10911 SW 118TH COURT ADDRESS:
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CITYOFTIGARD
aNOF TWARD
.COMN)UNrTY DEVELOPMENT DEPARTMENT MOON MASTER PERMIT
13125 SW I-W:Blvd. P.O.Box 23397,TI jaM,Oregon 97223(603)839.4176 PERMIT #. . . . . . . : 01ST93-01 18
639-4171 DATE ISSUED: 03/04/93
SITE ADDRESS. . . : 10911 5W 118TH CT PARGA. . IS134BD-11300
SUBD I V I S I O19. . . . : PENN LAWN ESTATES NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..41
BUILDING
REISSUE: DWELLING UNITS:@ BASEMENT. . . . . . . . :0 Sf
CLASS OF WORK. :ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . ..0 sf
TYPE OF USE. . . : FLOOR AREAS-----_–_._ REQUIRED SETBACK;-------__--
TYPE OF CONST. :519 FIRST. . . . :0 S LEFT. . HCl ft RIGHT. -@ ft
OCCUPANCY GRP. 'R3 SECOND. . . :32710 S FRONT. .-O ft REAR. . .0 ft
STORIES. . . . . . . :2 THIRD. . . . :0 s REQU I -----------
HEIGHT. . . . . . . . : 0 ft TOTAL--------300 S SMOKE DETECTORS. :
FLOOR LOAD. . . . :40 psf VALUE. . . . . $a 11000 PARKING SPAC;ES. . :O
Remarks : PATH I ADDITION TO HOUSE TAKING 300 SO FT OUT OF ATTIC AND MAKING A P
PLUMBING
SINKE;,, FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . .0
LAVATORIES. . . o . :O WATER HEATERS. . . tO TRAPS. .0
TUB/SHOWERS. . . . 10 LAUNDRY TRAYS. . . :0 CATCH
WATER CLUSETS— :0 SEWER LINE ( ft ) . :O GREASE TRAPS. . . . . . . .0
DISHWASHERS. . . . :0 WATER LINE (ft ) . :O OTHER FIXTURES. . . . . :V1
GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :O
WASHING MACH. . . :0 SF RAIN DRAINS. . :0
MECHANICAL FEES
FUEL TYRES------------- UNIT HTRS. . :0 type aMOLtnt by date t-ecpt
VENTS . . . . . :0 BPRT $ 86. 50 JLH 03/02/93 93-237319
MAX INPUT:0 BTU VENT FANS. . -0 BPLC $ 56. 23 JLH 03/02/93 93-237319
FURN ( 100K . . -.0 HOODS. . . . . . ..0 B5PC $ 4. 33 JLH 03/02/93 93--237319
FURN ) =100K . . :0 WOODSTOVES. :0
FLOOR FURN. . . . :0 CLO DRYERS. : 0
BOIL/CMP ( 3HP:0 OTHER UNITS:O
GAS OUTLETS:@
Owner,:
MIKE GROSS
10911 SW 118TH
JIGARD OR 97223
Phone #: 620-7644
Contractor: _____________________________
TOTAL HOME CONSTRUCTION
2840 SW 123RD
CL BEAVERTON OR 9700t
Phone #: 643-7562
V1 Reg #. . : 50335
$ 147. 06 TOTAL
This aermit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Ins
applicable laws. All work will be done in accordance with approved Insulation Ins
plant. This permit will expire if work is not started within 181 Gvp Board lyq,
days of issuance, or if work is suspends or a than 180 days. Bttilding Vinal
Permittee Signati.tt-e : 2!fE=1.
IssLied By :
Loll for in apant J on 639-4175
CITY Cif", 1160RD RL.UAPT (A- PAYMENJ PELF_I P'l N(J. :
0417A."t" AMOUNT % 14
TOTAL i-wmr'
0
P"YMENT DATt, 0,--
SULAD 19 19 1 UN
P(JRPl.Y';E OF r,tTyl'llr-WT Amoul'i V Pf-",I r) rt u P.r, F OF P 1-1 Y M IN T AMOUNT PA(D
BUILDING Pr.RM 8E,. `_0 I-I.AN CHECIls FF'
'51. PUILD PEER 4, 3 3
ui
MIKE GROSS
10911 cjw IIATH
J )TOL AMOUNT P010 1o7. 0
PLNCK/RECT #CfTY OF T13115 SW Heli 1�
COMMUNITY DEVELOPMENT DEPARTMENT
r��u,a�9m PERMIT 0
(50)6"4171 DATE ISSUED
JOB ADDRESS: ID R/f ____L1 A _ TAX MAP/LOT
1 _Zs, ?y
SLB: LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: iK�' (�-t��J'-1 REISSUE OF:
ADDRESS: C>�// ��� LAST REISSUE:
FLOOD PLAIN/
PHONE: _. < � - /� 4L/ SENSITIVE LAND:
CONTRACTOR Cf / /� APPROVALS REQUIRED
NAME: � - t" "'� .—` PLANNING: _
ADDRESS: o Z -340- - ENGINEERING:
FIRE DEPT:
PHONE: _ �, �7, (� 'l OTHER: --
CONTR. BOARD #: 7 EXP DATE:
ITEMS REQUIRED
SUBCt"�RACTORS: PLUMB: LIST/SUBCONTRACTORS: _ -
MECH: _ BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ ,- tC;,L,' _ TRUSS DETAILS:
ADDRESS: l. '%" -S G� OTHER: ----
PHONE: _(1un
!- PROPOSED BLDG. USE: Llolzxe
.� COMMENTS:
AP�L I C
ANT SIGN TURE
� Date Received:
Received By:ti '/`� --- -_ -
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE' ^
10-432 00 Building Permit Fees �-�' = ,.
10-431 00 Plumbing Permit Fees---
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) = _
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
5-61 �3 Z
Building ?_--
Plumbing
Mechaaical
10-230 06 Fire —
30-202 00 Sewer Connection _
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-446--04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-443-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52 -449 00 narks System Oev Charge (PDC)
31-450 00 Storm Drainage Syst Oev Chrg
(SSOC) --
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Rech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plhq. Underfloor Water Line Vyp. Bd.
Date Requested= `Time: ---Am / 1_PM
Address: Z Permit f: G�
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In"ctorr
G' APPROVED DTSAPPROVBD APPROVED SUBJFCT TO ABOVF.
Call For Relnsp.
INSPECTION NOTICE
City f Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rac-O-Phone): 639-4175 Businens Phone: 639-4171
Inspectiont_
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing .-Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Water Line�j Gyp. Bd. -Mech.
Date Requested: _ ( -- Time: -_AM PM
Address: 1,f Permit 1t� 1l1L _
Ruilder:_ _
THE FOLLOWING CORREECTIONS ARE REQUIREDs s
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InspectorsDate:
APPROVED DISAPPROVED k' APPnovrr SUB.IRCT To A11nVP.
Call For Reinsp.
INSPECTION NOTICE;
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
7
Inspection-
Footing
nspection Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Gnderfluot Water Line Gyp. Bd. -Mech.
Date Requested: _,Time: _ AM !PM
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Address% Z�) `- Permit 1: �� o
Builder:
Tli3 FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Z�Y Date: ? 19��
APPAOVRIti DISAPPROVED "PROVRD SUBJXCT TO ABOV9
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Z Gyp. Bd. -Mach.
Data Requested:= �_ _Time: AN M
Addressr /y,!�/z �Al Purmlt
Buildfrs
THE 'FOLLOWING CORRECTIONS AAE REQUIREDs
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Impactors zile _ _--- -- Dates S" X17
/--"'APPROVED DISAPPROVED APPROVED BUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Watar Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Frr-.ming -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out aisulation -Elact.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.M. _P.M. _ Gntry:
Address:
Tenant:.__ - -_- Ste:_ MST: �
BUP: _..
Con/Own _ _ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED c_LR:
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Inspe tor: — - _ _ Date:
APPROVED --DISAPPROVED/CALL FOR REINSP. CF ,O
CITY OF TIGARD
December ^Q, 1993 OREGON
lt�l'.�e '
1 1 SW 11 �7�15
Tim--
RE: MS793-0i18 I
The lest inspection conducted on this r 'ect was a I
P P of gypsum board Inspection on March 9,
1.998. The next required inspection is a final inspection.
Please advise the Building Division of the status of this project within 16 days from the date
of this letter.
Please note that nny permit without activity for over 180 days becomes void. If you need
additional time to complete the project, please contact this department so that an extension
can be discussed_
George Steele
Building Inspector
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13125 SW mall Blvd., Tigard, OR 97223 (503) 6W 1171 TDD (503) 684-2772
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TOTAL HONE BONS 6437562 P. Ni
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T®TAL ; HOME
CONSTRUCTION
Designers &'Remodelers 2845 S.W. 123rd 13EAVERTON -!AEGON 97005 (503)643-7562
DATC. December 23 , 1912
Ntj.'4UElt 01' PAGES MING YMCED: 2
TO: 11rac3
CAtv' of Tigard building department .
FA NU.Y6Ot
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FROM: Ken. .luimsou
SUBJLC'r: U uf' s p 1 ral s tax reasc in entry hal l .
OV V,X N T Ili Brad, here ' s the drawing of the ent y that i, in
question for poss : Ule use of staircase. As you can sec that the
requircr»c;rats arc met in front of and in back of Where the spiral
stairc:s(� wolild l;'o.
Phonc 0643--75G2 Ker: Johnson
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TOTAL HOME CONS 6437562 P. O2
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