -
Buildir Salver-1st 5�) rt. _` 1000 �--
SNwyr•.►7ch ed.'.idonrll ?00 f'r. 1000
W.irojr
Ssrvqto b -� 5.00
Privgt@ Wa .n Svttltnietch
11;U ft. 10 nU
Oth-?r fSoecir;�-- --- -
1 PER,rIIT _R er'1t For?runt?sr�g lnc,.;. . ,r, P,'s »639•4 iT! -_ f
TOTAL
O State
T07' P!umbina Contract �' h'
or By
iAI_ .� (o yll RECEIPT NO. Issu�cl By
I
CITI
BUILDING PERMIT APPLICATION DF, TIGARD OAI E__. 19,'
,THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN .AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
LOT NO.
OWNER{.1(J�I iarahem JOB ADDRESS••�,Qf. P SW AVIjI1U4SHOr1E ADDRESS
ARCHITECT
}
BUILDERI!ortfl.(iwd Hordes ADDRESS 10211 SW uarbur _ il^'a:. ENGINEER
DESIGNER StUhl^
STRUCIURE ❑NEW ❑FIymnDEL � ❑ADDITION _ El REPAIR _❑RENEWAL _❑_FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM OEDUCATIONAL 0GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB OFENCE
❑BOND ❑MOVING ❑CONDITIONAL_USE ❑DESIGN REVIEW ❑COUNCIL APPROVED USIGNS
OCCUPANCY'- LAND USE ZONE—_ " ? BLDG.TYPE�fi' FIRE ZONE--' PLAN CHECK BY_ ��'� HEAT 1C+L•
11 truct_tsir►sJlty Family dw ding w at,teLhed uara6s* 3 Lludroum - 2 E3athe«
Fie—Iseue� of ►Jormit 2416b
Sewer Permit 17`:,30 . $621,*00
43&psIv 4w.4 _ x _
OCC,LOAp __F1_0C(iLOA0aLj HEIGHT 13 f�Q.STORE1 AREAL 1bk___NQ_@FQg00MS'J VgLdt34s8001 W
BUILDING-DEPARTMENT t t�
--- SET BACKS FRONT +�� REAN C�tJ LEFT SIDE -� RIGHT SIDE
Permit 141•CSf] -- -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plaa Check �,(��(Jq REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT ;HE
`-'—' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCE WITH
Sub-total i b2l oa ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RIISINFSS
State Tax,, E ]•O!J IJCENSE. SEPARAT8eE9t#ITS REOUIRED FOR SEWER �' UMBING AND HEATING
•,
Total ;z7.fA ►Juc a. 100.uu
BY p1 -----
-- APPLICANt OR AGENT ------------ -
Approved �, • t is j,den Receipt No /
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contr9ctorz--?--,-
Permit No.
Gas c Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storvin Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL Tlt?APORARY CERTIFICATE OCCI)PA
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
�I
- II
TADING PERMIT APPLICATION 1 FY , i . P %RD GATE.D��eb�r Z-h___ 19j - N9 2-411
-4 t.JNL)1 451GNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HERFIN INDICATED BUILDER PHONE-2-113304-0
V'R AS SHGWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER
L.OT NO.—
, , Douglas
O.„ Douglas Graham JOB ADDRESS SSW. 106th Avpo,,AE ADDRESS
ARCHITECT
ti Northland Homes _ADDRESS 1_0.211 SW B_ar_b_ur 0202 _ DESIGNER ENGINEER Studio 5
'1 _ _ _F-� _rte_ _
-E 1 J 1,'�EW `- 0REMODEL -�OADUITION 0REP AIR-,� LJRFNEWAL [:IF IRE DAMAGE — ❑DEMOLITION
x ' N(.l 1I.-MM ❑EDUCATIONAL ❑GOV'T ❑RFt IGIOUSOPATIO ❑CAR PORT GARAGE ❑STORAGE OSL-AB FENCE
'ND C.]MOVING 12CON TIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
l F!NCY _ -LAND USE ZONE -. _----BLDL 1 YPF V FIRE_ZONE 3 PLAN CHECK BY-=.'O--, HEAT
ifl
To construct62_sg_ft w- t.j___t �tchgd.-garag
..Three (3)—b&.ddrgpm, _two_...(.2 __La_ h--
P '
".0 (.()AQ .4
H111 DING UEPAHTMENT
SETBACKS FHpNT^�r ^- - REAR_ LEFT SIDE RIGHT SIDE
)I'Irn't - - v
THIS PERMIT i5 ISSUED SUBJECT TO TME REGULA-TIONS CONTAINED IN THE I BUILDING CODE, ZONING Flan (;hrc - 1A �/ RFGULATI3Nb AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1HAT THE
WORK WILL PE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`uta Intal ALL AP?LICABLE CODES AND ORDINANCES. THIP ISSUANCE OF THIS PERMIT DOES NOT WAIVE
i
RESTRICTIVE COVENANTS. CONTRACTOR AND SLID CONTRAC70PF ;n HAVE CURRENT CITY BUSINESS
�,i 1".'T LICENSE,
SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING Amu HEATING.
T ntal 1 + r
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APP- ICNT Dp AGF ._ -
Appimod Receipt No.
3Q,bn_�W c�cc9,o.,r 1aAs _�_ lu0 Qto.u-p:law Ore
pUUHI$5 - HC)NF -
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