16459 SW 108TH AVENUE ...........,...•..,....a«...r,».....�.r......x+w.rr..��_.....:,.a+w++�iwM naw w.....u...r...«;.v ..rl�,µy4'41�N1�.gNMIM�MM'+Ww.�Wi+Y1RYAMY +w4WWiwYwU:.iMY+Y4�MµYN!d/r✓.lyn ..•,
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__ 16459 SW 108th -
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, 'Dragon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam SLruct.. San. Sewer Framing -Bldg.
Poet/Br,am Mach. Rain Drain Insulatlon .-Plumb.
rlbq. Underfl-x:r Water Line Gyp. Bd. -Hoch.
Data Requested- __ ��.� � Imo- TG/�L['set /)
Address:
Builder:�____ � L,�'-��/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.00"
1
Inep9ctor _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
a,
CCITY OF TIGARD
November 16, 1992 OREGON
Ken Patton
16459 SW 108th Avenue
Tigard, OR 97224
Resw16459 SW 108th Avenue Permit # BUP 92-•0078
Dear- Sirs ` `
The last inspection conducted on the above project was a
gypsum boa::r' inspection on 5/19/92 . The next required inspection
will be a f.`,.nal inspection.
Please advise the Building Division of the status of this project
as soon c.; possible so the file may be kept current.
Please note that any permit without activity for over 11.80 days
becomes void. If you need additional time to complete the project,
please contact this department so that an extensirn can be
discussed.
Sincerely,
Brad Roast v
Building Official
I
Notice.A i
13125 SW Hall Blvd„ Tlgard, OR 97223 (503) 639-4171 TDD (503) 684-2772 _
INSPECTION NOTICE
City of Tigard Building DeTwLrtjmeant
13125 81i Dail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U-Phone): 639-4175 Business Phones 639-4171
Inspection: _ -
Footinq Plbg. Underslab !!ech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam !tech. Rain Drain Insulation -Plumb.
Plbq. Underfloor water Line Oyp. 8d. -Mach.
Date Requestedt S W 2&2=. Times AM PH
Address:
Builder: �✓ —
THE FOLLOWING CORRECTIONS ARE RISQUIRED:
Inspectors -------...^--_-�- Date:_
APPROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ii
I
+� +� Mwa�
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busi.nese Phone: 639-4171
Inspection:__________
Footing Plbg. Underal.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Se;un Mech., Rain Drain Insuleti� -Plumb.
Plbg. Underfloor Nater bine Gyp. Bd. -Hoch.
Date Requested:
__ !!V -3 Z) Time: _ AM _ pM
Address: /L!/ /yJ ��%6 Permit f
Builder .� /yl —
111F. FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: __ _ Date: �l, ,
APPROVRD _ DIrhPPROVED APPROVED SUBJECT To ABOVE
_Call For Rioinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223 �.00
Inspection Line (Rec•-O-Phone): 639-41.75 BuBitious Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/8dwlk
Found. P.lbg. Top Out Gan Line 1IRALs I
Pont/Beam Struct. San. Sewer Framing 1 -eldq.
Poet/Beam Mech. Rain Drain rnsulatLon -Plumb.
Plbg. Underfloor stater Line Gyp. Rd.
h.
Date Requested: '"7 �'J�_ Tom= AN PM
Addreset
7 i
�f �
THE FOLLOWING rORRECTIONS ARE R2WIREDt
170 ort ._ Date•.
APPROVED DIBAPPROV6D APPRMrED SUBJECT Te. ABOVE
_-Call For Reinap.
CITYOFTIGrARD
ClTYAFTWARD BUILDING PERMIT
COMMUNITY UEVE1.OPMENT DEPARTMENT aReooN
13125 SW Hell Blvd. P.O.Box 23397,Timed,Ckpon 0'7223(bas)939417639-4171 E R M I T #. . . . . . . : B U F'9 2-k�0 7 F�
-------- - -- -- ---- --- -- -DATE 1SSUED: 04/03/92
SITE ADDRESS. . . : 16459 SW 1O8TH AVE Pi--i tCEL.: 2S115AA--01.700
SUBDIVISION. . . . : WILLOWBROOK FARM ZONING: R
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . '9
RE:ISSSUE: FLOOR AREAS----------- EXTI=RIOR WALL CONSTRUCTION--
CLASS OF WORK. :ALT F I RBT. . . . : s f N: S: E s W:
TYPE OF USF_'. . . :SF SECOND. . . : s f PROTECT OPEN 71VG5?------ --
lYPE OF CONST. :5N THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :R.3 TOTAL----: 0 s F ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: BASEMENT. : s F AREA SES'. RATED:
GTOR. : 1.1T. : ft ('GARAGE. . . : 5 f OCCU SEP. RATED:
BSMT?: h1E Z Z?: REVD SETBACKS--------
FLOOR
--------FLOOR LOAD. . . . : 40 ps f LEFT: ft RGHT: Ft F I R 5Pl:L: SMOK DET.. . :Y
DWELLING UNITS: FRNT: ft REAR: ft FIR PLRM: HNDICP ACC:
BF_.DRMS:0 BATHS- IMG' SURF-`ACE:: PRO TORR: PARKING:
VALUE. $ : 10000
Remarks: enclosing br,eeae laay non habitable space
Owner: --..___.________._____...__...___.._______.---____ __________._______ FFE3
PAT-ION KEN AND MARY type amount by elate recpt
1.6459 'SW 11 8111 AVE_ PRMT $ 80. 5O JLH 04/03/92 --
PLCK t 52. 33 JLH 02/21/92 i:L"'•559
TIGARD OR 97224-0000 5PC_T t 4. JI__H O4/O3/9,?. -
Phone #: 50:3-639-•6399
Cuntr,actor:
OWNE R
Phone #: 136. 86 TOTAL
02000
-------- RLUUI RED INSPECTIONS
'This permit is issued subject to the regulations contained in the Framing Insp
"igard Municipal Code. ;,tate of Ore. Specialty Codes and all other I n s u I at i on Insp
applicable laws. All work will be done in accordance with Gyp Foard Insp
approved pians, This permit will evoire if work is not started Rain drain Insp _
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days. -
Oermittwe 5ignati_lr�E-�
Call for- inspection 639-4175
CITY OF TJOARD RECFIPT OF P.gPYMFN,r RECEIPT NO. :92-22,!5621
CHECK AMOUNT : 84. W
NAME t PATTON, UIARY CASH AMOUNT 0.
ADDRESS o 16459 SW im,m PAYMENT DATE L 0 4 kVl
SUBD I V I S I ON
TIGARD, OR 97224—
PURPOSE f0F PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMCIUNT PAID
kiUII_nSNC GERM 80. 150 ST. SUILD PER 4. 03
TOTAL AMOUNT PAID 84. nll-
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13125 Stix IiaU Illvd. 'PLNCK/RECT # �.� �S9�
CITY OF TIGARD Box 2.339) PERMIT #
C:�h1M11UNITl'DEVELOPMENT DEPARTMENT Tigard,Oregon97ZD
(503)639-4171 DATE ISSUED
JOB A•)DRESS: YS� S� /� TAX MRP/LOT /7 Ap -0000
SUB: U-'� otJ b�uy�� G�"r'`s LOT: o9- 9 _ LAND USE:
i." VALUATION: „(% -
OWNERL ,D SPECIAL NOTES
NAME: B ¢ a ge, /�� REISSUE OF:
ADDRESS: 1(1/75% sem) ��� _ LAST REISSUE:
lea rdl D C "! 72-7-Y _ FLOOD PLAIN/
PHONE: 3 c1 -� �' 7 SENSITIVE LAND:
CONTPACTOR APPROVALS REQUIRED
NAME:. -��' PLANNING:
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: -- OTHER: _
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRCD
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: _
MECH: — �^ BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: _ _ _ __ 1 RUSS DETAILS:
ADDRESS: _ �... ___ �_ ___ _ OTHER:
PHONE:
bIlf e ieln �S
PROPOSED BLDG. USE:
7
COMMENTS:
Ik,4
lWPLICANT( S GNATURE
Received By: : - Date Received: -c�/—
c
PERMIT # ACCT # DESCRIPTION AMOUNT Ah'OUNT PD. BAL. DUE
8rP4L__ 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee ( 3.3 `>, J, -a
Building
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
(SSOC)
24-445-01 Water quality (Fee in lieu of)
24-445-02 Water quantity (Fee is lieu of)
TOTAL iAv
nm/3587P.W111
I
—� Permit No:
Address:
h :
Iu+ z Issued by: _.__ Date:
FOR OFFICE USE ONLti'____-_.
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in the applicabic blanks, and initial boxes 1 and 2, and either box 3A or 313:
1 . [ I own, reside in, or will reside in the completed structure.
1 understand that I must register as a construction contracWr if the structure is sold
or offered for sale before or upon completion.
3. A.f 1 My general contractor is ,
Contractor registration number
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Constructiot, Contractors Board.
OR
3. B. ] I will be my own general contractor.
It I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board, If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Consti uction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above Information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
naverse side of this form.
Sgnatud of Permit Applicant Date
CONSTRUCI ION CONTRACTORS COARD
0244) 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
CITYOFTIOARD ,� PLAN CHECK APPLICATION.
MYOFIMMP LAN FLECK a�
COMMUNITY 0E1/EI_0P1YWffr DEPAR ME.NT 0290M FEB;N]:T
IMSMH/MoiPA.Bac2X47.i�PQ0mQM0 (SMM4176
DATE ISSUED
JOB ADTMFSS: /(..(&C! S (.�/2�'C:� � TAX IiAP/LOT /.?q/ G>/_ f'L I:
SUB: LOT: ^J
LAND USE: _
VALUATION: /lj p`a SETBACKS: FRONT: _ _ REAR: LEFT: RIGHT:
WORK CLASS: HEIGHT: TOTAL.AREA:
USE TYPE: _PF FLOOR LOAD: U . 1ST:
CONSTR TYPE: 51 HEAT TYPE: `ND:
OC(aP Cam: Qr-. DWELLIUNITS: 3RD:
OCCUP LOAD: _ - NO BEDROOHS: SASEMENT:
NO STORIES: / NO BATHS: (ARAM
IMP SURFACE: -
APPROVALS I EM D SPACIAL NOTES ITEKS RXQUIMMD
PIANNING: REISSUE OF: LIST SUd00NT AC'i IF.S:
ENC NG: - LAST REISSUE: BUS TAX,
FIRE DEPT_: FLOOD FLAUN/ CALCIILMONS:
OIMM SEN I.ND.: TRUSS DETAILS:
PARKING Pull:
LANDSCAPE PLAN:
PIAN CHRoM BY: OTHFJ►:
COMHENTS:`
PERIAA:F f rALCT N DESCRIPTION HNk)vi+T !.MC' k-- PD. BAL. DUE
10-432 00 Building Permit Fees
�+ 7_ 10-431 00 Plumbing Permit Fees
_ 10--431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X)
Building .. .uZ
Plumbing
Mech
10--433 00 Plans Check Fee
Ruilding
Plumbing i
Mech ___
30-207 00 Sewer Connec t.i��n --- -_-- _ - -
30-444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SOC)52-449 00 Parks fystom Dev Charge (PDC) -
31-450 00 !Aorm Drainage Syst Ocv Chrq (•SS11C) _- -- ------._- - --,
10--730 09 1RI-0 ---
10 -230 OG Washington County Fire N1 (951)
10-220 00 nmart/W+'dgew4>4id - -- --
iolnt �.�G _51,33 �y�L
RCC 11
APP1_ICANT SIGNATURE
keceived By hale Received-
+ n/3'�8lP/IN1+
CITY OF' TIGARD RECEIPT OF PAYMENT RFCE.lPT' NO. 223559
CHECK AMOUNT 63. 71
NAME r PATION, MARY BErH CASH APIOUN'r x 0. 00
ADDRESS , 164.3r) SW 108TH Avt:, PAYMENT DATE Ql?/,:?1 /9w
SUBDIVISION
ricis-)PD, OR 9782>4—
PURPOSE 0!-- V"AYMENT AMOUNT PAID PURPOSE OF PAYMENT4 AMOUNT PAID
PLAN CHECK FE 1152. 33 PLAN CHECK FE 11. 38
ENCLOSE BREEZEWAY
U)TAL AMOUNT PAIP 63. 71
� -,ice!`•
amx vfA RD
OREGON
February 24, 1989
Mr. Ron Patten
16459 SW 108th Ave
Tigard, Ore 9722.4
Dear Mr. Patton,
A recent review of the records has shown a permit issued to you for
an addition to your home has not had any inspections since an insulation
inspection on 10-3-88.
The next required inspection is gypsum wallboard nailing and a final.
Please advise this department as to the status of your project, so
the file can be kept current.
Sincerely
Brad Roast
Building Official
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 --
HI-JI-FIL.-DINC, PRE.PMj:-J'
C'TMOFTIGARD �M�k
CITiOlIFTWAND PI-:PMT T' NO , - BI-1813161.8
COMMUNITY DEVELOPMENT DEPARTMENT COMM
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 G 5 I-IIED
---HH i 6 113
.-JOEI 1,6,159 SW 100*11-1 AVE
rAX MAP/1 0.1- SUR .
LAND USE: UK :
LOT SIZE : VAL 1-16*11 C)N /11000 SETBACKS
WORK CL.ASS : ALTE-PAT.'[01`4 1)WE L L. . (.)N'I:'Y*(i FRONT : AEAF,' :
LEFT:
USE: TYPE . SINGLE FAMILY NO . HL.DROOMS : T WALL CONST: P I GI-I T
(:,ONST . TYPL: VN NQ PA T'l-I(i
00c;UP.GRP. N E W
OCCUP LOAD 1'440 l" OPEN1114CS :
NO .
I-Ri:I(.vH'T' � NOOF MNS T' : P'T PE' RET'?
PA5EM1`-N*r? ;.MD. APE'$) SL PAN'? PATEM:
ML'-':ZZANTNF,'*'? 3pl): P A T'I..D
EIASUM' 'T
F1 A 00 I c)AID . 440 C,A 1:',,A*(.*.E rl A LAPM'?
F 1.OW YE'C
eaHR?
M.-AN (.;I II:;'CK DY
1:411EISSUE: OF NO
LAST NAL:ISSUE.
0
W KF.N AND MAPY r0N
N i:)vpm, r
5W 10014-1 AVE.' *44.30
PLAN r*.Vj[-::W
R t 1.giard $Pa. 93
P E. DEPT
(50-3)
s-T-A-T-E: -1-AX *F2. e3
C 0,11-11EP
0 DEVILLOPMENT CHAPG:-.Sj :
N
T 5 D(w I �-i T 0 PM
R 5 DC:l i i I PI-:k:'1"
A
C
T
P
0 NE 1.)A T 1.) <
TOTAL :
This permit is Issued subject to the regulations contained in Title 14 PECEIPT NO. 2
of the TMC, State of Oregon Specialty Codes•zoning regulations
and all other applicable codes and ordinances, and it Is hereby PF'(i1j.j.jPF:I:)
INSPEEl IC)Nsi
agreed that the work will be done in accordance with the plans and FPAM TNG
specifications and in compliance with all applicable codes and -o
ordinances The issuance of this permit does not waive restrictive I N!-(,11-.A I I ON
covenants, Contractor and subcontractors shall have current city GYP HOAPD
business tax permits This Permit will expire and become null and FJ NAL.
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 reauested and approved
Itur
Permittee Signatur
Issued By F-T-6-5 rN5Pr-C-rj-(J—N63q::74-1-7.t
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
��erl r n7�ii Ee4h Pa_#64
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APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMI NO-Mz.o qV SITE ADDRESS /6y
BY _ L7— TITLE____. DATE k
[�
I
CITYOFTIFARD PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT CIT1fORKOON RD PERMITPLANH#CK J /
13125SWHNIBArd. P.O.Box 23397,Tigard,Oregon 972M(503)639.4,7L DATE ISSUED
JOB ADDRESS: ` �� ����,
I I TAX MAP/LOT
SUB: LOT: _ LAND USE:
VALUATION: _ � _
CWNER ���� pl�
SPECIAL NOTES
WAME: $'�l 1 &f --)� REISSUE OF: _
ADDRESS: LAST RCI:SSUE
Y� �._;� FLOOD PLAIN/ —
SENSITIVE LAND:
PHONE: .%i - ' t� --
APPROVALS
_ REQUIRED
CONTRACTOR PLANNING: _
NAME.: ENGINEERINGi _^
ADDRESS: FIRE DEPT _OTHER:
PHONE: _ _ ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS: _
ADDRESS: _ _ TRUSS DETAILS:
---- _ PARKING PLAN:
- - - — _ LANDSCAPE PLAN:
PHONE: _ OTHER:
COMMENTS:
PERMIT N ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
. ' 10-432 00 Building Permit Fees - y _ 4. �� Y 5�,
10-43.1 00 Plumbing Permit Fees
10-431 01 Mechanical Permit- Fees
10-230 01 State Building Tax (5X) ,�_ J
Building
Plumbing
Mech _
10--433 00 Plans Check Fey
Bui1dirig
Plumbing
Mech __ _-
30..-202 00 Sewer Connection
30--444 00 Sewer Inspection - -
51-448 00 Street System Dev Charge (SDC)
52--449 01 Parks I System Dev Charge (PDC) _
52--449 02 Parks I1 ;system Dev Charge (PUC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC)
10 -230 09 TRFD
10-230 06 Washington County Fire bl
10-220 00 Amar•t/Wedgewood
TOTAL
RCC M —
OPLIC-Ar SIGNATURE
Ro ceived By: , Date Received:
ht/3587P/18P _
VAIJ 16.9 1,,J L-1 16-1 1
,F
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Nil
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.�j,�C C lM+s 7s`1'� irr:.i1 [..:7w1'►"i"_ X:'.4PJ1."f ' T► 11�� "i ,•- AMi+1 , T rw�t' i. )J ;�:�,�,r
�I)_ a trD'd w•Yar1 '�•"G:.Yru4 .Yfror •�✓::, '•J'4C :�. .r_.v •��/�if •�
is
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}.,• 14 .!
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
41 Tigard,Oregon 97223
0 > Phone: 639-4171
Type of Inspection 0101 C4
Date Requested Time A.M�—=-P.M.
Address Permit
Owner T,!44—j Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 1471 Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES � NO
INSPECTION NOTICE
City of Tigard Building Department
12420:�.W. Main St,
Tigard,Oregon 97233
hone: 639-4171
Type of Inspection
Date Requested ( ,, // i _ A.M. P. .
Address ? V: `+� i�Q B� Permit #
Owner_ _. Lot #
Builder
The following Building Code deficiencies are required to be corrected:
�.r ��t�?�Ce-�^ fir=�f�-+►'uJ f � _„G ..�
00,
Presented to -�. �� ,_ ❑ Approved Y
Inspector ___.. Disapproved
Date
CALL FOR REINSPECTION
1 ,( YES [..1 NO
flu i Id i ny Perm i t (10.
Locat ion 1G�/Sz -c.
Certification of Registration
With the Builders Board
doing business as (dba) ,
am registered under the provisions
of ORS Chapter Oregon liomebuilders law) .
Ply Builders Board Registration (lumber is 1 c
Ply registration is in full force and effect and expires on 44 '7 (J 6-,
ignature
L•
BUILDING RECEIPT /
NAME
GATE:
ACCT. A' DESCRIPTION AMOUNT
10-432 Building Permit Fees SJ �
10-431-600 Plumbing Permit Fees S
10-431--601 Mechanical Permit Fees S
10-2.30--501 State Building Tax
10-433 Plans Check Fee
30-443 Sewer Connection (20%)
30--202 Sewer Connection (807x)
30-444 Sewer Inspection $ C �� • d`-' ----
51-448 Street System Dew. Charge (SDC)
52-449-610 Parks I System Dew. Charge (PDC) --
52-449--620 Parks II System Dew. Charge (PDC)
31-450 Stora Drainage System Dew. Chrg (SSDC)
10-230-505 TRF•D (95x) $ --
10-478 TRFD (5x) s
10-230-506 Washington County Fire N1 (95x) f
10-478 Washington County Fire Ni (5x) f
10-220 Amart/Wedgewood =
TOTAL S �,
(bo/1214P)
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—
BIIIL.DING PERMIT APPLICATION TIGARD DATE__ JUIY 3 ts___ 5457
TIiL-LINDEFiSIGNED HEREBY APPLIES FOR A PERMIT FOR o HE WORK HEREIN INDICATED BUILDER PHONE 4Aa—_ 45>_
C,R AS SHOGUN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
/'�6U9 LOT NO._._._.—_ 29
OWNER David Weisel _ _ JOB ADDRESS 16459 SW IU8th 113 I I nwhrnnj _
ARCHI'i
ECT
1t. 9i'123 ARCH1EER TAX Lot I1U3
BUILDER steven J. 'Ififlvi ADDRESS P.O. Box 235 DESIGNER !-lap 2S1-1511
STRUCTURE EXNEW U REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
X RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO_❑_CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 33_ LAND USE ZONE K"7 BLDG.TYPEJ�5�!FIRE ZONE PLAN CHECK BY_ jsLl{HEAT_Vas_
Construct citgle Lamily dwellitV, w/'attached garage. _
LoE't for fstfraxe - Won-habitahle
Bathroom I Be1raoru
SEWER PERMITN 25461 Garage 5UU
OCC,LOAD FLOOR LOAD 40 HEIGHT_ 12 NO.STORIES 6 AREA 207U NO.BEDROOMS 1 VALUE a 91y'_.
_BUILDING DEPA9TMENT SETBACKS FRONT Sg REAR _.�!_ LEFT SIDE j RIGHT SIDE 1t}
Permit 3 4• 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 :21.00 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
Subtotal 561.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.$X2PARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 13.6U uC 5 U.uU
sOC $5UU.UU
Total sta.bo
By Cz PDCNit 415U.Ucr APPLICANT ORAGENT
Receipt No. r :, 1` �• lLt�• F R u� L ,•1 (,. t�/;, J�c�
Approved DCR ADDRESS PHONE lr
I
I
I
1
I
,_y
DATE INSP. TYPE INSPECTION REMARKS PLUMBING_
DA,4 E
Contractor�777
Jig-01 Permit No.
Rough-in
—Fixture
n,
HEATING
Contractor
Permit No.
496 A Gas or Oil
Rough-in
Final
SEWER
Final
Final
Storm Drainage
(Rain brain) F;11.01
SidawyalV
Curb&Street Final
BLDG. DFP'i NA _,_.rL_M_,P6R_ARY O--CCL—JPA—NC'Y--
—'?TV I(,*ATE OCCUPANCY Final
Landsc,,,ping
Zonlriv Final
THE UNDERSIGNED HEREBYAPPLIES FONAPE Rh'IfVOI{ IrILvv(JI(Kkit-IILIN IIvull.HILu LIUIl_UI"!f:•:IU1-4
GR AS SHOWN AND APPROVED IN THE AC�,O
AI YYIhGPLANS AND SPECIFICATIONS. Ovn�Er,v . r I
�� CL�r �n> LOT -----
1 , '?o -
109 AOORESS �j �J'r G F/ c-� (�AC/E/T,i1
9,r ARCHITECT
ENGINEFR
ADORESi
STRUCTURE
(JOITION Onc'PAIn ❑RENE;•IAL OFIRE DAMAGE OOEMOLI:
— NEW REMnOEL _ ADO_„_
►1ESIL�E"ICC ❑CO►�M ❑EDVCATIONAI ❑GOVT ❑REUGIQVS CJ�ATIO ❑CAR PORT ❑GARAGE. O STORAGE OSLAB OFI
Q_G4UPgC•�Y LaNO USE ZONE OLOG,TYPE -- -� PLAN CHECK BY_ _ __ HEAT-`
CONSIRUCT SINGLE FAMILY DWEI.T.TNG WIATTACHF.D GARAGE.
�c�'T /��.�• � SIG t; - �I ,� .c,�di%�la�£.
>! BATHROOM 1 BEDROOM
SEWER PERMIT
QS.0-IQQ.!�p FLOOIiJ,�AD HEIGHT NO.MR:LS AREA 1r'$!C'N0_BEDR0OMS �/ VALUE /
I HIPLOING DEPAR I'MENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE /
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZG
!I,-;An Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THA'
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE'
$:1'1-taul ALL APPLICABLE CODES AND ORDINANCES. THE ASSUANCE OF THIS PERMIT DOES NOT K
1" RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CU;tRE►IT CITY BUST
!7.sta Tax I -' T, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Toul SDC —
I ` ' PDC#
r-
I ay
APPLICANT OR AGENT
ApprovM Receipt No.
�n�RESS ----,PHONE
SJ)(' (SCortn `t t
SDC —
PDC —
SEWER CONNECTION $ �'
SEWER INSPECTION $
SEWER SURCHARGE $
Comments . 1Lc:c' �, -/Q- �'S' —/>�•c,�. �-�� ,
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