11225 SW MORGEN COURT 11225 SW MORGAN COURT
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�YECTYOl1 1�,:I(y6
City of Tigard Buildlug Department
1312b B11 Hall Blvd. Tigard, oieiigon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buaineas Phone: 639-4171
i
Inwpections - -� -----�`
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Founu. Plbg- Top Out Cas Line FINALS
t
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain In:cui.ation 'Viumb•
-•Mech!
Plbg. Underfloor Water Line Gyp. ed. (.;��
Date Regr:ested:___z" /�/�y �!! Ti'= AM — PN
Address: __._ -, . `�, aa.l_(.�
Bu I lder-:__ ___ --
TRI FOLLOWING CJRRECTIONS ARE REQUIRED:
- f 7
Date:
APPROVED 'DISAPPROVED APPROVF,D SUBJRCi TO ABOVE
-----
tall For Reinsp.
sAr aai Tar � an � aia nae
NSPEcrron Ncrr� /y
City of Tigard Builds.ng Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Bunincjs Phone: 639-4171
Inspections
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top OutGas Lina FINAL:
Post/Beam btruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plum
Pl.bg. Underfloor Water Line Gyp. Bd. -Mech.
�/ Tim®:
Date Requested: -- --- ---_____AM
Addtass:y� � ` ��aG �-� Permit �:---•
Builder:
'RIR FOLLOWING CORRECTIONS ARE REQUIRE):
Inapect,or✓ _ __ —_ Dates/
J _APPROVED DISAPPROM APPROVRD SUB•rECT TO ABOVE
T" cull For FALnep.
sa esr wt � es �r snr
INSPECTION NOT�C�
City of Yigard Building Departisent
13125 8W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41751 Business Ptone: 639-4171
Inspection:- �✓ T.�L ' ' -_—�___
Footing Plbg. Underslab Hoch. Rough--in Apprlydulk
Found. Plbg. Top Out Gas Lin® FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Neth
Date Requested:--____ '-;e 7"-- a _Time: Nei AN PH
Addrese:�,'�_1 Z-.�5 �2 �. �r��C •'✓___.� Permit f:_ —
� T,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors- Dates l
_APPROVED _- DISAPPW3 RD —� APPROVED SUBJECT To ABOVE
Gii11. For 14einsp.
C17YOF71VARD TM �-'
COMMUNITY DEVELOPMENT DEPARTMENT 011100"
13126 SW HWI Blvd. P.O.Bac 23397,TOM.Oregon 97223(503)639-4176 PLUMBING PERMIT
PERMIT #. . . . . . . PLM9J.---0229
17 1 DATE ISSUED: 12/23/91
CITE ADDRESS. 1 1,!,J:2'5 �aW M('-)RGEN (:T PARCEL.- I*RS I 03DB----088CJ)0
'SUBDIVISION. . . . - 3ENESIS NO. 3 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . .. . . . :87
CLASS OF WORK. . :ALT GARBAGE DISPOGALS. . : MOBILE HOOIF SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . . BACKFLOW PREVNTRS. .
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . . WA-r17.'R HEATERS.. . . . . . - I CATCH E-A51146. . . . . . . ..
LOUNDRY 'TRAYS. . . . . . : SF RAIN DRAINS. . . . , i
S114K6. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . i
LnYATORIES. . . . . . OTH(-::-.R F- I X T'LIRES. . . . .
TUB/GHOWERS. . . . : SEWER LINE (ft ) . . . . :
14A1 ER CLOSETS. . : WATER LINE (-ft ) . . . .
D I SHWASHERS. . . . i RAIN DRAIN (ft ) . . . .
Remarks : Convert electt-i(: water- heater, to gas, veloc?ate in gat-age.
Owner-: FEES
BILL LANDIAGO type Amcit.(nt by date recpt
11225 SW MORGEN CT PRMT $ 25. 00 BCR 12/23/91 —
PCT $ 1. ,-5 BER 12/23/91, —
T IGARD
TIGARD OR 972;::3
Phone #:
OWNER
Phone 2'6. 25 TOTAL
Req_
--- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rol.qjti—in Insp
Tigard Municipal Code, St rte of ()re. Specialty Codes and all other Gas Line
applicable laws. All work will be done in accordance with 1- inal Inspect ion
approved plans, This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
[�`et,mj.ttee
1Sqk1Pd Bv »
rall for, inspection 639-4175
JA
CITY OF TIGARD RECEIPT Or, 4"AY1414,NT RECE I F'T NO. 91 -*2't 119
CHLCK AMOUNI % 0. 00
MVE 9 LOMBIW-All WIU- C"ASH AMOUNT c 40. 00
MOKiEN COURT PAYMENT DATE a 9.c'12;: SI
-
�IoARO, C.-IR -qIJAX)I V 103 1 ON
97223—
PUppo q�E OF PAYMENT AMOUNT PA 11:) PLIPPOSE or POYMENT OMC)L)Nr PAYD
ovi ST. SV � I,Jl PER
UOTAL. AMOUNT PAID ^E+. a!';
Permit No:
�i Address:
Date:
- FOR
�� . /
Issued b) . k__ �
••••'' ''••••� __ _____. _ _. _ FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONST;.UCTI.JN RCSPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
acid Engineer applicants, exempt from registration under ORS 701.010(7), need
not suLmit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either hox. 2A or 28:
1. W� I own, reside in, or will reside in the completed structure
2. A. C] My general contractor is ______. _
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B. ' I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and do hire a general
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I will immediately notify the office
i3suing this building permit of the name of the contractor.
I hereby certify that the above Information Is correc and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this forrn. /
S nature of Per Applicant Daty
CONSTRUCTION CONTRACTORS BOARD
0244J t/90
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
a,
Rom um—AN RAP=-APMJM
INFOr?"AATION NOTICE TO PROPERTY OWNERS
Ar3OUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Notice to Property Owners About Construction
Responsibilities was developed by the Construction Contractors Board in
accordanc,; with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as vour own contractor to construct a new home or make a substantial improvement
to an existing structure, you can prevent many prut�Qms by being aware of the following responsibilities
and areas of concern,
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing
or assisting in the construction or improvement of a residential structure, you will, in most instances,
be ruled to be an "employer" and the people you hire will be "employees". As the employer, you must
comply with the followin,::
O_ego_n's Withholding Tax Lave: As an employer, you must withhold it„,ume taxes !rum employee wapos
at tt f me employees are pall. You will be liable for the tax payments even if you don't actually wlthho;d
the tax from your employees. Fc,, more information, call the Oregon Department of Revenue at 378-3390.
Unempqqymert Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance
purposes on t e wages 6Talt employees. For more information, call the Oregon Employment Division DHR
at 378-3224.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Gompensa-
tion aw, arid must o taln workers' compensation insurance for your employees. If you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of
your employees is injured on the job. For more information, cast the Workers' Compensation Division DIr
at 3737434,
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees'
\&ages. You will be liable or the tax payment even if you didn't actually withhold the tax. For more informa-
tion, call the Internal Revenue Service at 221.3960.
OTHER RESPONSIBIII!IFS AND AREAS OF %,ONCERN:
Code Com liance. As the permit holder or this project, you are responsible for resolving any failLire
to meet code requirements that may be brought to your attention through inspections.
Liabili y and property Damage Insurance: C;antact your insurance agent to see if you have adequate
insurance coverage o-r ar.cT�nis an�orriission%such as falling tools, paint overspray, water damage
from pipe punctures, fire, or work that must he redone.
Time to Supervise Employees. Make sure you have sufficient time to supervise your employees.
Expertise-, Make sure you have the expertise to act as your own general contractor, to co,rrdinatQ
file wor of rough-in and finish trades, and to notify building offlcials at the appropriate times so
they car perform the required inspections,
It you have additional questions, write to: Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
0244J 10124!89 Phone 503.378.4621
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City of Tigard
Inspectionn Report
Builciing ,moi"7� t.-a _ -/� ��'�- .. Permits
Address
______•l_/.r'. S =' x r- r �.�- ' _�
Occupancy _------� _..__ Building Type `% -Ai Land Zone �
Type of Inspection ___
Comments s —
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Inspector
Date _ __
-'—v USREZ CSN NOTICE
I City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested `_� 3 Time A.M. � P.M.
//�.Z -S SLG' Oma" f��t ••► •a1•
Address .��L" Permit
Owner _ Lot
BuilderThe following Building Code defi�encies are required to be corrected:
Presented to ____. --- r Approved
Inspector � � Disatrproved
Date
CALL FOR REINSPECTION
�.� YES C7 NO
IN-SPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639_417'i
Typo r i Inspection ------
'k-
I Date Requested P.M.
Address c1Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
—4
0e,
Presented to Approved
jinspector Disapproved
Date
CALL FOR REINSPECTION
YES ONO
INSPECTION NOTICE Z ��
City of Tigard Building Department r1 -211 Z
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
� �1.� L( �e i
Type of Inspection f'1� '� L4- r � ' _
Date Rei:nested 2 -] " k Z Time 1¢.M., P.M.
1
Address 2 �._ o ,v /I �_l Permit
Owner._._ 1' { G, Lot
Builder ( • f v_' �U i-1 l •"
The following Building Code deficiencies are required to be corrected:
e
41,
1I
F1 Approved
l Presented to _—_ — _
Inspector -� '( w I'VDisapproved
Date `
CALL FOR REINSPECTION
(, YES Ll No
ICITY OF TIGARD Plumbing Permit 5z,73 —
Building Department NO. _,?c2_7
Residential Commercial [�
New Installation Replace ❑ Addition [_] Alteration D Date 3
Plumbers _t�? P�VLL� YLLP4 �d 10A444A— 'LL-0--
Address _ �_: sr 0� __ __� ���lZjob Address �._�Q4 __
Phone __ rf- - Applicant � y '
R
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUBCONTRACTORS_
_�_ ITEM _ NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures Traps :31- 7.50 _10,5-6 Sewer:First 100 tt. _ 30.00
Dishwasher 1 7.50 'V Each Addit.100 ft. 15.00 v _
IGarbage Disposal 7.50 _ Ejector Pump 7.50
Water Heater 7.50 Water:First 100 tt. 20.00 ;,)o
Backflow Preventer 7.50 Each Addit.200 ft. 15.00 _
Storm&Rain Drain:First 100 ft. 30.00 _.—
____ E ch Addit.200 ft. 15.00 _
-0
Mobile Home Space 25.00
Other(Specify): _ ^_ Rain Drain-Single Fam.Dwelling 15.00
[r "T FEE 6,,?. 5-0 Comments-
TAT yO
y /U Issued By: --
Receipt Applicant
( Signature
�� U For Plumbing Inspection Phone 639-4171
BUILDING PERMIT APPLICATION TIGARD DATE 4017
I ICE ,,'i,1DLRSIGNED HEREBY APPLIES FOR A PERM17 I-OR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANn SPECWKCATIONS. OWNER PHONE
OWNER 'alL�e/, LOTNO.__.
2��
'514 I'lorgon Court -----
ARCHITECT
,gUILDER 1050 RW 105th,Pvtn ENGINEER
ADDRESS DESIGNER
STRUCTURE 3 NEW LJ REMODEL T 17 ADDITION El REPAIR 1JRENEWAL 0 FIRE DAMAGE 0 DEMOLIT16N
'J RESIDENCE 0 COMM '_1 EDUCATIONAL 0 GOV'T 0 RELIGIOUS L-1 PATIO D CARPORT IJ GARAGE ED STORAGE D SLABO FENCE
OCCUPANCY ___LnL LAND USE ZONE BLDG.TYPE 1--NFIRE ZONE -- PLAN CHECK BY - dwh HFAT f1l , r,
Nrlt
family dw!g11j, a-il- ttached garage Bedz=i:iA 2 -Baths
of Permit 44016 (11375 Sw Erste Place)
PlArl W6
SEWERPERMIT# TFj0,()0 marage 553
OCC.LOAD FLOOR LOAD 4 n HEIGHT ?1 NO.STORIES 2 AREA 3123 NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR ea ..5, LEFT SIDE RIGHT SIDE
Permit
1.) THIS 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 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 DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1P nLICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANU HEATING.
State Tax SDG—
Total 7 4 1 5 2
By A, PDC# jkPPC1CA4T OR AGENT
Receipt No.
Approved ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
R qo-in
Fxture
Final
9 z HEATING -,2,3
PermitNu.
Gas or Oil
qougm in
Fir..
SEWEP
Final
DRIVEWAY
Final
storm Drainagefi?w,
(Amin Ornin)Flria,30�3 0 40-82
Sidewalk
Curb A Street Final
CERTIFICATE OCCL'rANC)' Approach
BLDG. DEPT.. trINAL TEMPORARY Fir.al
10ERTIF-ICATE OCCUPANCY
Lnnds-apin,
Zoning Final
.77
BUILDING PERMIT APPLICATION TIGAP-O DATE JA►1 • 19-8&Z--
THE
s-8&2THE UNDERSIGNED HEREBY APPLIES FOR A PER, FOR THE WORK HEREIN INDICATED BUILDER PHONEG��1O�
OR AS SHOWN AND APPROVED IN THE ACCOtAPANYING PLANS AND SPECIFICATIONS. OWNER P ONE
ER 4-4 JOB (ADDRESS_ 22..r 1 t <_ G�0 C494V'�- LOT I.J. N i _
uu ARCHITECT
n A n ENGINEER
IiUllr.r1 _ aQtM e. ADbRESS�OR70 SIV ��5 /�DO. IJV�N• DESIGNER
STRUCTURE NEW ❑ REMOD',_L ❑ AODITION _❑_ REPAIR ❑ RENEWAL ❑ FIREDAMAGE ❑ DE►rIOLIiI
RESIDENCE ❑ COMA ❑ EDUCATICNAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FEN
C�.Ci.;PANCY R'9 LAND USE ZONE -9-10- __BI-DG.TY(�PE FIRE ZONE
—�_► PLAN CHECK BY HEAT•
lift
1Ny111p�f/ ltie�rlfrl ��r. r�C CZ�IY'A®Q. n r
Re I ue- GM+r(�
SP?NER PErRMIT R _ �aw�6 rr3 2 boo
OCC.LOAC FLOOR LOAD HEIGHT 2 3 NO.STORIES 2- AREA 3 123 NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT`;(x_ REAR LEFT SIDE RIGHT SIDE
P^rmlt _ 0•� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOl1:!
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TY.AT T;
Flan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERIAIT DOES NOT WAI
RESTRICTIVE COVE4ANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT/ 66SINF
p� UCENSE-SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
S Later Tax •
Total 83, Tit SOC- //1 tAv-stV /bave .GMs,
ruc# A PLICANT OR AGENT
BY .
tleceipt No.
Approved ADDRESS PHONE
5OC X00
0c - S 11 100
;EWER CONNECTION S 77j
SEWER INSPECTION S 3*
�EWEH SURCHARGE S
- / 310