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11180 SW 106TH AVENUE-1 11180 SW 106TH AVENUE s z �o a cn CD m N �I rill 1 IMP(5RTAIVT MESSAGE FUR---_ ___{.•�^ CA). _ AM DAiE-j. �_3 TIME_ _ C1 U--P.M.- WHILE YOU WERE OUT M_1_. Y �F.------ � 1 - PHONF No Are. f_oda Number Extension— — TELEPHONED -_PLEASE CAII CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT REIURNED YOUR UEL MESSAGE. i;l_ ►-ter :.,)�.9 SIGNED Ulf QAM^ GM �I INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection Date Requested�L Lime A.M. P.M. Address Permit # Owner � Lot # Builder The foll(ving Buiidin odl deeffieienei s are required to be corrected:`^---- .� d� i zltL-1-4 Ptesented to ., G••� __.-.._ /► ✓4.1 fit'...r-i.•��+I•.. ---— Approved Inspector E� C-.A.C.. ut,(-r� Date � ' Lll� � ppr- ��_/�llr�'_I; :_ �c c �2Cc� '�tC 3/<tYi••Ln.�:- 1 1 R Cl f 941� G� 464 1 C Ate. 1 C� V i aA:s-D ci� Nc`��< cL rc- --� yx.1 — IN IL bay. �- C�-�$... 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Main St. Tigard, Oregon 97223 Phone 639-4171 Address--------------_— Permit #---------..^_ Type of Inspection ----- --- _� _---- The fz4;owing Building Code deficiencies aro required to be corrected: Presented to____--_-•--_—_--- ,-- Inspector _-___-- Date (ALL Ft rR REIAWEMON 0 res ❑ NO IN ....... m..+-r+1?nr•..nwnw.p.v.w-.w.�.�,-.....w,...n.:-1.�x..wmw,r,1�- : INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639-4171 Vouress - _ _ Permit Type of Inspection The following Building Code deficiencies are required to be corrected: --� Presented to - ---- It,spector __ --- — Date _ — — ---- -- -- ----- (ALL FOR R6WECTION ❑ YFS LJ rio Receipt # 1 R 5 SEWER PERMIT Uj1Na 2267 � Unift,�d Sewerage Agency of Wa►hington County CITY OF _ T j r d _ DATE _2Z2191 OWNER : Steve Spiegel PHOfgE : '746-.0538 JWNER 'S ADDRESS! 6515 SW Giles Court , Portland, Oregon 9'7223 TYPE OF INSTALLATION: ;Lateral) ❑ SIDE ✓.EWER [I LINE TAP AND SIDE SEWER ❑ LINE TAP TYPE OF OCCUPANCY: l^_I NEW ❑ EXISTING ® SINGLE FAMI'_Y ❑ COMMERCTAL ❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ iNDUSTRIAL FIXTURE UNITS DWELLING UNITS ADDRESS OF STRUCTURE : 11180 SW 106th Avenue, Tigard _ Permit Conditions: Thr applicant agrees to comply with all riles and regulations of the Unified Sewerage Agency. When calling for Inspection, please refer to the Permit Number. The Application expires in one hundred twenty (120) days. The smount paid will be forfeited should expiration occur. The Agency does not guarantee the accuracy of the location .if side sewer laterals. If the se�,er is not located at the measurement given, the installer shall prospect three feet in all directions from the dista;,ce and depth given. If not so located, the installer shall purchase a 'Tap and Side Sewer' Permit at the current charge and the 4gency will Install a lateral at the location specified by the installer. FEES: PERMIT FEE x -- CONNECTION CHARGE -- LINE TAP INSTALLATION X 1550. 00_ Penny Liebertz OTHER ISSUED BY TOTAL x__$550. 00 14� 2 /81 APPCIC, DATE SEWER PERMIT N? ,�� 3?.6 7 ADDRESS OF STRUCTURE 11180 SW 106th Avenue, Tigard TAX MAP _ 151-43DA TA ' LOT 300(portion) SYSTEM Fanno Creek LOT 13 BLOCK OF Northern Pines dwh 2/9/81 _ P1 APPROVED BY DATE ISSUED BY DATE U . - S REMARKS Connection Fee paid -inder Permit #23202 11 24/8Ol SEWER PERMIT U Unified 0; Sewerage:_ ,ncy Q of Washington County CITY OF �L _ DATE2 C2 GdNEP, : L S1�iQt'i�i` - PHONE :-A� #& -OS'E OWNER 'S ADDRESS: _C�sls SC�� ��('64 l. CW$ i Ptallute� lofycre !z TYPE OF INSTALLATION: ❑ BUILDING SEWER ) SIDE SEWER TYPE OF OCCUPANCY: 9 NEW XSfNGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7- 1"-70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLIN UNITS %&� ADDRESS OF STRUCTURE : ( � 50 VCS tt ad. PERMIT CONDITIONS: THE APPLICANT AGREES TO OMPLY WITH ALL RULE AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR IN PECTION, PLEASE REFER T.D.. THE PERMIT NUMBER. H PPLICATION EXPIRES IN . NE- HUNDRED AND TWEN Y( 120 ) DAYS. THE AM MT PAID WILL BE FORFEIT SHOULD EXPIRATION OCCUR. ` FEES: n/ / PERMIT L/FEE a \ CONNECTION CIARGE 1 � STDE SEWER'-,INSTALLATION SSC�•�G� OTHER '� _ 1 ISSUED BY l,O TA L �_ S�`d• 1 Ueve PLICANT DATE SEWER ,EMIT No IXW ADDRESS OF STRUCTURE << l S 1061 � • �� TAX MAP 1'51- 4324 _ TAX LOT ov5mtriH� SYSTEM _ LO1" 13 BLOCK OF APPROV D BY DAT I... ISSUED ppBY DATE D.U. 'S REMARKS IAN�t' � d 9141 ttwpe,l�i4 ;2 32o.?, CITY OF TIGARD—12420 S.W.MAIN--TIGARD,OREGON 97223 RECEIPT DATE:_-- _ q=�L AMOUNT: DOLLARS NAME: ^ASH: r { ADDRESS. M.O.: *OP _ FOR: ACCT. PIRMITS SURCHARO! AMOUNT SEWER BILLINGS 40-364 BUSINESS LICENSE 05-331 _ PLUMBING PERMIT 05.332 MECHANICAL PERMIT 05-332 BUILDING PERMIT 05-333 SEWER CONNECTION 40.363 SEWER INSPECTION 40-365 SYSTEM LEV,CHARGE 25-366 PARK DEV. CHARGE #1 30-367 PARK DEV. CHAI?GE #2 30-368 ZONING ADJUSTMENTS 05-362 TOTALS RECEIVED BY: PlllNIT NUM/! SSIGNiD: —---— - —__ Numbw Amount Nurnow Amount Number Amount lit- a3a6� - REGlIPT 07758 _ s—�- V i TAP AND SIDE SEWER LOCATION INFORI\ATION Owne r ':?�Pve.. g j P&4 ed Phone .Z.,4& -0 6'3$ I '�"'% -- Sewer Permit Number 23,20.2- Permit Date 11 .2.4. 80 Address of Structure_ II 80 S1U (7tA Ave. �l Size of Lateral 44 A' v► . Depth at Property or Easement Line_ Draw Diagram of Lot and Sewe3: Main and Indicate Location of Tap: 4-__- ev 23 ZG7 z I ' � _ I 0 a ct �� �c car � s Signature of Ap licant� CD _DOTE: THIS INFORMATION IS TO BE FILLED IN BY THE SIDE SEWER INSTALLER. THIS FORM MUST BE COMPLETED AND RETURNED TO UNIFT.ED SEWERAGE AGENCY AT LEAST TWO WEEKS PRIOR TO THE DATE TAP IS REQUIPED. TAPS WILL BF SCHEDULED ^ ]CORDING TO THE DATE THIS FORM (PROPERLY FILLED OUT) IS RECEIVED BY THE AGENCY . YOU WILL BE CONTACTED BY THE AGENCY IF THE TAP CANNOT BE DOVE WITHIN TWO WEEKS OF THE DATE THE FORM IS RECEIVED. For Off Use Only y Date Fore Received 75-303-R BUILDING PERMIT APPLICATION TIGARD DATE _ '��'' �� _,,q 80 349 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE VJOF K HEREIN INDICATED BUILDER PHONE 246-, _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _-_�_— LOTNO. 13-Northern Pin OWNER 31;evia ipi boll JOBADDRESS 11180 SU 1060 AJL, ;fart TLAG, 151 DA ARCHITE';T ENGINES BUILDER 3am9 ADDRESS6 51:j Sli Miles CuUrt DESIGNE! _ Spaige:l _�- STRUCTURE fel NEW U REMODEL Ll ADDITION O REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION 11 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE J SLAB❑ "-NCE OCCUPANCY II"-' _LAND USE ZONE R-7 BLDG,TYPE ��LFIRE ZONE -- PLAN CHECK BY d! h HEAT I:OnStELIU Sin_alc: family Owellin IJ/Ak detached carport. 1 I3sciluc-im 1 hath. SEE (;O[WECTIOry SHEE=T ATTACHE[). —+— SEWER PERMITMICI:C — wi7`,Q. .Zfa�• S�� +--S _lt' 1't�, �ltY�li1 k OCC.LOAD FLOOR LOAD Q 0 HEIGHT l NO.STORIES 1 AREA 1:1 NO.BEDROOMS 1. VALUE' 7,?7(71.7. BUILDING DEPARTMENT -. --- -- — SETBACKS FRONT r 4 REAP /! � LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN IlWrE BUILDING CODE 70NING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check _ aO• SIJ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 111 '�Q WITH ALL APPLICABLE CODES AND ORDINANCES. 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total • RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Staie Tax 4LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANO HEATING. 4' ,, f,� SDC— ,j6.UU Total 1+ F BY PDCN �i100.0DAPPLICANTORAGENT -- --- --p1 - F. Receipt No. Approved —_ ---------PHONE B I I DATE INSP. TYPE INSPECI'!ON REMARKS PLUMBING DATE ,i Contractor Permit No. Rough•in Fixture -- Final ---- - - I� --.—_—_ —S a ^--- -- -.---- HEATING Contractor Permit No. Gas or Oil -- -�— -- Rough-in � -- ------- -- -- ---- Final .- - __—__-------- SEWER - --- —��..—_ ----- Final--- i _ DRIVEWAY Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY - ^ CERTIFICATE OCCUPANC.r Final Landscepir Il II7oniny'"inal 1 trr is a IR N 10, ?4111 el— BUILDING PERMIT APPLICATION T1GA DArE 2'4' 19$©_ ����jj THE UNDERSIGNED HEREDY APPLIES FOR A PERMIT FOR TriE WORK HEREIN INDICATED BUILDER PHON Tn'+7S'�� OR AS SHOWN AND APPROVED IN THE ACCON PANY!NG PLANS A�D SPECIFICATIOOWNER PHONE I Nif0��1 LOT":0. -_J�?�C j e JOB ADDRESS �D `�� crjo P.. — it TL 30d I S 1-yCDA ^� ARCHI TELT ENGINEER BUtI^ER �4 ADDRESS &5/, 5;�2Ak19- 4d. DESIGNER - g , STRUCTURE NEW ❑ REMODEL ❑ AUDITION :- 1 REPAIR ❑ RENEWAL FIP.E DAMAGE - ❑ DEMOLITIOr RESIDENCE C CC"," ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SI AB; FENCE OCCUPANCY --_ _- t.ANOUSEZONE �_7 BLDG.TYPE I�N FIRE 70NE--^-_PLAN CHECK BY __- HEAT_ _,..,.....oar.- SEWER PERMIT N OCC.LOAD FLOOR LOAD L/p HEIGHT 1+ NO.STORIES —AREA ��.-NO.BEDROOMS VA.LUi,200 SUILUING DEPARTMENT SET BACKS FRONT _ REAR �� _LEFT SICE RIGHT SIDE �Q Pgrmit - _ l�(,i.O�THIS PERMIT IS ISSLIED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDI?:v CODE, a N..Z WN -� REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TF! n'C1nCheck _ 0�, I WORK WILL SE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS ANC IN CO,';:FLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERf,11T DOES NOT hWAIVE%b-total _ �• ��RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTO.,S TO HAVE CURRENT CITY 6USINESS LICENSE-SEPARATE PERNUTS REQUIRED FOR SEWER,PLUMBING AND HEATING. :c;tate Tax Total _ _ (y' `�' - — PDCA APPLICANTCR AGENT _-- By - — - Receipt No. Approved M ADDRESS T- -----^- PHONE v SDC SEWER CONNECTION 8 SEWER INSPECTION—$ 700 33YO 2("111 Claw Z20 �tx SEWER SURCHARGE S — 2732'4 2-7 Sao r_OmmontgS KY 1 / " ',__' - ----- PfRo- Ubs Lot13 /Ge ► Roo e AJ I 4'310ioi� —_ -