11045 SW 114TH PLACE <,
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11045 SW 114TH PLACE
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INSPECTION NOTICE
City of`-igard Building Department
'2-120 S.W. Main St.
Tigard, Oregon 97223
Phone: 6394171
Type of Inspection
Date Requested 92"'1� _ Time A.M._ _P.M.
Address �_.. ��� - '��� /%_`�-� Permit
Owner _ _ Lot #
Builder
The following Building Code deficiencies are reqs fired to be corrected:
Presented to _ __ _ Approved
r
— �_
Inspector ❑ Disapproved
DALP,
-'- CALL FOR REINSPECTION
�] YES q NO
t --- I
` INSPECTION NOTICE
City of Tigard Building Department
I 12420 S.W. Main St.
Tigard,Oregon 97223
i
Phone: 639-4171
Type of Inspection
kDate Requestedy Z / - ? Time __ A.M.. 7?
Address �� C7�f S�� �' Permit
i
Lot #_
Owner —
Rnilder
The following Building Coc,.i de iciencies are required to b-� corrected:
1
-- I
Presented to —- - Approved
fInspector _ ` L- Olapproved
Data
M CALL FOR REINSPECTION
0 YES M NO
BUILDING PERMIT APPLICATION TIGARD DATEq_j
_ Jt1seC 1J
fHEUNDERSIGhEpHEREBYAPPLIFSFOR 19 _ 4473
A PERMI i FOH 1 HE WORK.HEREIN INDICATED BUILDER PHONE 620-3368
OR AS SHOWN AND APPROVED iN THE ACCOMPANYING PLAN,,AND SPECIFICATIONS. OWNER PHONE 2
1-6
G' lNER Kai WI Caron JOB ADDRESS LOT NO. 'r•;dint�are
------- ---- 11�4 ;7_rl 114�li 1`18C!
ARCHITECT
BUILDER Cliffside Homes ENGINEER
- — ADDRFSS------
_ 11750 Sid 114th Place _ DESIGNER Owl-ter
_
STRUCTURE C.7 NEW O REMODEL —[ j(►DDITION ❑ REPAIR� ❑-.RENEWAL 11 FIRE DAMAGE 13 DEMOLITION
❑ RESIDENCE ❑ COMM_ ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT McGARAGE O STORAGE ❑ SLABO FENCE
OCCUPANCY F:—1 _LAND USE ZONE
— "Z._BLDG.TYPE FIRE ZONE— 4- PLAN CHECK BY C'V HEAT
Construct nevi attached - - _
9srage and canv_�srt existing ,Ara:-e to shop.
` See correction sheet attached. Na Plljn Ans or +'ech:enirai.� -
SEWER PERMIT#
OCC:,_LOAD -- FLOOR LOAD Cone._H_EIGHT 12 NO.STORIES 1 AREA
^BUILDING DEPARTMENT _ — — i0 NO.BEDROOMS —.. VALUE
SETBACKS FRONT 2u.5 REAR
Permit 55(y•5tJ - -- _.--- _ LEFT 31DF RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check (36.73) 4/12/ IfIULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE W11H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Subtotal 509% WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY aUSINrSS
State Tax
4 7.26 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANL HEATING.
Total 58.76 SDC—By
PDC#
APPLIGANTORAdENT ' --"-
Approved Receipt No.
ADDRESS `— ——____ --_-
PHONE-------
K W w ! ii
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
wr
CLntractor
Permit No.
x.23 8 Rough-in ——
Fixtum
Final --–
HEATING
C o ntrw.tc r
Permit No.
Gat or Oil
Rough-in
— Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
_ Sidewalk
Curb R Street Final
_ _ Approcah
li.DG. DEPT.i INAL TEMPORARY_ CERTIFICATE OCCUPANCY Final
C _
ERTIP9CATE OCCUPANCY
Land!-aping
` Zoning Final r_
,
ON
411/ 73
BUILDING PERMIT APPLICATION TIGAR:) DATE_ � 19 g'
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE6'�(0-'i3(0%
OR AS SHOWN AND APPROVED IN THE ACCOiv PANYING PLANS AND SPECIFICATIONS. OWNERPHONE ck- l/'^
LOT NO. M
G''VNcR KkOl I00% JOB ADDRESS 1d � _� ..' amp�_— Tc Imo. iII--9
n' n r ARCHITECT
ENGINEER
BUILDER 0 4�1ItC - ADDRESSI 7&oSk) I11f'l )"P— DESIGNER diuM
4T13UCTURE ❑ NEW ❑ REMODEL ADDITION 7 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
/' ESIDENCE ❑ COMM ❑ EDUCATIONAL L-1GOWT C1 RELIGIOUS C3 PATIO El CAR PORT ,GARAGE ❑ STORA E ❑ SLAB❑ FENCE
OCC.iiPANCl LAND USEZONE _BLDG.TYPE �_/�%FIRE ZONE=-PLAN CHECK BY HEAT
a'N•P,.k4 Com A # ► It
SEWER PEOMIT K T
OCC.LOAD •-� FLOOR LOADNNC. HEIGHT 12• NO.STOWES AREA S•I/O NO.BEDROOMG a"' VALUE MO
BUtIDINGDEPAR7MENT SETBACKS FRONT ,Z(�.,�� REAR LEFTSIOE ;�� RIGHTSIDE
I'nmtit G•� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!NG
-• \ �� �_�
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
F'.�C.ieck 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
I Subtotal ^� RESTRICTIVE COVENANTS.CONTRACT09 AND SUU CONTRAC�unS TO HAVE CURRENT CITY BUSINESS
ffff LICENSE.SEPAF ATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
stitaIEt •_ 2.,?�J
----�� SDE --------- ------ - ---
Total
I-DC# APPLICANT OH AGENT
By
Receipt No..
—_ ADDRESS PHONE
SDC - _
Pac s
Nan cQ.fFp � . yrt 6 3 '��G.7 5
SEWER CONNECTION $ 7 �
SEWER INSPECTION $ g� t
SEWER SURCHARGE $ R_^_ ` ft
waTwLff t ! R
CITYOF TIIFAPD
WASHINGTON COUNTY,OREGON
BUILDING DEPARTMENT
PLAN' CHECK APPLICATION pate 410 d`YI Iq Q�'3
This is to certify that the following plans have been submitted
for plan check pursuant to the Oregon Structural Code and Fire
& Life Safety Code, 1979 Edition.
Owner VIAI \\j (2ZftkkL-J0 J
Job Address 1104s- SW I11 Fkcc
Lot No. HOC> , ro., /Aj, 151-3tj3S
Owner/Applicant Address ��U4S _e ( RA«r
TIra Ak-Dt( >Rr- o&j L37223 ^_ Phone No. Co.20-11/6
Description:_aoeKE 0.R � a. pQi fpaui �
Cit; Tigard, Building Dept.
By:
12420 S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH: 639-4171 —
CITY OF TIIGARD—12420 S.W.MAIN--TIGARD,OREGON 97223
RECEIPT
DATE: _ —AMOUNT' ;--
_1 DOLLARS
NAME: ��<� /+ l��C'G� CASH: ----
ADDRESS:
T _ M.O.:
0 OF
FOR: ACCT. t PERMITS SURCHARGE —_ AMOUNT
SEWER BILLINGS 40-364 _ S --
BUSINESS LICENSE 05-a3l ---- —
PLUMBING PERMIT 05-332 —
MECHANICAL. PERM!1 05-332
BUILDING PERMIT 05-333 _--
SEWER CONNECTION 40-363
SEWER INSPECTION 40-365
SYSTEM DEV.CHARGE 25-366 —__. --------- —
PARK DEV. CHARGE #1 30-367 - —
PARK DEV.CHARGE **2 30-368 —.--------
ZONING ADJUSTMENTS 05-362 _-- —
IOTALS
RECEIVED BY. :� — -- — -
PIRMIT NUMBIRS ASSIONID:
Number Amount Number Amount kumber Amount
RECEIPT 0 13256