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11880 SW 116TH AVENUE ::• SW 116TH AVENUE i i. :: INSPECTION NOT ICE City of Tigard Building Department 12420 S.W.Mair, St. Tigard,Oregon 9223 Phone: 639-41-11 Type of Ir..pection Dote Req6ested Time ✓A.M. P.M. Parmit # Address _zz 1- 11z.)— I) / Owner Lot # Builder The following Building Codt deficiencies are required to be corrected: 4a. Pretiented to Proved Inspector 131uppi-oved Date CALL FOR RFUNSPECTION FD YES ❑ NO � w I I i I i City 9 of Tigard Mechanical Permit N- 3836 ' New Instal'ation F] Replace❑ Relocation E] Addition Alteration DATE: 1 3 HEATING CONTRACTOR - _ OWNER Ta v�1 �C9aQ� ADDRESS _ JOB ADDRESS 17 (J" =� PHONE- b:2.c_.� APPLICANT,_. Heat Input Rating(BTU per Hour) Vant Size Flue Size I _ FUEL OIL GAS ❑ ELECT E] CTHER ITEM NO. FEE ITEM NO. FEE For Issuance of Permit SEE BELOW Each Air Handling Unit or !hitt System 7.50 New'up to & incl. 100,000 BTU _ 6.00 Commercial Hood System 7.50__ New 190,000 BUT's a over 7.50 Other Equipm-t . Each 4.30 Woodburnitig Stove 4.50 1 Trip Inspection 4.50 Wall-Floor- Suspended- 6.00 Air Condition Compressor - up to ', incl.3 H.P. 6.00 Vent System vi/Fan — 4.50 Air Condition Compressor-3.1 to 15.H.P. incl. 11.00 Repair,Hear�;oohn _ 6,00 ^ CITY BUSII IES LICENSE REQUI ED BY NLL CONTRACTORS OR SUB-CONTRACTORS ! ! PERMIT ISSUANCE 10.00 Comments: -7-7 ,g V3 FEES _ ,0 0 ISUB-TOTAL L&" _1-%-i-TA TE Inued By )_;_ P_- PLAN CHE {�,� - O TOTAL REO. 4t �-� _ ' ,-,P Signature of Applicant __ - BUILDING PERMIT APPLICATION 1IT TIGARD DATE LU'-Ust 1�3 __ 19 '2 OF THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED ©UILDERPHONE ^119-'021 OR AS Sl-,OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —_-.- LOT NO_ OWNER ­j. 'Z tI)e {iTIO JOB ADDRESS 11!341!, a)6 L i v.,Ch Po-c-' HOME ADDRESS ARCHITECT ENGINEEF BUILDER .SU111C ADDRESS f DESIGNER STRUCTURE ❑NEW ❑REMODEL _❑ADDITION _CI'AEPAIR `❑RENEWAL ❑FIRE DAMAGE _[:]DEMOLITION ❑ RESIDENCE ❑COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CAR PORT OGARAGE ❑STORAGE❑--�tLLA13 ❑FENCE ❑BOND ❑MOVING CCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS+ OCCUPANCY_ LAND USE ZONE---BLDG.TYPE FIRE ZONE_.,.. PLAN CHECK BY _ HEA7_A__ 1'rri XXAAAF jjwiating a Wail iX Cnllapaift Will tyke it darn orad replACe W1th Wja2j► it LIA= : Aun-ox 5'19" hig,ti looting 3' b4r-k_r deep with rebar 5/13" wall approx. 100' f.ugLing wins on appxux. to, Ct�rC_,_apar ► b" dietlZ" dery with rPber tied tr,� _'O;;t.itua s� 1 NO.SI_ ORIES AREP_ _ NO.BEDROQ►y)_S .__VAl1).E BUILDING DEPARTMENT SETBACK!, FRONT REAR LEFT SIDE 91GHT SIDE Permit 20, I+? --- -' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL DING CODE, ZONING Plan Check REGUI ATIONS AND ALL, APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WR L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH bub 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 State Tax 90 I_ICF.NSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 30.90 Bv APPI I1-.AN1OR AGEN1 Approved i Recelhl No . < � ADDRESS __ _ ._.— '�---- 9'/�.�/r�- G�-�' (� � --- -----_.. ~ Z w I C7uiYw n� ~� I L z � wr2 ° m Q n a a UUi NU aJ �{ (n (� i °q W o z�00Iz of L J 7 7 N 54ZDw u' Q u, w v r ,IY - r- m z O C7 ?M Cl S Qc m \ cr. a , z r CL Va w �' i = x Zn. > 1- w Qri � w N n Y rLO,eaa z , N ¢ �� > Zf � FxO= n LL ° 2 al 14 ) U r o [l a > Q _ t 2Q � OccQ a m Q v Oa Q o z w ; 13 y oznaz o 3 Y q yz U - Z -J z w 7 uj oo ;,-pa z U ' a zw C] z �� w oog� C w W n ( .lnarN W 2 G. - L`) .7zw N W n = n `�' w I _ Y 3 y o°�cWi'UZo a z ❑ z d orz U. a Q ° Q N ° � zaW a Q 'm r O to CL z w 1 Y a wu, oua z �, IL l O w a x e w ° ,� ua �( j ¢ v+ LLl Q a u -1 a: r Q4DC, d uUl IX O Z a ❑ w Un w o s N o �O ; ¢ zn ¢ a o F.., O F \+ l � QNw r U - Z w ui F z ui ` o 13 :1 w� GC ;. D Ch U ° C Q+ 1 F m a z U w W 7 ul o z M o C7 ` a zlow >r CL U �[ ui a p X a w m v1a � rU ¢ I C) d Q a > Q x LL Vz)U4 O-46 LL111 El W O 4 _�� X ¢ ►- tea z Cl ❑ o Q 4 Q m � �;� a � a 1 z N � cc a l 1 z U O ' F c Qn U car Cl. a > - o C I - • U) h 1C) m O C1 CJ 7 o cl Irb. a u,i w l o a J Q a C C77 ? I ) g ? 3 J u a c) V, ° ❑ Cl Cl w ;r o c) n C1 Q u z n > l- t, -Y o u Ulj� 0 r`... rr. o c yC.. UEN v •di citi N �t Q UO� o o- I I 4J 00 W x '11 .. I .�ell lil "• _ b rO . ;: .+J S ----x U 04 O Ei 4 7 w Hb N O rt, L• 1-3 tp 924 WHu1 � LY i ab tA I K s v � o N N r :o 2 Q ( d � i 0 �- a i I i us,s December 2, 1975 Mr. A. W. Stewart 111,180 S. V. 116th Tigard, Oregon 97223 0" Reference; File Ito. m 6-75 Dear Yr, Ste;larts Please be advised. Uiat the Tigard Planning Coon. issi.on, at their special mootinS of November 25, 1975, considered your requost for a Flood Plain Fill Permit to construct a bulhdica- d in the flood plain at liu'io Sl': 116th Avenue and your request •..,,as approved. As yoti are a',are, there is ,I City permit fee for that permit in the, , amoont of 1911.rX0, payable upon receipt of this letter. Also, t,-)i3 permit dues not in any .gay release you from •the necessity of apply- ing for u buildin6 permit. '.hen you are ready to comrrance constr^act- ion of your prop7sed bulkhead. please coni-act ;•:r. Russel ftstin, the Buildine Officials ihould you have my questions concerning; this 1;iatter, pl,�ase co-Ipact me or Vr. Austin. Sincerely, Jerald ?. Po-,,!ell, Assoo. AIP Associate Flmu-ier JT,P:p t 10/ 6: Russel Austin I R PERMIT TO CONNECT Tigard unitary District/4/ 7 �'ER1PERMITN .O 1�5 1 DATE PERMIT IS GIVEN TOOF "1 TO CONNECT A __ TO TIM SYSTEM OF TIGARD SANITARY DISTRICT THIS PERMIT MUST BE POSTED ON THE DF.SCRIBEb PREMISES UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID ..............TIG.IBD SAN TARP DISTRICT By CONNECTION INSPECTED AND APPROVED Dale Superintendent I 1 i T Address -.ZGS1�i1) ,2 /i Zh Permit No.� (� _�,� l •„ ,. ,+ Permit charge „1 Owner Connection fee �L'~� Paid by Type of Building_ Date connected Service Rate Inspection fee Contractor Paid by _Gate�� l�s ��'i ..._ Size of connect_ioc.` __ Assessment Paid I L