12240 SW MORNING HILL DRIVE 12240 SW MORNING HILI. DRIVE
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Cert if icdt i0-1 of ileg istrat i()n
'.lith the Dui Iders Board
doing b , mess as (dba) ,
L1-Z:zj �OYIJi�-LcCP�h( 75!,C'i _ am registered under the prov is ion;
of ORS/Chapter 701 (Oregon Homebuildisrs Law) .
My Builders Hoard Registration llumber isea
My registration is in full force and effect and expires on
-Jgnature
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' ' q,✓l INSPECTION NOTICE
City of Tigard Building Department
(fes P O Box 23397
Tigard, Oregon 97223
Phone 639-417E
Type of Inspection
Date Requested ._ . _—., � Tgme A.M. P.M.
Address _L .'a Z. ��-- 1�!l.2 n d_ 11:x_ _ Perm;
Owner _ % -- Lot
Builder
The following Building Code deficiencies are required to be corrected.
1\.1 C_�_-.E�L1s --
WE ru
N(=-In.Z(tt:''r fit L-> 4\V K L tz _Ljo S —
Presented to _ Approved
Inspector ��-�_1_ �.�,e_ Disapproved
Date '4 -
CALL FOR REINSPECTION
Yk, U NO
cj7yof 'm7APD
EXPENDITURE REIMBURSEMENT REQUEST
:&A
This form is a multi-use form. Where appropriate receipts must be attached.
Documentation is impo taut for all purposes. Staple documentation to form.
VENDOR NO: DATE: In-�n-g5
PAYABLE TO: Gary Leeks Construction Requested by: Julie Ouellette
��5 82nd Drive
G adgto e OR 97027
MISCELLANEOUS (parking,(parking, books, subscriptions, dues, memberships, etc. ) :
Date Descriptitn Account No. Amount
9-44- Receipt !7659 Refund A art/Wedgewood10-000UO-220 S360,00
sewer charge
rseaes¢¢w csa¢were¢:erwarneeararc---accaicacssx;¢azarc.........
GENERAL MEAL EXFENSE:
Date Description Amount
Account Noimber to be charged: _ Total
rrwwwrwrrwrrrrwwrwrrrswrwrerewes¢seaar_¢aan.^asas r_¢aevrrrrrarraww rrwwwaara.ss-ssa
MILEAGE:
Date Description: (Include end/start readings and total miles) Amount
Account Number: _ Total _ miles 1720 t_
rwwwwrrwwrwrwrrwrwrrwrwrrewrrwwerrewwrwrrwrrrwwwere rwrwwrrwrwrrrwwrwwrrrrww carer
APPROPRIATION BALANCE: —AS OF: Signature __
APPROVALS (if $25.00 or under may be reimbairsed through petty cash) :
(up to $500.00)Section Manager Purch. Agent
(5500.01-35,000.00)Dept. Head/Purch. Ager.t_ i- — _
INSPECTION NOTICE '
t9+c-tC_City of Tigard Building Department
1:2420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection _ -----
t'"
Date Requested 6 Tima A.M.. P.M.
Address Permit
Owner l +' '` _ �' '____'____°' _ Lot # i
Builder
The following Building Code deficiencies are required to be corrected: 1
i
Presented to _—___' _ ___ � � Apprrted
Inspector /� G _ J� Disapproved
Data
CALL FOR REINSPECTION
fry YES 0 NO
.. CITY'OF TIFARD No. 7659
12755 S.W.ASH
P.O.BOX 23397 Date`1-7y a
TIGARD,OR 97223
Nan;;-- �, I
Address
Lot i3lock/Map Subdlvis�irJ)�/Addre¢)a
75 ��(4— IT � I �Z Z T t 1)
Permit N's Lgdg. Plumb Cash _ Check I
'S50 _7
Sewer Other - Other Rec. By)'
Z � Sop �
Acct. No- Description Amount
1_0.432 _ Building Permit Fees _� V
10.4314300 Plumbing Permit gees
10431.601 Mechanical Permit Fees
10-230-501 State Bldg. Tax
10-433 _ Plans Check Fee —c
30-443 Sewer-Co nn—ac tion
30-444_ Sewer Inspection
51.458 Street Syst. Dev. Char4e W
52-449.610 Parks I Syst. Dev. Charge u
52.449620 F�arks II—Syst, Dev. Charge
" 31-450 Stora Drainage Syst. Dev. Charge
10430 Business Tax
10.434 Alarm Permit
10.227 Bail ----
10-455• Fines-Traffic/Misd/Parking
10.230— CPTA TratfictMisd/Vic. Asat.
10.458 Indigent Defense -v
30-122-401 rrawer Service/USA
30.122-402 Sewar Service/City 30% —
1 3 Sower'ievice/City Malnt.
30-1f�` I.lnmatrhed -T`
X1-•124 _ Stotm Drainage ------
40475
— �ancro t rin. mt.
1 ncroft Int. Pymt.
?<02 .� �/ u 0
L re
_ TOTAL174 1 CITZ
I ..T,Y^� •1`M• NM.Nr.tl., i"r„ .. ~114.ky r :�i a. •
0� 1
aY ' oYy
BUILDINr PERMIT APPLICATION TIGARD DATE_ `��. ;' ,e _ 5507
THE UNDER,;iGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SH(.iWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH
_
OWNER. tic"3.CYY 1*+Vks L:0Mt_-1tWObAIIDDr4ESS 12240 SW E;� LOT NO.__ �HiU f$.
_--- Glckt�cJ[N2 8701-ARCHITECT
ENGINEER
BUILDER a4 ,X, ADDR 5 82w or. DESIGNER
STRUCTURE Li NEW ❑ REMODEL 0 ADrATION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
1-1 RESIDENCE 11 COMM El EDUCATIONAL 0 GO_V'T_❑ RELIGIOUS fI PATIO ❑ CARPORT_❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY E"3 LAND USE ZONE R"2BLDG.TYPE FIRE ZONE--_____.PLAN CHECK BY ECR HEAT
Cawtrwt slimle farl,iky 6--llimc. wlittiadiea garage*
Atilect. to 'art.-s*-dc ari 360.00 & }.,m7,m Huicjhts $150.00 ��m2 ' ..,uxrr'-'r I&It
SEWERPERMIT# —dF ko —
OCC.LOAD FLOOR LOAb 40 HEIGHT 14. NO.STORIES 1 AREA I-X13 NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 38 LEFT SIDE 8 RIGHT SIDE_ 14
Permit 1915.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORMNANCES, AND IT IS HEREBY AGREED THAT rHE
Plan Check 191.16 WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPL.IANC.'
111TH ALI. APPLICABLE CODES AND ORDINANCES. THE IS!-)UANCE OF THIS PERMIT DOES N07 WAIVE
Sub-total _ 486.75 1 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
49#1 Fri SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 7.67
Total 494.42 SDC— $5oo.uto
By4 Ci^ PDC#T $150.00 aaPLicANtasAGENr �T -"�----
Receipt No.
Approved i9(,}: r ,_"� ADDRESS — PHONE
tier ;Ir
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�7-�t• o�>'�'�-- — Contractor
l � � �1.t'�:�sc.''�• Wiz"._
annit No.
ev.
Final
HEATING - --_
'f//yY_/�52_S ,�`% � •.dALc _ —. _ - Contractor
Permit Nn.
Rough in ---
(�3 -u � -- - Fin..l -- - — ---
6� SEWER
DRIVFWAY --�r
Final
Storm Drain&ge _,--
---- ------ - - IHeln Drain►Final
"dowalk —
_ Curb&Street Final
Approach
A —
BLDG, DEFT.FINAL TETAPnR/CRY CERTIFICATE OQ
CUPANGY
CERTfi'tCATE r?(.ZU►'ANCY fInel
iLandscaping
£.oning Final
� its � atl[ aaw eae! awe aaa +� � .tu
DATE INSP. TYPE INSPECTION REMARKS PLUMBING ^DATE
Contractor
ermit No. ZZ20
0 ugh-in
Fixture --
���f Final
0.
– HEATING
DW- i -Q�GL — Contractor ).�a
Permit Nn.
cell,
—
�–��� Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidowelk
I _ Curb&Street Final
_ Approach _..
BLDG. DEPT. FINrL TEMPORARY I CERTIFICATE OC':UPANCY –
CERT!,!CAI E OCCUPANCY Final
I
i Landiceping
i_oning Final
IIJL UNLI`N511i IrU If'_ItLUr NI'r'LILS + UIt Ai'lF/MII I u
OR AS SHOWN ANO APPROVED IN THE ACCOMPANYING PLANS ANO Sf LCIFICATIONS.
LOT 0
n
J`.VWEp ARCHITECT
"- J� � �'�If/JENGINEER
-- 1 �/ j' 9 �/ DESIGNER �
p� OAOOITIOy URcP:IR ORENEYIAL OFIREDAMAGE ❑Df:dL)!
STRUCTURE _ �NEw O1 oonoEl _-- -- --
--
CARPORT ❑GARAGE ❑STORAOSLaB OF
RESILIC"ICC OCONNA OEOUCATIONAL OGOV'T ORE!.IGIOU5CJPAIIO ❑
ol
----- --r---- -"=�
PIAN CHECK QYHEAT
CCCI:PAL_ Y�-.3LANO USE ZOrIF G./) 0LDTYPE ��
cl DWFI i ING_ W/ATTA(HFD CARAGF� — —
BATHROOM_ice BEDROOM �—
SEUE_R PERMIT �� ��`r'`
._LO� L � NO SEDRDOK)S_� VALUE
i� D FLi19�.0!►D HELD►+11�__-1►JL4
G' REAR �7 LEFT SIDE RIGHT SIDE
I
5111LOINGOEPARrMENT 11E UACKS FRONT .+
FP THIS PERMIT IS ISSUED SUaJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z
Check 7S REGULATIONS AND ALL APPLICABLE COOLS AND ORDINANCES. AND IT IS HEREBY AGREED THA
I-- WORK WILL BE DONE IN AC,,OROANCE WITH THE PLANS AJ40 SPECIFICATIONS AND IN COWLIA.N:.
$�h tat�l �' ALL APPLICANLE CODIS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GOES NOT
_ pESTRICtIVE COVENAN'T'S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY B
r AtA Tax �i LICENSE. SEPARATE PERAITS REQUIRED FOR SEWER. PLUNKING AND/{EATING.
r.
Total 0 PDC# r
r
APPLICANT Oq AGENT_
ApprovtA Receipt No
�r'ingFSS ~ N
SDC (S L o rm))
SDC - S Sloe
PDC - $ # /!} _—
SEWER CONNECTIONJ<-
SEWER INSPECTION
SEWER SURCHARGE
Comments :
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