11835 SW 113TH PLACE 1
111335 SW 1.13TH PLACE
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INSPECTION NOTICE
Ci;V of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
-116
Type of Inspectign,—'
Date Requested /4 -,�g Time
_ A.M.--P.M.
Address J-� ( to �r 1 y / �/' Permit #_ I
Owner _ Lot #
Builder-- _---- --__-_ —The following Building Code deficiencies are required to be corrected
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Presented to _ _ _ prnved
Inspector _ Disapproved
Data
CALL FOR REINSPECTION
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CITY OF
TIOaI�D
OREGON
I.orieaette
Owner...................................... ................Permit No.. 1228
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Building Address........11815 SW 113th...P1.'............. ..._ ..................................
Certificate is hereby given this.14th day of November ly 7 t
that said building may be occupied and
i that it complies with all requirements of
the Building Code for the City of Tigard,
' . as approved by the Tigard City Council.
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Building InspectorAN
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City of Tigard
INSPECTION REOUEST
for
J&/"A) -
IINSPECTION TIME : tPM - PERMIT NO.:
DATE: �/- 1131 22 DATE ISSUED:._..1._�
OWNERS NAME .
ADDRESS :
CONTRACTOR : f r--OF - ----
i
TEST. Air ❑, Water ❑ , Visual Laboratory ❑ I
RESULT: Approved Disapproved 0 , Pending G
SKETCH: - --
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INSPECTOR
_ A
LN0TE Attach �uppiememoi test data heretl
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :.----
DATE:
O. :. _____.DATE: 3 /IS/ 77 DATE ISSUED .— IZ—
OWNERS NAME : _ e
C 0 N T R A C T 0 R : k) T, L H
TEST : Air 0, Wotert�, Visual C3 , Laboratory []
RESULT* Approved B , Disapproved C. , Pending D
SKETCH:
I
INSPECTOR DATE
F-rTE Attach supplemental teff doto hereto]
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UNIFIED SEWERAGE AGENCY NO. 11039'
WASHINGTON COUNTY DATE 1-3-77 -
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER:
OWNER'S ADDRESS:
STREET
-&I_TY __STATE
BUILDING SITE: LOT--.-.--- BLOCK ADDITION
TAX LOT NO. TYPE OF OCCUPANCY -
ADDRESS
--------
DWELLING UNITS_ FIXTU!-,E UNITS .-.....
SURCHARGE IF APPLICABLE---.----.---
PERMIT FEE __575_,._____ INSPECTION FEE TOTAL DEPOSITrk-D
(NEW
(EXISTING) BUILDING SEWER SYSTEM ranno _Cr gsk
The Applicant agrees to comply with all rules and regulationi of the Unified Spwprage Agency.
APPLICANT--
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM,
LINE SIZE ......
RECEIVED
(AGENCY ',A ITS ArENfl
COMMENTS: #1228- Paid to Lpron Heights $150.00..
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPLICATION 11TTIGAIRD DATE 1—:3—'77 _,is
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOP THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE-,
LOT NO.�
OWNER _ JOBADDRESS, .I f)�Fj 5W 111th P1. HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑NEW 1:1 REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑^AR PORT ❑GARAGE ❑3m-. .n,JLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_-___LAND USE ZONE --BLDG. i YPE _FIRE ZONE_ PLAN CHECK BY_ HEAT______
O&C—LOAD _T_mQORJ OAA HEIGHT_1 + .-- NO,STQFIIFS -. ----AREA 1 1_—r rSLFGU94M$_r V�iLUE. _... .-
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RSGHT SIDE
Permit 124.00 -----_ — --'-_-
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 2.n•�r REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIL L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES, THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY E'USINESS
State Tax Q.t12 LICENSE. SEPARATE PERMITS REOUIFIED FOR SEWER, PLUMBING AND HEATING
Total 1.38.42
By
La
— - -- APPLICANT Ori PGF N t .-
Approve _ Receipt Nc ^_
njrhn/55 fir r
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DATE ':YSP. TYPE INSPECTION REMARKS 9' '1MBING DATE
f Contractor
-7;/ � �— *— c cJc�_b�d- Permit No.
Rough-in —
17 21- L:zr c_rt. -- _ Fixture -- -----
4�) / �� �— Final _
X7'7 rd,)3 HEATING
Contractor
Permit No. 7,7
Gas or Oil —
,/ � Rough in
-- _ Final —SEWER C G ,j—�� 7 7
Final — -- -----
DRIVEWAY
--- - —— ------ Final
Storm Drainage _—
(Rain Drain) Final
Sidewalk 1
Curb&Street Final
-- Aroach ---- /Cl_ 0-/(J-77
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —� -
C Landscaping
( Zunuiq Final \
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APPROVED FOR CONSTRUCTION
ITY OF TIGARD
PERMIT SITE ADDRESS
r DATE 1
BY \_TITLE _
Rd
FRONT
WWW .�/ ,• r L.wi�1 /
City of Tigard Mechanical Permit 4.00
New Installation IMReplace ❑ Relocation ElAddition ElAl+.eration 0 Fee 4 , 00
-
TUTAL_ 7 .21
CONTRACTOR MEINIC B8 BROTHERS OWNER HERB MORRiSSETTER
ADDRESS_ 6469 SF 134th Avenue WORK ADDRESS 3'S- SW 113th Place
PHONE —_Zbl -1070 APPLICANT Laurey J . Meinip,
Heat Input Rating (5iU Per Hour) Q1000_ Vent Size 5"R Flue Size "R
FULL OIL ❑ GAS ),M ELECT ❑ OTHER _
ITEM NO. FEE ITEM_ NO. FEE
For Issuance of Permit _ XX_ 3.00 _ Boilers Over 50 HP25.00
New - Under 100.000_BTU xx 4.00 Air Handling 10.000 CFM _3.00
Now_Over 100,000 BTU 5.00 Air Handling Over 10.000 CFM . _ 5.00
Floor Furnace 4.00 Evaporative Cooler 3.00
Wall - Floor - Suspended _ 4.0_0 Vent Fao 2.00
Install Vents 2.00 Vent System _ 3.00
Repair - Heat & Cooling 4.00 Hood __ 3.00
Boilers Under 3 HP _ 4_00 Domestic Incinerator 5.00
Boilers 3 to 15 HP ^_ _ 7.50 Comm. Incinerator 20.00
Boilers 15 to 30 HP 10.00 Othei Not Listed _ 3.00
Boilers 30 to 50 HP 15.00
INSPECTOR'S COMMENTS
CITY BUSINESS LIGEME R '0 IRED FOR At L CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY / DATE _ ISSUED BYDATE_
RECEIPT NO. n
77 /% ignature of pplicant
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Address _ raj /.(� i/ f Permit No. // d ' I
Permit charge 72 y
Owner Xi z _ _ r Connection fee
Paid by
Type of building Date connected
Service rate Inspection fee
Contractor Paid by Date
Size of connection As::essment paid