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October 17, 1985 CITY(OF tIGARD
WASHINGFCN COUNTY,OREGON
Mr. Bill Smith
12125 SW 123rd
Tigard OR 97223
Dear Mr. Smith:
s
On M_►rch 8, 1985 an inspection was conducted on your home for occupancy
approval. There were several corrections noted at that time, requiring a
reinspect-J ,n and approval by this department.
As of this date, no approval has been granted, yet the building has been
occupied. Thin department has contacted you on several occasions to final
this project. Each time we were asked to call back a few weeks later.
State and local codes require an )ccupancy certificate be granted before a
building ie occupied. You are hereby notified to correct all code deficien—
cies and have them approjea by this department within five (5) days of
receipt of this letter.
Fai.ure to comply may result in the Ci taking legal action against you.
Sincerely,
Brad Roast
Building Inspector
BCR/jdo
cc: files
\� 12755 S.W. ASH P.O BOX 23397 11GARD,OREGON 97223 PH-839-4171 ./
INSPECTION NOTICE
City of Tigard Build ng Department
12420 S.W. Main St. ti
Tigard,Oregon 97223
Phone: 639-4171
-------�� y-=-�•/ -------------
Type of Inspection
-- _ ^ � � Time A.M.`L—P.M.
71 Date Requested _—�__� — "'
"'o"
Address l_Sly—�—= !, _ Permit
Owner_ Lot
Builder - — --- __-- ----„
The followi.�g Building Code deficiencies are required to be corrected:,
l
oma . /
Presented to n Approved
Inspector ____ __ � /iJ Disapproved
Date
CALL FOR REINSFECTION
YES ❑ NO
f
INSPECTION NOVICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone:� j
639-4171 11
Type of Inspection ." ria-L11 1 le/L/ If 641))!; 'Aiiv-.
WZ
Date Requested� — _ Time A.M. ±' P.M.
Address -2 -1 Permit #
Owner _,. _ Lot #
Builder _..._
The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector./ ❑ Disapproved
Date _( "
CALL FOR REINSPECT►:IN
0 YES F1 NO
INSPECTION NOTICE
C;ty of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested _ Tie
A.M. P.M.
�. .
Address �l/ � "ti, �—y7-- Permit #
Owner __ ___.-- l.ot # —
i
Builder
The following Building Code deficiencies are required to be corrected: l
G
i
-r
Presented to _. /r Approved
F1 Inspector C Disapproved
Date --
CALL FOR REINSPECTION
YES C?J NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
/11) ard,Oregon 97223
Phone: 639-417
Type of Inspection
Date Requested Time "A.M.—P.M.
Address ZA Permit
Lot
Builder---
The following Building Code deficiencies are required to be corrected:
Z4�of
--;;�—,c,
C
Presented to F1 Approved
Inspector XDisapproved
Date
CALL FOR REINSPECTION
lir YES ❑ NO
LMW�
Building Permit No. _y`TS
Location /Z/Z)- Sw /L3 cT ?jjt4
�T ✓'/ f oLaa wiNu fw,IC1.
Date -'iK 3i ---
Statement of Exemption
From Builders Board
Registration
s
am personally exempt from registration
with the Builders Boara for the following reasons:
✓� I am performing work on property I own, a residence that I reside in,
and/or a residence that I will reside in. I will be my own general
contractor and will hire subcontractors who are registered with the
Builders Board.
own, reside in, and/or will. reside in the completed dwelling.
My general contractor is:
Name
Builders Board Registration Number
Registration Expiration Date
All subcontractors who work on this dwelling will be registered with
the Builders Board.
Signatur
I
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I
BUILDING PERMIT APPLICATION TIGARD DATEJ�,Iy 25 ,s 4950
THE UNDERSIGNED [IF Ri CBY ANPL IES FOR A PERMIT FORTH E WORK HEREIN INDICATED BMLDER PHONE _ 22S2 3Z'1
0r1 AS SHOWN ANF)APPROVE=D IN THC ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE })+t -1723 .
OWNER` JOB ADDRESS LOTNO.
__ 31 _
_ 1125 S 123rd ve uld bdilumitl
ARCHITECT
BUILDER ;s�;crta ADDRESS ENGINEER
- _ DESIGNER__
STRUCTURE Cal NEW L: REMODEL 11 ADDITION ❑ REPAIR ❑ RENEWAL_❑_FIRE DAMAGE ❑ DEMOLITION_
EkRESIDENCE ❑ COMM ❑ EDUCATIONAL E] GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑_SLAB❑ FENCE
OCCUPANCY -1. LAND USE ZONE_ �"Tl':BLDG.TYPE %f, FIRE ZONE_ PLAN CHECK BY — E Tk HEAT Y
—_ Gunstruct ain,;lr its,;ilv dwel li114w attached ,c):►r.yuer. _---- — —�
� '1��Q'-.:cL"�� �*�• •�- ���'� --_ :t Ilf. r'C[Yt)�u _i)aCliroc�n�
SEWER ERMITN 2.7;3'.j � aray r.. 47 1 _
OCC.LOAD FLOOR LOAD 4i) HEIGHT 2U+- NO.3TORIE8 _2 AREA I !• NO.BEDROOMS VALUE oit,i Vit)+
BUILDING DEPARTMENT SET BACKS FRONT ;AFAR - --
_� �i� LEFT SIDE ,,� FIIGHT3IDE_
M�ed
31i.UU _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE UUILDING CODE,ZONING
I I�2,� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T-HE
WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
30.25 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWLR,PLUMBING AND HEATING.
13.1111
SOC— ✓
say.ss z I50.a(►
t:N
EDCN APPLICXNT OR AGENT -- -- ----1)(: 2 50.Of)
1�2W Receipt No.
ADDRE88 — -- ---�---- ---
HO)NE
i
I
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DATL I1 NSP. _ vE INSPECTION REMARKS I
PLUMBING � DATE
2-7
Contrarto
.-- Permit Piz:.
Rough-in ---Y--
Lc� p-.�_ i Fixture_ — -- -
c
Final
HEATING
Contract
- eI
Permit No. -�iAir_
Gas or
--- gh I
/O-2y �y' • —_ —___ - 1 Final
-- _- SEWER
Final -
-- '- —_ DRIVEWAY - --
Final
Storm Ora{nage
-- (Rain Orain)Final
— , Sidewalk
--- Curb 6 Street Final
__ Approach -~
BERL DEPT.rINAL TLMPORARY CF.RTIFICA OCCUPgNf.Y
CERTIFICATE OCCUPANCY / Final
Landscaping
Zoning Final
nyr�+.�. � t .<.'�. 1��� � J '714 'S�, ���'�:�41.• y,
����� wt,t+h+�i+ i.? ^�� t,"f,Q•,�; ... k���j{1�� �+11?��f��) ��j�'R�p �{i;�{-' '�y�
.1
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BUILDING PERMITAPPLICATION TIGA?O DATE _ 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCONIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LO I
OWNER I vim. 1L1 JOB ADDRESS J J �✓' f <e
ARCHITECT
ENGINEER
GUILDER '' " t. '/ �- ADDRESS _ — DESIGNER _
STRUCTURE 9 NEW _❑ REMODEL_ ❑_ADDITION J REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _ ❑ DEMOLITION
1FIESIOENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 0 CAR PORT ❑ GARAGE r STORAGE ❑ SLAB FENCE
OCCUPANCY _ LAND USE ZONE R--,�9JPD BLDG.TYPE �FIREZONE '"`-rPL�A�NCHECK9Y �. LU NEAT.. �•��
` Ex
� _ � �
SEWER PERMIT 11 2 '71 ID
OCC.LOAD FLOOR LOAD,C HEIGHT ' T-NO.STORIES—�'I�- AREA�74-7 NO.BEDROOMS - VALUE�1 OdIJ
— BUILDING DEPARTMENT
SET BACKS FRONT c;Z REAR ,SC LEFT SIDE RIGHTSIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE GUILDING ::ODE,ZON!IgC,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TF:I
Plan Check �I Z 1� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN Cf.31dPJANC` "
WITH ALL APPLICAPLE CODES AND ORDINAI� HE ISSUANCE OF THIS PERMIT DOES NOT WAIV-
Sub-tolal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES,.
I LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax Le a
SDC—
Total ZSBy _ _
PDC* APPUCANTORAGENT
Receipt No.
Approv ADDRESS PHONE
SSW, --- s �y-� ,��r 3 r� 2-1v
sac - /k I �.v co
PDC - r 7
SE'WEFI CONNECTION
SEWER INSPECTION $ 3�
SEWER SURCHARGE S
� r
poll
CZ
SO
J
BUILDIE'R`E! Ita11T APPLICATION
� TIGARD DATE-_. JulY 19 tg- iia 49,41.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE INORK HEREIN INDICATED BUILDER PHONE fibAr l .23__
ORAS SHOWIJ AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER lr_ iirx.Suf JOBADDRESS _ 12125 SW 12;rli Ct. LOT NO. 0131
ARCHITECT ----- � �
BUILDERENGINEER
rna ADDRESS _y DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑_ADDITION ❑ REPAIR ❑ RENEWAL—__❑ I"IRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE D COMM (71 EDUCATIONAL 11GOV'T El RELIGIOUS C PATIO_] CAq PORT ❑ GARAGE ❑ STORAGE ❑ SLABC, FENCE
OCCUPANCY —..--LAND USE ZONE _BLDG.TYPE ---FIRE LONE—___PLAN CHECK BY HEAT
i fIrmit — mill R-Prox IUG CubicYom, r1s X11 per Verb X A�rer� ______
fur slvue ot_ new till �I to 2) mi,�,t_► ktirc ijrjO lirt ��<<cr�al
:;r_rceCn.
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES Y _ AREA NO.BEDROOMS `VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ==- ------- -----
THIS PERMIT IS ISSUED SUBJECT To rHE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND 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 DUES NOT WAIVE
Subtotal 16.0(.) — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BJSINESS
State Tax J912 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
' SIC-
Total
l7s 1. !1
PDGO AT LIy Cit CIC T p
Ret,;. of No,
Approved_ t l'k ADDR & PHO#
i
r
DATE INSP.1 TYPO INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
A/ Rough-in
Fixture
Final
HEATING
Contractor
Permi,No.
Gas or Oil
Fluuqh-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainer
Main Drain)Final
�.__.t _—.. _ ---t (Rain
Curb&Street Final
Approach
MLCK'.DEPT. TEMPORARY CERTIrICATE OCCUPI NCY4. lei
'ERTIrICATE OCCUPANCY
L ndwtping
Z:ning Final
----------
*144-1
1
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BU'LDING PERMIT APPLICATION TIGARD
DATE--19
THE UNDERSIGNED HERCRY APPLIES FOR A PERMIT FOR TtiE WORK HEREIN INDICATED BUILDER PHONE '
OR AS SHOWN AND APPROVED IN THE ACCOIfPANYING PLANS AND SPECIFICATIONS. O'Wi PHONE -___.
T
JOB ADDRESS �'�� 3 -
ARCHITECT
ENGINEER
BUILDER L`'(�C� _ADDRESS �— DESIGNER —
STRUCTURE ❑ NEW O REMODEL ❑ ADDITION ❑ REPAIR - ❑ RENLAVAL D FIRE OAMAGF ❑ DEIAOLITIOt,
O RESIDENCE Cl CCMVI ❑ EDUCATIONAL L] GOVT ❑ RELIGIOUS ❑ PA710 ❑ CAR FORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCI
OCCUPANCY LANDUSEZONE BLIIG.TYPE FIREZONE_-e-PLANCHECKBY HEAT_
eq
SEWER PERMIT
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOM VP.LUE
BUILDING DEPARTMENT SETBACKS FRONT Y HEAR LEFT SICE RIGHT SIDE -
P^mtll nom' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWN'
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED Tr;AT TY,'
IPlan Check _ _ —� WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICAIIONS AND IN COIAPLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV',
I Sub-total _ RESTRICTIVE COVENANTS,CONTRACTOR AND 5119 CONTRACTORS TO HAVE.CURRENT CITY HUSINES'
LICENSE_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Mate Tax
Totalj-
f -- -- — - PDQ i-p ANT OR AGENT
By — /.--- ---
Receipt No. ADDRESS -- ----- — -- ---
Approved miON I
SDC -
PDC - �
SEWER CONNECTION S
SEWER INSPECTION
SEWER SURCHARGE S
So