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12160 SW MERESTONE COURT 12160 SW MER STONE COURT 1 �J U C O u m a u a ;S O N INSPECTION NOTICE /7 City of Tigard Building Department / P O. Box 233W Tigard. Oregon 97223 Phone. 639-4176 Type of Inspection Date Requested/ L,r7- D _ Time _ A.M. P.M. Address .___—L..,1-L 'Permit,# _ Owner Lot # Builder -------------- The ---The following Building Code deficiencies are required to be corrected: -------- r Presented to 4_ Approved Inspector isepp►oved Date CALL FOR REINSPECTION ❑ vIEs C7 No CITYOFTIGrARD �ffYOF NG PERMIT COMMUNITY DEVELZ�PMENT DEPARTMENT PJWW # . . . . . : PLM90-OC31 13125SW1WBlvd. P.O.8M M- 97,rqWd,OrnM27M(SV-!M4»s BRIM. IT #. : PLM90-0031 SITE ADDRESS. . . : 12160 SW MERESTONE CT PARCEL: 1S134CC-01100 SUBD!VISTON. . . . : MERAHh@"" 70NING: R-4.5 13LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :10 CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :I OC-'UPn:ICY GRP. . :R3 FLOOR DRAINS. . . . . . . : T!:APS. . . . . . . . . . . . . . . STORIE:. . . . . . . . : WATER HEATERS. . . . . . : CATCH B-SINS. . . . . . . : FIXTURES------------- T.AUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . : URINALS. . . . . . . . .. . . . : GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . : TUB/SHOWERS. . . . SEWER LINA: (f.t) . . . . : WATER CLOSETS— : WATE:d LINE (ft) . . . . : DISHWASHERS. . . . : RAIZ! DRAIN (ft) . . . . Remarks: backflow prevention device Owner: ------------------------------•---- ---------------- FEES --------------- CHARLES WIESMAN type amount by date recpt 12160 SW MORESTONE CT PRMT $ 25.00 5PCT $ 1.25 TIGARD OR 97223 PAYM $ 26.25 JLH 02/2.3/90 Phone; 0: 624-8748 Contractor: ----------------•--------------- CONTRACTOR PLOT ON FILE ---------------------------------------- Phone #: $ 26.25 TOTAL Reg #. . . ------- REQUIRED CNSPECTIONS ------- This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plane. This permit will expire if work is not scarteJ _ within 180 days of issuanc•-, or if work is suspended for more than 180 days. l Permittee Signatures Issued By: i—— — Call for inspection - 639-4175 I CITY OF TIGARD l t.l CJ 'l 13125 SW HALL BLVD. PLUMBING PERMIT P. O. BOX 23397 Applicants must fold Oregon Registration to conduct a plumbing T I GARD r OR 97223 business or must be prOPerty ownet/operator not hiringartsihelp_ (5 D 3 )639-4175 Name oC Oeve;oprnent Plumbing Permit N r!� 9a-rXi+ Descnptinn ---- --- _ ORS 014-21810 CUM. PRICE MAT• Job Taz Map.No. _ Address FIXTURES tvl ----- - Okxk ,�rbdivlskxr Sink — 7.50 Lavatory at� ------- 7.50 -- --- Aarrre or rwmo s�ne2s tI f 7.50 W I l° r^ Tuba Tub/Shower Comb - Mauli Ac ea 1�L� �, Showor Only - 750 V e S C �� water Cbsel 7.50 Owner t;,ky/State zip - 7.50 Q`j''L r-7 Dishwasher — Phonerj Garbage Disposal - 7.50 - (r�,{--F7 q 1 Washing Machine 7.50 --- - 7.50 - - Nam 7.50 Floor Drain _ - -- --- Phone -. waterH_ater Mailing rens -- laundryRoom Tray _- 7'50 (k argent Cay/grate - - Tip Urinal 7. 0 Other Fixtures(Specity) 7.50 ame 7.50 7.50 7.50 Contractor Cltyl to -- t MISCELLANEOUS Gi1y Rue Tax No Seww 1 s1100' -- 00.00 Sewer-ea.Addit.100' 15.00 tate s. o�-die F1Tir 5 1STi�.RU. 20.00 (Resdential) walrn Seance 1st 100 water Sewioe sa.Addit�r 15.00 - 1 hereby rr&nowlerige that 1 have read this appkAtion.that the Information 30.00 given is correct,tram 1 am registered with the State ati 6ses Boeurf,and at- Storm a Rein Dmin 1 St.100' haveumbin a State Plg kw"that the rarnthxs gi"n am c7ar"M that all 15.00 _- s of Ore Storm a P:.in Drain Addit.100' ?krmbing oak will t»6,,,*in accordancewith sum provision 25.00 _ gon Revised Statutes Ctxg4em 447 and M AM applicable o006- nd that' Mobile donne Spew -- no help"be empbyed 1,00"licensed urdrx ORS 6U3 (11 exempt from Bac1r Fkrnr Prevention 7.50 State registration,please give reason below). Devioe or Anti-Polhrtion Device t10MFOWNERS-I lwreby oerlify dot I am tt,e owner of tho Fop"rtr+- — scribed above.at wtridr locaUM I pmtrose to make a 1ip'mbvrg Inatakab wl I<x Any Trap a W eels Not 7.50 my own use aro thb prep"in not being cr ,eructed kx sab,Mase nr rent COftr»G1ed b a Fixtrxe - Gfch Bashi 7.50 _ kup.of Erdst.Pkpr"t j 40.00 Per Hr. Specialty Rsuriies/ed Inspections -- 40.00 Per Ht. Rain Drain, 1500 - - --- Singe tram. Dwlq.__�'— AU6T -D$$0PIATu 9? q Describe woA now addition(] altetatkxt C] roPal1❑ to be done residential[]—„ tlon-leekientialEl _-_- MINIMUM PRRMIT FEE 25.00 use of SCJB-TOTAL G btNdttp or property - --�-- -- 5% SURCHARGE Patuts -- 'EW a Pro4�tY 25% PIAN REV Nance - TOTAL G - Ttis permM beoorrtee rwN srd void�1 wOntr a aonstnrcacxi�rCxxlr<ari la rxrl r:rxn rnonoed VM* 1 go days pr it omvo"n ,-"M or work H*uW-dod nr sbety'-x�ad lrx a perirxt rrl tubi 4"r at srry onw char wait Is o wTw r www tP cw-C(HIOITKTNS — Permit No: r •• ^ Address: - ---- ------------ -- - ...--- — u► :;Z Issued b ____ Date: _—.—_--- STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOt;r CONSTRUCTION RESPONSIBILITIES 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 and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit ;his statement. This statement will be filed with the permit. Fill in the applicable blank 3, and initial box 1 and either box 2A or 213: 1. (_ 1 own, reside in, or will reside in the completed structure. 2. A. MY general contractor Is --- Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must he registered with the Construction Contractors Board. OR B. ��-w=,,j` 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 Qeneral contractor, I will contract with a contract,)r who is regisiered with the Construction Contractors Board and I will immediately notify the office Issuing this building permit of the name of the contractor. hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Signature of Permitr ------- --------- g Applicant Date CONSTRUCTION CONTRACTORS BOARD 02.44J 10124189 WHITE COPY TO ISSUING AGENCY PERMIT PILE PINK COPY TO APPLICANT Ni CITY c.r TIGARD PECEIPT OF PAYMENT H.C. NOn 0OW" CHECK: AMOUNT i WAMF? CHAPLES WIEGMAN CASH AMOUNT 1 00 APOPESS 112160 SW MERESTOVE CT PAYMENT' JAIE TIGARD, OR q'7'227 Bt.00K NO/ADDR. PURPOSE OF FAYMENT AHOUNT PAID PijPPOSE OF PAYMENT AMOUNT fwAIL) -TATE~ GUILD PEN11'r TAX 1:'LUMFM,:: PEP111T 0;0-007W IOTAL AMOU14T N-Arl 1) � .+n. � �h!l�i4�'• a � �b�! r r���. "^�'� dp`•r „d+ ta.�".sµ, '{r'�t ,.L� �'si a� c�'. ' " 1 �' '�t� � 'N�� `' A�11F� �S� �1��� 'VIII; 1)!�°� �almAiimr' '•rI;'i{�'' .'7111►° , � `'' '1 1t4 } G •+ �I i I fU U tJ 4.r fJ@F (y A% i 4-1 to C3 gy Jar l • v q U IF tip r � •o a� b c� cl rn •� .L) q ti`s a ,^.�:. ��? �u�► '4� �k � � d U c"d w H �h, , st;,,,1., 71 � � P ��F �` ` p �'�( a "••rp S i, � 1�►y " Wu NW y�o q� , �­ry1M � r t� .S�� �,�f t �? 1�'f � •' � �1�E:5ff+l�.a��r'1'�1".' 1� � ��' •.iC 114 u �(kj��� 4NP 4;tiiM 11.�b.::,h � `�%NLS _ _ •r•. CITY OF TWA RD WASHINGTON COUNTY,OREGON June 7, 1984 Mr. Brad Bernard 12160 SW Merestone Tigard, Oregon 97223 Dear Mr. Bernard: On May 9, 1984, a Final Inspection was conducted on your residence. Several corrections were noted at that time, requiring re-inspection by this department. As of this date there has been no request for approval of the building. Your prompt attention in clearing this matter will be appreciated. Sincerely, Brad Roast Buildi.nk Inspector BR:ch -- -- -- 12755 S.W. ASH P.O. BOX 23397 TIGARD, OREGON 97223 PH:639-4171 ----•----� CE INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oreqon 97223 Phone: 639-4171 Type of Inspection Date Requested S Time W. A.M. _P.M. Address1 c� �p r '/�(f_..�_` � f�_Y 4 Permit Owner_----...........___.--.-----.._ Lot #-_ Builder The f1owi g Building Code deficiencies j re requirer� tb be corrected: I -1 151 i Presented to — �' / [ Approved Inspector Disapproved Date CALL FOR REINSPECTION ,„, YES 0 NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main 3t. Tigard,Oregon 9-.7223 Phone: 639-4171 Type of Inspection - 1 1 Date Pequested 4 t Time A.M. P.M. 'Address 4a�z lzi -4; Permit ' Owner Lot Builder The following Building Cody deficiencies are required to be corrected: "9 0-11 gar Presented to Approved Inspector Disapproved Date CALL FORREI SPFCTION Y1 NO BUILDING PERMIT APPLICATION TIGARD DATE_-_10r..101Y 4739 1 HE UNDERSIGNED HEREb Y APPLIES FOR A.PEnmIT FOH THE WORK HEREIN I'IDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF,CATIONS. OWNER PHONE LOT NO.n_ — OWNER drrea 0e.rn_s.rd JOB ADDRESS 12160 SW McYrestone Ct. — I'le QI cone — �— ARCHITECT ENGINEER BUIL DER _George kieusssr ADDRESS KL. 1 303 718 - DESIGNER STRUCTURE _ LX NEW ❑ REMODEL ❑ .ADDITION [A REPAIR 11 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION F9 RESIDENCE ❑ COMM 0 EDUCATIONAL_❑_GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY _ it- LAND USE ZONE __ t1-4•!1LDG.TYPE �FIRE ZONE___—PLAN CHECK BY K11 -HEAT-. _ —__ Con LrnCt sinkle L jj. clxe jjinc�w/xtt, gest;far SEWER PERMIT M 27 1 r.e. !_ i:arage 547 -- OCC.LOAD FLOOR LOAD HEIGHT^ NO.STORIES I _ AREA 1794 NO.BEDROOM.,S �— VALUE �•p�J• — — -- --- --- BUILDING DEPARTMENT SET BACKS FRONT 22 REAR �• LEFT SIDE RIGHT SIDE Permit 385,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINU ~� REGULATIONS AND Al.L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TdAT THE Plan Check 2511.25 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 Subtotal b35.l i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 1 S.4U SDC— -jkliU.UU Total G50.bS _ '- '- PDCN 1 111U•�) APPLICANT ON AGEN f By t41 Approved !)f,:}t Receipt No. ADDRESS - -- - _.1J-1.---._—PHONE -- DATE IINSPP, TYE INSPECTION REMARKS PLUMBING I DATE r - Contractor Permit No. jp �•i�hi� Fixture Flnol n✓ —_^ HEATING Con ^ Permit No Gas or Oil Rough-in --- —._.T_� --- -------__.-- Final SEWER Final DRIVEWAY Final —� Storm Orninapr (Rain Drain)Final — Sidewalk — a Curb&Street Final APPrc•a,;h — 13I.M. DEPT.FINAL —�TEI+IPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final _ -- I Landscaping Zoning Final I / BUILDING PLRMIT APPLICATION TIGARD DATE__- __'_ .__.."__- _____ 19 THE UNDEH.i1GNED HFRCFIY APPLIES FOR A PC AIT FOR THE WORK HENLIN INDICATED BUILDER PHONEcci2l-i-�1i`7 OR AS SHOWN AND APPROVE-D IN THE:I CGOw1PANYING PLANS AND SPECIFICATIONS. OWNER.PHONE I-Or tJO.��� J09ADDRESS�iC�C: .'S�aI /,/lDLl/jG ✓rte ARCHITECT ,r n ` 'ENGINEER E3UILDERht. #'3- ADDRESS DESIGNER STRUCTURE J@ NEW ❑ REMODEL - C3ADDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION Cj RESIDENCE ❑ COMM ❑ EDUCATIONAL 7 GOVT ❑ RELIGOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE I❑ SLA80 FENCE O. --CUPANCYK=- —LAND USE ZONE BLDG.TYPE _ "�FIRE ZONE '� PLAN CHECK BY �Jl/t HEAT -_ _ it�M J•L.c'��"2'�G,���___'_�a..21' 171 � �srC_�i._•r __ _L2��rLc�s_.:._�-_�"�-� � �-�--s------- - f SEWER PERMIT OCC.LOnD FLOOR LOAD _HEIGHT NO.STORIES AREA NO.BEDROOMS .3 VALU- ,y poo BUILDING DEPARTMENT SET BACKS FRONT REAR C `�! LEFT SIDE RIGHT SIDE P^rmit THIS PERMIT IS ISSUED SUBJECT TO THE RIEGULATIONS CONTAINED IN THE BUILDING CGDE,101'CNO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 5 0 5 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIO14S 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 .5/ > LICENSE SEPARATF PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. ;State Tax �> SDC Total PDQ APPLICANT OR AGENY By t-� Receipt No. Approved ADDRESS PHONE S D C PDC SEWER CONNECTION S_ c 7%5- 5-EWER %.-SEWER INSPECTION S --- SEWER __SEWER SURCHARGE 5� I /,,5,/v'o 3X � �,. ? 2 2 x „/ - ,i .3 _s.3 syr yV� / `7 77 25 7 ,,� , Building Permit No. Location 1 � 4 "2 bate f -, �r�7- Certification of Registration With the Builders Board I, jp doing business as (dba) , am registered under the provisions of URS Chapter 701 Oregon HomebuilCers Law) . My Builders Board Registration Number is ____114 > > � -)`) —' My registration is in full force and effect and expires on Signature