10915 SW MIRA COURT I' 1
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ADDRESS:
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August 22, 1994
Dave Weston
10915 SW Mira Ct
Tigard, OR 97223
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f" 10915 SW MIRA CT, PLUMBING PERMIT #PI_M90-012.1
On 7/13/90 we issued a permit for this project, however, we have no record
of any inspection being completed.
Permits become void if there has not been an inspection performed for over
180 days. In that case, the Building Division may require a new application
and fees to commence or continue work. A notice of non-compliance against
the property may also be recorded by the City.
ry`= Please advise the Building Division within 15 days from the date of this letter
as to the status of this project.
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722:
Phone: 639-4175
Type of Inspection <z '--�
Date Requested ? Ti Cte ��A.M.-___P.M.
Address LS s .lf!' Permit
Owner sic _ Lot #
Builder � -- --The 4ollowing Building Code deficiencies are required to be corrected:
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Presented to ,�_ ❑ Approved
Inspector 7� ❑ Disapproved
Date
CALL FOR REINSPECTION
YEs 0 NO
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CITYOFTIFARD CTIYOFTWARG :
CONMMUNRY DEVELOPMENT DFPART•MENTOREGON .
FLUhIBT:l�ll'i F,EF'�MI'T' 1
19125 SW HWI Bhnl. P.O.Box 23397,Tig.W,Ixegon':,223(603)839-4176 � r,E:'R M T:T It. . .. . , . ,. » F'►:_1"I"�Cil El 1�?1.
---- — --
PRJ14. ,....Rl• 0. PL1119O--0:121
G39.. 41 J. Dfd'TE: J:SS:UL'D: 07/13/90
SI'T'E ADDRESS. . . u 1O915 SW MIRA CT PARCEL : 2SI03DA-.O7000
i SUBDIVISION. . . „ : MIRA PARK ZONING.- R-•-4. 5
' CLASS OF' WORK. . :AL'T GARBAGE DISPOSALS. ., : MOBILE: HOME:: SPACES. ;
TYPE OF" USE::. . . ., :SF' WASHTNG MACH. „ „ . .. .. . ,• BAC.,K►=1..OW PREi:VNTRS. .
O[,CUPANCYGRP :R 3 FDRAINS- -„FLOOR DRAINSTRAF`S. . . . . . . . . a
E::S3 ..
ST()1--,I . . . . „ WATER HE ATER a,. . :I. CATCH BASINS
LAUNDRY 'TRAYS. « : SF' RAIN DRAINS. . . . . :
SINKS. . . . . . . . . .. .. URINALS. „ . . .. . ;: GREASE TRAPS. . . . . . . „
1 LAVA'TOR,IE,S. . . OTHER F IX T'URE_S. . .
TUB/SHQWEwRS. . . ,. ., SE=WER L.INE:. (ft) . .. . .. ,.
WA'TE::R CLOSETS,, „ : WA'TE::R LINE.- (•ft) . .. . ., : 10'8 p
DISHWASHERS„ . „ „ u RAIN DR( (f'r;) „ .. ., . ..
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Renia-rk.sn
C.)w r1 a•r., --_....._..._.__._......._._._.._._._....._._.._.._._._..__.____._....__.._. .._. _......_...._..._..._...__.._...... _._. FEES
DAVE WE"STOIq tyl:)e aniO .11.1t by date reept:
P A Y M $ 28. 88 ,TI._H 07/13/90
Phrane 1t:
Cn11t•rdlctnr» _._._.�. ._.__.. ..__._•.._._....____......_.....____._._..._..._.._.
MODERN 1::11_UMI3INC7
F''O BOX 23307
'TIGARD OR 97223 __._.._.__._..._ _._.._r_...__. _..___.._._.._.._......__... ..._.__..
F'hCrie >lia 639_.;37O1. `R 28. 88 'TOTAL
Reid 0. . u I&I
_ .._...._.._.._.. RE UUIRED INSPEC-TIONS -W-�
This permit is issued subject to the regulations contained in the TOP-Out I1r1Sp
Tigard Municipal Code, State of Ore. Specialty Codes and all other F'ir1aI I1-1s;hec,ti01-1
applicable laws. All work will be done in accordance with
approved plans. This permit will ?xpi�p if wort, is not started
" withi!1 1811 days of issuance, or if work is suspended for more
7 than 180 clays.
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FwrcnitteE► Sigl�aLilre•
Irs,3aerl By: J
C:al J. f c:►•r i.r),.;p e C.,t i.cr 1-1 6 39 41 7
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'ff�v til "F''.�"•�,.'")'i
�S CITY OF TIGARD
PLUMBING l'►~.R M ur 13125 SW HALL BLVD.
BOX 2
. 3397
busO
Applicants must hoki Oregon Registration to conduct a plumbing rj'P. 0. r OR 3397
business ust ss or mbe property owner/operator not hiring outside help.
97223
Name ofDoveiotxnent -- -- — 1 (503)639-4175
Plumbing Permit No. _
Job ORS 81/-21-6to GUAM- PRICE AMT.
Tax Lot Map.No. - —
Add.ves
ti 1 tN Block -- Subdivision FIXTURES
_ Sinl. 7.50
— ame or nwrw f b suless Lavatory 7.50 -
0� Tub or Tub/Shower Comb. 7.50 --at mq rose - _
Shower Only lob
7.50
Owner city/ to / zip -- Water Closet 7.50
— --f.I-Q�q Dishwasher _ 7.50 __----
Pfane Garbage Disposal 7.50 -- -
--� Name --- Washing Machine
Floor Dram 1.50 i-
at mg re..s Phone Water Heater 7,50) ). 5ij
Occupant atyrState zip Laundry Room Tray v_ _ - 7,50
PhoneUrinal 7.50
ame / . Other Fractures(St,tafY) ---- -- - 7.50
a.;ng
G Phone 7.50 -
Contractor / to 23p 7.50 --
- U7 MISCELLANEOUS -
City 13ue.Tex No- —
�r 1 Sewor 1 sl 100' 30.00 —
,late .t'ale L(1 5 us �c.Nn. Sewer ea.Addit.100 15.00
s (Resdenflat) 7/, wale.Service 1 st too- 20.00 �t
I h0frft ar3ax)wledge that I have read this application,flat the Information Wale%-Servioe ea-AddiL2We 15.00
given is cooed.that I am registered with the State&Alders Br,Ient,and also 'Stam b Rain Drain 1 tit 100' 30.00
kmt
have a State PbkV kconse t►yt the nimre tbms given acoffecit,that all _
i piurttbwtg work will be done in ecoo"anoe with applicable ptvvisims of Ore- Stone 6 P:.in Drain Add t.100' _ 15.00
gon Revised Statutes Ctutpters 447 and 693 and applicable oodes erxt that 'Aoblle F;ome
no help will be eml�yed unle"lkwuied under ORS 683.(H exempt from S _ 25 1
State regisuatir)t,please give reason below). Baric Flow Prevo tirxr
HOMEOWNERS- I hereby oortify that 1 am the ownor of the pnNverty rwi Dev"or Anti PWlulion Device 7.50
acxtbed above.a1 which location 1 propose to make a pkwnbkig trwd"autkxr Icv Any Trap m W este Not _
my own cite ruxl this properly is not bakep mnstrvcfed fry sats.lease or ref�l Conrwded 10 a Fj 7.50
Cath Basi — 7.50
kW.of Exist.Pkurnbing -
IO.00Per Hr.
- - - Specialty Requested Inspections - 40.00 Per Hr
- - -- Rain brain, J
Single Fam. Dwlq. 15.00
A6
THOR17-ED SIGNATURE -- - -
Delo
L___
eecrito work row(� a(kidion� ) attwation[] r"rbe done rosOontial nnn-reekiential
Exts&Vuse of MINIMUM PERMITFF.F. T.S.00
tx/A*V or WofwrtY _ - _ - - -.--- ._--. _-- SUB-TOTAL - r
Ith �"of - 5$ SURCHAT ;E
3 or CMOpeety - --- --- - 2 S% PLAN RE VIEW
PIOTtcr _
Tttkt F>Kt►tlt t»ocy.tss teal I and vokf M work or oonatnx*)n auMmrtsad V not Wrn ---- TOTAL
fenced vASMn 1b loyal x M omwhxslon a wryk It slrperdW or abarxfone d for
a pww of Im if"of trey fktw altw wreck is oomrwarxtad
4"CW Comm T10N1i
Date le Uwj -� by
(it-: T,l'GAR1 1,CECeEi'TF'T OF PAYMENT RE r•J17. a
i';FIf-"T 4 MC►UNT a .L-;. BE
I.iFor1E' e MOD hra PI._LIMB I NG t:W",ff AMOUNT T r
1 CIia1tl)„ OF', . �.,w... ��'1�, wU M1f7F'�„CT
URF`O'i.-%E OF PAYMENT AMOUNT F"O't1'� or- v*,A Ml"' rr At-11:JIA14T F'ACx1
i'yLUr�iiw•iIJG F'C=fM F'l.ht'y : I. a.M_ __... ., .`. r
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C „._�I_lL r:) FF",�_... .._.
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1 TOTAL. AMOUNT PAID
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' INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. y
Tigard,Oregon 97223
hor,A: 639-4171
J A
Type of Inspection Z7 -- ---- �}—
Date Requested 3•F Time r___A.M.._, ___._P.M.
iAddressr3 uJ f.i–« , 11 t- -- -- ----- Permit #
Owner:_ --- _--- Lot # �—
I
Builder _ _— -------- —
The following Building Code deficiencies are required to be corrected:
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fPresented to Apprcved
Inspector Disnpproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO 4
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BUILDING PERMIT APPLICATION TIGARD DATE r:_ _,tA 4750
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. CWNE,4 PHONE
LOT NO.
OWNER j. "''estor .__.__._ JOBADDRESS
ARCHITECT —
ENGINEER
BUILDER -ilUW.cTi ',i:d..f,.a ADDRESS t'Ixa1r ! '.� '7.3% _DE_SIGNER
S'rRUCTURE ❑ NEW �j REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL C] FIRE DAMAGE ❑ DEMOLITION
[ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO CI CARPORT ❑ GARAGE CI PTORAGE ❑ SLAB❑ FENCE
OCCUPANCY ._3—.LAND USC ZONE _.L_.BLDG,TYPE _..._. ' FIRE ZONE--PLAN CHECK BY l 1 HEAT-------
SEWER
EAT--_SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT _ SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINQ
REGULATIONS AND AllAPPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1 HE
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
Subtotal15. " RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State lax •r
SDC—
Total t .t • _
PDCq APPLICANT OR_AGE NT
By lat
Receipt No. _
AN�ruved '4d ADDRESS PHONE
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a DATE INSP, TY E INS? CTION REMARKS P1 UMDING DATI y
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—T__.
t Contractor
Permit Nod
Rough-in —
,___ Fixture_ - ---` -
---- Fine'
HEATING
Cont,swwr
Permit No.
Final
I SEWER
DRIVEWAY
Final_
Storm Drainage
(Rain U-pin)Final _ t
--- —__ S{dawell,
-- Curb 6 Street Final
_ Approach
C31..DG. DEPT,FINAL —
TEMPORARY CERTIFICATE G�CCt1PANCV
CERTWICATE;OCCUPANCY Final
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PERMIT TO CONNECT
-
Tigard Sanitary District
PERMIT N? 1566 DATE 2-
PERMIT IS GIVEN TO
OF
TO CONNECT A - .
TO THE SYSTEM OF TIGARD SANITARY DISTRICT i
ATM° THIS PERMIT MUST BE POSTED ON THE DI SCRIBED PREMISES UNTIL CON-
NECTION IS MADE A VD INSPECTION OF CONNECTION HAS BEEN COW
tt PLETED.
4 PERMIT FEE PAID $.....`.! , ...... TIGARD SANITARY DISTRICT
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BY
CONNECTION INSPECTED AND APPROVED
Date Superintendent
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Address 10915 S.W. Mira Ct.a_. F'e'rxrit No. >. T1566_...,_a..._u.._.
Permit cb^rge .. ..,r......� _.... .,. _.,�
Owner �... .�.a�.,.,._ _,.,...-, C:-)n en.tin fee
_ Paid b3D.W .D. �.n............,.. ....._ .__.._�....r.-
denceLite connected
Types of buildingResidence
.... __.__,. ..,._-_.�.........� �...�..w.
Service rate 3.00 per month Inspection fee 25.00�A�
Contractor D.W.D. -aid by dame � � Date
Size of connection 4" Assessment Paid
AcG(' cLLIete4 - ,.'.2
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L__�.._ •err
HEREBY APPLIES FOR A PERMIT T FOR THE WORK I-ILHEIN INUICAi ED Wilt-OER I'HON _ I
THE UNDERSIGNED _ 8 LES OF E E-f-----
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. OVA4ERPIiorIr
LOT NO _
NNEN !Q9 A00RESS !'
ARCHITECT
ENGIr1EtR
yrVL 2-- DESIGNER
S,,TT� lIwo
fi,JCTLIRE _ FiNEW RkEL OADOITIO ❑
_N _ FEPAIA ❑ :RE-IE'/AL DFInzDAMAGE ❑OE.'.t0LIT1
Z QGOV'T ❑REL.IGIOUSCIPAr10 ]CAR PORT QGARAGF. ❑STORAGE CJSLAS CIFEN
f r1E51L�EM(:t LJ CO►/.rt ❑EOUCA71ONAl
- — -- ---- --- — -- _ mess t
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CC-0 PA(,'---Y
AND USE LONE!L_ 1 OIOG TYPE :.4-k/ FIRE ZONE ---PLAN:CHECK BY— NEAT .-----
SELLER PERMIT
S.S.SrtiLO.D FyQflri LOAD __ _SIF.QHT NO.STORIES ` AREA `— F 7TCOR:JOA1�� VAI-UE �O�/�
I
4111LOING OEPARrMENTe
SET SACKS FRONLEFT
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON t
:;-:vi Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1
(--� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Y: '
Suc7•totdl ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO.ITRACTOR3 TO HAVE. CURRLIIT CITY BUSIN
`eats Tale ! ly U LICENSE. SEPARATE PERAII.S REQUIRED FOR SEWER. PLUMBING AND HEATING. 1
Total I �° SDC
r — POC#
J, APPLICANT OH AGENT
AGpro:cef I Receipt No.
SOC
PDC - ffi #
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE $
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