16450 SW 108TH AVENUE ADDRESS .,
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LIABILITY. The C ty o pFl?r�I i frP9/-c'� �.3iTE ADC�R�SS o
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Page No. 1 CASE HISTORY FOR CDSE NO.; BUP91-0023
TERRY E ZUP.AWSKI
16450 SW 108TH AVE
02/06/96
Action Description Req/ Schd/ End/ Action Notes Di3p By Update Upd
Code Sent Done Done Date By
------- --------------------—-------- -------- -------- -------- --------------------------------------- ---- --- --—
BLIPA007 Application received / / / / 01/08/91 PASS JLH 01/23/91 BLT
BUPA007 Application received / / / / 01/08/91 PASS JLH 01/23/91 BLT
BUPA010 Plan check deposit paid / / / / / / 01/23/91 BLT
BUPA010 Plan check deposit paid / / / / / / 01/23/91 BLT
BUPA020 Plan check by / / / / 01/23/91 PASS RT 01/23/91 BLT
BUPA030 Check for prcl. restrict. / / 01/23/91 01/23/91 PASS RT O1/23/91 BLT
BUPA090 (F) Issue building permit / / / / 01/30/91 PASS JLH 01/30/91 JLH
BUPA705 Foot/found Insp / / / / 0^/06/91 PASS TLP 02/07/91 GES
SUPA725 Framing Inap / / / / 06/24/91 FAIL TLP 07/06/91 BLT
BUPA740 Insulation Insp / / / / / / 01/23/91 BLT
BUPA145 Gyp Board Insp / / / / / / 01/23/91 BLT
BUPA755 Rain drain Insp / / / / / / 01/23/91 BLT
BUPA/65 Appr/Sdwlk Inap / ( / / / / 01/23/91 BLT
SUPA799 Final Inspection / / / / / / 01/23/91 BLT
RUPC775 Appr/sdwlk Insp / / / / 02/2./: PASS MM 03/05/91 NM
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INSPECTION NOTICE
City of Tigard Building Depa:ctwant
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
ooti.ng ) Plbg. Underelab Mach. Rough-in Apps/Sdwlk
ound. 1 Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water/Line Gyp. Bd. -Meeh.
Date Requentodt_ Q !l' �T _/T�ilpe:: / __PM
Address:---�'� -"`-C•��zGkfy' �BYmS .lLf/
Builder:____
THE FOLLOWING CORRS^TION8 ARE REQUIRED:
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Inepector: __ Date:-_
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVR
Call For Reinap
ACTIVE CASE: Grp Smry Edit Prc). Name Actn Cond Log-note Fee Doc Tag Misc Xit
List related cases in project group # 4087
OaBUILDING PRRMITaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaG
° :BUP91-0023 : PROJECT:DOVER LANDING ,,�� 1 ST.ATUS: I : UPD: 03/03/93 : :BLT: °
° PERMITTEE:TTiA ---ZURAW6� ,JC-R(ZY �� CN lCN PRIM. . :BUP91-0023 : °
° SITE ADDRESS�r16450 SW 108TH AVF,_. °
udDESCRIPTION OF PROJECT (1) aaaaaaaa�aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa(�
° ADDITION OF A 3 CAR GARAGE AND CHANGING THE PITCH OF ROOF ON HOUSE °
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uaaaaaaa�aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa�aaaaaaaaaaa�iadaaaaaaaaaaa�
° REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION- °
° CTASS OF WORK. :ADD: FIRST. . . . . O : sf N: . S : . E: . W: . °
° TYPE OF USE. . . :SF SECOND. . . . O :sf PROTECT OPENINGS? --- - ------ °
° TYPE OF CONST. : 5N O : sf N: . S : . E: . W: °
° OCCUPANCY GR.P. :R3 TOTAL------ : O :sf ROOF CONST: : FIRE, RET? : °
° OCCUPANCY LOAD: 0 : BASEMENT. : 0 : AREA SEP. RATED: °
° STOR. : 1. : HT. . . O : ft GARAGE. . . . 785 : OCCU SEP. RATED: °
° BSMT? : . MEZZ? : : REQD SETBACKS--------- REQUIRED- -------- --------- -- °
° FLGOR LOAD. . . . : 40 :psf LEFT: 5 : ft RGHT: O : ft FIR SPKL: SMOh DET. . . . °
° DWELLING UNITS : 0 : FRNT: 20 : ft REAR: O : ft FIR ALRM: HNDICP ACC: : °
° BEDRMS : 0 : BATHS : 0 . IMP SURFACE: 0 : PRO CORR: PARKING: 0 : °
° VALU $ : 24000 : NOTES : °
aaaaG��.aaa�.a�aaaaaaaaaaaaaaaaaaaaaaaaa�aaaaaaaaaaaaaaaaa�aaaaa�aaaaaaaaaaaaaaaai
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May 12, 1994
Dennis Desmarais Construction CITY OF TIGARD
12107 SW Ash OREGOI�1
Portland, OR 97216
16450 SW 108-FH AVE., BUILDING PERMIT #BUP91-002.3
The last inspection conducted on this project was a Framing Inspection on
6124/91. 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 V,:thin 15
days from 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 recorded by the City: If you need
additional time to complete the project, please contact the Building Division
so that an extension can be discussed.
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Notice.a
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
BUILDING PERMIT
C17YOFTIIFARD c/rTYOFTWARD PIERMI'l t+. . . . . . . : B U P 9 1-0 0
COMMUNITY DEVELOPMENT DEPARTMENT aRmoow
13125 SW Hall Bbd. P.O.Box 23397,Tigard,OrogDn 9722',!(503)1 sae-4175 1 : DATE ISSUED: 01/30/91
,L '! E v'iODRESS. it,1450 SW I V16TH AVE PARCEL: C".1S115AA-03�--01
SUBDIVISION. . . . : DOVER LANDING NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :71
REISSUE: FLOOR AREAS.-._--------- EXTERIOR WALL CONSTRUCTION
-
CLASS OF WORK. :ADD FIRST. . . . : sf N: S: E: W.
TYPE OF USE. . . .SF SECOND. . . : sf PROTECT OPENINGS? ------
TYPE OF CONST. :5N THIRD. . . . : sf N: S: E. W.
OCCUPANCY GRP. :R--- TOTAL 0 sf POOF CONST: FIRE RET?:
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
STOR. : 1 H1'. : f t CiARAGE. . . -783 sf OCCU SEP. RATED:
SSMT": MEZZ') : READ SETBACKS----- -- REQUIRED------------------_
FLOOR
ED------------------
FLOOR LOAD. . . . .40 psf L EFT:5 ft FRGwr- ft FIR SPKL: SMOK DET. . -
DWELLING UNITS' FRNT:20 ft REAR: ft FIR ALRM: HNDICP PCC:
BEDRMS: BATHS: IMP, SURFACE- PRO CORR: PARK 11,IG:
VOL-UE. $ : 24000
Remarks : ADDITION OF A 3 CAR GARAGE AND CHANGING THE PITCH OF ROOF' ON HOUSE
Owner: F EES
TERRY ZURAWSKI type amol-tnt by date recpt
16450 SW 108TH AVE PRMT 164. tS 0
PLCK $ 106. 93
TIGARD OR 9*70,24. 5PCT f, 8. 23
Phone #: 684-2002 PAYM $ 279. 66 JLH 01/30/91
1
Cont.- actor:
DENNIS DESMARAIS CONT.
12107 SE ASH
PORTLAND OR 97216
Phone #: 2503---r'53-2144 279. 66 'TOTAL
Req #. . : 66226
REQUIRED INSPEL'TIONS
This permit is issued sub'ject to the regulations contained in the Foot/foLtnd Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Pram inq Insp
applicable laws. All work will be done in accordance with Inso.ilation Insp
approved plars. This oervit will excire if work is not started Gyp Board Insp
within 180 days of issuance, or if work is suspended for more Rain drain Insp
than 180 days. Appr/Sdwlt( Insp
Final Tyispertion
Permittee signati.tre .
Tsrsi.ted By :
Call for inspection 639-4175
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Orsgon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Praming� -Bldg.
Post/Beam Mech. Rain Drain Inaulation -Plumb.
Plbg. Underfloor Watery Lin* Gyp. Rd. -NMech.
Date Requested: .aJTime: / A�MPM
Acidreest 1"L�f00 ��yPermit #:9/
OuildersZ- - --
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ar
l'^ - e it -
N Cora---------------
Inspectort_ _ Date.--
_APPROVED DISAPPRO APPROVED SUBJECT TO ABOVt
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �� —
Date Requested_—LQ�vZ Time A.M._ P.M.
Address _ Permit # 91 noo �
OwnerLot #
Builder _ — —
Tne following Building Code deficiencies are required to be corrected:
r
Presented to proved
Inspector _ _ Disapproved
Date __—
CALL FOR REINSPECTION
0 YES 0 NO
1�
f
i
N
y
c
w
J
INSPECTION NOTICE 1
city of Tigard Building Department
1312S RN pall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk )
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Sewer Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor ))water Line/ Gyp. Bd. -Mach.
Date Regnented:— c� �7/ 7 —
Time
: )L-AM PM
Address:_ �j.� / rJ/��� P�£mft
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:—— -- — Date i
___APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
CITY OF=" .T.1 Gfa RD - RECU7 I FST OF P0YMF=NT RF'CX I PT NO. :91•--209;:'x'9
CHECK AMOUNT 279. 66
tlilihl ZUROWSKI, TERRY GASH AMOUNT . 0. 00
AULIPF C15 16-450 BW .1481*11 C:T PAYMENT DATE= 01/30/91
SUBDIVISIONT'1:C:;ARf.), on () 4--
UW ►)F" 1' OYMENT AMOUNT Pf'•1 I b PURV109F" OF F=IAYMF-NT F.?MOUNT F'A I D
I IT 1 O (J RM BUP91-0023,, 164. 50 PLAN CHECK PE 106. 93
131)ILD Pfl.-"2 H. P-3
11,01_ 1,4111 ; 111 1.,0 f D 79. 66
r
' PLNCK RECT # `
CITT 0�, T I GARD 13115 SW f call Dtvd. /
['o[lox 13397 PERMIT # y���-.----
COMMUNI7Y DEVELOPMENT DEI'ARTMEN.f Tigard,(503) gon
'3
�so3��9-a1�1 DATE ISSUED —
OR,
JOB ADD _ - ?:_ - 3 TAX MAP/LOT S�' / �4 3a U U
RESS: , . - -
SUB: _ i� M� •_ �_ LOT: W LAND USE:
VALUATION: 0 0
OWNE � SPECIAL NOTES
NAME: `1� REISSUE OF.
, ADDRESS: /6�/S"C/S"G sw ZOE" S4 LAST REISSUE: —
FLOOD PLAIN/
PHONE: ` - SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
� A U
.�n%s IJrsn�a,^K,'s cc�,,f PLANNING: .___�,• r'- ��
NAME: _� —
ADDRESS: �.11D `I 5E Ash 97x16 ENGINEERING:
FIRE DEPT: --
PHONE: OTHER: _ -
- CONTP.. BOARD #: 66 6 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: BUS TAX: — —.—
ARCH/ER91NM CALCULATIONS:
NAME: LsD/� to,cg &rAi,'t«fl i4Z14_. TRUSS DETAILS:
ADDRESS: /7/3C' s cL UPPIf 1311,1155 LUCY Xtad /Ju i ho19• nTHER:
9 79.2-3
PHONE: 6 0 9B 70
PROPOSED BLDG. USE: _ ! J ���� ! 7___Z4 , S�
COMMENTS:
APPLICANOT SIGNA URE --- --
Receive( — —
Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. qAL. DUE
ccs -trfJ2 `' 10-432 00 Building Permit Feesr�
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) _ ' __ 'Z
Building 19.z�
Plumbing
Mechanical
10-433 00 Plans Check Fea oo � 1003
Building �1
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection _
30--444 00 Sewer Inspection �-
25-448-02 Commercial TIF Fees �-
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees -
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(S SDC)24-445-01 Water Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL s l'
nm/3581P.WPF
r
(;ftADlN(;/ERQSl0N (-')NTR01,_LNPORMATI0N
GENERPERMITNJ..::AL CONTRACTOR NAME&ADDRESS: CASEFI _
R
s A.JA si_ i,
36 3 APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME& ADDRESS: '7
OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS:
PROPERTY DESCRIPTION:
APPLIC
OWNER' 6 `/ c ' STREET ADDRESS AND CROSS STREETAOCATED
GENERAL CONTRACTOR:
EXCAVATION CONTRACTOR:-
-f- SITE/JOB:
LEGAL DESCRIPTION:
24 I-IR/AM- R HOURS EMERGENCY TAX LOT NO.:
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION_
SHE SIZE,ACRES:_--
X "/ DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN
SITE R[JnLOLpRAINS TO:(CIRCLE ONE)
(NOTE:PERMEES MAY BE:REQUIRM) CATCH-BASIN DITCH PIPE CREEK
_ – (CIRCLE ONE)�pRIVATE PROPER
PUBLIC RIGHT OF V sY
-E ITS MF"NTATI ICOM -(ES ') -ASURES
MINIMUM FSC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND RFMO`!E All.SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATIGN OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
UTI IER "—
PLAN FOR EROSION CONTROL.PREPARED AND SUBMITTED IN ACCORDANCE WIEH'TECHNICAL GUIDANCE HANDI30JK-.
EROSION CONTROL PLAN DRAWING,AS REQUIRED,IIAS PLAN CONSTRUCIION NOTES COMPLEFE.INCLUDING EMER,;ENCY
Pl1ONE NUMBER. SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE SI•ANDARD NOTES.
I HAVE READ AND WILL COMPLY WEI'H THE ABOVE.AND WILLCONSTRUCT AND MAINTAIN FSC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SEfE.
OWNER SIGNATURE APPLICANT SIGNATURE
OETICIAL USE ON. Y
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED BY
CITY OF TIGARD 639.4171 DATE 3-2 _19 37
BUILDING PERMIT TAX MAP ?.51,�� L4N0. SUBDIVISION
OWNER Waverly Construction Co. JOB ADDRESS 16450 S. W. 108th, Tigard
BUILDER same STATE REG.NO. 574 EXP.DATE 1-12-88
BUILDER%PHONE 620 8729
ARCHITECT PHONE OTHER _
STRUCTURE_ ❑ NEW ❑ REMODEL Cl ADDITION 0 REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND () RELIGIOUS ❑ACCESSORY Q GARAGE ❑OTHER ❑ FENCE
OCCUPANCY _LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT
SEWER PERMIT x
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit - O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINQ CODE.ZONING
REGULATIONS AND All APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Pl.Ck.FL4 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAXPERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC-- Waverly Construction Co`r � !C� ILLL
Total 3 �` poo� APPLICANT OR AGENT
Prepd. 10185 S. W. Riverwood Ln. Tigard 620 8729
�- Receipt No. ADDRESS PHONE
Bal.Due
Issued By .._.approved By
SSDC --- $
SDC .
POC -
SEWER CONNECTION S
SEWER INSPECTION f
5ELIER SURCHARGE 5
I— —
Cammente: repRepair existing residence as fellows: repair roof • remove and lace_ sheetrock•
'
rr' e :8e-and dishwasher, visqueen crawl area, misc. other work.
Estimated cost of work: $1730.00
M:;;'C11ANIXAL F*ji;:'PMI*I'
CITY OF TIFA R PEMMIT NO. ; MEIM180181
CITY01"nGAILD
COMMUNITY DEVELOPMENT DEPARTMENT 02100N MIT-: T.Filili.)E:D: ;.,21 el/OH
13125 S.W.Hall Blvd..P.O Rox 23397.Tigard,Oregon 97223.(503)639AI75 1:11UM. PMT . NO . 01801,01.
JOU ADUFZLSi5 16,11,50 !iM 1.00-I'l-I
(AX MA111/1-01 IAJU:
I ANU USE :
I'T'EM: NO:
5 F) D D T 1*1 ON F'UPNACF.:: (100K I'VI'1-4 HONDLP <10
1.0010- ATA HANOLP 1.0K
I.00P I* IJr4N(*'1If::F: 17*k I I)f f-001 ll-l."
OCCUP . G.PP . A3 virrA,rE'n 1:-'(1N
!;i,(,S1,UM
81-14/cOMP <'311--lp HOOD
NO , 'sI[ 41:L
DWELL.UNITS : BLA/COMP INCINEIPATOR(COM
131-14/cOmp 310--.5,01AVI PEPAIP UNITS
A., Yyl:)r.:.
MAX . INPUT 811-14/11COMP 50+HF' OTHEP
r'inrt. cmr,ns"t P:l:F):1NGo UUTLI.-KY'S
HIGH FAr.KS!.57
YLS
F-E E 5
0
IN
N 1.64150 ow 108th siva PI-AN PEV:r.E'W
E I i
R 1;:'HUNI'--' (503) 681—POOki S,T*A,rl,--. TAX 11111 . 90
C
0 PICHARUSON AND 0140OKS
N klIV-IJ::'( 1-11HAIIING,
T riq3 sw crurrui i-my
R
C
T PHONE (;50 3) 293----5056
0 NO 300P9 TOTAL : R 90
ASCEINTNO.
CL This permit Is issued subject to the regulations contained in Title 14 .......... ...............
rof the TMC, State of Oregon Specialty Codes,zoning regulations I'4EQl.JTJ1ED INS-PECTJONS
and all other applicable codes and ordinances, and it Is hereby INE
agreed that the work will be done In accordance with the plans and
lk— specifications and In compliance with all applicable codes and POST B SEEM
ordinances. The issuance of'his permit does not waive restrictive 14
covenants. Contractor and subcontractors shall have current city F 1.NAL
business tax permits. This permit will expire and become null and
void If work Is not started within 180 days,or If work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
PerSignature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR19ELN ABOVE
V
May 4, 1988 C'�OF T'1FA RD
OREGON
Terry E. Zurawaki Permit #: 6678
16450 SW 108th Ave Date Issued: 4/13/87
Tigard , OR 97224 Address: 16450 SW 108th Ave
Job Description: Woodstove
Date of Last Inspection: None
Dear Contractor:
Our records indicate that the above described job has not been completed as
noted:
Needs approved final inspection
Please advise us of the status of this ,Job immediately. Permits become void
if no action has taken place for more than 180 days from date of last
inspection.
Sincerely,
Brad Roast
Building Official
ht/4590D
i
a �
Ci
In
H
J
G]
C7
LL7
J
13125 SW Hall Blvd-P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171
CITY OF TIGARD 639.4171 Aarcb 6596
BUILDING PERMIT DATE t9_.
TAX MAP .'1-•15A LOT NO. 300 SUBDIVISION
OWNER Wayerly Construction _ JOB ADDRESS _1645U SW 108th Ave. iu
BUILDER _ _--_-- _ Sams► STATE REG.NO. �. EXP,BATE
BUILDER'S PHONE
ARCHITECT- _. PHONE --- OTHER _
STRUCTURE ❑ NEW (-1 REMODEL 1;1 ADDITION REPAIR C MOVE [_J OTHER D DEMOLITION
17 RESIDENCE ❑ COMM I EDUCATION n IND I ' RELIGIOUS ❑ACCESSORY ❑ GARAGE OTHER I FENCE
OCCUPANCY ---!—LAND USE ZONE _BLDG TYPE ' FIRE ZONE PLAN CHECK BY _- HEAf
ei.,dr exiHtirit; sintje Lnmily coverin6, replace .& rc.juye wator eu sil,eetroc?,
ttF)lsce dishwasher.visyueen crawl area# miscellaneOUR ruler work.
14bg. periiit read.
-.� SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES AREA NO.BEDROOMS VALUEI 11
BUILDING QEPARTMENT�� SE1 BACKS FRONT REAR LEFT SIDE RIGHT SIDE
-
Permit -25►,. _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State TeX 1.lti f
3U.66 SDC—
Total PDC# ICANT OR ADEN
Prepd.
Receipt No.�', ADDRE98 PHONE
Bal.Due
Issued By Approved B
DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.Ana
—
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
d — N Rough in
cr Final
N SEWER
h Final
—+ DRIVEWAY
m
Final
tiri Storm Drainage
IRaln Drain)Final
— --- -------- Sidewalk --- ---
Curb d Street Final
App oach
BLDG.DEPT.FINAL _ TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
CITY OF TIGARD 639.4171f 5 6 710 r
BUILDING PERMIT DATE 19 !
TAX MAP LOTNn -___- - ._ SUBDIVISION
OWNER 3�419XIO JOB ADDRESS
BUILDER V .�."' 103U1 AVC`n!X' STATE REG.NO. _EXP.DATE
BUILDER'S PHONE
ARCHITECT _ PHONE OTHER
STRUCTURE f 1 NEW rl REMODEL I] ADDITION 0 PAIR MOVE OT f�_ DEMOLITION
RESIDENCE I COMM L EDUCATION IN f ! RELIGIOUS\ ACCESSO I I GARA E OTHER FENCE
OCCUPANCY LAND UtE ZONE LDG TYPE �( FIRE Z(?NE P AN CHECK RY hIEA1
5
—
N ;ii*x�la� ,tY;•
SEWER PERMIT N
J
OCC.LOAD FLOOR LOAD HE HT NO TORIES AREA NO BEDROOMS AWE
BUILDING DEPARTMENT
— SETS KS FRONT RE LEFT SIDE RIGHT SIDE
—' PermitIS ERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
R ULAtIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check __ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax
-- -- SDC—
TotalAPPLICANT OF1 60
PDCN
Prepd.
-- ------ Receipt No. ADDRESS -__ -0R_
Bel.Due
- Issued By __Approved By --_- _ --
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
- -- __ - ---- Rough in —�
Fixture
Final '^
re-W r<,,vS E HEATING
r Contractor
-- _ -` Permit No.
Gas or Oil
Rough-in
__- Final -- — -
SEWER
Final
~ DRIVEWAY
-- �— _ Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curt 6 Street Final
Approach
BLDG.DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY
Landscaping
Zoning Final
INSPECTION NOTICE
ity of Tigard Building Department ,
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
pipe of Inspection
Date Requested_�__. _� Time._._.— A.M.` P.M.
Address ,_�: �-_��� L ' � Permit #�
Owner _ _ _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to pproved i
Inspector _. __ __ H Disapproved
Date _ '3—
CALL. FOR REINSPECTION
❑ YES C7 NO
4SEWER PERMIT* 33477
UnifiedSawara9sAgfency CITY OF Tigard DATE 6-12-87
of Washington County
OWNER: Waverly rc, t-r,:r-tion PHONE : 629-8729
OWNER' S ADDRESS : 10185 4W Riverwood Lane Tigard 97224
TYPE OF INSTALLATION:
O BUILDING SEWER ❑ LINE 1AP AND BUILDING SEWER ❑ LINE TAP
TYPE OF OCCUPANCY:
❑ NEW EXISTING SINGLE FAMILY ❑ COMMERCIAL
❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS _ 1
ADDRESS OF STRUCTURE : 16450 SW 108th AV. 9727.4 —
Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. When calling for an inspection, please refer to the Permit Number. The Permit
expires one hundred twenty (120) days from the date of issuance. The total amount paid (permit
fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit expires.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer
is not located at the measurement given, the installer shall prospect three feet in all directions
from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit at the current charge and the Agency will install a lateral.
FEES :
PERMIT FEC $ 35 .00
CONNECTION CHARGE 300 .00
LINE TAP INSTALLATION
ISS(UD BY
OTHER _
TO-SAL $ 335 .00_ — DATE OF ISSUANCE
AP- LICANT DATE OF EXPIRATION
SEWER PERMIT
ADDRESS OF STRUCTURE 16450 SW108th Ave . 97224
f A X N1AP aoa i CS/1 TAX LOT 900 *0*0 QUARTER
SECTION
elL O T _ BLOCK O F
RCR
APPROVED BY DATE ISSUE BY DATE OF ISSUANCE:
1 4" pipe requirequired. Septic tank to be
D . U . ' S REMARKS
pumped and filled and inspected by city.