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11125 SW 123RD AVENUE Map 11125 SW _23RD AVENUE _ u m .-4 a v N N n �n N r-1 .-1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection Date Requested -_ __ �% — 5 " Time A.M. P.M. Address ___�...�— % -� Permit Owner_.-- -- --_ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to ___ __ �({ Approved Inspector — __ ! —_ F-1 Disapproved Date _- --_-- — 113, FOR REINSPECTION f -1 YES C7 NO l P.O.Bax 2-131) CITY 01 ' I,IGJAR D PLUMBING 13125 30 RW M%fl- Al,plicAnts mutt IK.1.( Oregon Registration to conduct a plumbing 7 ) IT Tigaml M4 m business cx must tp rKoperty owner/operator wx hiring cxrt;ide help. 'I\ r6` 175 Niwtta of Devebtxnent I- Plumbing Permit No. o2 I Description — Job -t ORS B 14.21-6 t 0 RI — QUAN. PCE AMT TAx tot Map.No. Address -- FIXTURES td ©lock Subdivision '-- - -- --- -- .__ ._ _ -- Sink 7,50 ante cx name of 1xisine3s) Lavatory _ -- — 7.50 -- Tub or Tub/Shower Comb_ — -- 7.50 o,Pog e s s i Sltowr,r Only - --- - - - 7.50 LL) - Owner city/swig a zip Water Closet -- --�- - - 7.50- 9. � 'I Z Dishwasher - ---- - - 7.50 Phone Garbage Disposal 7.50 -- Name Washing Machine -- _- r 7,50 - Floor Drain 7.30 ai ing Address Phone Water Heater -..-- -- r — - 7.50 - Occupant City/State Zip - Laundry Room Tray -- 7.50 Urinal 7.50 Kane — —1sFie Other Fixtures(Specify) , -- 7.50 - 7,50 ress`-- Phone - 7.50 CQnlraCtnr Cetyl,^,ial. - -- -- 2>p ------ - -- ----��--- MISCF.'_LANEOUS -- City Bus Tax No Sewer 1 st 100' 90.00 tats 1 �.Ffoi+rdF7o. —fite;e u s s w „ Sewer-ea.Addri 1000 _ 115.00 (Residential) Water Service 1 st 100' 20.00 a I hereby ackno wlsKlge that I have read tNs applk;atkxt,thud the intamatk>., Water Servim as.Addit. r Y— 15.00 — yn*sn is correct,OW 1 am registered with the State 13ciiidw'v Board,and else Storm&Rain Crain 1 st.100' 3000 tuve a State Pkrr*kV boon"that the numbers gtven are correct,that Ali ` Irlurhbirq work wie be done in s000nfance with appecable C. ns a Ore Storm&P:tin Drsin Addit 100' 15,00 _ gon Revisod Statutes Cftaptera 447 and M And applk�swle codes and that mo*e Home Space 2500 nn h4W will be ompkryed ur""Ikarssod under OF11 603 (It exampl from -- — State registration,please ghee reason below) Back Flew Prw#vnbon HOMEOWNERS -1 hereby cerlMy,Ihd I wn the owner of"pmpedy do- DovteorAne-Pollution Device 7.50 Scribed above,Ad o tach locallon I pmaposs to maks a pkmr tdng nstaMation kx Any Trap or Ws*W f" my own use and 111iA property is nut baMq onnobtrded lot sell,lease or reit, Ckinnaded,a a Fixwm 7.50 filch Basin^ _ �_--. 7.50 it".of Exist P% mbkty -_ 40.00 Per Hr SpeclaNy Rpusshd Inspectional ---- 40.00 Par Fk __---_-----. _ _ - - Abler ofPkarrbingwltitin an existing Meg 16A0 min AUTMOA SKINAlURe -- o. Nm Bldg.or Build.AddMon 26.00 nw+ _ -- - -- a taml Descriv watt new[] sdditlon[-) alte e"M C 1 recta;, I 1 dwell' 15.00 residential[-1 non-residential I .l — JI Elde9kV use of NAldlnp a Woperty PPfglgtled u"of M►MNIOIMIIO� ,1111��1ft or poop"_ NC TWAT T1tlh pMa'1M be00n1 me"and voidM wont or oonMurNOn RAlartsad M not com -- ttlMtOad MM1Y1160 daN�ar a OM1aRrY�tM10►af!>fkM Mtaptrdad or atberteonod for •perb0d of 100 days al any Mtw W"wont Is eor""W%asd i DOW kcstrerf by r,. 4 CITY OF Ti IGARD MECHANICAL PERMIT Receipt#Permit# Description Table 3A.Mechanical Code CITY PRICE AMT City of Tigard 13125 S.W. Hall Blvd. 1) Permit Fee _ 0 -0- 10.00 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3.00 639.4175 1 Furnace to 100,000 BTU 6.00 incl.ducts&vents 2) Furnace 100,00G BTU t 7.50 incl.ducts&vents Name of Development 3) Floor Furnace 6.00 incl.vont _ Job Address - 4) Suspend " "''seater,wall heater 6.00 Address or floor mounted heater Tax Lot Map No. 5) Vent not incl.in 3.00 Lot Block Subdivision appliance permit Name(or name of business) 6) Repair of heating,ref ig., 6.00 cooling,absorption unit Mailing Address r Phone 7)11 Boiler or comp to 3 HP 6.00 Owner absorp.unit to 100,000 BTU city/state Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU Name ' 9) Boiler or comp 15-30 HP 15.00 absorp.unit 112-1 million Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50 absorp.unit 1 -1.75 million Contractor City state Zip 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU State Registration No. City Bus.Tax No 12) Air handling unit to 4.50 10,000 CFM 13) Air handling unit 7.50 I hereby acknowledge that I have read this application that the information given le 10,000 CFM { correct,that I am the owner or autho•ized agent of the owner,that plans submitted are ' -- compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50 number given Is correct.(If exempt from State registration please give reason below). evaporate cooler y L7rt l A- Lk=11'r UV E _ 15) Vent fan connected 3.00 1 to a single duct _ ` l l C�i'11 A � 18) Ventilation system not included in appliance permit 4.50 Hood served by 1 I 17) mechanical exhaust 4.50 Signature(dwner or a t) I -- Date ,8) Domestic type 7.50 Describe work C_1 addition O alteration 1 1 repair I I — Incinerator to be done residential Cl non-residential I 1 _ 19) Commercial or Industrial 30.00 Existing use of type Incinerator building or properly 70) Other i.e.,woodstove,water 4.50 I heater,solar,clothes dryers,etc. Proposed use of - building or property —____,- ----- 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas ❑ LPG I I eloc'ric 1 1 22) More than 4-per outlet NQTICE SUB-TOTAL f ' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON — — r STRUCTION AUTHORIZED IS NOT COMMENCED V,.ITHIN 180 _ 4%SURCHARGE DAYS, OR IF CONSTRUCTION On WORK IS SUSPFr\DED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIrAL AFTER ---- -- -- WORK IS COMMENCED. TOTAi Special Conditions Date issued by .-ZF ti �C� '�.� ,, r ,�µ.N•. "ht. 1 Yet, 7•� `� �,.�/ �tilh silly, 11,,,,` �' '�"�h,nll�- .q`�yt�Ah�1,.' "�•�jN1".,,��I��' I�'�II��u�1111r'��/�^1I��",�,0'11114w �°.il IU �:jf1�I rllh�'�2CgY,�,..niIIR'IiN41�� Ey/ t40 4�°� �� /� +• a�It `.� X11► I~ c� tn� l 11� .171 1 __ 111 �.Y�.6..► . -....rte. 'r• �i�' v_'.-'vz,gn1R'ftR'RT Yell l I;1, SS 41 In 004 ,, •�� to � i� � V/ v; �':;.::, , 't7 v w. c� � �'�• 1 `;;u�l'�,yy, 1 j � � f� o •"« Imo.,, � ►� �qp � +�'jK�i'' tuhk 04 tj to `✓ ( h qq all ( V ° b U d G y� "y oo N w ills;ail y 0! N C m '� 4 ti F"'� •' �f; tj' �, ,� ❑ tYj w fid 1 �4 77-W -- -- 1 f ? �:��' •I�tta�..+np'►�` U ' 1 �� 'y'tr1,:'` U`' *, t�'•�'"�►!�'�'ht►"J U ''�t� '''' . �•.(U�;~'�t�'•�°�ri�' ti � d 1 � ..t �" '�.�,:',t',,,� �( /�- �1t•, 4,11j�,11�hf..,t►I ' ` �"' 1�t d,,l��n►�� t n . tl�� q�!�j�ir 1� �{ IA /11Y,!vv 11111 ,1 r !h UN` i411� l f} �IIII4p -.eew11M. 7r� +'� ;"llll!`� <�MM K11�•I/ly Nllu` @; t1 y" r 1�1 MP.. , r , 'jy SII ;1tiRfi IM ,ty 1 { 1 ' dt d1 ��++►' �}1.. %\ 1 •' 1w�`'.p' 7q ,r.'Ihj ,y 111r�1. a r,q .nom� ' 1. R�,algl:;' 1.'Y +d •;,,�.:wt" .�,•. ,�,. q'^t'a"�%: 'A`fy.•�-.n`-_ ' "'+�'ww^ -�.w,'"rw�rN•,.+��.r+ �! ■ It � is ® ®F I� INSPECTION NOTICE City of Tigard Buiiding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ / -- ------------- — Date Requested Z1– Z O i�me _ A.M.__�P.M. r / , �O Address ___�I Permit # Owner _ Lot # __ Builder -----.__-- _-- The following Building Code deficiencies are required to be corrected: Presanted to � _ improved Inspector Lj Disapproved Date CALL FOR REINSPECTION 0 YES F1 NO INUMM IN-1 MOWN INSPECTION NOTWE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 l� Phone: 639-4175 Type of Inspection f� Date Requested ` I �' Time I I AM _ P.M. Address �,�(� �,` "�'2 v C� C�'�L°•rt u' Permit* �>O� Owner D an.n.N. -� eA,,k.r�r{e-U J` Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to ❑ Approved Inspector " _ [rDlsapproved Date CALL FO INSPECTION YE= L3 NO October 1, 1986 C ITY T'VARD EG0N Glenn Schroeder rs of Service 961 1986 Rt. 2, Box 498 Hillsboro, OR 97123 Permit # 6304 Date Issued: 11128186 Address:-1 1125 SW 123rd Place Job Description: New House Dear Builder: Date of Last Inspection: 9/22/86 Our records indicate that the above described job has not: been completed as noted: approved plumbing inspection approved mechanical inspection approved final inspection Certificate of Occupancy X(1( approved(other) No Mechanical Permit If a mechanical permit is not obtained within five days of reciept of this letter a double permit fee will be assessed and a stop work order posted. I Please advise us of the status of this job immediately. Sec.14.04.040 of the Tigacd Municipal Code provides certain penalties for the violation of the building code. In ordeT,,,'t�o ��Y3fold these penalties please take action to correct the above deficiencies within (A) days of receipt of this letter. Very truly yours, tj L oward Walden Official 13126 9W Hall Blvd.,PA,Box 23397,Tigard,Oregon 97223 (503)639-4171 CITY OF TIGARD 639.4171 DATE 6304 BUILDING PERMIT -_ o-2S�-3ti_-_19� TAX MAP ____LOT NO. SUBDIVI'-;ON54 Antua 1'a=k Gletam Schroeder OWNER____—__-.-- JOB ADDRESS 1112 123Lt1 t�laCB BUILDER _ Bye STATE RL'G NO. - __ Z�Z��Sf� EXP.DA-i E BUILDER'S PHONE 62$-23UO ARCHITECT Studiu PHONE 144-609 OTHER STRUCTURE Y I NEW 0 REMODEI. f 1 ADDITION REPAIR MOVE OTHER C1 DEMOLITION I' RESIDENCE COMM F1 EDUCATION IND I RELIGIOUS ACCESSORY GARAGE 1 1 OTHER (1 FENCE OCCUPANCY ..1 LAND USE ZONE .SLUG.TYPE FIRE ZONE PLAN CHECK BY 11.t HEAT Cunetruct sin.:le tumily dwelling wiattached per .')pprvvC1.i Ixlana. .'u ,sect to code. subject to Amirt o , r m sewer charges. Z9/49 1 1 , SEWCR PERMIT N OCC.LOAD FLOOR LOAD 4U HEIGHT 20 NO STORIES ` AREA L409 NO.BEDROOMS 3 VALUE b i r,UUII T BUILDING DEPARTMEN �'I SET BACKS FRONT - REAR 1 r�• LEFT SIDE 15 RIGHT SIDE •`� Per_mit___ 3j4.UV_ Tt•'IS 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 THA7 THF Plan Check _ 217.1U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCI WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT V/AIVf Pl.Ck.FIre RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY nt1;INFs�. 1 T ERMITb*jEAttTE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 13.36 L, SDC— Total 564.46 60U.00 c —`— -- PLCO f1WPLICANT OR A IGENT ///��/ Prepd. ��•U�1 Receipt No. 15U.U�1 ADD Es9 rJ C,r ��v}6f, Bal.Due 464.03.3 -- Issued By Approved By�� DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE l Contractor MT P ., /'(JV L) q Z-8� _ Permit No. 9814 (- 21 $y6 Rough-in �- J ` `�� - �s• Fixture Final _ HEATING' Permit No. 46 Ti�� — Gas or Oil — —.— Rough-in - ---- Final --- —�— SEWER Final i-e' DRIVEWAY Final Storm Drslnage (Rain Drain)Final Sidewalk --� Curb&Street Final Approach BLDG.DEPT.FINAL. CERTIFICATETEMPORARY OCCUPANCY CERTIFICATE OCCUPANCY Final p / Landscaping r Zoning Final i I I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 — Phone: 639-4175 \ Type of Inspection --- Date Requested _ Time A.M. M. P.M. Address _ ! 2 d5 '- 2 r�ol r�1� _ Permit # 6P Owner _.A:Y' Lot # _ The following Building Cods deficiencies are required to be corrected: \ AN. 7' F. A i/gni — et Vn r✓= t A./dg t .%7 T C i 1C )7774.AL J=e—,e^r /C c,/�c�/A11� •4- f X'Ii 1V— i r• ry i Presented to Approved Inspector _.z Disapproved Date CALL FOR RFINSPF('77ON C7 YES 1-1 NO I ii 1 I l ; INSPECTION NOTICE 4� City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175/ Type of Inspection — Date Requested —� Time A•M• P.M• Address Permit # (f= Owner Lot # _ Builder The following Building Code deficien c ies�are required to be corrected: Presented to _ ,� A;•�roved Inspector __ r "'� ❑ Disapproved Date 'r CALL FOR REINSPECTION D YES V-1 NO c s T1' ur• 'r[CAW) MFCIIAN ICAI, PERMIT Permit t:Liy o Tigard 13125 SW [tell B 1 v(;. Deeortption — --- Cp& QTY PRICK AMT 11.0. Box 23397 T"�'��'��1ef't"r Tigard OR 97223 639-4175 1) Permit Fee 0- 0 10.00 2) Supplemental Permit 3.00 1) Furnace to 100,000 BTU incl. ducts & vents 6-00 2) Furnace 100,000 BTU + - - Name of Development _incl. ducts& Vents — 7.50 3) Floor Furnace incl. vent 6.00 Job A) -- _ _.... Addreae Tu Lot A4ap o. 4) 5uspendod heater, wall heater or floor mounted heater 6.00 Lot Block subdivision 5) Vent not incl. in T -- f me 1 ,>r/na of buslneea) , applibnce permit 3.00 .� milling nddreae Mor" cooling. Repair of heating, refrig., Ownt:r cooling, absorption unit _ 6.00 caymate - zip 7) F - iter or comp to 31AP _ .orp. unit to 100,000 BTU 6.00 8) Boiler or corny to — absorp. unit to 500,,000000 BTU BTU 11.00 µ „ res. G� _ 9) Boiler or comp - —_ Al absorp. unit 4z-4 1 mil millionon 15.00 Contractor ZIP 1 10) Boiler or comp 30-50 HP ,Cf O� absor.unit 1-1.75 million 22.50 State nog!.-tratlon No. City Bus. Tax No. 11) Boiler or comp 50 NP _absorp. unit 1,750,000 BTU _ 31.50 1 hereby acknowledge that I haw rood this appiicstlon that the Information 12) Air handling unit to given Is oorract. that I am the owner or acrffarized agent or the owner. that 10,Cdb CFM 4.50 'Plana submitted am In compliance with State laws, that 1 am registered with _ the State Oullders' Board, that the number given 1s correct. (if exempt 13) Air handling unit from State registration please give reason below). 10,000 CFM + 7.50 --•--- 14) Non portable --- -� _.. _ _.-- evaporate _ cooler 4.5_0 _ -- __ 15) Vent fan connected to a single duct 3.00 16) Ventilation system not S nature (own or agent) - Date included in appliance permit 4.50 - 17) Hood served by Describe work C1 addition❑ alteration(] repairL] mechanir:al exhaust_ 4.5_0 _ to be done residential(9 non-residential❑ 18) Domestic type Existing use of � �(= incinerator 7.50 building or properly 19) Commercial or industrial Proposed use of type incinerator_ _ _ 30.00 building a property 20) Other i.e.. woodslove, wader Type of fuel -- olI Q natural gas® LPG(] electric❑ heater, solar, clothes dryers, etc 4.50 21) Gas piping one to four outlets 2.00 �,fk NOTICE THIS PERMIT BECOMES NULL ANO ;VOID IF WORK OR 22) More than 4-per outlet CONSTRUCTION AUTHORIZEV IS NOT COMMENCED WITHIN Ltle•TOTAI 180 OAYf;, OR IF CONSTRUCTION On WORK IS SUSPENDED 4% SURCHARGE On ABANDONED FOR A PL-n10D OF 180 DAYS AT ANY — — -- T!'.;t AFTER WORK IS COMMENCED. _ SAN faE`nt:W 25x OF QUO-TOTAL TOTAL Special Conditions _ -- — _ 0810 islltted ��, by i i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection yyTiN ,/�4 — Date Requested_XL Time �-A•M. P.M. Address Z'S 12 3 ep .�/• Permit # _— Owner_.__ Lot # BuilderThe following Building Code deficiencies are required to be corrected: �• o o rinuc..s r J 'tt i7 7-7)r--P 7—W Presented to -_. __ __�— ,frJ11 Approved Inspector -- —— Ll Disapproved Date -- CALL FOR REINSPECTION Cl YES Cl NO PLAN CHECK NO.Zy G- /'_ for inspections call 619 -4175 � CP-�ERMIT NO. CITY OF TIGARD 639-4171 DATE Q_��--`-Z_ /� 19_— BUILDING PERMIT P.O. Box 23397, Tigard OR 97223 TA9MAP LOTNO. SUBDIVISION n� OWNER J<}/11 JOB AODRE3S,/X/;-5 /E.7Z >>��17�/2- STATE REG.NO. �D[� EXP.OATE BUILDER'S PHONE c� -��/ ARCHITECT D S PHOT STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ 01 HER O DEMOLITION RESIDENCE ❑ COMM (] EDUCATION ❑ INO ❑ RELIGIOUS, Cl'ACCESSORY Q GARAGE ❑ OTHER (] FENCE OCCUPANCY _!ANO USE ZONE BLDG.TYPE � -1 FIRE ZONE PLAN CHECK BY AT _ Construct single family dwelling W/at at s e garjge :411 per ar,prove dj� 44&,_ T SEWER PERNUTo _ '(ldu) baths,-L traps OCC.LOAD FLOOR LOAD "KO S HEIGHT a o-— NO.STORIES 2-1AREA/!yNO.BEDROOMS 3 VALUE BUILDING DEPARTMENT _ SET BACKS FRONT 0► REAR J M,ttEFT SIDE S RIGHT SIDE PefMil 3 3 / THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE OUILINNG CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE Plan Check �I ) W04K WILL BE DONE IN A=RDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND OROINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Pl.CIL Fir*' RESTRICTIVE COVENAIITS.CONTRACTOR AND:Ug CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REOUIREO FOR SEWER,PLUMBING AND HEATING. Slate fax 13, 3(p -- — SDC-- _ , - - - Told 6YAPPLICANT ON POCK Prepd. _ - OV Recelpl No AODIIFSS ..� PHONE Bal.Due 1 Approved By --- 50C .. �� G0�--- RECEIPT POC — _� 1 5—p — - - DATE PD, p�1 � SCWER CONNECTION 5 AMOUNT PD. SEWER INSPECTION S SEWER SUHCPARGE �_ _ 360 n / 5-0 CITY OF TIGARD BUILDING, DEPARTMENT PLAN CHECK NO. : PLAN CHECK APPLICATION DATE RECEIVED: cl�� Z P.O. Box 23397, Tigard OR 47223 P/C DEPOSIT PAID: OT d t� This is to certify that the aLtachgd sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & Lite Safety Code, edition. PROPERTY OWNER: �T � �' 5�- AIA9 6nE1ZOWNER'S ADDRESS: C/a CONTRACTOR: Si"?/1r TELEPHONE: G �/' (y 2- JOB ADDRESS: / �� ' 4,p/ LOT NO. 6 MAP: DESCRIPTION OF WORK: Approvals Required SPECIAL NOTES OPlanning Dept. O Reissue vEngineering Dept. O Flood Plain/Sensitive Lands O Fire District O Sewer Availability OOther O Other Items Requited 0 List of subcontractors OBusiness Tax 'L. Calculations OTruss Details O Parking Plan OLandscape Plan 0 Other COMMENTS: City of Tigan Byi1�l?�2epartment BY: