10851 SW 118TH COURT -- 10851 SW 118TH COURT
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INSPECTiON NOTICE
City of iigard Building Department
P U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time—Atn� A.M. P.M.
Address Permit # C7 37
Owner Lot
Builder
The fallowing Building Code deficiencies are required to be corrected:
'j
Presented to Approved
Inspector ['+bIsapproved
Date
CALL FOR REINSPECTION
F--1 YES C1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phono: 639-4175
Type of Inspection
Date Requested 2F
Time A.M. _P.M.
Address -__ ... Per _
Owner ',------ 1.1__ _ I-ot #
BuilderThe following Building Code deficiencies are required to be corrected:
41e 4Ae4�2
Presented to _— _ ❑ Approved
Inspector Disapproved
Date
'�i%►' CALL POR REINSPECTION
[] YE! ❑ NO
Devimd Inc. PATE
2626 SW Corbett Ave. T R A n s m I T T A TV/
Portland,OR 97201 FILE
�— -
(503)2.23-5269
TO_MI2 Y F`"/"� SUBJECT
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INSPECTION NOTICE
City of Tigard Builairg Department
P.O. BOA( 23397
Tigard, Oregon 97223
Phone: 639-417;
7
Type of Inspection .— _rx'-��`' �� --.
Date Requested z r-)i�. Time— AMI•.tee.'---r Ni•c,
Address _ CJ v' _ Permit *
Owner _ 1. 4✓►��t _ Lot #
Builder ___ ---- —
The following Building Code deficiencies are required to be corrected:
Prescnied to � Approved
Inspector ._
Date
CALL F9ft REINSPECTION
-I YES ONO
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WHILE YOU WERE OUT
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Phone_ _ Z-7— S Z 1z 9 ;
TELEPHONED PLEASE CALL
RETURNED YOUR CALL WILL CALL AGAIN
WANTS TO SEE YOU RUSH
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23391
Tigard, Oregon 97223
Phone: 639-4175C
Type of Inspection
Date Requested 1 Time____ A.M.`__P.M.
Address _ ��/ C�' Permit
Owner------ - - �C_�.L-�L`T��l p/ Lot #- --
Builder --_---
The following Building Code deficiencies are required to be corrected:
Presented to F1Approved
Inspector - --- �Dlapproved
Date
CALL FOR REINSPECTION
Q'l YES 1:1140
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 /
Tigard, Oregon 97223
(k./P-bone: 639-4175
Type of Insp ion --
Date Requested __ ��L S Time_._ A.M. �—P.M.
Address / � ) �5— — e Permit # 3 7�
Owner lot #
r
Budder
The following Building Code deficiencies are required to be corrected:
t,) �w��� car 1_ G c /=_.4�' .c.Q���� FviE'ili FG✓E
of 7–
rresented to _ �] Approved
Inspector -- 1kT Disapproved
Date -_--__..- /G _f/
CALL FOR REINSPECTION
j�
YES E-1 NO
FjtW
INSPECTION NOTICE
City of Tigard Building Department
P.O. Bcx 23397
Tigard, Oregon 97223
Phone. 1639-4175
Type of Inspections �.—
Date Requested ___ 2 Z rime—A.M.—P.M.
Address I, ba- 5 ! � pil+^ C, __ Permit * 77
Owner r �-�� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to T F?�paroved
Inspector ^� / Gl Disapproved
Date
CALL FOR REINSPECTION
❑ YES 1-1 NO
CF'r r m t[ Y
,12" St, hal4 T v �111 C[ A M T
l) blvd .
.n i. no x x 3 3 9 7 n � -•� � T oehMMeN Code
i
l ig.tra CR 97223
o tQ_� 7 �_t �- 1) Permit Fee 0 -0- 1000
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTU
incl. ducts & vents l 6.00 �,U0
2) Fin nace 100,000 BTU +
_Tame of o$vwlOJmfn1 incl. ducts & vents 7.50
p� 3) Floor Furnace
Job Asch." D �1 47 '�D ]EE � __incl. vent 6.00
Address Tu i_a MW 140. 4) Suspended healer, wall heater -
_ or floor mounted heater 6.00
Lot Block Sutidtvtsion
5) Vent not incl. 1n p-010 `7
cro
Na��l1 or g`�a/m,e or bual"Ill appliance permit 9 .
1 3.00 3 C►L��
U sting Addrr,.j, I� � Phone 6) Repai, of heating, refng ,
Owner '� 6 .�,cJ, (O�-C�'rl ��3 S� cooling, absorption unit
Sta» 7) Boiler or comp to '3HP
absorp. unit to 100,000 BTU _ _ 6.00
Nam — 8) Boiler or comp to 3HP-15HP
j,,r� ��_ �I,ti��c•-�-e _ absurp. unit to 500,000 BTU 11.00
ring Address P1,on. 9) Boiler or comp 15.30 HP
N 3.5
r�Oz
,,QQ / j� (c absorp. unit 4i-1 million 15.00
ContractorI�-�r 10) Boiler or comp 30-50 HP
p/S absorp. unit 1-1.75 million 22.50
�tste Reg) tret or+ No City Bus. Tax No. 11) Boiler or comp 50 HP
¢! (n absorp. unit 1,75_0,0.00 BT_U_ 31 5.0
I rwethy acknowledge that i have read 11119 sppncafiarn tut the lWomation 12) Air handling unit to
given is correct. that t am the owner or authorized pent of the owrw, [tort 10,000 CFM 4.50
puns sutsrutted am in compllance with Ste» laws, that I son registered with
rhe State av,.dere' Board, that the numoer given is correct. (If exempt 13) Air handling unit
Imm state registration please give reason tieiowl. 10,000 CFM + 7.50
14) Non portable
_ evaporate cooler 4.50
—T 15) Vent fan connected
to a single duct _ 3.00
C- /! 6 16) Ventil-,tion system not
11_�'V_ includedDescribwor; in appliance permit_ -4.50Signature (owner or agent) pate .iso
i 7) Hood served by _N+►ie�
❑ additton(� alleratlon,' repair❑ mechanical exhaust ! 4.50
to be done residential,K non•-t:,S!dent isl ❑ 18) Domestic type
Exis!inq use of /� ) incinerator _7.50
budding or properly___..1_!L� `"` - 19) Cr :A s 'Al or industrial
Proposed use or 'N „ ,1i,erhtor 30.00
building or property__------_ 20) Other i.e . troodstove, water
heater, solar, clothes dryers, etc 4.50
Type of fuel — alt❑ natural qat LPG❑ electric[] _., -- _� -- ----
21) Gas piping one to lour outlets r 2.00 omit)
NOTICE - - ---
iHIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More that. A-pet outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN IU&TOYAL
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ax ou"ClAilial 31
OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANY -- --_ PLAN REVIEW 211%OF TOTAL
TIME AFTER WORK IS COMMENCED. -- --
Tel --
Special Conditions
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INSPECTION NOTICE
City of l igard Build ng Department
P rJ. Box 23397 /1,Q
Tigard, Oregon 97223
Phone: 639--4}175
Type of hisp,action �r' N ��
Date Requestet
//- 7 � Time A.M. P.M.
Address _ 0 5� Permit 3 ,7z .
Owner _.._ �C�C t Q�TG� _ Lot #
Builder
The :ollowing Building rode deficiencies are required to be corrected:
Presented to ___� _ _ � I Approved
Inspector _tl —� �_� Disapproved
Date
CALL FOR REINSPECTION
YES C7 NO
i
I
CITY OF TIGARD ��umbimg Permit
Building Department --�,�'`''� ,�%`�, No.
Residential ® , Commercial ❑
New Installation 54 Replace ❑ Addition ❑ Alteration L-) Date dOD may`
Licensed
PlumberCl��'�� �n�(//l�l�/.t� _Ci1t 'i�L��•�5, pwnQr ._ L�fV�/��✓d�,-,�/YC
--r SCJ
�'!-� ;dam ��� �'
Address rr — f3/.j•Iy'�l�iP �ob Address
Phone � ���!��__ � Applicant
_ CITY BUSINESS TAv REQUIRED FOR ALL CONTRACTORS AND SUBCONTRACTORS
ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
FiKtu(es•Traps /Q 7.50 e,'QD Sewer:First 100 ft T^ 3003
Dishwasher 7.50 7;025) Each Addit +OO N.`� –_ 15,00
Garbage Disposal7.50 o Eje.Aor Flump 750
Water Heater ' 7.50 , TLJ Water:First 100 R. / 20.00
Backflow Preventer i 7.50 _ Each Addit 200 ft _ _ 15.00 —
Storm d Rain Drain First 100 ft30 00
Each Addi1.200 H. 1500
MTNTrattst ERF, $15 v' Mobile Home Space y 2500
Other(Specily): a Rain Drain•Single Fam Dwemn 00 fi
PERMIT FEE /�,r ��� Comments
STATE ��°e
Issued By
---- -- -e�• -� Roceipt No Appl.-ant
CITY OF TIGARD 639.4171 DATE I q 637719
BUILDING PERMIT _
TAX.MAP LSI-34Bb LOT NO. —A& SUBDIVISIONPei►17_L;atdtli r
O1NtJER__ L)eVs lQC• _ JOB ADDRESS 1051 5W 118th CC.
BUILDER _ AAMa STATE REG.NO. 43631 _EXP.DATE
BUILDER'S PHONE 223-526 +
4RCHITECT —_-.__ PHONE _--- _- OTHER —_._--
STRUCTURE r NEW REMODEL_ ADDITION I HEPA,.IR C MOVE OTHER t , DEMOLITION
i RESIDENCE I COMM I EDUCATION IND RELIG OUS ❑ ACCESSORY GARAGE OTHER ( FENCE
OCCUPANCY _1�1 _LAND USE ZONE li/ BLDG TYPE I'IE ZONE PLAN CHECK BY ;A HEAT
wnstrucL single family awelling v/-1&LaCh0,1 all. per apyroveci blasts.
85
SEWER PERMIT O 29/66 (ldu) 3 bath, 10 traps r;arige 4.30
OCC.LOAD FLOOR LOAD 40 HEIGHT 2(l NO STORIES 2 APEAl6-')o _ NO.BEDROOMS J VALUIE4L-u'"
BUILDING DE^4RTMENT f SET BACKS FRON1 24 RFAH j LEFT SIDE 1 J RIGHT.'TIDE 16
Permit 367.O() TH,S PERMIT IS ISSUED SUBJECT TO 14E REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE COD=S AND OF,DINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 238.35 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
PI.Ck,FireRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRA( IS TO HAVE CURRENT CITY BUSINESS
_ 7f ERTI," 6 f'ARATE PERMITS REQUIRED FOA SEWER/PLU.wNG AND HEATING.
State Tax 16.66
SDC— 600.00
Total 620.23 AAPLICANTOrAdtN1
PDCM 15U.00 / , , 1r ✓e ��
Prepd. lUU•yU _ _ -y, 'J (—, `^ [. "('�� - PHONE
-- Receipt No '�. ADDRESS T� .
Bal.Due 510.23
Issued By
_Approved V
.,..w. .._ .,, ,w..W,..,r.r...r.... r•xr.+rr.R+tlrJiw.r:,,.....:_,n,......w.......w.�sr.r,..,.r..r..,.
_DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ -,-+;n,'_ Contractor&) 6 /'76-6 G1S/ (>
zl' Permit No
1117 Z,42x Rough in
Fi(ture
mat
HEATING
Contractor — �1 '2,
LLt' L.S-- ------.__---- -- Permit No —
.ciee I-- – ..4fr.�'7_T LSGe' _L�,r/' n.�� Gas or 0d
� Cr, i CA24-? �ti� Rough in
2 �JiR.�
— -- Final
lz�q �SSEWER: �.
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Cuib 3 Street Finai
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Finai
CERTIFICATE OCCUPANCY --
1-endscaning
Zoning Final
Nl.s �b
CiTY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : �cJ
PLAN CHECK APPLICATION DATE RECEIVED: L)
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: / C-' j
This is to certify that the attached t-- sets of plans have been submitted for plan
c.,:eck pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, s�_S edition.
PROPERTY OWNER: y 14211—
_ OWNER'S ADDRESS: _
CONTRACTOR: TELEPHONE: _
JOB ADDRESS: gS I � �� - p C LOT NO. s MAP: —
DESCRIPTION OF WORK: -----
Approvals Required SPECIAL NOTES
OPlanning Dept. O Re-issue
OEngineerin, Dept. O Flood Plain/Sensitive Lands
OFire District O Sewer Availability
O Other O Other
Items Required
0 List of subcontractors
OBusiness Tax
0 Calculations
OTruss Details
O Parking Plan
OLandscape Plan
0 Otfie r
J Gtt'
COMMENTS:
City of Tigard Building Department
v
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l - 7
ITY OF TIGARD 639.4171 DATE
UILDING PPR-MI; ,i 3 k T ¢
TAX MAP OT NO. 1 -.SUB�VISION,�7�%Z
WYNER— C%V A �,� N`� JOBADDRESS LS.-�._Le j " -�/�fI —
UILJER STATE REG.NO. 4 3 3 EXP.DATE 10"1
UILDER'S PHONE 2 �' ✓ U
_ r PHONE —OTHER= -
�l.rt�
T JRE NEW ❑ REMOOEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑) RELIGIOUS ❑ACCESSORY Q GARAGE C3 OTHER 0 FENCE
:CUPANCY LAND USE ZONE ` BLDG.TYPE 1_C_FIRE ZANE__' PL/1N CHECK BY HEAT
�
:WER PERMIT N --- -
LOAD - FLOOR LOAD HEIGHT NO.STORIES AREA S!� NO.BEDROOMS VALUE9Y0 d
BUILDING I► PARTMENT SET HACKS FRONT REAR ,/ LEFT SIDE RIGHT SIDE
of malt �(P D THIS PERMIT IS ISSUED SUQ ECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
an Chock Z Sa 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
k Fki RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
C - TAX PERmrm SEPARATE PERMITS REOUIRE:D FOR SEWER PLUMBING AND HEATING.
ath Tax
--- SDG- _
Aal APPLICANT OR AGENT
---- PDC/
Receipt NO. ADDRESS _- PMONE
al.Due 1 25
las ___Approved By_
c
_ I -L (
L
LER CONNECTION 5 �7S` A so /vJ1Dv
ICF:—INSPECTION 8
IE_R SURCHARGE S 77
raerlte: _-