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11725 SW 113TH PLACE J Ul N E t~ N GJ c+ i 1 1 1 I _. 11725 SW 113TH PL,kCE // �,�� . � � ��� LL���� f'Yl a� 11 2 ; �� �� 2 -� 2y-�7 Env °3 BUILDING PERMIT APPLICATION TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED;' 'yt3UiLDER PHONE OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS '1WNER PHrNt OWNER X1111 %"AUarf1art JOBADDRESS il'►2a SW 113th P1SC:E1 �OTNO,�"�ILlI 'o: - _ ARCHITECT ENGINEER BUILDER uwriur ADDRESS above _ DESIGNER STRUCTURE C.] NEW ❑ REMODEL aADDITION O REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T El RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY R—:i LAND USE ZONE R_7 BLDG,TYPE —2N—FIRE ZONE PLAN CHECK BY duh HEAT--__.._ onetruci. 2 story addition (Activity Room, Den, Becroom 8 atrtrar� a� _ rirlglo family dwelling . _ 1 Bedr-) r '7'F r+.IRPECTION SHEET ATTACHED. SEWER PERM f M OCC.LOAD i I OOR LOAD 1'n HEIGHT 1 L NO.STORIES _4 AREA L n 2(1 NO.BEDROOMS 1 VALUE BUILDING DEPARTMENT SETBACKS FRONT REAmSE E PL i LEFT SIDE MIGHT SIDE 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 1HE PlenCheck ESO.. bo WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND OR')INANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 1131.50 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4.fi 4 LICENSE.SEPARATE PERMITS REQUIRED FOR SOWER,PLUMBING AND HEATING. _ Total ^;1 f;6. 3 4 —J1 SDC 1 8y PPDCM APPLICATNT OR AGENT a I Approved -- - dWn I Receipt No. ADDRE88 pIIUNE DATE INSP. TYF'E INSPECTION _ _REMARKS PLUMBING DATE Contractor Permit No. -- -- , Rough-in Fixture Af Final �c /ILMIOiT Or Shi(�f TtXK_ IIn W1�I Pal(___pa,,, ^HEATING -- -- !; Contactor Parmit No. GP:or Oil II Rough-ill Final — _ SEWER Final DRIVEWAY Final _—�— — Storm Drainage _ (Rein Drain)Final Sidewalk Curb&Street Final _ Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscepink I __ II Zoning Final — I — BUILDING PERMIT APPLICATION TIGARD DATE- THE ATE THE UNDERSIGNED HEREBY APPLIES FOR A'PERMIT FOR TF iE WORK HEREIN INDICATED BUILDER PHONE ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND S �' lr . SPECIFICATIONS. . , PHONE a� f' y� LOTPO. JOBADDR , 0.1NER ESS IU rIatE s a h ARCHITECT A ENGINEER r,r' BUILDER cze- _ ADDRESS AQ o,-�_ DESIGNER STRUCTURE 0NEW ❑_REMODEL ADDITION ❑__REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION 0,RESICENCE ❑ COMMA ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STOR aE ❑ SIAL'❑ FENCE OCCUPANCY .-�_7 LANG JSEZONE �` BLDG.TYPE _FIREZONE- , LAN CHECK BY _ _HFAr 2 2 !' aAdf i.fn Ar fit Rm ,ZR - elt"' m CA 34 a'ef 4LJ eop. SEWER PERMIT k _ OCC.LOAD - FLOOR LOAD HEIq Hil J r NO.STORIES 2 AREA /O.?CO NO.13EDRUOMS � VALUF-�b BUILDING DEPARTMENT SETBACKS_ FRONT_ REAR 51�e- &WW SICE RIGHT SIDE _ Permit _ _ .r �-• -m v THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDI,NG CGDE ZOq:`JG ED THAT THE P��nCheck �O 'S --WORKR LWILLNAPPLICABLES AND ALL BE DO E INACCORDAN EOWI H THE PLADES AND NS'AND SPECIFICATIONS AND INCES, AND IT IS HF'IEBY ECOMPLIANCE �� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIVE _Sn RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS P� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. its Tax p Total �$�. 3 GL SOC- 7 POC# APPLICANT OR AGENT -' By Receipt No. Approved ADD'RkS9 V PHONE GC — lQC — 3 # EWER CONNECTION _S (EWER INSPECTION S E41ER SURCHARGE S n m m o G Q ( ( Y "'3 VA `t,4,4 V/11 4-16 jot" �1 ;i/S�i.M/1 �•;� ri� I Q SQ ,w4,ml- �'P.,co++� �!uar /�•G� �� yrs 121,2-b Z r a 2 ?, .9 i AUS V F CITE' OF TIOARDcla OREGON ONvne--......Morissette.............................. .._..... .......Permit No........1.31a.,_ f • , .�, 11725 SW 113th P1. Building Arldress................................. ...... . .............. ............................................. 14th November ' Certificate is hereby given this................day of.....-......-........ .........., 19...Z'?.. that said Luilding may be occupied and I:b that it complies with all requirements of 3 . r s the Building Code for tl,�, City of Tigard, as approved by the Tigard City Council. `4 'w» Building Inspector X7/7 Jeno nr1 Address , r,��� /a' Permit No. �iGG G Permit charge v r2 Owner _ 1� - - Z°- Connection fee /4�,5 Paid by -- =�` �7 7 Type of building _�L�'—a — Date connectEd ma gerviQo rate 4� Inspection fee Cont.rac (:or Paid by Date Size of connection Assessment paid 9//,, a. I City of Tigard INSPECTION REQUEST for INSPECTION! TIME: -;5 PERMIT NO. :--- DAT E: O. :_ —DATE: DATE ISSUED OWNERS NAME : ADDRESS: .c1 I CONTRACTOR : —< TE ST : Air O, Woter 0 , Visuax Loboratory ❑ RESULT: Approved , Disapproved E , Pending [j SKETCH. INSPECTOR ATE rrTE Attach eupPlemen"I !sit doto beret] i IKINJUM Mod I City g of Tigard ord INSPECTION RECUE' ST for INSPECTION TIME : PERMIT NO.: 1 DATE: ..--' DATE ISSUED:-1—L— OWNERS NAME * + ADDRESS . --- CONTRACTOR : --*._ TEST. Air D, W+Iter C1 , visual ID , Laboratory [i IRESULT: Approved C] , Disapproved ❑ , Pending F3 1 SKETCH. 1 i I I I INSPECTOR DATE LNn1E AttO01 4upplem§n1G1 "" lata "retd 1 O 41- `� C- tj � r 'r U � N U n. �.. •' I: C S7 �1 : •fL1 0 Q I i �i c• 1 �^ rc' Ci v G r, j . 0 `n (/) a G ro o a I x x �. 0 v, , I :r O w W Z x c C C On Q cs H O O J m y n l� N u C :'.' a rro1 T H 0 ,D y T) I ^T a c cr v !f z v r• O '► O o- G c C 7a rti Q) H O' G f9 r" h a_ c: m N C_ cOnrt LYW K; a. o m M 0 :J PD n n ^ m tD O . D Ln j G v+ ro C, ro r O S, to C: C al log. rt CDaq p L" CL N m .0 i-EU f •r. �; N U. Z) H Q Co D m n * O •► N Ci nj CU '7 O to o n .. N N W in o u in Q •C �� v r t'� �i Cl t1 A Ut ('1 CJ C, C) U a wrt G, vrr t W ,, N pi O O �n G U �' =► .T ri O O 1 r N O c' � u o M a w tr�� UA Ob I } BUILDING PERMIT APPLICATION 10 Y TIGARD DATE 2-23 -7 19 w THE UNDERSIGNED HEREUY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 1 { LOT NO.—_ OWNEI$terb Mari.As Atte _ JOB ADDRESS 11725 SW 113th Pi• HOME ADDRESS ARCHITECT ENGINEER BUILDER sameADDRESS ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEW ADDREALIGNE A STRUCTLIRE FIRE DAMAGE ❑DEMOL ITION 0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT OGARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS CC-:UPANCY j _LAND USE ZONE ��( -.BLDG TYPE--rr FIRE ZONE- PLAN CHECK BY �tw HEAT (;i,r%gtt_siintil" Family dwellin- kt/attacheri riar4luue re--i*sus style "T11 shaped. 3 bjudrL)pM 2 beth 1:iaraw� 460 bic%, f't�- LOAD N0•gTORI)<,� � �� D�OOM,� YAL .SL QOO — BUILDING DEPARTMENT _ SET BACKS FRONT LU REAR , JREA LEFT SID 17 RIGHT SIDE Permit 1"3.U(' - --------- -- — — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check .10*Or REGULATIONS AND ALL APPLICABLE CODES AND ORDIN-NCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS $tate Tax 49 L : LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total _.1 a 7_ 1 By ---- ------.��---- yi AP (CANT OR AGENT Approved 1 Receipt No I i 1 'ADDRESS — --- I C s ms eer DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor -� / 7 y Permit No. 095/-T o� 3—i7 1 _ Rough- l —_ Ah-7 T) /f Fixture Final HEATING T9 Contractor Permit No. 1,;-a -3- Gas Gas or Oil Rough-in _ Final _ SEWER _ Final DRIVEWAY Final Storm Drainage (Rain Drain) Final _ — Sidewalk L c,J1_`�' 7, Curb 6 Street Final ---- —__ _ A roach 7 I �BLOG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPLNCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final O UNIFIED' r SEWERAGE AGENCY NO. 1166 ____ WASHINGTON COUNTY DATE 2-2 "77_ — 1 CIT Y O F.____T i g-a r d _— —-- - ------- _ — -- APPLICATION FOR SEWER CONNECTION PERMIT OWNER: _.-------- Herb Morissette ---_�---- ---_--- OWNER'S ADDRESS: STREET - J - - - CITY - - -- STATE BUILDING SITE: LOT BLOCK ADDITION .._— .— -----.- -- TAX LOT N0. _ _ - -_ TYPE OF OCCUPANCYr_©sidence --. ADDRESS - - - 11725 SW 113th -P1. _.--- ----- DWEI LING UNITS--- 1- - - FIX-IURE UNITS -- - - ---.__- SURCHARGE IF APPLICABLE . PERMIT FEE _--_575,._._ _ INSPECTION FEE -25. TOTAL DEPOSITED - _ )NEW) (EXISTING) BUILDING SEWER SYSTEM - Fanrlo C:eek --- - -- C The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LIP'r_ INSTALLER _.---_-------- --C - - RECEIVED B Y `L^_s_- - (AGENCY.9A ITS AGENT) COMMENTS:__Bldg. #1318 Paid to Leron Heiqhts This Application and permit expires in one oundred and twenty (120) days. The amount paid will be forfeited should expiration occur. V APPRO p' r CITY3,3 !QN Qy NL 113l Fes-U SIS 3Z. { � .,; .' ••.�-; � , felts S fop AIM �(0 .53 ' 7-`)�Jll P L D �. rr.�r t• -A�. try -._-` ......_ 7 t7 � 0 D o _ � ii « �, � 4�_ � p\ r-9 It�-•� vmi n n c3 lJ -1 �3a in in D V7 U �) I M. r I b fn D o v0 rn 17 (gyp �! -D r ]7>ft. :A -� '^ 0 b 171 - "f m n 1 " Q O m Cr'� o3 to m 1• rom0> . z -1 0 D ❑ D In IIA r D n D � prmpytn OD n O A m D C) �.7 �� p O In in !mynm C In z z o mDO - � m-f M O -4 m rn y AZm2rO� I� r. Z` ,n m $ NNn > I L7 D C ,1 O'��I � 00� � �° m O� y ciit r m � oU > "1 ❑ In n > � f7r0 m D b M t / n," O m '^ n �0D7; Oz c Z d m 0 D 7p I T + r- I N .n �.� Z f7 �• L. c Ov .Iniv V O y m D "t MIC1 ]1 m 1V rroO v Vmfv 0 ID� �72-1 d p mD' �6ono r v 0 z h � z 2� z yr -4 r 0 M S/f) 17 C a r v pDUL0 � L � IJ n ^ p tr n O r c \ CO i� L7 n p h n In ti � M v !- > u u O f7 v D N lJ 7. 0 " 72 m rn r r I U m L7 rn a ; �� rojitlz y m D ' m ( o In a in O O Gl In r in IA N �^-� 1�.:•r.,, . Z Y M amP4 1 (J g 1 C m s p r Z � r •. ,N mlmtzi � I, m z C, 1 ..r, City of Tigard Inspection Report Building _ __ __ Permitm Address . �/ %:�_`� •� / //`� � Occupancy ��' Building Type Land lone Type of inspection - -�►��-� Comments _ ,c. C � G.• y� c r7 Inspector Date _r 'L- j ASPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested��_ Z — J _ Time A.N.— P.M. Address Permit �y Owner —_ __ _ Lot #' Builder_ The following Building Code deficiencies are required to be corrected: p I' I Presented to — [� ApprL"4-4 Inspector _ Disapproved Date CALL FOR REINSPECTION V1 YES 0 NO City Of Tigard Mechanical Permit i Permit $3.00 New Installation ❑ Replace ❑ Relocation C1Addition ❑ Alteration ❑ -I-- Fee ----- TOTAL CONTRACTUR_ OWNER ADDRESS_ !— 5 WORK ADDRESS PHONE APPLICANT Heat Input Rating (BTU Per Hour) —�- Vent Size Flue Size _ FUEL OIL ❑ GAS ❑ ELECT ❑ OTHER ITEM N0. FEE ITEM For Issuance of PermitNO. FEE 3.0!1 _ Boilers Over 50 ISP �— New Under 10U OU25.00 O BTU 4.00 Air Handling 10 000 CFM New_Over 100.000 BT 3_nc U 5.00 Air Handling over 10,000 CF.V _ �— Floor Furnace 5 a: _4.00 Fiaporative Cooler Wall . Floor - Sus 3.00 Suspended 4.00 Vent Fan Install Vents 2 OC 2.0C Vent System 3.00 Repair - Heat & Cooling ._.. 4,0p F,o� 0oilers Under 3 HP _ -- 3.00 4.O0 Domestic Incinerator 7 �— S nC E1o0ers 3 to 15 WP i I Comm. I 750 I1Incinerator Boilers 15 to 30 HP —' 1 20.00 I 10•QO 1 Other Not Listrd a L_r 30 to 50 HP I ► 15,OJ f —""�'—"'—�— « I I INSPECTOR'S COMMENTS. CITY BUSINESS LICENSE RFOUIRED FOR-ALL CONTRArTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED Y DATE RECEIPT NO 774 ' !` Signature o1 A cnn. A