11160 SW 109TH AVENUE-1 11160 SW 109TH AVENUE
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INSPEMON NOTICE
�, a,ti y City of Tigard Building Department
P.O. Boy, 23397
Tigard, Oregon 97223
Phone: 639-417/5
Type of Inspection _.6 rL--.L,t�y(�eO �l •t�y�
Date Requested Y Time '-�� A.M. -- P.M.
Address �OQ� �'" Permit #_��f2�
Owner----,ICYL�.�,r -- Lot # _
Builder_
The following Building Code deficiencies are required to be correc,ed:
Presented to _-- – —`'
—--- [ Approved
Inspector
_, [] Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
r i F
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection C_'
Date Requested c — �� Time—L�A.M._—P.M.
Address _ 11 (Q�!_ .� Permit #_
69
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to 14-Approved
Inspector _ �J Disapproved
Date
CALL F R REINSPECTION
0 YES ❑ NO
!T W ■ W-' t 1� t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --AO
Date Requested_ _ s-s Time A.M. P.M.
Address __.`..11_J,w �� Permit #6Y65F_
OwnerLot #
Builder
The following Building Code deficiencies sre required to he corrected:
Presented to _. _ �� Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES (_] NO
IF W # W, IIN
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
FType of Inspection Kz
Date Requested .� Z . ime A.M. P.M.
Address Permit
Owner7-1
of #_
--�Builder -_. -_---_-_-
The following Building Code deficiencies are required to be corrected:
Presenteern Approved
Inspector L Disapproved
Date
O EIXSPCC41ON
❑ YE! ❑ yo
W W tr�1,r w #!!
..,.u.,% .-%J i
(TIN OI TIGNI� [) PLUMBING 13125
�"d•
Applicants must hold Oregon Reglslration to conduce a plumbing PL[\M I !~ 639-4175
b"ness or must be property owner/operator not hiring outsir3e help.
Name d-Now pmenl
PlumbingPermit No
P
Job ORS614-21.610 QUAN PRICE AMT
Tax Lot Map No
Address
-------- -- ----- FIXTURES
Lot tBk)c1c SubdrNelon - - --
Sing -- -- -- - 7.50
-mor ruune o sine-3s Lavatory Z, 7.50 of. I_
f • _ �_ Tub or Tub/Shower Comb 7.50
uing��s--------- -
Shower Only _ 750
Owner - p - -- ---
.,ity' lel-� a --_.�— - r _-Water Closet � _ 150
Dishwasher ' 150 •
P1e Garbage Disposal 750 �'1•��
_Washing Machine - -1 50 /•S
Floor Dram 7 50
e roes PtKxre Water Healer - - ,- 750 .s
------------- - -- --- Laundry Room Tray 50
Occupant G1Y/Stele - - ---- Zp .__.
Unnal 750
Name Phone Other Fixtures(Specify) -- 7 50
ress Phone
F& do" 1 Sr`
li 3 �Z� ------ - - H
-- _ �-
Crrntractor City%Stege'- ---_-- ZIP _ 750
MISCELLANEOUS
-- lily thus Tax Nn Sower tae It10' 3000
,�_._ .- Sewer-ea Adds 100 1600
Sfali Bldyi Tlr�ard Nu ..Tale I'tumTie�s Ru`s T x-�I„- _.. _ ._-- _...._ ..
(Res,cier�aall Water Service t st 100 20 00 10
I hereby ooknowledge that I have read this ap,,'0480on.Cel tte information Water Sanwa u.Addrl W 15.00
ghven h 00msd,OW 1 am ragielsred with the Sts to Builders Board,and also Storm 6 Rain Drain 1 at,100' 90.00
he”a Stale Plumbing boon"#hat the nrxntws given are cxxrect,final all -
Plumbing work will be done in oowrdanoa wnh oppilcable pnwrsrons of Cke Storm&Pin Drain AddM 100' is 00
90111%vbed Statules Chapters 447 and M and"*cable oodes and the Moble Home Space — v 2500
no help will be Ik
be wnpi0yed eneer!rxder ons 693 (N exempt Iron, —. - -- -
-State replwarbn.please gn,s reason below) Back Flow Prevention
HCW C W 4ERS -1 hereby oerlky ow 1 am ttA owrw d the p"Xwty cse DeviOe or AWP ton Dome 7 50
40Rsad above,M whld bcaYon I prupuee to mala a pkrnbkV haaMatim Ir N Any Trap or Waste Not
my Own use and Viiia properly is not being conetnx]ed for saw lease rx waren C onnei;we soa Fixture 150
G1ch Baton -
kap.of Ex* Plumbing ---` 40.00 Per IM
--------——_ - - - Spsoa Inti -- - - 40.00 Per to
AAM of PkallA wilfMn
1- �4 ['t(�l �'1 rt �t. ♦ -. _ anD -- -- _ 15.00 min
AUTMOR ZED SIGNATURE Dale New Bldg or Build Adduon - 96.00 nw+
1,�31u1t tarsal
Otltloribe work rnw('Gannet( pel►&?WaWn f7 ref 1 dwell' 15.�1� - 15.0 ;
00 ht lean residential - _ none-resk*ntial j ] _-- —- -- _
Exlefk>Q ties of
4rMflrtO or pror»rty ffht;VTOTAL tD
PMpMd uM o1 4%W110"WE
Th11 pennil baoornaa MIN and ww if WuA or cmneeu0ar.,ou XwUsd is mol uor
IINN NOW*4*d 1%W d",er•Oansanuoarxn nr wore la ampnxled ry sh rdrxeA f,r
a period of ISO days at any erne saw Wnr*is nwwnvww*s,l
fMMG1AL oo«dflONS
Oaw Issued
• roe �. ♦.
INSPECT,)N NOTICF
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
R 1
Type of Inspection _ �a.JJ • 1
Date Requested— �`� Time-4-1— A.M. P.M.
Address .�-t. zo J -�--=—� Permit
Owner X�— —_�� (/-_ Let #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to LJ Approved
Inspector Disapproved
Data
CALL FOR REINSPECTION
0 YEB 1-1 NO
INSPECT19,N1 NOTICE
City of Tigard Building Department 1
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection p�+ (:�'
Date Requested- _'� 1 _ Time A.M. M.
Address —� Z..�� 1Jo� L� N1 Permit # 1
Owner ^ Lot #
Pu {�ilder `;'�J Y 1 l _����C1S�v�+lj,._�
The following Building Code deficiencies are required to he corrected:
Presented to �_
--- -- - � � Approved
Inspector �—
-- - - - L) Disapproved
Date
CALL FOR REINSPECTION
F!"ES ❑ No
X W s s
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone 639-417}5
Type of Inspection ✓� e�'� �L
Date Requested Time_ Time ._ A.M. —.—P.M.
Address 1!/ Q S�� �G $ ----�_--� Permit #----------
Owner_ Lot #
Builder – --- — ----- -- -- --The following Building Code deficiencies are required to be corrected:
IV W
Presented to _ _ Fr'Approved
Inspector _ 4- � Disapproved
Date
CALL FOR REINSPECTION
❑ YEA ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspertion
�q-1 Timek 0-�il—A.M.—P-M-
Date Requested '�> . k
7 Permit J.
Address ill,
Lot
Owner
Builder
The following Building Code deficiencies are required to be corrected:
R-4pircived
Presented to, Disopproved
Inspector
Date
CALL FOR REINSPECTION
F-1 YES I NO
NMI.
t
CITY OF TIGARD 639.4171 6469
BUILDING PERMIT DATE _—
TAXMAPIt51`341)b LOTNO. 12 SUBDIVISIONLdttsttii@L1�8
Jun ciorissettp 1116U Sw lU9th
OWNER_ JOB ADDRESS
BUILDER si STATE REG.NO 9553 __EXP.DAT9'.11/s1 _
BUILDER'S PHONE
ARCHITECT PHONE OTHER _
STRUCTURE NEW LI REMODEL I ADDITION P REPAIR MOVE OTHER i 1 DEMOLITION
Nt RESIDENCE COMM EDUCATIONIND RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPO ';CYC LAND USE ZONE kL,. _BLDG.TYPE FIRE ZONE PLA N CHECK BY _ HEAT
t;onytruct sinhle ffuuily Uwellint; k/uttacheo �,aruL.e, ,+Ll pvr x.
SEWERPERMITM 32643k1.1u) 2 Lath, b true! emrdhe -3bu ]J-�'
OCC.LOAD FLOOR LOAD 40 HEIGHT It)—*- NO.STORIES ARE'Ai -f) NO BEDROOMS) VALUE
BU!LDING DEPARTMENT-7 SETBACKS FRONT1G REAR In LEFT SIDE ` RIGHT SIDE LU
Permit _ 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
PI-ni Check _> ptj 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
_ TAj�pF�PMI7S�$it?9RATE PE►i Q' RED FORSJ7-
PLUMBING AND HEATING.
State Tax 14w9b 6UU.UU
SRC— k - ' - ((//� _..- ,�"'7
Total 4�M _-- AP R A��N'---- ---- -_.---- __S�._.L-----
PDC 150.UUp f
Prepd. 1�u,UU
----- -•- - - Receipt Nor'�
' /rJ ADDRESS ------ PH..ON€
Bal.Due 51.1,. .6
Issued By-J. ___ Approwld 6y!`=...F
r.,.,s.- -`►.+.u..:.�.rw-,.r..- '- �w'.. ..... ....a .... ..�.c..k... ,e.a._.....r....IW..._.........L..r.....�..........W�.u....irrr...d,.r.c.n..aw.......,.,....r......o.m"«.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATES
�!—/J'- i _ ^_-- Contractor �q,, L IZ.L `f Zz-1 h,
Permit No. SAO
� Fixture ----
Final
HEATING
Contractor 304
Permit No. Lf 17
as Oil
Rough-in
—3 Final
-3 GGr.a SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb 6 Street Final
Approach --- ---
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY —
Landscaping
Zoning Final
pt #
Receipt
CITY OF TIGARD► MECHANICAL PERMIT Recei #
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee U _o_ 10.00
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 —
639-4175 ,) Furnace to 100,000 BTU 6.00
incl.ducts&vents_
2) Furnace 100,000 BTU 1 7.50
incl.ducts&vents
Name o1 Development —�—T 3) Floor Furnace 6.00
incl.vent
Job Address 4) Suspended heater,wall heater 6.00
Address p y or floor mounted heater
Tax Lot Map No. 5) Vent not incl.In 3.00
Lot "4 Block Subdivision appliance permit -_
Name for name of business) 6) Repair of heating,refrig., 6.00
y cooling,absorption unit
Melling Address Phone 7) Boiler or comp to 3 HP 6.00
Owner Z y - 3 absorp.unit to 100,000 BTU
City State Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name q Boiler or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
Mailing Address Phone 10) Boller or Comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City State Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No City Bus.Tax No. Air handling unit to 4.50
12) 10,000 CFM
Air handling unit 7.50
I hereby acknowledge (hal I have read this application that the information given Is 13) 10,000 CFM +
correct,that I am the owner or authorized agent of the owner,that plana submitted are in
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable 4.50
number given is correct (11 exempt from State registration please give reason below) 14) evaporate cooler
-- --� — 15) Vent fan connected *� 3.00
to a single duct
---- - 16) Ventilation system not 4.50
Included in appliance permit
'_'t. J 17) Hood served by 4.50
+ t mechanical exhaust
` -- Date RDmestic t e
Signature(owner or agent) 18) YP 7.50
Describe work ❑ addition 0 alteration Ll repair LI incinerator
to be done residential Ll non-residential Ll 19) Commercial or industrial 30.00
Etype incinerator
Existing use of
building or properly ______�_e_ 201 Other I.e.,woodstove,water 4.50
heater,solar,clothes dryers,etc.
Proposed use of --
building or property_ ___ __�__—___ 21) Gas piping one to four outlets 2.00 i
Type of fuel- oil I I natural gas I I LPO I electric I I
22) More than 4-per outlet
NOTIC SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK UR CON- —
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHAPqE i
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOT,
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL J 4+
WORK IS COMMENCED,
Special Conditions—
- ------- Date issued +—, - by - -- --
CITYOF TIOARD
December 8, 1986
OREGON
2.5 Veors of Service
1961-1986
Demco Construction
13750 SW Fairview Ct .
Tigard UK 91223
:xc 3`-I
Dear Builder: Re: Lot 12 of Carnahan's
11160 SW 109th
Date of Application: June, 1966
The application for building permit for the above described lot will expire on
_December 31., 19d6 __ as per the UBC Chap. 3, Sec . 304(d) . You may
either pick up your building permit or request in writing a 180 day extorsion
from the building official .
If we do not have a response from you by _ December 29, 1986 wp
will cancel your application and return your, plans
If you have any questions, please contact this - Tile ai. 11"9--4171 .
Very truly yoVs,
Julie D. Ouellette
Buildinq Permits Clerk
JDO/cn156
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 ------
------
CITY OF TIGARD 639.4171 6098
BUILDING PERMIT DATE _June
TAX MAP _ _LOT NO. 12 _SUBDIVISION�arnauan's
OWNER i►emco Construction 11160 Sw 109th Ave.
_-- JOB ADDRESS
BUILDER �?-wner, 13750 SW Fairview Ct. Tigard STATE REG NO 49478 EXP.DATE 11-66
BUILDER'S PHONE x84:5220
ARCHITECT pier cy h 1.1arclaY pH NE OTHEP
STHUCTURE & NEW REMODEL ADDITION [1 REFNWR MOVE OTHEI DEMOLITION
RESIDENCE COMM EDUCATION IND RELIGIOUS fACCESSORY 1 GARAGE OTHER l_i FENCE
(WCUPANCY04 LAND USE ZONE x,11 BLDG.TYPE ;yy- FIRE ZONE LAN CHECK BY .LLL _ HEAT _
t�o_t:etrurt siL�]le iaxiilti awe! 't Lec✓ aa,p ` -all r avoroved lans.
f
SEWER PERMIT 021j594 (ldu) � hath 6 trr s' acme area 5Uu
OCC.LOAD FLOOR LOAD U HIG11115+— NO STORIESI AREA 100 NO.BEDROOMS S VALUE •,
BUILDING_ DEPARTMENT' SET BAC<S P ONT i REAR
— 367_Uu— — "__ 1.Y _ LEFT SIDE �-'UGHT SIDE
Permit __ IS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
RE(jt1LATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 238.55 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COP11PLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY UIJSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax SUIX; 25u.Ui.
500.00 �
Total u2U.23 SOC— SOU.
PDCk APPLICANT Op AGErr i -
Prepd, LUC)*U0 i 15U.UO
Hal,Due 51u.23 Receipt No. A155RE8S. .._ ____
PHONE
- - Issued By_-_–_--Approved Ely __.____
�„�-IG-r rt G �•`
for inspections call 639-41/5
31 Y OF TIGARO 639.4171 DATE (e
EI(ALDINO PERMIT
1'ox : 139;, Iigard OR 97223 1 TAX MAP LOT NO. SGIVISION� ► he h,
C u r,s}r , c 1-y JOB ADDRESS
BUILDER /[ yC 0 h c t-r E LN t STATE REG.NO. t� `) ) 9 EXP.DATE
(tUtLt/LH S PHONE
ARCHITECT—� ` r . tl- \�' S —••- PHONE Cl. U y \ OTHER - - - - -
STRUCTURE EJ NEW ❑ REMODEL O ADDITION U REPAIR ❑ MOVE U OTHER _-L7 DEMOLITION
Cr0 RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY GI GARAGE ❑ OTHER ❑ FENCE
k;Cl IPANCY LAND USE ZONE BLDG.TYPEV_���FIRE ZONE PLAN CHECK B HEAT
oter, cw
rti Ir Z
SEWER PERMIT 1
;p
OCC LAAO FLOOR LOAD YZ} HEIGHT / f" N STJISRIES AREA,',Y G NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT ) HEAR /.5LEFT SIDE ��,>` r RIGHT SIDE - '
Pormlt
367 ___ TIIIS PERMIT IS 'S-SV"'
SS JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND LL PLICABLE CODES AND ORDINANCES,AND IT IS HERESY AGREED THAT THE
Man Ctw+:k Z S,S WORK WILL BE DO I ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICJI CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck F" RESTRICTIVE N TS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERM COSE R TE PERMITS REQUIRED FOR SEINER PLUMBING AND HEATING.
Slate Tar r ,
SDC Y 1c
Total 'L L' 2' APPLICANT OR AGENT
Prepd. i / _ -- ----
3
- —
C nal.Uus
3 Recelpt No. ADDRESS P►IONE
Issued By _Approved By
SDC
0C
D C �
EWER CONNECTIONS
EWEFi INSPECTION S
EWER SURCHARGE S
ammente:
IISry
INSPECTION NOTICE
n City of Tigard Building Department
J 12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
C'
Type of Inspection // ---� --------
Date Requested/ �' Time A.M. r� P.M.
��
Address ;1(L2 LC S W ALq_ C'7 Permit
Owner_ �r°`^�- ' ^ ^ t'^� lot # J }
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to r� Approved
Inspector ` _.. _ - -- -- L..j Disapproved
Date
CALL FOR REINSPEC77ON
O YES NO