13755 SW 118TH COURT IW 3F w N UX117 W
13755 SW 1J"TH COURT
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection -/r�r�¢y°"�+ .y�e� —
Date Requested Time.�� A.M._ P.M.
Address � 3 / 5.5 -54,'J//S- "-I C1Permit
Owner _� _►.__ Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Preser to f _. pproved
Ins,)-,-tor _ _ ', ] Disapproved
Date — > ~--�7�— —
CALL FOR REINSPECTION
❑ YE8 ❑ NO
i
I
BUILDING PERMIT APPLICATION TIGARD DATE---,- t 19 � _ 401
THE UNDERSIGNED HEREBY APPLIES AOR A PERMIT FOR'i HE WORK HEREIN INDICATED BUILDER PHONE 0_,
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.
OWNER".71rY ('t1r'P13r1ti1r JOBAODRES51375r ^il 11° tit Court
--� - --- -- ARCHITECT - - -ENGINEER
BUILDER
BUILDER `a!"o ADDRESS same. DESIGNER
STRUCTURE D NEW Ll REMODEL 13 ADDITION D REPAIR ❑ RENEWAL [J FIRE DAMAGE D DEMOLITION
_❑ RESIDENCE C7 COMM 0 EDUCATIONAL rl GOV'T D RELIGIOUS FJ PATIO Ci CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE_
OCCUPANCY ��'�7:LAND USE ZONE BLDG.TYPE F)"' —FIRE ZONE. -. PLAN CHECK BY _ }' HEAT—__—
Cnnstru,zt masonry chinney for , c3od r.towL 111 -,cr flans .unci cvric.
', e �«arate rermit recliAred for woocl strut,._
SEWERPERMITM—
OCC.LOAD FLOnR LOAD HEIGHT NO STORIEf AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS ;"RONT REAR LEFT SIDE MIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS ikND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 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
Subtotal_ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,P'_'_''.73iNG AND HEATING.
State Tax l
SDC-
Total `� 1
PDC# APPLICANT ON AGENT
By r: 1
r1W1� Receipt No. •
Approved AD-DAIIRb -� --- -� PHONE
w w ■er
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE
-( i /. j'- CQ��ti� Contractor -- Y
Permit No.
b' (� �� ` lq tQotlt L,°r)IeC.u11� WXJ t IkSYJ• --- Rough-in -
-'� Fixture
Final
i
HEATING
-- _ � Contractor
Permit No.
- � --._--- Gas or Oil
—..—.—-- ----- - Rough-in
Final
----- -- -- -- SEWER -
_ �.,_ ---------_-_- _—___--,-- Final
—_-- - _---- __ DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG Dr PT.`'INpL� TE"PORARY— CERTIFICATE OCCUPANCY Final
II^ERTIFICATE OCCUPANCY-�
I
Landsceping
Zoning Final
n
BUILDING PERMIT APPLICATION TIGARD GATE—%.e-- 19gz
THE.UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE "on1r
OR AS SHOWN AND APPROVED IN THE ACCOIfPANYING PLANS VVAA,ND�IFICATI NS. OWNER PHONE ___v_L!_�!–_ LOT N O.� �
ONE!? / ���.i'�6� 137"...?JOB ADDRESS 13� a
------ --- -- ARCHITECT
ENGINEER
BUILDER �) 1� AOCRESS �+�� DESIGNER O&U N f-,f
STRUCTURE Cl NEW Cl REMODEL ADDITION ❑ REPAIR Cl RENEWAL Cl FIRE DAMAGE ❑ DEMOLITION
RESIDENCE 0, COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS G PATIO Cl CARPORT ❑ GARAGE G STORAGE Cl SLAB❑ FENCE
OCCUPANCY LAND USE ZONE_ BLDG.TYPE s FIRE ZONF "7:_PLAN CHECK BY _ F:FAT_ r� _
A AL
t. _ --
SEWER PERMIT M
OCC.LOAD FLOOR LOAD '" HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE U
BUILDING DEPARTMENT SET BACKS FRONT •'' REAR LEFT SIG`E 6.4 RIGHTSIDE00
Permit � � _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOWN.-
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT ,S HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH I HE PLANS AND SPECIFICATIONS AND IN COtAFi_iANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total �" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— _ LICFNSE.SEPARATE PERMITS REOUIREO FOR SEWER,PLUMBING ANCA HEATING.
Stato Tax
00-
Total---- -----1 -._.._--_ --------- - ------ ------ -- —_.—_
PDGN APPLICANT OR AGEN r
By
Receipt N�. -- ------ --— ------ -- ___
Approved �_- ADDRESS PMONF
soc -
PDC - s
SEWER CONNECTION $ _
SEWER INSPECTION $ ��
SEWER SURCHARGE 8 -
2l
p��,� ` ,k: : s�•�N..r � .,w• �P" "^+r:' "sir �'��7t (7\
3 -"""R;e' '•w''��p¢# � }.�^'np�,.�.,y2'�aye.��!� 'Jw.�� yt�� ,� a `• ^Ri�j`&� f�� � ,h ��
`• JC Lk i..yiYt�.,�y+;{f< ,w.t�'.�/111�'•.,, F�E�p111fA� fft ��w 1 ,4i . 'q1{�•d ^gT1,P--- .,r S� '�Ilhr
.k,. ca� N^;` �-`".:�
• \t�x. ��� '�_`_.+. _.� _ _,tom-;.,----,. - -- ---- —— - a � � .rpt
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2 3 k�'i"1...,a`i11�`` 1.r{tt,'`�`/1i/ ►�t�P`�, < u.- ,�t��- '7�r 4,�� '. �_f .. ��( s '�' ,�� 4'
�t y .Vi 411lfl,. ra�Il" '
,! .+,��1fi1
.`s� atiy�l +�f p ."�!Y_ ;'�►. AFts `f .xlSf (pMtt�lpiUYt �p�+ �2
City of Tigard Mechanical Permit No 3 8 4 6
r Now Installation g Replace ❑ Relocation❑ Addition ❑ Alteration ❑ DATE _?T
HEATING /
CONTRACTOR /�//cc _ _ OWN ER,(Ll1 P� le—
ADDRESS-
ADDRESS_—_ ND,c� JOB ADDRESS
PHONE APPLICANT
Haat Input Rating(BTU per Hour) .___ Vent Size— Flue Size
FUEL OIL❑ GAS ❑ IcLECT ❑ OTHER
_ T ITEM NO. FEE ITEM !p NO. FEE
For Issuana° of Permit SEE BELOW Each Air Handling Unit or Duct System 7.50
New±p to & incl, 100,000 BTU 6.00 Commercial Hood System _ 7.50
Now 100.00 BUT's &_over �— — 7.50 Other Equipment • Each _ 4.50
Woodburnin�LStove 4.50 1 Trip Inaction 4.50
WNspen
Wall- Suoed 6.00_ Air Condition Compressor • up to& incl.3 H.P. 6.00
Vent System-, /Fan 4.50 Air Condition Compressor• 3.1 to 15.H.P. incl. 11.00
Repair Heat Cooling — _ 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR� SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Commnhts:
FEES
SUBTOTAL
Issued By �_—
S PLAN CHECK
TOTAL /S C REC. !t —� �"
Signature of plica�t
BUILDING DEPARTMENT, TIGARD
PLUN16ING PERMIT M
– f { �!�� : — holder of d vaii(I plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance w th the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be r ,,;ified riot less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner_ 14,
Addresses
Date
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERh11r ITEMS FEE ON EACH Ah10UNT
(Office Use Only)
-'-
_Uur'ex-E,r:h f b th unr, 25.00 ----- -- - - —_.__
Additional bathrooms-each I.
10.00 C� I
_Mobile Home Sodce-each -_ 1500
INDIVIDUAL FIXTURE FEES
_1 to 50 Fixtures in 1 building-each 3.00
_51 to 100 Fixtures in 1 building-each 2.50
101 to 200 Fixtures in 1 building-each 2.00 K
201 or mora Fixtures in 1 buildin -each 1,50
MISCELLANEOUS _.`_
- Building Sewnr•-1st 50 ft. V 10.00 - -
Sewer-each addition_ ,11 100 it. 10.00
Wdter Service to building 5.00
Private Water Systerns-each 100 ft. 10.00
Other (5 ecif ):
PERMIT s O.Oo For Plun;�ing Inspection Phone 6394171 -------�
_399 State 1 . 2. Plumbing Contractor By
FiECEIFT N0.
j,), 0-0 Issued By _
BUILDING PERMIT APPLICATION TIGARD DATE 19 eo 3458
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639"t'L;-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Ed Gaua t _ JOBADDRESS137:i� 5W 49 118th (;DUrt LOTNO._11—GrBekt3iue Pk.
ARCHITECT
ENGINEER
BUILDER same
ADDRESS 14635 .c^iW 133rd __DESIGNER Knights 131dg.—,
STRUCTURE CN NEW Cl REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
CI(RESIDENCE Ll COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 1-1 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE E-7 BLDG.TYPE _ tA' FIRE ZONE.--.PLAN CHECK BY dwh HEAT
Construct single family divelling w/ettached garage. 4 bedruoms 3VUath�,.
SEE CORRECTION SHEET AT'T'ACHED.
SEWERPERMIT# gara4u '
OCC.LOAD FLOOR LOAD 40 HEIGHT 20 NO.STORIES 2 AREA 2082 NO.BEDROOMS 4 VALU672I, 5LIO.
BUILDING DEPARTMENT SET BACKS FRONT 22 REAR 33 LEFT SIDE I D RIGHT SIDE 17
Permit t.i33.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 11h. aft 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
Subtotal __ 349. b(" RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex 4; 9.32
SDC-- �400. 00 ,'', / "`�
�1'!+-
Total u 3 a tf.U2
10f).00 A-POLICANTORAGE_NT =--
yL___
Approved duh Receipt Na.
ADDRESS PHONE _ -
- ---T _
c
t_
ig w w 'w=w
DATE �INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
//-v- o )` T-__ ��d�ti Parmit No.
//-
"y—S3 -� t�fy� Rough-in
Fixture v -
ld+ Final
-,7/-.0 mw HEATING
Contractor
Permit No. �08D k,3
4_1k / w,a�/ Gas or Oil ' `
�;/t �.� f Rough-in
-- Final
SEWER —�
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
S idawal k
Curb R Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE l ANCY
S
CERTIFICA'► OCCUPANCY Final
j Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE ��� 59-&�•��/�G
THE UNDERSIGNED HEREBY APPLIES FOR A FZRPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE&
OR AS SHOWN AND APPROVED IN THE ACCOM.PANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
;,VINEFt E ^.U-9 P JOB ADDRESS 13 24—f SW l(? V//��T• LOT NO. _
r ARCHITECT
BUILDER �a1Me..- ADDRESST{p3�}' 3��`L ENGINEER DESIGNER tl
Nr
1C X�+,�5
,
STRUCTURE T NEW ❑ REMODEL ;❑ ADDITION ❑_ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEItOt.ITIO
RESIDENCE C COMM ❑ EDUCATICNAL ❑ GOV'T C RELIGIOUS G PATIO C CAR PORT ❑ GARAGE , STORAGE C SLAB❑ FENCE
�_Ci-, _ LAND USE:ZOVE BLDG.TYPE ".—FIRE ZONE-""' PLAN CHECK 13Y _ HEAT _
27
SEWERPERMITN
OCC.LOAC FLOOR L )AD__ _HEIGHT 20 N0.STORIES AREA Q j?2 NO.BEDROOMS VALUE bo
BUILDING DEPARTMENT
SETBACKS FRONT REAR LEFT SICE RIGHT SIDE
P9rmit 39•00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CO ,ZOWN^
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
p►�nCheck ��!�,So ,WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
L~ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
srutrtotal 4 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
7�. LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stata Tax • 7
SDC--
Total
�
BY PDCk APPUCANT OR AGENT _
_
Receipt No.
Approved ADDRESS PtiONE
SDC - $ .400
poc •- s =- _ ! 100
SEWER CONNECTION S 72-4- -
SEWER INSPECTION $ Z
SEWER SURCHARGE !� '•
MV M
um 4°s4 ('VQoIre b�,�#Var.
a(V f. f G' i e . I o •,t r7
L:' 73> 2A OA44- Iq$o
44wAL
ALIN Now- ? Y, /8-3 1
,2.4-G X 2e &6t0
4-d X 2'6 lb4.
/9-& x Zz-g 44 z
FP
x 2(p 2$�
-V 540)
,r
G.225- c2,P !�.
avg 2 Grp <!0 3
13
WO
I! IftY � � its ! ilr
INSPECTION NOTICE
City of Tigard Bui!uing Ciepartment
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested_ Time
A.M. P.M.
Address I3;?�s� -��' Permi �
Owner Lot
Builder
The fol(owinp ilding Code deficiencies are 100/to be corrected:
o
i
_ — y
01,
Presented to ----7
o Approved
Inspector ❑ Disapproved
Date _..
CALL POR REINSPECTION
❑ YES Ca NO
VMS• ,. �.' /. :rV V ♦r .w. . .. .: •t Y-.'.1 i �.e .. f b y , Fee— �L.Y_..._.__�„�.` '
New Installation Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ — 11%State
OWNER
CONTRACTOR
Imperial Mech. Ed Gause Const-. _
_
ADDRESS_ WORK ADDRESS
PO Box 06327/97206 13755 SW 118th Ct. -
_
PHONE 777-3801 APPLICANT Imperial Meeh.
'-feat Input Rating (BTU Per Hour)___125,1,000_ Vent Size 4 Flue SizeFUEL OIL OIL GAS Qx ELECT 0 OTHER
ITEM NO. FEE ITEM NC, FEE
F,
For Issuance of Permit 303 !�A r Coni : :n Comuressor 15 to 30 HP i
Vow-Under 100,000 BTU 4.00 d A r Hand�mj 10,'33 CF'.'
New 100,000 BTU &over �%— 5 uJ _ A; Handl~_
�' _._.�..�..____--�----_In,
Floor Furnace _. _ 400 i Evaporative Cooler
Wall- Floor- Suspended_ 4.00 �R.3"9e_Ve_nt Fan
Install Ven's Oniy 2.017 V?n;System
Repair-Heat& Cooling ___ ~ ..�_ 4.00 Hoed Cornmerc r.,
Air Condition Compressor Under 3 HP 4.0_0 j Commercial Duct Sv,'er- �. L
Air Condition Compressor 3 to 15 HP �~~ 7.53 i
INSPECTOR'S COMMENTS ._
3ITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
APPROVED BY DATE. ISSUED BY_ DATE _
RECEIPT NO.
na Sianature of Aaoiicant
I
DIN1