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INSPECTION NOTICE
City of Tigard Buil-ing Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -
Date Requested __ _ Time A.M.x P.M.
!address ��1- z� � J —r—sem-- Permit #-
Owner_ _—LL./', ,••••� _--- Lot #
Builder --- -
Fhe following Building Code deficiencies are required to be corrected:
P-asented to _. � 1.Approved
Inspector Y�L_34; I Disapproved
Date ___►o -�- -- ------
CALL FOR REINSPECTION
[] YES Il NO
W W"'W W Iw
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigaru, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _. = �/ Time -_ A.M. P.M.
Address 21S �Gr/ �...� ,i�® �___ Permit
Lot ---
Builder
The following Building Code deficiencies are required to be corrected:
Press;-,:�d to — _. F1 Approved
Inspector I
Disapp,oved
Date
CALL FOR REINSPECTION
In YES 0 NO
�!F
May 4, 1988 CCITYOFTIIFARD
GON
Steve Manning Permit #: 6936
Brightwood Homes Date Issued: 8/7/87
4031 SE 92nd Ave Address: 11145 SW 123rd P1
Portland, OR 97266 Job Description: New Single Family
Date of Last Inspection: 10/2.6/87
Dear Contractor:
Our records indicate that the above described job has not been completed as
noted:
Needs approved final inspection
Needs Certificate of Occupancy
Please advise ua of the status of this Job immediately. Permits become void
if no action has taken place for more than 180 days from date of last
inspection.
Sincerely,
Brad Roast
Building Official
ht/4590D
13125 SW Nall Blvd ,P 0 Box 23397,Tigard,Oregon 9,'2.23 (503)639-4171 -
WIN
P.O.BDx 2�W7
CITY OF TIGARD PLUMBING ���wA-
Applicants must hold Oregon Registration to conduo a plumbing 1 EIA M I T 639-4175
business or must be property owner/operator not hiring outside help.
Neale of Dev@bpmenl
Plumbing Permit No.
Address ^� Besaiptlon
ORS 814.21-610 DUAN. PRICE AMT
Job Tex Lot Map.No.
Address
-_�- FIXTURES -
Lot Olock Subdivision
sial, 7.50
ame�or name of business Lavatory 7.50 2Z S O
T ub or Tub/Shower Comb _� 7.50 7 -5_
sling res, -
Shower Only -- / 7.50 -7 .5t
Water Closet 7.50 Z 2 5
Owner City/ tate ---- zip -- -� -- 7.50 _ 7
Dishwasher _
- - Phone Garbage Disposal - _ 7.50
- Name Washing Machine -- - -/ - 7.50.
Floor Drain 7.50
VW,-,%j-X33-re-ss Phone Water Heater I 7,50
Laundry Room Tray � 7.50
Occupant City/State zip Urinal _ 7,50
�- ame -'P ons Othoar Fixtures(Specify) 7.50
7.50
ling Address V 7.50
Contractor L-AY/Stats 27p
7.50
MISCELLANEOUS
City Bus Tax No 5h,1„K 1 et 100" 30.00
.tees. o� tele oars s�c o So~-ea.Addit.100 - 15.00
(Rrerdenhal) Water Servlos 1st 100 ��- ---2000. D
I hereby acknowledge mat I have read this appocaflon,that the IntonnaUon Water Sero a sa.Addit. ' _ 15.00
given is oorrad.ffsat I am registered wilt,;iia State Bo"w's tksard,and 0180 Storm b Rain Drain 1 et 100' 30.00
have a State Mxnt*ig lioerss@ that the r"mberss gtven are correct,ftt all ---
pkxrtbwV work wol be dors@ in soocxdwxo with appWw)Io provisions d Ore storm a P:1n Drain Addfl.100' 15.00
gon R"sad Statutes Chapters W and 693 and Wpacabie md@s'v+d that Mobile Horne She 25.00 _
no help will be empbyed unkess Iloenaed under ORS 863 (I1 exempt kom -
State registration,please gM reason below) Back Flow Prevermon
HOMEOWNERS-- I hereby cerWy tlsat I am Ifs@ owner of the property ds- Devt000rAntl-PoNutbn Devloa - 7.50
scribed above,a1 vn'kleh location I propose 10 maks a pkwnbkV kwAsMMk-n kv My Trap or Wash M01
my own use and thh prtsperty ke nol bekV corwhuc lOed kw sNe.Isaee Of reM C nnsClad to a Fixhxe 7.50
Catcfl Bain - 7.50
- k" of Exhd PturrA xsg _ _ 40.00 Per Hr
-- - --- - - ---
Specially Requested Inspoeb" -- -- 40.00 Per Hr
-1 Altar of Ptumbksg will
an Etdsarp Bldg _ _ ._..--- 15.00 min_.._
Zl IT110H12ED 31(3WA RE Date New SMg.or BtAd.Addition _ 25.00 MIM - -
pain paun,sirvile fa111i1
new LSA oddNbn I I alt@rnt►on(1 repAlr[7 d�11' 15.00
1=dlxw /.3
residential(,a ran-nes!glio al I 1 --- 1
Efdstksq use of
bt**V or protierty MJFTCkTAL /62011:1
v"of - ,1� RCHA WI* 4.4
Wa Y - SNTOTAL y .3'1el
MOTCE - - -
Tttls pop becomes MO and void w wok or oorwnuolton nasn I red is rwA 00m
limen 0 wWdm 1810 dwAw M osrukucron orwork M Ma;a -Doli%a sl Iarsdosed to
a period Of 1/0 oseys M ray Nene aflr wok is o"T'Wvvd
t1M(11AL OOIlOf110!.1 by t-(�
i
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BUILDING PERMIT APPLICATION DATE � �g_ 49936
,THE UNDERSIGNED HEREBY APPLIES FOR A PERI',11T FOR THE WORK HEREIN INDICATED BUILDER PHONE 771-6347
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHO EE
LUT N0.- �3— n • . - ' , —
OWNER nnitl : JOB ADDRESS 11 ".45 123:,"' Y1. _
ARCHITECT
ENGINEER
BUILDER Rrir,fttwnod t'Om s ADDRESS DESIGNER
STRUCTURE ❑"NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
ET RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ I-ATIO 0 CARPORT ❑ GARAGE ❑_STORAGE ❑ SLAB❑ FENCE
—.
OCCUPANCY ��LAND USE ZONE R7PD BLDG.TYPE —5N _____FIRE ZONEPLAN CHECK BY !' —HEAT � --
inp,le family dweling v/attaached parnge, all per approved plains.
--------------
Sub jor.-L R5 code.
SEWERPE'.RMITN ";I' ►h
OCC.LOAD FLOOR LOAD— 0 HEIGHT 20 NO_.STORIES7 AREA !� NO.BEDROOMS 3 VALUE AR201`'
BUILDING DEPARTMENT SETBACKS FRONT REAR 7,5 LEFT SIDE RIGHT SIDE
Permit +' 3^2•f1q_ THIS PERMIT IS ISSUED SUBJECT T�'.) THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY– r1tcD THAT 'THE
Plan Check ^� •30 WORK WILL EF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APFLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT D S NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREN'? ,ITY BUSINESS
State Tax 19.10 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
Total 649.40 SDC ()()n.00
.fjfl Pp.CN 10 PLIOOR Ad i
By
54! 4C1 Recelpt No. ./f —Zz 'y
Approved • iDd� 7 PHONE
DATE INSP. TYPE INSPECTIONfj REMARKS PLU►� rING DATE
Contractor ezylsy
r
Permit No.
Rough in
v Fixture
Final —
/ HEATING
- _�r T
Contractor
P rmiINo.Ar
7�7
� rO i K nugh-in
/ _ (, ft o•tt4C �r.n t �� Final
SOWER
Final
/ DRIVEWAY
Final
Y^ Storm Drainage _
(Rain Drain)Final _
— Sidewalk
r� Curb&Street Final
Approach
BLDG.DEPT.41NAt. TEMPORARY ---� CERTIFICATE OCCUI°ANCY Final CERTIFICATE OCCUPANCY
Landscaping
Zoning Final —
I
1,Upr �S1?Pc'� KLAN CNtCK NU. 9<_
for inspections call 639•-4115 q
1 PERMIT N 0. -3 �
CITY OF TIGARD 639.4171 DATE Z7 � IY---
BUILDING PERMIT
P.O. Box 23397, Tigard OR 97223 TAX MAP 1 5, "4 LOY ND. LJ` SUGDIvtStopN
OWNER
�✓�_ 1It'��1ah.�.- 1� _ JOB AOORESS
C I `
BUILDER 1 2 LL l,4- I L JC cJ-I� l�� S 5TATE REG.NO._ T J EXP.DATE 2- rf
BUILDER'S PHONE
ARCHITECT_ i" PHONE —_ _OTHER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER Cl DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATION ❑ INO ❑ RELIGIOUS. ❑'ACCESSORY ❑ GARAGE ❑ OTHER ❑ FENCE
OCCUPANCY i IAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY _I-yEAT -
Construct single family dwei 1 irg ;/attached garage, 411 ler approved
Subject to 85 code- .
'r
SEWER PERMITaI- �Zyr05� -(1du) garage area �J
u ��� f r NO.STORIES AREA ,$3 6, NO.BEDROOMS 5 VALUE da�3S
OCC.LOAD FLOOR LOAn_.L.�HEIGHT — --f--
9UILDING UEPARTMEN7 SET BACKS FRONT r; REAR 1) •, LEFT SIDE RIGHT SIDE
PHm11 Z• THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE- ZONING
REGUL.1T10NS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED 'HAT THE
PUn CMck 42 ( P- 3( Wohr WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.CIL Fki RESTRICTIVE COVENANTS,CONTRACTOR AND SUB CONTRACTOR$,"-HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS RE IRED FOR SEWEVLUMB*G IVSD HEATING.
Slat*Tax 1 u SS OC / �i
Total _— E' L (7 APPLIC OR AG
PDC/
Prepd. --
p Receipt�, ADDRESS ew)Nt
Bal.Due /• Aroved B
1/NUed -- PP Y._.-_—
SSDC \
SOC -
1 RECEIPT b
POC
DATE PD.
SCWER CONNECTION --u — AMOUNT PD.
SCWCFi INSPECT ION ( G� r L a r
qr N1(4
SEWER SUFCHARCE S C C) Y �. c2
.r.�l� r
ommente: —l `
i
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 7. 9 i2
PLAN CHECK APPLICATION DATE RECEIVED: -7-
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached Z sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, _mss edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: i 37
JOB ADDRESS: ���`7-r �zjiG��� _ 1,01 10. & MAP: Z. .
DESCRIPTION OF WORK: T s*Ci zp
Approvals Required SPECIAL NOTES
0 Planning Dept. O Reissue
OEngineering Dept. � Flood Plain/Sensitive Lands
0 Fire District Sewer Availability
O Other U Other
Items Required
List of subcontractors
Business Tax
Calculations
i
Truss Details
O Parking Plan
OLandscape Plan
OOther
COMMENTS:
City of Tigard Building Department
ADORC_55„�16�5 AERr1[T N0._
--- — PERMIT CHARGE _ none
CuiviNECTI0�d FEE
OWNER ---
TYPE OF BUILDING 1'�'�^ DATE COW,ECTEO
SE°VICE RATE ,!�.��' �3Qi. " �.. INSPECTION FEE
CONTRACTOR P. i0 By _ DALE
SIZE or C 0�V i E C T I 0 A _ A 5 5 E 5 5;1 E N f __ PATO
`CITY OF TIGARD MECHANICAL PERMIT
Permit#Deearlpeon
A'Ab1a Mochw teal cod. CITY PRICE Anti
City of Tigard
13125 S.W.Hall Blvd. 1) Permit Fee -0- -0 10.00
P.O. Box 2397
Tigard,OR 97223 2) Supplemental Permit 3.00
639-4175Furnace to 100,000 BTU
1) -Incl.ducts&vents 6.00 (r pv
�j 2) Furnace 100,000 BTU f 7.50
Ind.ducts 6 vents _
3) Fk"-Furnace 6.00
incl.vent _
Job Addnae 4) Suspended heater,wall heater 600
Address / 5" Sw/�3•�.� I'`'C or floor mounted heater
Tax Lot Map NoT5 5) Vent not incl.in 300
Lot %5 3 Back Subdivisio„rQ��i. appliance permit ------
Noma o<nameofbuwness) 6) Repair of heating,ref rig., 6.00
cS�F✓ (/(iw l��.iwci /Y�r�*s 1 cooling,absorption unit _
Mauing�Address Pf10fe '- Boller or comp to 3 HP 6.00
Owner )
7 atxaorp.unit to 100,000 BTU
city,state �- --- rp6) Boiler or comp to 3 HP-15 HP
11'00
absorp.unit to 500,000 BTU
8) Boiler or comp 15-30 HP 15.00 -
Q�O�t�o .uNt'h•1 million -- -
- Ptww 10) BoW or comp to 30-50 H P 22.50
obWp.._unit 1-1.75 millbn - --
Contract(r coyfews ZIP 11) Boller or comp to 50 HP 31.50
., p.W*1,750,000 BTU
ftd.ftom"No m,y ea..Tax too17) /iiihenQprtg unit to 4.50
10,000 CFM
r rwvby.dinowlodpe*W I haw wad MNa apptkAbon OW rM INomtaW 9%on is 13} Air harOng unit 7.50
(ensa.OW I am Ow owner or auMtorbod agent of the ow w,NW plana aa+illad we In10,000 CFM 4
oomtpllance.kft Suft le".aa.r
iat I am•egled with"SUN,BuNders'Rowd,OW#W 4) Non portable
number peen hrr
eoeer (h exempt*turn 1:. in.%itstratlon phew ON+r"Am balnw) 14) evaporate cooler i
_. 15) Vent fan connected 3.00
IID a s le duct - Z.W
16 ventilation system ool 4.50
Incklded in appliance permit
- ----. -- ----_-.___._ F1nod served by '
17) medmilcalexhaust 4.60 fir
I10rNe" or 19"> pw 18 Doffwwk-type 7.50
Describe work [Iaddl f 1 anenWon 17 repair p ) kxlrwntol -
tu be done_ r"IdlenU non-residential C J 1 g) Commercial or industrial 30.00
"_Ln ciner
Existing use o1 ' ---- -^ ---- - ---- _ stor- - -
tmillding or property �) Ottw I.e.,woodstove,water 4.50
Proposed use of Mater,solar,cbthes- der ifs,etc.
hAillding or prox►rty --_ - ----_- -V
21) Gas piping one to four outlets 2.00 a:,ot,
Type of fuel-- oil 0 natural gas LPG 0 electric C)
22) Mors than 4-per outlet
N9_L1S -- -- - -- SUBTOTAL - - 3q,5 c
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - - - - - -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 __- _ 416SURCHARGE 1,73
DAYS, OR W CONSTRUCtION OR WORK IS Sl1SPENOEO OR PLAN REVIEW 29%OF VA-TOTAL
ABANDONED FOR A PER90D OF 180 DAYS AT ANY TIME AFTER
WORK 19 COMMENOF-C) TOTAL W&
Special(kxMit►ona ---,-- _-- --.- T---- _____ --
- - - - Date issued - - - by - ---- _-