11105 SW 123RD AVENUE 11105 SW 123RD AVENUE
b �
N
r+d
O
1
i
i
i.
AR6�"� P _ .y.. Mal r '
o
low—
�. �Y�r� „ =� �,. ��R._ec�Rcrt-nom, s.y= �',-.•.-. ... ,.^+�-,---':,'-----"�'�'-'---.... -.-t^ +�l';.
I
00
Art
4
«, n +
p h v co
4-' hfJcap0 ye°r
N
(� 34 0 u * U
,a ' O o d .a a' � I , ,
p
N b •�
A
N u U
ul
O14
i F ') ' [� .-ya u 'G ..fir '� +VJi �'�• Ca t,�y�'
�1k
• t
L --
I
v y,
1
nQ/ INSPECTION NOTICE y_. O-�C
City of Tigard Building Department /�u�-�
P O Box 23397 Z
Tigard, Oregon 97223
Phone:639-4175
Type of Inspection let, — --
Date Requested-- -- r�� -�—�� Time��A.M._ P.M.
Address ZV � -FZ_I��' — Permit #�--
Owner Lot #
Builder -The following Building Code deficiencies are required tc be corrected:
r J ----
Presented to /- _ CJApproved
Inspector -- - ❑ Disapproved
Date ---
CALL FOR REINSPECTION
C.] YES ❑ NO
-- i
INSPECTION NOTICE � 1
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type nf Inspection �( Y1�f711
Date Requested �� ! Time. _ A.M. P.M.
Addres, _ �� - Permit #
Owner_� �'' c- �J of # _
Builder
iThe following Building Code deficiencies are required to Ile corrected:
I '
I `
- --- - —
Presented to — —�,,L. _ — ❑ Appro d
I njp actor _ �.,,Pi4Pproved
Date _ _—
C' FOR REINSPECTION
I
'
[7-1 YES O NO {
ELMEMEN
BUILDING PERMIT APPLICATION `TIGARD DATE y/2 19 6:)6a _ 5608
THE UNDERSIGNED HEREBY APPLIES FOR A BERMIFFOR TH'E WORK HEREIN INDICATED BUILOFH PHONE �Zt,-x800
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER Glenn Schroeder JOBADDRESS 11105 SW k-'Jrc1 Place Anton Park
Hillsboro, OK 97123 ARCHITECT
Glenn Schtneder Gon Rt. 2 Box 498 ENGINEER
BUILDER *CRESS DESIGNER
STRUCTURE 99 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
11 RESIDENCE ❑ COMM El EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE F] SLAB El FENCE
OCCUPANCY � LAND USE ZONE .- _BLDG.TYPE _-5N—FIRE ZONE,_PLAN CHECK BYCAgE HEAT -G"-_-.
Gonstruct single family dwellir& w/attached garage
:subject to *360.00 Amart/WNdbwood + 150 Leron Height Surcharge
3 Bed 3 bath
SEWER PERMIT# 28558 _
OCC.LOAD FLOOR LOAD _ 40 HEIGH 1 21 NO.STORIES _7_ AREA 1594NO.BEDROOMS 3 VALUE 55,000
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR I.- LEFT SIDE RIGHT SIDE W
Permit .29b.uU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
PIsn Check _193.iU WORK WILL UE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND iN COMPLIANCE
491./ti 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
Ll ffySE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEALING.
State Tax 11092 I
_- SDC-
Total 503.62
PDC# 1 5 150.00 APPLICANT OR AGENT
By
A(X Recelpt No.
Approved p R O E
r.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
lor 7-
Per—No. 173s2
Flough-in
1 Fixture
ciwFinal
lHEATING
id
AZCon
Permit No. 72
Gas or Oil
Final
SCWER
Final
DRIVEWAY
I�inal
Storn,'Drainage
Wain Chain)Final
Curb&Stra"t Final
131-00 DEPT.'FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTlIqCATCOCCUPAN('f Final
il Landsce,i,19
Zonini,Final
L.-I s S6 oS
BUILDING PERMIT APPLICATION TIGARD DATE__L Tom' 195 S
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONES
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
,� i//�5 </ /<.3 '>,�L- • LOT NO.
OWNER?Q7&-p )J�t7�Qf�� ,JOB ADDRESS �( �--�T�`�--�j�7-pR'j ;�' _ ' _
ARCHITECT
ENGINEER
BUILDER �t�7Lfi1�'.t SCff2iCD�flESS X�v2 ,BOX yg� /�GSli IGNER
STRUCTURE NEW Ll REMODEL L ADDITION ❑ REPAIR ❑ RENEWAL D FIRE DAMAGE ❑ DEMOLITION
1;?'RESIDFNCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -LAND USE ZONE BLDG.TYPE -`__�FIRE-f&N�f'.}�"� PLAN CHECK Blr�HEAT G
_�.-��i = �IJ�F- 9" 4.� .�.O�N. ,1� dK'c..L•ii� r •... T'1'iAc�,/kr7 �.r/P.1�,.F' 3 . E.L)...--
c-ter/!&j L-
SEWER PERMIT N 2�35Sg
OCC.LOAD FLOOR LOAD HEIGHT' Z 1 NO.STORIES Z AREA_/5G,/ NO.BEDROOMS -3 VALUE S't
- BUILDiNG DEPARTM
E
NT_ SET BACKS FRONT 2 C REAR ,S'�t LEFT SIDE -�_ RIGHTSIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check / �3 ' G REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
q WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal / �G RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax / �2 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total ,,. SDC, --
PDCN APPLICANT OR AGENT
By
Approved Receipt No. ADDRESS — —--- ----- PHONE
SIX (Storm
SDC — o 0
PDC
SEWER CONNECTION
SEWER INSPECTION
SEWER SURCHARGE
I
t
I
i
i
{