11385 SW LAKEWOOD COURT 1.1385 SW LAKEWDOD COURT
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INSPECTI A NOTICE
City of Tigard Building Dep��'fm, t
P.O. Bo-4 2.3397
Tigard, Oregc,n 97223
Phone: 639-4175
Type ri Inspection ---
C'
Date Requested 41_-� Time _� A.M.___ P.M.
Add"esus x /1 ,1 d-� Permit # i
Owner -- 1.0t #._ ,—
Builder — — -----
- J
The following Building ;krtlp deficiencies are required to be -orr,icted:
Presented to --_—_ — Approved
Inspector C Disapproved
Haff ��i>-- ---------
CALL rOR REINSPF,CTIOP'
[� YES ONO
C1 YOF TIFARD BUILDING VIERMI'(
BLIF190 0 162
WYOF I&) 1---Ekilil I
COMMUNrry DEVELOFMUNT DEPARTMENT oRaoN /I PIR.T.M. PER111'r N. : BUF,90-016E-1
15 125 SW HWI BlvC P.O.box 23097,figmid.OmW 9=(603)ON-4 DATE ISSUED: 05/31/90
rr c.
0 D 1,K ES'.) �,W L.i:-)KEWOC)D GI PARCELs IS134AD-0116
1.)B 1) 1.v 1'.t';;10 N.. I G 1 01) ZONING: R---4.5
HLOCK. . . . . . . . .. . « I... T. . . . . . . . . . . .. .. r.5 1
......... .......... ........
R E,I(S G U F* FLOOR AREAS- EXTERi.UP WALL. i,'UNSTRUCTIUN-
C I
l L A 6 S tar- WORK. -.ADD FIRST. . . . :00C, N E W
`
I Y P1 C:, OF USE.. . . -.SP' SECOND. . . : �5 f PIROTECT OPIC:
Y,YPE 0F' C 0.1,'S", . -.°';11 THIRD. -000 Sf N: So E I W.
OCCUPANC,Y SH17'. -.R3 T CT A L—----- ; 0 S f ROOF Cc", "IT: FIRE. PE."I'lls
CCUPIANCY 1 0 0 1)- J-)n 3 E III E NT, - 1.�f, (11REA SE,�). 17,'PTED:
HJ . :8 f*t GARAGE::. . „ :'r.:20 El f, OCCU SEP , RATLI)a
MEZZ ).- REED SE:':*T'F.4(1(',I/% 3----------------- REQUIRED-
FLOOR LUAD. . . . .. psf LEV''T i I" f-t RGHT: -ft FIR Sr:,KL.-. SMOK DE*T. . s
D W E-.-L 1-1 N G U N I TS 4 T"2 ft RE-AR c 15 ft F,I R A LR III- 1ANDICP, OCC.-
B ED R 111!3- PATHS: IMF' OURFACE: PIRO CORR- VIORKING:
V(4 L IJ F:,-. $
R e rn a-v E-i-
W1.1 le-(,« ....-- - ..,. ——-----..,.-..——————.-..—————--— —————— F'EUS
is 11 A X C,Y type anIOL11.1t by date -r e c,P I
1. 1385 SW LAKLW00D CT P,R MT $ 17.58
V,L C K 1. 11. 38
TIG(4 R D Ort '-.o 722 #- 5PICT $ 0. 88
Flhcme i'- 503 f:,39---973G V'Aym d, 29. '7G JL.H 05/28/90
(.UKIRPOTOR NO'T' ON F'ILE
1'1lcanc t1:r 29. 76 TOTAL
Reg ti.. . 4
F,'E(4UIRED INSP'ECTIONS
This pmit is issuetl subject to t:-e regulations curtained in the F.- miriq 11-1sp
Tigard Imnicipal Code, State of 0-e. '.:,Ocialty Code,, and ;'I other RAiri d-.,ain 1-nsp
applic,.ble law,;. All worP will bu done in accordance %ith 1.11spection
approved pians. This ppreit will expire if work is not started
within 188 UdYS 0' issuance, or if NUTP is suspended for more
than lb,4 aays
I -v m j.t t to e S i.g vi a'.:Li-r v.
Call fa-v inspection 639-41.75
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C:$BUILDING
•BUP90-0162: PROJECT:ENGLEWOOD I STATUS:1 : UPD:05/28/90: :JLH: °
PERMITTEE:C L 'MAXCY PRIM. . :BUP90-0162:
SITE ADDRESS:11385 SW LAKEWOOD CT "
66 CASE HISTORY AAAAAAAA$A$AAa$$$A&AhSAAReq/Sent$Schd/DueAEnd/Done$$By$StathiAC
A007 Application receiv9d 05/24/90 JLH PASS
A010 Plan check deposit paid
A020 Plan check by / / 05/31/90 RT PASS °
if A030 Check for prcl. restrict. 05/31/90 05/31/90 RT PA.iS °
A090 (F) Issue building permit 05/31/90 JLH PASS °
A725 Framing Inep
° A755 Rain drain Inep
A•199 Final Inspection
$$$$$$irj$6
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,5ABUILDING
:BUP90-C162: PROJECT:ENGLEWOOD 7 STA'rUS:1 UPD:05/28/90: :JLH: °
PERMITTEE:C. L MAXCY PRIM. . :BUP90-0162: °
° SITE ADDRE33:11385 SW LAKEWOOD CT °
6A CASE HISTORY A4AAAAAAhAAAAAAAAAhAAAAAReq/SenthSchd/Due$End/DoneAAByAStatAAAC
A007 Application received 05/24/90 JLH PASS °
A010 Plan check deposit paid
A020 Plan check L , / / 05/31/90 RT PASS °
9 A030 Check for pr .l. restrict. 05/31/90 OE/31/90 RT PASS °
A090 (F) Issue building permit 05/31/90 JLH PASS °
A725 Framing Inep
A755 Rain drain Insp
A799 Final Inspection
A4A$A$�,$$A$$$A�$$€:AAAA$$AAA,SaA€�fiA$Aa$AA3fiA$5A5t�5g5a$$$f�A353$a$�i$aA3$A$A€:��A:..'�s•$i
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86BUILDING PERMITAA34AAAAAAAAAAAAAAAA€$AAAAAEAAA$AAAAA3AeA�,A$$$A$AAa$:�$$A$$A$A(.
:BUP90-0162: PROJECT:ENGLEWOOD I SThTUS:1 'JPD:05/28/90: :JLH: °
PERMITTEE:C L MAXCY PRIM. . :BUP90-0162: "
SITU' ADDRESS:11385 SW Li KEWOOD CT °
O6 CASE HISTORY AAAAAAAA$AA$A6$Ahh&AAAAhReq/SentASchd/DueAEnd/DoneAAByAStatAA&t
°
4007 Application rece',.ved 05/24/90 JLH PASS °
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0F." T!GARD PFCF'lPT OF PAYMENT FEcJ:.lP7 N(J. %qU-201260
CHEC1,K AMOUNT a 29. 76
NAME c MAXCY, GHAM,Es CASH AMOUNT s 0.0f !t
I 13 8 70 IS W I 01."KWOOD c PAYMEN'r no : rr.5 i
JP 1)1 V I S 1 ON
TIGARD, OR
OF F'oYMFEENT AMOUNT' PAID PUPPOl--,E OF F"AYMENT AMOUNT, PAID
IL VING) PERM P U P0 01r-:� ST. PUILD P'F*.*R ("lri
PLAW CHEG�! FE I I
Tf**l TAL AMOUN T PA I D 29. '76
`- Permit No:
Address:
. 0
Issued by:---- --- ---- Date: _-- ----
18 is
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT 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 ,tatement before the building permit can be issued. Licensed Architect
and Engh,ger applicants, exempt from registration under URS 701.010(7), need
not submit this statement. This statement will be filed with the permit,
Fill in the applicable blanks, and initial box 1 and eithe, box 2A or 2B:
1. [_.�:_�' I own, reside in, or will reside in the completed structure.
2. A. [W_] My general contractor is - _ --
Contractor r„-gistration number
I will instruct my ,general contractor that all subcontractors who work on
the Structure must be registered with she Construction Contractors Board.
OR
B. 1 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
issuing this building permit of the name of the contractor.
I 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 Permit Iicant DatG
CONSTRUCTION CONTRACTORS BOARD
0244., 10124/89
WHITE COPY TO ISSUIN'13 AGENCY PERMIT FILE
P',NK COPY TO !APPLICANT
awwxmmwJILMOULMtil
11Y13125OF �'�� S.W.i+ PIAN C�IDQC .pP7 ICaATI7N
P.O.Box 23397 PLAN a= if � .'.��.•>�a'�' .
RD Tipor LI3163 -4171 PERMIT ,¢ _ , 4� -�
COMMUNITY DEVELOPMENT DEPARTMENT (sc )eav-4+7, _
DATE ISSUFn
JOB ADDRESS: ;'i 3 �a j / / ,/,01AIt•r,r/ (:/ TAX MAP/UJT
SUB: —�� UM: 1S 1 I� USE:
X VAIIIMTION: �e U — --
OWNER SPECIAL res
N�tAYM�Ec:�[. (� '�.,t C•�/���i'y c/ / REcI�SnSULE� OF:
�c _
AUAZE`'S: I J C J IA /� rr rd y� a../ �/ IAS RGI.7.7UE: — —
FZlJOD PLATN/ .�—--------
SENSITIVE LAND:
PHONE: cj 2 J,C
R,DxTDM
_OONIIRAC'IUR PIANNING:
HIM: --- rJi 'C�YLF/Z/ _ ENGINEERING: _ ----_
ADDRESS: -- FIRE DEFT
— 0►IIEIt. -
PHONE: _—_ _-- I'TII3 REIMIRM
BUILDERS BO .-,D 1: EXP DATE: —_ LISP/ I'RAcIuRS:
BUS TAX:
AEWjE2X�DfI -F CALCUUTIONS:
NAME: TRUSS DETAIIS:
PHONE: -- _.—a _—___.---------- --.—
SM) MTRACMRS: PLUMB: - MBCR.
PEWIT B ACCT I DF-cX1Z!I't'ICIN AM:XW AMDURr PD. BML. DUE
—_ 10-432 00 Building Permit Fees -
-- 10-431 00 Plumbing PeriL-,t Fees
10-431 01 Medianical Permit Fees _
10-210 01 State Building Tax (5$)
Building
----'y f—.--- —
Plumbing —_ ---
Mech
10-4:33 00 Plans (rick Fee
Plumb!-ng
Mecri
30-202 00 Sewer C.Auv?c'tion
30-444 00 Sewer Lspection
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks Systcmn De^✓ Charge (PDC)
31-450 00 Storm Drainage byst Dev Chrg (SST)C)
10-230 06 Fire
IIDTAI r ,
1i RDC
APPLICANT s iGnAAhik
Received By: -_ ,��_ — Date Receiven: _---
ef/3587P.WPF
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: "� /0/7L DATE ISSUED
OWNERS NAME ,-510 t' r-lt
ADDRESS: /-7 (�-T,
CONTRACTOR : __
TEST : Air ❑, Water 0 , Visual , Laboratory ,[3
RESULT: Approved X , Disapproved 0 Pending p
SKETCH:
INSPECTOR DATE:.
50TE : Attach svpplementr,, test dain I, ,: �
v�wr %rr cv � ■w w et
I
GitY of Tigard �T
I
INSPECTION REQUEST
for
INSPECTION TIME :-ZG'. 5- PERMIT NO. :
DATE:
DATE ISSUED:_..,
OWNERS NAME :
AD DR ES S :
I CONTRACTOR
TEST' Air ❑ Wot
, er ❑ , Visual
I A Laboratory p
RESULT: Approved, ,I Disapproved ❑ , Pending rJ
I SKETCH:
I INSPECTOR DATE
CN OTE : Attach euCP ementoi feet data he►et]
I
I
City of Tigard
.� INSPECTION REQUEST
fa r
INSPECTION TIME: f 3c PERMIT NO. :...._
DATE: _ ? DATE ISSUED : 1
OWNERS NAME :_.,. _)Pi) r'ff
ADDRESS: _L' -Sf .T
CONTRACTOR :
I
TEST : Air 0, Watero , visual,P(I Laboratory r I
RESULT. Approved 0 , Disapproved .X Pending p '
SKETCH. �(,!�'-T' L' 1 c-✓E.qu i
INSPEC i OR DATE
jNnTF: Attach supplemental test tja►u nir, ,�
City of T ;gora
INSPECTION REQUEST
for
IN,%. 'ECT-ION TIME. r�
_'`-� PERM;T NO. :--.
DATE: 4, DATE ISSUED :----
OWNERS
SSUED :__OWNERS NAME : _._S z-i/rH _
ADDRESS: _5 /l��'S" SW 4Au,co✓� _ a
CONTRACTOR : ,vim, 7 '
TEST : Air 0, Wa!tlr 0 , Visual �, Laboratory C;
RESULT: Approved Cl , Disapproved x Pending
SKETCH:
7�
IN :ECTOR GATE
50TF: Attach supplementril telt datn hire ;
+w wr ■s rw w w w w w
I
City of Tigard
INSPECTION REQUES r
r
fo�
PINSPECTION TIME :-i�—L v0 - PERMI"
i
DATE: DATE ISSUED: 1_
OWNERS NAME : ) Y ,Ltt
ADDRESS : `-'
CONTRACTOR :._.— �r�� � .
TEST: Air 0, Water p , Visual 0 , Laborator,
RESULT: Approve Disapproved C] rsod"!,,
S KE'rCM:
35""�'i
IN P'E OR A E
OTE . Attachu
s y{,Itrmenfu ►sit da u hermlol
1
... .,. , ., .. ,...�'- ,, ,.. i. ,. .r"1M w.rw�.. .rrr+..e .�r+�l►«v�yFipWn.....Vw►r..._r+�+4rW ,�........ -fr» J �-N/M"1d'NiilY'�1'MM''Vy!;".i17
CITY OP
BUILDING FERMIT APPLICATION TIGARD DATE t8 N° 0558
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND�RjFatCIF�I�A� I�mwpNR;P11 �
OWNER ADDRESS 1138... 5,u. Lakewood Ct.BUILDER PHONE Q� " 7 7/.,r
ENGINEER
BUILDER ARCHITECT DESIGNER _
STRUCIURE ❑NEW ❑REMODEL ❑ADDITION El REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVI:D ❑SIGNS
1,4-7l480
dl l480
OCCUPANCY -LAND USE ZONE BLDG.TYPE FIRE ZONE_ "'PLAN CHECK BY _ HEAT
c-anatruct 1605 sq. ft. frame dwellany With attached yareye
_ Il0 bnapment au6ardiny to approved plans re issue 11312 5.W.
-d S 2Q o Ironwood Lo5p
OCC. LOAD ._ FLOCR LOAD 41) lb HEIGHT NO.STORIES AREA VALUE
BUII GING DEPARTMENT SE'T BACKS FRONT 2O REAR LEFT SIDE 75 RIGHT SIDE
Permit ---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check l:I.UI REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONIRACTORS TO HAVE CURRENT CITY BUSINESS
1%State Q„ LICENSE. SEPARATE VXCRMITS REGUIREO FOR SEWER, PLUMBING AND HEATING,
Total 1 ` ��. !10
BY — — — — --
- APPI.IC.ANT UR AGENT
Approved Receipt No.
AD !S ---.---_..._.-------------------- PHONE -------
� aaw aw aw a�
DATE INSP. TYPE INSPECTION RI MARKS PLUMBING DATE
/-/o � ) ,Ec„ /u,.,v--•�� c N�lr.u.� ' Contractor mwtco .,�
Permit No. 0��_ E
Rough-in
/ l 7 /L v 7 Fixture
Final
HEATING
Contractor
&IA.Av Permit No.
' -V•-e-►40-L 4 Gas or Oil
IV
Rough i n
fe�Lws, .�tt l_�o.✓ *SIO_ )r� Final _
-7 (In L)c . OI SEWER /; bK
/–.73 •'L Sdowa st�ye�� _ Final
DRIVEWAY
_��
/ P�
Final."• 37 'rtel ( firs.) Ga���_QL —
_ Storm Drainage
(Rain Drain) Final
— - -- Sidewalk
Curb&Street Final
— A roach _ _ �. C 3
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY (final
1 CERTIFICATE OCCUPANCY __
�� Landscaping
Zoning Final
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1-10 ADDRESS _��1.34 C1, PERMIT NO. e2 Uy
PERMIT CHARGE none
CONNECTION FEE 'Is-Sv
OWNER -
PAID BY % "
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE
INSPECTION FEE � s
� p DATE��� T
CONTRACTORZT PAID BY
SIZE OF CONNECTION __ ASSESSMENT PAID
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