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11745 SW 113TH PLACE -R&MMMM I Ul Ln E: CA 11745 SW 113TH PLACE .� WWI- OF 0(., Q/ � I, CITE OF 71GARD �C. �, OREGON i Owner:. Moriasette .............Permit No.....1283 Building Address. 11745 SW 113th P1... _ ., is.Certificate is hereby given thay of ... 19....7.7 1�1 f; that said building may he occupied and i t , that it complies with all requirements of - h the Building Code for the City of Tigard, f as approved by the Tigard City Council. NIP sr. f �� • .............. .. ... ......�. ............ • Building inspector -- -------fin r-�: — _— = -- --- _ Of ADD RES S- 11'��..�„— Jnr,✓ i� (�1,�'" _ PERMIT N 0. : r 3 PERMIT CHARGE none _ n OWNER / CONNECTION FEE PAID BY TYPE OF BUILDING /1-4�2 . DATE CONNECTED SERVICE RA', E INSPECTION FEE COh l% RACTOR PAID BY DATE SIZE OF CONNECTION _ ASSESSMENT PAID _ I 1 City of Tigard i INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :--.-- DAT E O. :—_._____DATE: �� DATE ISSUED .- I Z 1 OWNERS NAME , ADDRESS: 112 21 A'&-Zz/ – e"4 CONTRACTOR : _:��rz= C -- _ TEST : Air ❑,, Water[] , Visual ( Lahnro!ovy 0 RESULT: Apprcived )� Disapproved C' , Pending p SKETCH: zr 4, 7"o-, INSPECTOR bATE [—NOTE: Attach supplemental test data hereto tYt I City of Tigard INSPECTION REOUEST for 1 INSPECTION TIME : �' PERMIT NO. : --,— DATE: 224YI'22 . O. : _._.DATE:. 224YI'22 . CATE ISSUED-.-1_Z— OWNERS NAME . `1tfV'tSs'E-� ADDRESS : 7 'v I CONTRACTOR :. — TEST' ONTRACTOR : —TEST: Air C, Water �j , Visual 0 , Laboratory C7 RESULT: Approved !!" Disapproved 0 Pending o J SKETCH: I I I Z-Y�-,Lg Y 7 INSPECTOR DATE IrNOTE Attach !upplementnl t*mt dato heretu� _. ......--........,.._�.......�_.._.�__..____._.._.. .. ._...............'...w�..s+.r..+,�.we�oru wwn�...r.�....r..e,...w..............�.�.....�........�u...i.._.....�.r...i..�..�.Ywrrne�w+_��.•.wArvii City of Tigard MPEC TION REO u E ST fol -7,/S7- 'Ole 1 I I I f I INSPECTOR DATE &OTE Attcch supplemental foot date haral] i ;;,w' r.) c. _ U n '1 j d ` Q �' ro p OCA pi . J 1 u, r ci c. m x (n c.r U or .0 a (� C fl. x ' h c t7 r• 0 u j 2.1 x x x f- N �, -{ v p r p m ' c c c� a-n -G Or~n O ' y� rn H p � �a � s roO O 0 0 fn :� n � e6 O ' l a c L QJ C 7 n v v' E, cc b to '7 nl rt N r1 p• C ld c FL Q. E m d n m m m to ~ 7 pf, ] ct3 d n .b d -u m a MCD m p "7 � _ - _ _ _ N �• f0 ,rte cr j C p C U D s o l v of Q• N rf i 0 0 m , MM U rn P fi U �n n (D p a c co -tied O Q D N 0, 0 N tv k 7 v C, CD fo o° r �� a < _ l I `� Li 00 � i5-17-3y' 7 l UNIFIED SEWERAGE AGENCY NO. -_-- 1 631 - I WASHINGTON COUNTY DATE ----- CITY O Fwd-4ar_d _ --- - -- - ---- APPLICATION FOR SEWER CONNECTION PERMIT OWNcR: -- Her- m r i SRat.tBP - OWNER'S ADDRESS: _ --_-_-_ S7REET CITY STATE ZIP BUILDING SITE: LOT _ — BLOCK — ADDITION _ — TAX LOT NO. -- --- - - — T ,.'PE OF OCCUPANCY - resid3nce ADDRESS 11345 SLI113thP'_. -- DWELLING UNITS___ ---1— _-- . F{ < iGRC UNITS SURCHARGE IF APPLICABLE .--------- PERMIT PPLICABLE ._--__-_—PERMIT FEE--51-5. - -- INSPECTION FEE - 25. TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM _-Eann Creak The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT ____ —"" ----�=-L r SEWER PERMIT THIS PEHMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE - INSTALLER - RECEIVED BY __ - (AG NCV OR 11S AGENT) COMMENTS - Bldg• #1283 Pai-d to Leron Heights $150. 00_J_ This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. BUILDING PERMIT APPLICATION CI Y TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS S•TOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE t LOT NO- OWNER J.Qrb O-OWNER 'JQrb Norit uitto�JOBADDRESS11745 SW 113th pl. HOME ADDRESS ARCHITECT ENGINEER BUILDER SUM _— ADDRESS DESIGNER__ STRUCT'JOE ONEW ❑REMODEL ❑ADDITION ❑REPAIR !iRENEWAL� ❑FIR-�E DAMAGE ❑DEmou I-ION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR f C-RT ❑GARAGE O STORAGE❑SLAB [:]FENCE ❑BOND ❑MOVING L.JCONDITIONAL USE ❑DESIGN REVIEW LICOUNCIL APPROVED ❑SIGNS OCCUPANCY i_LAND USE ZONE BLDG.TYPE FIRE ZONE _ _ PLAN CHECK BY__ _. HEAT LuijaL. jain,jlLa L i4mi1X dual.1iiji-, w4 t-t4LliEi>! �;_.�_._.... i:ta�;rc�,,ns tjj}-h IUPIB= w—ier5uc� _ WC,LOAD —_F1S?9H.1. QHEIG 1 I •--['Q5IORIES 1 __ABF&.11 NO.BEDHOOA4$ BUILDING DEPARTMENT SET BACKS FRONT ­'i REAR Lj LEFT SICE_�_{� RIGHT SIDE Permit _ THIS P2nMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANr)SPECIFICATIONS AND IN COMPL IANCE WITH Sub-total ALL APPI_ICARLE CODES AND ORnINANCES. THE ISSUANCE OF THIS PEr EMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4.02 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 136.02 VXXx.38182 ----- -- APPI ICA It OR AGENT Approved _ Receipt No. f'1 If)NI DATE itNSP. TYPE INSPECTION REMARKS PLUMBING � DATf: r1 ontr for Permit No. Rough-in Fixture Final HEATING - Contractor Permit No. Cr Gas or Oil _ — —_— _ —r r SEWER LGna ------- - _ DRIVEWAY Final Storm Drainage _- �� (Rain )rain) Final Sidewalk G y'- 2Y74 Curb a Street Final Approach SLOG DEPT, FINAL^ TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY -- Landscaping — � '� Zoning Final ___. -v ., _�_ .� 00 I Ii d p C °• 2 :r R n O IZ to t z I O Im m n T (n T �- I�I I N U x OC, !� O n rn f] r I n x 1z O rU Nv c. o n0 f7 DT N Crn 11 1-T ' o n D M CO rX > rx -r H U o ; m D D o nmr- pmx r n z n p v �r C) 0 D r - r r D yIpXcry m r_ rn f7 v D I0 N Z �r -1D X i n �mnr03 w y Z i1] inp D0rm0 > H I.M- m Q r 4 DO nD 41 < m O z y z 0 a O _ D rm D n y ` m z n m °C i o m I n O JCJ mzOzrO n m z i m m D .�Nyn 9C � � Z i D N (1 �± Dvr � OZ � � m 17 C �z n m ' OUnC� 0 H '�► C N S � 0 T� W -4 D ,n v MT _ _ ^� �.� 2 D I � r0 m T "' J m 9 [� Gmm D r 0 D m 7_fo; pOz � 0x D z W D O D Levi O CSS osz =ya� ° mz < x D I m rN m D �N m y in -4 0 I` � O zc D x MM -4 Y 1[v05 \ in (] \�n m m v > A rn z (�L3 I m z T 0 P� mmDnz0 N m 't z 2' nzyAO n r- > s '� mrnH -1 m X D , s o ArDz A < D D N � \ a zyx0T - Zm D L7 r f7 Um 1 z O D . 0 \ D OD 1T O O t` mzL, O1z m l7 D w - z tA-i� � viX 1 0 I O 2 m 3 c Z mmDmm I 0 D rn D v t nCxpmC CT) 13 I x 0 n Z t r • m m 2 m O_ rr --�� z�000m 2 O D = �� IJ ' j m3Z0 m r rn N IJI C1 rit) � m m n D <z r p 0 �,� ^ ^^ N m O i � OnyppN \ .Y u' (� O 2D � �2 ✓� m � s � m Z z mxmd I G � m z I ' i 4 u • � 1 ,f' ` rte.•�,Te.C ;k • 1 , Y 1 Th ' + r„ y rJ 7 i �•o I� r' Nufxr'S �A-pp1Tldhtl 113 MAa d'_ z 1��1 Iq.� �•k opr ., R-7 � r Fran.* - 1�Ztar.. lS APPROVED FOR CONSTRUCTION CITY OF TIGARD r' PERMIT NO. U ' �� _I P�-YSItE ADDRESS...//7Y, © .TITLE - - q, - ----- --DATE-2 -7-' .._____t_ ,r .Cityof ==Dare rj Mechanical Permit Fermit _ .00 New Installation ❑ Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ - Ff e V k\ -rOTAL CONTRACTOR_.U4-T,,r r r un'T:� is — OWNER ADDRESS Ad4�ED4X�d�f# �kKffX , WORK ADDRESS PHONE_ r, i �.0 ^*- i i — APPLICANT Heat Input-190n9-4eTW Per Hour)_ _ Vent Size T 7 FUEL OIL ElGAS ❑ ELECT `❑,0 R7I"HER — ('Ivo Size ITEM NO FEE �— ITEM — For Issuance of Permit 3 00 NO FEE Bxxxx New- Under 100()Un TU Boilers Over 50 HP 25 OC New - Over 100L000 0TU �, ASO Air Hand!in 10 OQO CFM 3 OC 5.00 Air Handli ver 10000 _MFloor Furnacey 4.00 Eva orativs Cooler 3 OC W-id - Floor - Sumended 4,00 Vent Fan —" Install Vents i 2.00__ — 2,0C Repair- Heat & CoolinoVent S stem 3.0C 4 00 Hood 3 OC Ccrs .oit_ Under 3 HP 4,00 Domenic Incinerator Cso'lers 3 to 15 HP _ 7.50 5.00 Boilers 15 to 3O HP Orr Incinerator 20.00 10 On other Not Listed Doiler.e 30 to 50 HP 15 001 3.00 INSPECTOR'S COMMENTS. — CITY BUSINESS LI N EOUIRED FOR-AL! CONTRACTORS On SUB-CONTRACTORS APPROVED !�Y _ D/,TE ISSUED BY RECSIPT N0. DATE rsa