11955 SW 116TH AVENUE ..• e:� +.a::ar,. �Y4M�:♦M`^'?, .. ���.�nw�r�i^fr' .q.an'Yp"^�w1'w�^�TS�MU!I�MwNNi:�Ml'N"w.r'r�r±J�+•hrtn�n+�...w. w1lVM'Mrr.Wn"Ma MN+kwa�.Mw�+rrr:.ylN
11955 SW 116TH AVENUE --
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INSPECTION NOTICE
City of Tigard Building Department
P 0. Box 23397
Tiga,., Oregon 0'2?3
Phone: 839-� 5
Type of Inspection __� � ✓r"!/r _..__ _
-
Date Rec uested �`- � .. Time Y. A.M.
Addre,s ,r! 5 z5�� -- Permit
Owner__- - ---- _—._. Lot
BuilderThe following Building Code deficiencies are required 'i be corrected:
___------- - - ---- ----- - -- ---- — -----
7
P-esented to
Inspector Ll Disapproved
Date
CAGL(FOR REINSPECTION
0 YES 1-1 NO
i
I
INSPECTION NOTICE
City of Tigard Builaing Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested T(me -_
A.M..,.�P-M.
Permit #
Address
Owner
Lot #
Builder -------------
The following Building Code deficiencies are required to be corrected:
_-- 4 Approved
Presented to - — --
Y Disapproved
Inspector _.�. -� - -�'" -�-�-
Date
CALL FOR R'EINSPF,CrION
[] YEA ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested U_�__ Time
Address . _ V Permit
Owner —� _ _ Lot
Builder -^sky; 'fd d ,42 6�_S.r'r?
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _ ��^
[_� Disapproved
Date _
CALL FOR R)"UNSPECTION
C7 YES 1 J NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
L
Type of Inspection ---
r
„ate Requested,--�_ _ Time A. P.
Address __ ,L�g .S ,U�6 —--- Permit
Owner __ Lot # _
Builder22 -
'rhe following Building Code deficiencies are +o be corrected:
Presented to Approved
lm;pector —.- .. ❑ Disapproved
Date -------�--
CALL FOR REINSPECTION
0 YES C:7 NO
HUILDING PE:PMX1'
CITY OF TIGA RD1•:'E::PM:I:'7' NO. : BU1393.532
CC InTY OF TWAROD
COMMUNITY DEVELOPMENT DEPARTMENT 0A1'E" ISSUED: of r.*--'O/89
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 1-.,I;I:I:M. PM'T' .NO. 891532
J013 ADDPE595 : 1.1.955 SW 1,1611-1 AVI*
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NO .
This permit is issued subject to the regulations contained In Title 14 ......................
of the TMC, State of Oregr Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It Is hereby VOUT'I N(.,'
agreed that the work will be done in accordance with the plans and & Hl;:.AM
specifications and In compliance with all applicable codes and 11 NU.sUl A'T'-.r,ON
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city t:;Yl' . HDAPlD
business tax permits This permit will expire and become null and V I NAI...
vol if work is not started within 180 days,or if work is suspended or
abdindcoiled for a period of 180 days any time aftt- work has
commenced It shall be the responsibility of the permittee to assur(-
all reowred inspections are requested and approved
Permittee Signature
IF
A I L. FOP INSPE-C-T-1 N 6.59-4131"1
Issued By a
.y' SEPARATE PERMITS REQUIRED FOR WORK OTHEP THAN DESCRIBED ABOVE
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uns w_rwa�.n a-o-ea.u�v�,t MM-00)63"17S nDATE ISSUED
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SUB: LOT: `VALUATION: -
VALU ��
SPECIAL NOTES
OWNER REISSUE OF.
NAME: LAST REISSUE:
ADDRESS: FLO00 PLPIN/
SENSITIVE LAND: -
PHONE: APPRO'JAL5 REQUIRED
PLANNING:
OONTRACTORENGINEERING:
NAME: FIRE DEPT
ADDRESS. -��"�-�y - OTHER: --
7 '9
_ fj ITEMS RE9UIRE0
MONS L c LIST/SUBCONTRACT(iRS-
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: — TRUSS DETAILS: _-
ADDRESS: ---- PARKING PLAN:
_ - t_ANOSCAPE PLAN:
_ -- OTHER
PRONE:
co MENTS: l -
ACCT b OES:.Q IPTION AMOUNT AMOUNT PO_ UAL. DUE
PERMIT N -� -�
'. 10-432 00 Building Permit fees '- ' - - --
_ _ 10-431 00 Plumbing Pefm� ees -
10-A31 01 Mechanical Pc t fees -
__ 10-230 01 State Uuildi Tax (5X) 2 - -- "-
Building
Plumbing _----
Mech
10--433 00 Plans Check Fee -
nuilding -
Plumbing
Mech
30-207 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street :system Dew Charge
52-449 00 Parks System Dew Charge -
31--450 00 Storm Drainage 'Syst- Drew Chrg (SSOC)
10-237 09 TRF 0 - -- —- -�
10-230 OG Washington County fire 01 (95%) _ - -
10-220 DO Amart/Wedgewood IOTAL - /� ---- - 7 ✓ -
REC N
APPI_ICANT SIGNATURE
Received By:
Date Received:
-� --. __ _-_.�___ - -
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2339-
1 fie/ Z Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —d`�'`� — ---
r 01
Date Requested �— P Time A.M. _P.M.
Aadress ��^93 `!� — Permit
Cwnery - �� -- Lot #
Builder —
The following Building Code deficiencies are required to be corrected:
Z .. rt-/
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_ .z
t�a�t� C u�t<cc_ r �v 3
Presented to _ T J Approved
Inspector _ El Disapproved
Date S
CALL FOR REINSPECTION
❑ YES ONO
CITY OF TINA RD
CITYOFTWARD PF-PI'111' NO 131.1E3(3010!5
COMMUNITY DEVELOPMENT DEP,)'r1i rMENT 001SON
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)6394175 1)A1 I E.S S L J E..'I J 6/ :l./H8
I-MT.NO . t'JUU9,1k)
JOR AD1: WE*55 : 3.2300 SW 1.281+4 AWK.
TAX MAP/1_01' 25:1./IAA:1.0900 SUB: BEI I WOOL)
I AND USE: : AA.5
VA I t.JA*T*.I'.(]N : til :1.'5 000 5 El*f 3 A(:,'I<�i
1::'P(:)N'T' * NVAP .1
W(*)Pl< ('111 ASS ; Al)l.):I:*T'.I:(.)N DWEI L .tJNI*T'S : 1. J.-Up"T : R1 G'11+1' 33
'TYPE : 5:1.W.-AAH: F'AWEL.Y NO. 181F.DROOMS : I RXT .WAIJ ULJWS I' :
(,'ONGT . 'TYPE : VN NO. BATHS : t N: S : E : W
(3CMUP.GRP . R 3 PRO'T .OPLN:l.NG - :
OIX UP.LOAD N 5 F:: W
TOTAL" APF'.A
NO . STORIES 1. 1 Fil' 6d4O POOF C'UNS'T F 1:NE. PEl"?
HE I GHT : 1:
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A SEPAP't M- 11-LD
R.ASE-MEN-1-7 31:11'): O(:'(:,UP . SEEPAW?
MF;:ZZAN:):Nl;::'? 801SEM, I
FI (3014 1 OAD: 1(10 GARAGE : FINE SC111410 147 All-mW?
FLOW((*..)PM) YES
1:-"1-.AN (JHEXK BY : L)ai,
REMAPIKS :
PEUSSUE, OF NO.
I AS'T' REISSUE
0
W v e ii h wi in Juhn k
N
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PHONE 4503) 6841-0785 !�0'A'11-: 'TAX 53
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This permit is Issued subject to the regilations contained In Title 14 PEXXIP'T NO.
of the TIVIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It is hereby rEQUIPE'D
agreed that the work will be done In accordance with the plans and I-MOJINC;
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive P(:)!Fol* & DEAM
covenants Contractor and subcontractors shall have current city 1*:'PAM1'N('..'o
business tax permits This permit will expire and become null and 1-111-[.4 . 'I UPOUT
void If work Is not started within 180 days,or if work is suspended or INSUl A 11:ON
abandoned for a period of 180 days any time after work has y P. HUARD
commenctA It shall be the responsibility of the permittee to assure
all required inspectionq-r requested and approved FA:NAL.
Pot e, b,gnature
Issued By -- ------
FOP 1NtI%:r I I ON 639-411.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Ml--C,1-4ANI*C,Al-.
C1rf Owl TIGARD PE:PM'I:'T' NO . : MED4131.036
CITYOFMARD
COMMUNITY DEVELOPMENT DEPARTMENT 01190H
DA1 F :1. iSULD
13125 S.W.Hall Bivd..P.O.Box 23397.Tigard.Oregon 97223.(503)6394175
C,—, I-:'P1M . I'-"M'T' .N0. (3430 101.
J00 ADDPESS : 11.9,5!-*5 SW 11611-4 OVE.,
I'AX MAP/LOT I.c1:1.
I AND USE: SUIR: I EPON HFUGHTS PH 3 L f' : /R3
1-01, STZE :
11 E.M: N('.) : NO
W01111< CLASS : Al.)I:)'L*T' F1.341NACE (1.001( ATP HANDILP (1.0
USE TYPE: FAM.H.-Y FURNACE I.00K-1- A'I*.I--4 HANDILT4 10K
CE)NS'Y* .I'YPE : VN F-1.1130P 11"URNACE.;: E:IVAP .COOLEP
OCCUP . GAPP. I-IlIKATEP VIENT FAN
VENT VE'N'T . 5 Y 5 T E.'M
BLA/GOMP HOOD
N0 , "is"I'DR11ES BI P/COMP 3—J.5 H P :I'N(:,I WKPA"I'DI-4( D()M
DWELL .UNITS : 1 1:31...17/('OMI' 15-30HP 1 NLI 1:NE:PAT OR(COM
FUEL TYPE OLP/COMP 30 50HP AI--"PAJ-R UNI'T'S
MAX . INPUT* 1811-14/CoMP 150 .f-HP OTHIEW
Fxm: DIIPRS,.t (.,AS PJ:PING (JLJI'l K'T'3
HIGH PR-F-:SS'?
LOW PAES!V?
CIEMORKS :
ff IBES
0 clardelti PE-44MVI,
N - $10 . 00
13.95!5 !sW PLAN PEVIEW
E ti I..)a r d lar 97223
R
PH0NI;-- (503) 620-1.120 STA'TE* TAX rT,1 . 05
CA N o r--.I,.S 0 N
0
N COS'T'
T
R W1641 N ST LOUIS ST,
A p ti r,t 3.sa ri d cir 97203
C
T PHONE (503) 29:3-0986
0 PEGIWUPATRIN 140 . 4'19'78 'TUTAI
R $2? 0")
PEL'EIPU NO . :31692
This permit Is issued subject to the regulations contained in Title 14
of the TMC. Stale of Oregon Specialty Codes,zoning regulations Vr--*(AU:ERE0 1N13"PILEG"VECIN!
and all other applicable codes and ordinances, and it Is hereby (;;Ary L INE:
agreed that the work will be done in accordance with the plans and
specifications and In comp-ance with all applicable codes and Hl---.AM
ordinances The issuance of this permit does not waive restrictive WOULIH -:I*N
covenants Contractor and subcontractors shall have current city I::J.NA1—
business tax permits This permit will expire and become null and
void If work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 asys any time after wurk has
commenced. It shall be the responsibility of the permittee to assure
all required-ILimpectioris are requested and appro-ed
Per ete4eign7wr
Issued By: I V A39- 41'Iri
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I F—
CITY OF PLUMBING PI--"RMJ"T*
TIGA RD PE NO. PL380953.
CITYOFMARD
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13125 S W.Hall Blvd..P.O.Box 23397.Tigard.Oregon Ct221(503)639411175 DAM 6/ 1/88
444' 049 811409%o
:1-x300 5W 128'T'H AVI
1A MAN IL-0-11- "RS11AA3.0900 SUB: F::r-.:l LWOOD Pj-4Z3
I.-ANE.) USE : P/4.5 F"'I"
I OT STZF:
NO N 0
WOPK Cl AS5 : Al)l:)]:'Y':I:ON WATIER C'LO5E::*7* J. '144AP
1.)SE 'T*yr)E : SiNGLIE 1"AM11-Y URINAL. NKF1 OW PPVN*TP
CONST . I'YPE VN LAVOPAI'OPY :1. *T'PAI:' I"PI'Mir"1:4
'11.18 Gl-i(:)Wr:*Il 1. UPIEASE 'r'PAP43
DISHWASHEP
GAPBAGE DISPOSAL..
N 5*TO 141 E 5 Wf-)L'IH:r.N(*.-) MACHTNE",
DWE'L.L . UNXI'S : 1. I AUNDRY 'TRAY E*4 I DG - DPAJ*.N ( WEA
I)PAJ'N
3'N K '5KWr-:'I4 11F,F)
WAI'E.R HIEW'Er-4 SVTOPM/QAJ.N (1:.1.
0
W V V-�1-1 h*?:L in Juhn It
N
E U-2300 1HW le8th ave
R tigar-d 4:11, 97pt'.13 F*3:X 1,1.)P E S
PHONE:: (50.3) 68,0- -0 705 S'T'A'T'E: 'TAX
C
0
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0
TOTAL.. :
This permit is Issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Code,% zoning regulations
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and ISIS
specifir;ations and in compliance with all applicable codes and POS T' & F3F:.AM
ordinances. The issuance of this permit does not waive restrictive PI.-M . 11'OP(:)1J I-
covenants Ccntractor and Subcontractors shall have current city F T.NAL
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
P;"X ee Signature 9 11
Issued By
C.Al-L. FON INIWE i I IAIN
SEARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA
RD PLAN CHECK APPLICATION —
PLAN CHECK {i
CnyOFTWARD PERMIT 0
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE ISSUED
13125 SW Hrl Blvd.P.O.Bac 23397.rWW.Oregon 972x1(503)839.4175
JOB ADDRESS: 1?-kO St L) 12k'` TfA?t, ? "'? TAX MAP/L.OT y,»
SUB: '��fl %<�,-oe"-� frT LOT: %ZC' LAND USE:
VALUATION: /S, 4700 _
OWNER SPECIAL. NOTES_
NAME: -Tb#ey Ie. tlrA Mei'Nl REISSUE OF: _
ADDRESS: 1, 300 s -'' 12 Es- /imp LAST REISSUE:
7' 6•�?�, D'z g7 FLOOD PLAIN/
SENSITIVE LAND:
PHONE: (SZ,3) (f1q 07f-5—
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ,k )l ENGINEERING:
ADDRESS: FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: _ _ CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
_ LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS: '✓llr - r �n ��.r/ oc. /( 7c�t.zn
PERMIT M ACCT H DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
'�: S • 10-432 00 Building Permit Fees
10--431 00 Plumbing Permit Fees �_ r L
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) c e �c 1
Building
Plumbing _1- 1-3
Mech
10-433 00 Plans Check Fee ==- —
Building
Plumbing
Mech _
30-443 00 Sewer Connection (20X)
_ 30--202. 00 Sewer Connection (BOX) _
30-444 00 Sewer Inspection _
51--448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _
10-230 09 1RFD (95X) - ^_
10-435 00 JRFD (5X)
10-2.30 06 Washington County Fire N1 (95X)
10-435 00 Washington County Fire #1 (5X) _
10-220 00 Amar•t/Wedgewood �-
TOTAL
REC H 3/y98r r.
APPLICANT SIGNATURE
Received B - ,yv
y Date Received:
ht/3587P
CITE!'OF TIFA RD EyU3:I.,.DING PERMIT
CITYOF nGARD
COMMUNITY DEVELOPMENT DEPARTMENT OREGON IDE EMIT NO. BUS90,701
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175
-- -- -- __-- _ DA'T'E. ISSUED
i:)i:nM . PmT.NO . B80701
JOH ADDPE'SS : 1195.E SW 116TH AVC':
TAX MAP/LOT 151 3ACD 1.:300 SUB i LEPON I IE::3:C:1i'T'!:i r'i I 3 LT : -18 DK :
I...AND USE : Nd3.3
L..01 S1:ZE: : VALUATION ION: ki :L.'i ,:'.100 SETBACK$
F`*PONT : 33 14EAP: 36
WOPK CLASS :: AUDIT'.I ON DWELL.UNITS : 1. L.EF'T : 17 1:11 CHT : 31.
l.)SF.. I YPE : SINGI...I: FAMILY NO. BE::IJPO(JMS : F XT .WALL CONST :
CONST . •T'YPIL : VN NO. BATHS :: N: S : E: W
CTC(,.1UP . [.3RP. : R3 PRO'T . OPENINGS :
OCCUP. I."OAD N : S : E : W
TOTAL APF.i"A : /Ir/I
N(:) . ST'(JPIEi:S : h IS T 2110 ROOF= C0N5i'T : C: FIPK PE'T'(
HF.:-I(:,FIT : 'r.?0 PNIJ : :1.FJ-1 AITE:A 9E:PAP'7 PAT'P:V :
BA5E:ME:NT7 3PD : OC:CUIJ . CAKPAP 7 PATED:
:
ME::1.7ANINK.? 1:3ASI:i:M' I
F'I_.(JOI"1 I...OAD: 4I0 (.;Af7AGk::: F1 PE S9)nKLP? ALARM?
ELOW(UPM 1 LF 'T F`r-r1* S_
Pl...AN C'HE:CK BY : r I t
HEISSUE OF NO.
r A •x• r E
C)
4V I••E.E:,rl
N (Jc)I-(iV31I 'F43Mt4P1- PE'NM:I:'T $116.50
11117"1 .73
q 119"3!5 1nw :Li.btl•1 Ii1.Vi:1 F-11 AN F�F�;V:I:E::W
t:iyla►r•c:I tar 97 '.Pr 3 F'IIaE: DEPT
PHUNEL_Q031-6111S'- 4 5' ATE:: TAX $3. (il3
C OTHEP
O
N DE:VE:1_,OPMEN•T C HAFIGE:S :
T I..JNDBE I:1U IJANIE::I.. !SDC:I STOPM)
R
A LINOW-KRC; CONST c5 I' (!iiT17E:ET)
C 22329S CILEAR CAE:E K I.11) PIJ(::11 )
T as cir, -170P3 y n
O f PE:PAID < 1111,75 . 73)
R PHONE. (::10;3) 631--2-11151
Mell. 'T'OTAL. : 11111 32
This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes. zoning regulations "ECE I PT NO.
sand all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done In accordance with the plans and I*-2E::(;I1. I PE'D I NSPE:IC I.I ONS
specifications and in compliance with all applicable codes and FOOTING SEWED
ordinances. The issuance of thib permit does nz)t waive restrictive POST' R BEAM PAIN DETAINS
covenant i Contractor and subcontractors shall have current city
+ business tax permits. This permit will expire and become null and F7i•..I) .TOPUUT WAT'E;P LINE:.
void If work is not started within 180 days,or if work is suspended or F FAM I NG CITY APPNCI'•I/SW
abandoned for a , erlod of 180 days any time after work hes F :I'PEPL„ACE FT NAL
pommenced. It snail be the responsibility of the permittee to assure INSULA'T'I(JN
All required inspections are requested and approved GYP . E)OARI.')
PAIN 1PAINS
F I NAL
FINAL.
porrnittee nage FT NAI..
Issued By
ORK-1 CR ��D ABOVE
SEPARATE PERMITS REQUIRED FSP-04 �,i �'�TF ►)f� �E
FCITY of TIGA RD► i'x-C PLUMBING I::,EAM1*T*
CITYOFT10FARD
COMMUNITY DEVELOPMENT DEPAR 7MENT ORIGON PEFIMIT NO. : PLE380702
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 DATE!-' ISSUED:
A/19/613
PRIM. PMT.N0. 1980701.
,.JOB ADOPESS : 11-1955 SW 116TH Al/E
TAX MAP/I-OT ISI 3-ICD 1.300 SUB: L.EAON HEIGHTS PH 3 1 T ;-18 BV :
LAND USE :
i-ur SIZE :
ITEM : NO: NO:
WOPK CI ASS : ADDITION WATER CI WiET TPAP
USE TYPE : SINGLE FAM11-Y UP1NAL BIKFA-OW 1*11-IVNTI9
(:IONST . TYPE : VN LAVORATORY 2 TRAP PRIMER
OCCUP . CNIP. P3 TUB -51-40WER 2 GPEA.InE 'TRAPS
1011SHWASHEP
(*.4,APHAGoE DISPOSAL
N0. S TO D I E*S WASIATNG MA('HINE 1.
r)W'-'-*L-L.. . UN11*5 : 1. LAUNDRY TPAY BLDG. DRAIN ( DIA
F--I-00P D17A:EN
S1 N K 1. SEWER
WAI*r-.:P 1-WEATEP Evronm/PAI'N (I':'T 1.
111EKMAPKS :
W
N g n r cl ci n f ci ol,t(.-.i r, PrEPM1,11,
$
F 60 . 00
to
119W5 MW 11.6ti-I ave
t A.9 is,r cl F:':[:X T(.11:11:::S
PHONE (30) C.s*T'A'T*I--* TAX $3 . 00
n
o'miz.
N
1 1.-IN D B r-..'1:1 L)ANIEL.
R I INDBIE-NA'.�, CUNST
A
C 22329S CLEAN (',PEEK FT[)
T o!qi t lac!ot(I in nr 47023
'0
R PHONE* (503) 631-2-151
"Re"T.4-4TMA—i TrW T 01 A L. $63. 00
Thls permit Is Issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations PECE-IPT NO.
and all other applicable codes and ordinances, and It is hereby ........... —..---•-.•.•
agreed that the work will be done in accordance with the plans and rIEWUIFIED 1NSPE-KUT TONS
specifications and in compliance with all applicable codes and PLB .1.1N0F*-.'R5LA8
ordinances. The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city POST & BEAM
business tax permits This permit will expire and become null and WATF-".FI LINEE
vold It work Is not started within 180 days,or if work Is suspended or PL.B . TOPOUT
abandoned for a period of 180 days any time after work has PAIN DFIA1NL.i
commenced. It shall be the responsibility of the perm Itee to assure V:LNAL
all required inspections are requested and approved
PornAttee Ignature
Nsued By '� 4')
SEPARATE PERMITS REQUIRED V8A'*dFffd MAWRO
SCR7 ED ABOVE
S
44
CITYOFTIFARD PLAN CHECK APPLICATION
Crrf4OF 6RD COM,MUNrFY DEVELOPMENT DEPARTMENT ��cooN PLAN CHECK i lif
t�1256�VF1�BNd PA.lat?]]W.11prd Orpon p� lawwn PERMIT /
DATE ISSUED
I -;, ( �v 7
JOB ADDRESS: TAX NAP/LOT eqb k
SUB:_ f P-bAj S r1, LOT: 4eA LAND USE: ager /,¢ t
VALUATION: SETBACKS; FRONT: 33 EAR: _ LEFT:_/�_ RIGHT: !,,&
WORK CLASS: HEIGHT: � Fc , TOTAL AREA:
USE TYPE: FLOOR LOAD,* 1ST:
CONSTR TYPE: HEAT TYPE: -S S 2ND: _
OCCUP GROUP: DWELL/UNITS: / 3RD:
0',4MP LOAD: NO BEDROOMS: BASEMENT:
N) STORIES: —7-;77- NO BATHS: GARAGE:
L4P SURFACE:
APPROVALS REQ'D SPECIAL. NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST.SUBCO�NTBAACTORS:
ENGINEERING: LAST REISSUE: BUS TAIL:
FjMZ DEPT.: FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN IND.: TRUSS DETAILS:
TARRING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER:
COMMENTS:
P^t, DES ON AMOUNT
OWNIM r'dk) 10-432 00 Building Permit Fees �
� 10-431 00 Plumbing Permit Fees = C L'
ADDRESS: W'_J/T7 10-431. 01 Mechanical Permit Fees
10-23001 State Building Tax (5x) tJULI
10-433 00 Plans Check Fee
PHONE: (- 2.6) 30-44300 Sewer Connection (20X) t
30-202 00 Sewer Connection (90x) • s
CONTRACTOR 30-444 00 Sewer Inspection t _
NAME: ' �`5/.51-448 OG Street System Dev. Charge (SDC) t
ADDRESS: ->-- ��j S . C/.P/L r' ',52-44901 Forks I System Dev. Charge (PDC) t
r f, '! r& -6ieW 52-449 02 Parks II System Dev. Charge (PDC) _
4 7 3 31-450 00 Storm Drainage Syst Dev Chrg(SSDC) t
PHONE: g, ;a/- . ti r 10-230 09 TRFD (95x) _
`,, d �i e- - 10-43500 TM (5%) ;
ABCH/ENGINEER 10-230 06 Washington County Fire 11 ()5x) _
NAME: fcy 4 0 -e 10-435 00 Washington County Fire 01 (5x)
ADDRESS:_ 10-720 00 Amart/Wedgewood $
PHGNE: TOTAL i / L
PREPAID 7 1
BALANCE DUE 3-1iZ-
A LICA SI NA
k'.eceived
By:— Date Received:
(' I"I'Y UI~ 'TIG/ R I ) IT )M BI NG l'io - :( Iti71 Ii1N1.
'rt��>t� a: 97223
Applicants must lsoW Oregon Keglslration to conduct a PlumhinK III-R M F F 0_--4175
business or must be properly owner/operator not hiring outside help.
Nam•of DeveiopmerM Plumbing Permit No.
Addsaa Descnpuon MAT
ORS 814.21 61U QUAN PRICE i
Job Tax Lot Map.No.
Address FIXTURES
Lot Block Subdr,Aabn Sk* 7.50
ams «nems ss
Lavatory -- - .c 7.50 !
Tub a Tub/Shower Comb _ 7 7
wso rest Shower Only - i _-- -- 7.50 l
Water Closet 750 -
Owner CRY/Stals Dishwasher - 7.50 --
Phone Garbage Disposal _ 7.50 -_
Wa_stNno Machine - -- - �- 7.50 - -7 "Z
Name y Floor Oram-- -- 7.50
Maiiiing A66ress fhtone W;.ter Healer -_ - 7.50 _ --
_
Laundry Room Tray 7.50_ .- _
Occupant (,'ity/Statezip 7.50
Urinal _-_ -
00w Fixttwes(Spedfy) 7.50
7.00
AMINGS 7.50
7.50
Y
rtfltr'ackir
111t$CELlJ►NEOUS
ant No Satyr 1 s1100' 50.00 +
So w-es.Addit.100' 15.00
Board TTa- • >.rsgui'lie N°. - ^^ 20.00
n Water Servioa 1111110 _
rrsot't10dp0 OW 1 haw read 11+10 app10a11o4 Water Service u.Addit�i3' 10.00
I hereby ed
r�tlt.wort11.11ort 1
Alvan h ooneet thrt 1 sAl teglslarad 1Mi11111s0 Stale 6t1Mr'�e 30.00
d.and afao Storm 0 Rants Drain 1 at.100' _-
haw a SIs1e Ilostw that 7114.nIM*Wl pAlatl am Correct 11►n all ,0.00
� SI«m&P-An[fairs Addll.100' --
pfurrrbirq wMt 1x,11 be tlort.ln.000tdrta wM1 approaDta P1O�0'n"°f Or♦ ...
Aon RewMsd Stahtlsa Meow 4471'Ortel M and nwd 11sat Moban Horne Span. 2S.00 _
no hep wM a.nplol Uwdeee lostteed 1ir+ldar OFtS fps.(p e>emo bom So*Flaw Prer«ttl«s
Stake glOnla 110u16aVVP M- har1110y turtMy total M a to amw a M»At•OeAI' Oavloa or An�PoMilMon OevrbN
aptDadabOM�atM111kaff �l �b��� �p lt7t AnyTtsporW4010NOt 7.50
my ewl use ant Mels Ar4aA►r otott MM110 for 111Mr lmM er rs m Ofttttwolsd la d Rt14Me J
Csieh Basin
?.50
of FAN.Pkanbkv 4o.00 Per w
kuparraons 40.00 Per Hi
Alw.of Pkwt*V w111uYt
---_.-_ an Exfdno Bldg. 10.00 min
- New Bao.«BuOd.Addltlon -- -25.00 nun - -- 1
AUT 4ORtZr, SIONATURE OaN _-
___ ►�;i11��litall a fdnul `
Dow-"work ter
new U aWition L� atatlon C3rWmlr f 1 ,#.ail l inj- - -�_� -- 1�.Ou
tQ be done resklential j1 nw-mk*nHsl --- ---
E>ds&v use of
tRAb*V of property
NOTAL U _
w.a _----------------_. ._ ._.____x_1.2.•._.�l""°'e _,
btuMtfrpMop•tTY _�_r._ Tom
NOTw
14"�pop� p Mhq M"a*ar aoMrott
�nuottla116
1ft>Illrtn+t or woAtr sIt�ttl�`•d for
is d period lW 'any ima S%w rMOrk 18 00110116n01d
i,MIA Mn(�, - t>T
i
OCRESS_�0 c:> ` ,_.�. PERMIT NO. 0 =
_ PERMIT CHARGE none
OWNER air � ('),rYx�� -1-��. CONNECTION FEE
P A I D BY <�+.�� •��___.__ __...._._._.
TYPE OF E'UILOING i).U. $, � DATE CONNECTED
SERVICE RATE , ) `-'' Xp INSPECTION FEE
CONTRACTOR C� PAID BY GATE.
SIz:_ OF CONNECTION _ _ A 55ESSMENT PAID -
o (xi4W F777'
'Ar IV
.k
f 1/29/79
Extension of additional 60 days granted to
Fewel-Comer, Inc. , Sewer Permit #17405, by
Ed Walden before sewer usage billing begins.
7095 SW Sandbgrg Road
�I
I
_ I C Cn J ,I
r i I
CSL' � ,'• H �' r•1 r I i
1 t (� LLQ ` r' .,: i� L. 1" I•! Itl
lU rJ
LLJ
I iqL —,
co
UL
N e lel 4
f I jRR� ' 4 L (t
it I
I �
� 1
I ;
ry
+ i
IM
JLIL . ..
f
i
j CrLL
� U ?
>
cr
- I < o -y
a
V i
R
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1074 DATE
PERMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID S..._ ............ ..............TIGARD SANITARY DISTRICT
By
---- - - - - -- - - - - -- ------ - -
CONNECTION INSPECTED AND APPROVED
_—.-- ----- --.._..._---------
Date a. Superintenent-
�� r
P
Addre;'s��,5'� (J1 Permit No.
L
Permit charge
Owner Connection fee
Paid by
Type of Building Date connected
Service Rate Inspection fee
Contractor Paid by _ Dat e.1-11_ `
Size of connection Assessmen+- Paid
E�
CITY OF TIGARD
12420 S. W Main Street
TIGARD, OREGON 47223
APPLICATION FOR BUILDING PERMIT
New Constr -7tion ❑ Demolish ❑ Addition ❑ Remodel Move [❑
ZONING_C`3 DATE ISSUED _ ^— BUILDING PERMIT
DATE RECEIVED BUILDING FEE $� ,p�-J No. `
BY PLAN CHECK $
OTHER VALUATION $/BOO
TOTAL $ ���Q RECEIPT
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT # MAP # CENSUS TRACT JOB #
Architect or Engineer
Owner_ a
r �p
Address �J�// ,�•�CJ /l0 � _ Phone 439-x'174 T
Bus lder-- fl-) -------- — -- -----
Address -c c� _ ,�lti�F-t1 Phone___._.—__
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm.— Industrial❑
OCCUPANCY GRd�JfNo. of Stories`- Total H-oight Area of bot
Type of Con3'.ructign I�.I III IV Flgo �M n H 1 2 9r167
Set Backs: Front__ _ Back_ , 'i"�e R.Side _
Private Sewer Pipe Size Sewer Septic T,nk ❑
Water Service Pi ze - Storm Sewer ❑ Dit Drywell t_J
Street an rb Reyuirements
Driveway Width No., of Parkin S aces
SEPARATE PEPMITS REQUIRFD FOR SEWER AND PLUMBING
SPECIAL INFORMATTON
134 �✓
ADDRESS ASSIGNED /�J�/NG- /I 8"7 S�. &0' 41,Q_ _ T`
FIELD CHEr_K BY DATE
PERI4IT APPROVED
It is understood that all work will conform with applicable codes and ordinances
of the State of Orecin and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificate of nccu iC, h b en issued by the City of
Tigard Building Inspe^tor.
�R gnature"o App scant
CITY OF TIGARD
12420 S. W. Main Streat
TIGARD, OREGON 97223
APPLICATION FOR BUILDING PERMIT
New Construction ❑ Demolish ❑ Addition ❑ Remodel rKT Move❑
ZONING _ DATE ISSUED_ BUILDING PERMIT
FEE $ No.
DATE RECEIVEDBUILDING -»�-.--.�-.-- -- ..��.`� /
BY J PLAN CHECK $2�1�2VALUATIONOTHER $ ��a
TOTAL $ RECEIPT No.- _-
TWG SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT # MAP # CENSUS TRACT JOB #
Architect or Engineer!______
Address------------/ C--?L-4
�
Owner— I/l%tr4 C--?L 4--a --
Address_ Phone Zda -—
Builder Sf)fl-)07---
Address�_� Phone --
BUILDING USE Single Res. ❑ Multi Res. � ----Comm. K Industrial❑
OCCUPANCY GRd No, of Stories` Total Height - Area of Lot
Type of Construction III IV 9 Floo an- 13- ` 1 2 qr��
Set Bicks: 2ront__ _ Back i7e _ __ R.Side
Private Sewer Pipe Size_ — Sewer-- Septic Tank ❑
water Service Pi ze Storm Sewer ❑ Dit- Drywell❑
Street an rb Requirements `___
Driveway Width__________ __________i_—No. of Parking Spaces___
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED /St/N(s�-�__��
FIELD CHECK BY DATE
PERMIT A?PROVED
It is understood that all work will conform with applicable rode9 and ordinances
of the State of Gregon and the City of Tigard, Oregon, and that _he building will
not be occupied until a Certificat- of Occu h $ b en issued by the City of
Tigard Building Inspector.
'`Signature"o Applicant