11915 SW 113TH PLACE T b'
11915 sW 113TH PLACE
1
CL
r-
41
M
14
r4
:7d
ul
Ln
m
- -�
.. n
nw. »
�F OC
C '
°��� fl►s 1G P Up
CITY OF, TIGARD
i,. OREGON
�f a
.,. f OwnerHerb Morissette ..............Permit No.....�.2A.9......... j
' r •.'
....1.1915. . . .. SW. ...11.3th. . ...P1........................
j Building Address . .. . .. . .. . . . . .. . .... ..... ..........................
CCertificate is hereby given this...2.9........day of... June................. .. 19....7.7. '`
,> that said building may be occupied and ,
•.
that it complies with all requirements of
the Building Code for the City of Tigard, _
C _ as approved by the Tigard City Council
> ��`) 77 1�i• `��r �•'`-................. . . ... _
Building Inspector
' d:w� l� iU •«• `1iN. (-1 »� lj 4Z+ (`) M3 j;f s.:;�. l.1 iN U-w+ U MjV »j
City of Tigard
I
INSPECTION REQUEST
for
INSPECTION TIME: i' PERMIT NO. :_
DATE: DATE ISSUED -1 Z
OWNERS NAME '. . 11ltrf1J-S f T7E_
ADDRESS'.CONTRACTOR :
wES'T : Air D, Water Q r Visual f Laboratory p
RESULT: /approved � , Disapproved C Pending p
SKETCH.
INSPECTOR DATE
COTE: Attach supplemental test data beret0�
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME' PERMIT NO. :— -
DATE: _l -'-L DATE ISSUED ._..1 Z .
OWNERS NAME 14S0-7t! --
ADDRESS:
rF ST : Air 0 , Water , vvisual [l , l_abvwory U
9 SULT: Approved We, Disapproved C. , Pending []
SKETCH
INSPtCTOR DATE
50TE : Attach supplementni test doto beret]
•i
- I
ru
c"i ;..r. r .'U' ;0 c
Pa •? V r' � ^ 1� m
r- 1
+7 I w O
W C d N a.,
N •n (�
o
z
!1 Q r n
d ( ,
1-0 0 0
C L' 41 ► d v, o -�
3 �+ C v N
lAy f 7-
C 7 rh
O a
ccri to .r- U M C7
Q rJ r. c
3C.) c
� rt o C-) n c o o�
�� r
u0 fi U ui r� o
v Ag '' m ,j it; rr) 6 Ili r7 N r4 •' l7 O u; O (� ca
f r0 rj
ami
CSC .. .t_
wW!L a y '_ - - - -
rFTr. .O O LL
or. .L d O
Qz � � � t� rN •�
U CO d
41 4 U a N
ci
L2 r ~ ryn c
Q o
Chf) U '�. E .0
�e
is ro o ` '
,n O
04 0
OO i' "i r_ r rC n.; ry d n m w �} s > n na to
c�
totLai '� N�° f„ •' •' C :- •- 'r
v 114a �I I� m x r- r c „ r� n O In to
C �Q�op +C U c O ti ro L E t
c! . rr N a G w F c 0 �
.. n r
p O tvo 7 io o to � r^• I
v0� N c x ': q U fQIn
r. rn I .
7 r' _ c 1 l�
UNIFIED SEWERAGE AGENCY NO. _ 11609
WASHINGTON COUNTY DATE 1-14-77
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: -- ---- Herh Mar, ss.ett-w- -- - -- - ---
OWNER'S ADDRESS: - - --- - - — -- - -STREET
CITY
CITY STATE ZIP
BUILDING SITE: LOT.._ __-_ BLOCK _--_- ____.-__ ADDI110N _
TAX LOT NO. _ _.__ TYPE OF OCCUPANCY residence - --.-.- _
ADDRESS 1 15 SW
DWEI LING UNITS 1 _ _ I - FIXTURE UNITS
SURCHARGE IF APPLICABLE ___-
PERMIT FEE .. .-57.5.___ INSPECTION FEE 25.—_ TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM ._ Fenno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE S17F INSTALLER
RECEIVED BY. L-
IAGENCY OR IIS AGENT)
COMMENTS- Bldg. #1249 Paid to Leron Heights $150. 00 _
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
-...,,,,,u�.Ryee�.�.,_,,,,,........... .-,.....i.....,•-"^-.•.. ...."'w^--wp.-,�"�"-"•,.....-w,-ww-Www---D-"".'�'- '7 ...
CITY 1 T��ARD DArE 1-.1;,-?? 19 1249BUILDING PERMIT APPL;�ATIOf�I OF
1 H UNDERSIGNED HEREBY APPLIES FOR APERMIT FON THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE— --.-
t LOT NO.
OWNER il t iu s i!il!39tt' JOB ADDRESS _19Lj SW 113th P1a HOME ADDR
ARCHITECT
ENGINEER
DESIGNER
BUILDER S 8 M C ADDRESS
STRUCTURE []NEW ❑REMODEL ❑ADDITION ❑REPAIR --[]RENEWAL
❑FIRE DAMAGE ❑DEMOLITION
❑ FIESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND _❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY A LAND USE ZONE— BLDG.TYPE E FIRE ZONE PLAN CHECK BY _ HEAT —__,_
5'vl..�ie f'itmily I'wdll.L1)LJ 3 btdc;ruam
lot ��11 —
_-- - 14 1 1�i:fa ---- j uvu
OCC LOAD FLOOR LOAD HEIGHT AR€A_ N0.$EDROQM5__ VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR �;? LLTTSIDE I RIGHT SIDE
Permit THIS PFRMIT IS ISSUED SUEJF.CT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check i 01 Oct REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, 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
ffe �
LICENSE, SEPARATE PERMITS REOUIREO FOR SEWER, PLUMBING AND HEATING.
144 ,
Ar"-.ICANT OR AGENT
T i Receipt Nc _INE AD' i5
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor _
Permit No. �a 3
3� Rouyh-in
Fixture
Final
3 _ HEATING
C s� Contractee
="
Permit No.
_ Cas or Oil
Rourh•in
Final
SEWER
Final
DRIVEWAY
T Final _
r
rm Draina e
in Drain) Final
ewalkrb&Street Final
Approach � y-.LY •�'�
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCC''PANCY Final CERTIFICATE OCCUPANCY
Landscaping %
1 Zoning Final l
r�
rJw = wN
Z w Z T
O 2 z ~
F w 1 �, 0 ,
w
o CI _ .,
-C,
rznm
(' 0 m z `J w 0 p -j z --�
1 CI ul -i w U ¢ ZW
CJul
CI ,U`� aZo
oW
ul
w 2 S 14 V s a w 0 � 0 O
O d Qcr
m w Q W U z a
_ ¢ a Ow1; Naw -
Z
OJ H 2 ❑ > 1 � zFrO = zI
3 w u o a - ago
O m O �I cr -0
y z
Cw7 a > ¢ 2aLL0z 4.
dyu wV0 S
FI a z U ,� °_ zu � zQm�
Q , O z w N 020
C� I O' U r LL
z a, ¢O N -K mss = �;
_ CiM ri I W _3C)
w LLl �' CI a: m \ ] zw
a cr
O Q Q CaO] 3: o
a FN S cwz� a- `x-y¢
C
r
Y j z O Wo3:
ax
N Z 1)Q � ztCF)
CL ulry
al
wi U. LLI on
dZ_ O_ CI .►+ a U
LL } Q O Na '�` w C
O - 7 n
w ui F' Z u w ' O a a a +
_ a cr Q u x z NC) ZUw �
C] 1 0 w >
�- 0. U ¢ W ¢ Q -� F W �II NQ13 C.1 �
�C) d Q ¢ > Q n t LLI Nciuwa
O ul [ I 0 O rr Nff � O J J ;> p
Q LL. Z I F Ul WF -T� yUui
C7 ul � a
f. C) 0 , �YQa2 a ��
n N a: W (uCL IL
�(
Q �; a O CI U.
1 N MaSd2J 1„ I. V
,' y k,
L► I LL, -r c I 7
cl-
or ui
C I `_�+ WI _ 1
'.J
CI L70 Ui f C
fl I f C� cl c, u, a:i E k ° 'n - a Q
pr tF
L-OT 2 .
o
N �
I ,«
My
FgoNr -- zr>'
Re*R
APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMIT NO., `��_ SITE ADDRESS__ �►/)"�1G,� �p
�� k TITLE DATE_— Lg 7'�
Permit
City of Tigard Meehanicaf Permit �� -' X3.00
New Installation ❑ Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ __ Fee
TOTAL
CONTRACTOR OWNER .
ADDRESS WORK ADDRESS
r.
PHONE I APPLICANT
Heat Input RstbM (ii: Per Hour) Vent Size I '? I V 1 T 0160 Size
FUEL OIL ❑ GAS ❑ ELECT ❑ OTHER r
ITEM NO. FEE _ ITEM NO FEE_
For Issuance of Permit �— _ 3.00 Boilers Over 50 HP 25.00
Naw - Under 100 00th E3TU _ � ' i 4.00 Air Handling 1Q,000 CFM _—r DC
New - Ovnr 100.000 BTU .` 5.00 Air Handlin Over 10.0.00 CFM 5,OC
Floor Furnace 4.00 Evaporative Cooler _ 3 OC
Wall - Floor . Suspended_ 4.00 Vent Fin�� ? OC
Install Vents i 200 Ve it System 3 OC
Repair - Heat & Cooling 4.0L_�l Mood 3.0c
Boilers Underf HP 4.00 I� Domestic Incinerator
Boi ers 3 to 15 HP 7.50 Comm. Incinerator 20.0E
Boilers 15 to 30 HP �_10y00 Other Not Listed 3.13E
Boilers 30 to 50 HP 5.00
INSPECTOR'S COMMENTS
CITY BUSINESS ,.I f _QUIREQ FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROV :D BY QATr I"SUEQ BY DATE
RECEIPT NO.
774. __ _ _ VaPature of App'Icant
ADDRESS //x PERMIT NO.
PERMIT CHARGE none
OWNER (�oy _{ J�)GL do a-�J<( L_ _ CONNECTION FEC
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE /.S�9 INSPECTION FEE .
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
fi
I