13765 SW PACIFIC HIGHWAY i
r
r
a
t i
w
i
y FF
,
7 ,
,a
f �
po
CIL
tw Sri 14
' Y i
X1 5) l Al
L cw A c 4c)
•t. .,�t ,rr 1 ) �_1 I,r�.l �-'�1"'1 1.,. .4. Ir I, C.. n• A I1
aAAJ
:.a�Wlµ.�drd+�-;,.iS'r,l�..xyWik.iM�• I' r - -_.•._ -- _. _ -...�+.� ._._-+•��.. ... -._ r.A�"'^ +v < �s.�....�.. � _ _� _ _ _-
7
:y-
'
1~{ 11I1IiflIlllit t 1 ( I I �'1( Ir� l I � t � 1 l 1 I�II , I I 1 t1 i1 t 1 1 I1 � f; � I II S1 I I 1 I1 � 1 � I I iIn ! t 1 I t1 iI t I I t1 � 111 I tI i1 t I 1 t1 ir t I I tI � I l I 1 t 1 , 1 I1 ( 1 1
3 4 5 6 ;' 8 9 !0 t l 12 _
NOTE : I F THIS M I CRU F I LME U , �'-�-�^ -- - --�--- -— ------r,, "�'
DRAWING IS LESS CLEAR THAN
THIS NOTICE , IT IS DUE TO 't
THF QIJALITY OF THE ORIGINAL.
0C 62 0e LZ 9Z S? 02 E'2 - ZZ �* 0?. 6t 91 LI 91 Sl b I Cl 7, 1 11 01 6 9 L 9 5 b I.- e I Noll"
I I I 1 i I I I I
ti!1MA- Y __ _ __ . 7 1 Q Q 9
�1111�1111 ILII+lIII IIII�IIII lill�llll�ttl!IIIlilllll+Illl IIIII�I!I illi'iit! t+9l�illl IIl1�1111 II�I�I11i�llll�ll�l Ittl�Il!I�IIII�lilllllll�1111�111101111,Illl�tlll�llll�lllllllll�llll IIII�IIIIIIIII�IIIN�II�l.11t IIII�IIlI 1111�111111111�11111llllllUllllll�lllli!!_Ilollll�)IiI�1111I���lll1
�'ta
j
i
1
3*t? C., A RPL- 7
I c,
a
.3w
:�.a+..i a1�FidYe9ti&.�i .J;:��.£�:6�.,°�iti'�dr �l�o-.��Yii».+u�k6�,1u n6�iLui�:zuikix�,+...i�rid�rh,a,. . .. '::..., .�.L.:::,•�ai�:,,. .,... .,, .,- ....o. .:r.f_:,;. �i:..l�r''�.�.w,�e1r:.:,n
+��' uJ � '� .r:� ' t��1i.,.d. .-.. _ _'�],,rep ww•' r ,,..,�.� � .Jt' -+ni','Rr_••mrr
� .,, .. .. F .. �..� ••'r'' r - ... �..w' ,.. �.. : .�...�.. .-_ .�,,;,,.-.-�.�..n,. Yea - .. ",_.�,__._� •,��!�,����l �,,._. .>q
� 1 -, ......._.- riM " „�,_,r-•.• �.a--.-.ee .-a. y''�y,..•-•t w�+►..-.-"._. ..t: - - • ="r�-- -•�.-_ rii1F,i .. . . .. .,+,,r..w�....„., .. , . `�°'�`�,__""_""''''"" •'
' � .:. .�.. ,.,: '. ropwtw�xNlj4rek ..MY( J .'.SF.'^. •!�w. U• v
P ' I I I I� � ill ( � -� r �el � �� I '• � IIJ � 1l �I� T � `� � �' ( I � I � i � l ! i �,�l ,,,i, l Ii ! l Il ! l il � l 1l ! l I l � l 1111111111 iere le
NOTE : IF THIS MICROFILMED 21 }Ii l l ! �l � Ii l 1 ! 1 l e � � � I � � I �I ►S1 I 1a2le
1"
•.� ',
DRAWING IS LESS CLEAR THANTHIS NOTICE , IT' 1S DUE TO
THF QUALITY OF THE ORIGINAL
DRAW I N(-3',.
of sZ 13 e, tz 9Z sbZ ez — +�8 � . iz _ oZ eSr RI t 1r� 91 ��Ci 1-- --
CSI 6 e e y 5 a c 2 e ��rl).e
I I I I I I ! 1 1 1 ( I I
aro ,oetieeee eeeeleete iiliieeet eteeleee► e000l0000 0000loeee eie�l���� �a�>211��� ►,�ieleeet 0000l000i Il�ltttllllllll�t 000eloloile►�o�eo�o{iilelelllliotllll,t lotllool01111111tulttli�tsllllillllul�Illt�ll�1�1111�11loleeeeleeoo ooiollllo�lilli1�1.1111111111111111111U�!lO1J.11�)111I1111�1111lItll
13765 SW PACIFIC HIGHWAY
ro
.4
LO
Ln
ro
u
QJ
C:L
H
t0
(_1
Ti
N
ro
0
c�
cn
E
R1
n
i�
k
INS PECrlo-NOTIc1
City of Tigard Building Depart—t , ✓
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phones 639-4175 Subiness Phone: 639-4171
Inspection:—_- -------- — ---- ---
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out -Oas Linder FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
rlbg. Underfloor /Water/Lina ,( Gyp. ed. -Mech.
Date Requouted[ /! — 7 �u T1Mt �M PM
Address: Peron
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
G�
Inspectors_ �. Datet / 1
V APPROVED DISAPPRfiVED APPROVED SUBJECT TC ABOVE
-__Cal For Reinsp.
IT1F.-':.'CHAN I CAL
CITY OFTIGAPERVI I T
RD
C"YOFTMRD .:.RMIT #. . . . . . . .. MEL90-0257
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd. P.O.Box 23307,Tigerd,OreW,97223($W)6;"J76 DATE ISSUED: Il/06/90
srrE ADDRESS— .-, 13765 SW PACIr: IL1 PARCEL: 2SI03DD-00700
SUBDIVISION. . . . .. Z0NTNGc C---G
I-OT. . . . . . . . . . .
LASS OF WORK. . -
.AL_T FLOOR FURN. . . . - EVAP COOLERS s:
( YFIE OF USE COM UNIT HEATERS. VENT' FANS. . . -
C, VENT s Y s'r E M 9
XUPANCY GRP. . 142 VENTS WIC APPL.:
"JOR lr.--,S. . . . . - tiO ILERIJ/COMPRESSORS HOODS. . . . . . .
FUEL 0-3 HP. - - - - DOMES. INCINII
: !GAS/ ;3--1.
3- --1.5 HP. . - COMIIL. INCIN:
IIIAX INPUT-80000 P ; L) IS-30 HP. . . „ - REPAIR UNIT'St
F'T R E 1)0 11 f-"E R`B?. . ^N 3 LA 0 HP. . . .. UOODSTOVES. . :
(4415 PRESSURE:. . . c L- 50-4- HP. . . . CLO DRYERS. . v
IIICI. 0 F U 111 T S--I- --I--... - AIR HANDI I NG U14 f.TS OTHER UNITS. :
URN ( 1001' BTU*.2 (=: 10000 cfmc GAS OUTLETS. cE
F*URN )=J00V BTU: > 1.00,10 eft.
Replace exi.stilig Oil fLvriiacei:� wi-ti,
flamer: FEES
I.A.. IYD GILBERTSON type am0unt by date rec.pt
1.13/75 S. W. [4)CIFIC HWY I---,A)'M $ 31. 20 JI 14 11/0,'7'0/90
PRMT $ 2,,.0@
vn,.7,ora) oR wiLn-3, PLCK $ 6.00
F11hr.)rie 5PCT $ 1. 20
NOT ON FILE
31. 20 TOTAL
q
REOUIRED INSPECTIONS
This permit is issued subject to the requiations contained in ti;? Gas Linea Insp
Tiqard Municipal Code, StviLe of Ore. Specialty Codes and all other Mechanical Insp ........
applicable laws. All work will be done in accordance with Heatirig Unt Inst! _____,•..,._,__..___..,,.•__,...._Y..__.........
approved plans. This permit will expire if work is not started Final lyispeetiori
within 189 days of issuance, or if work is suspf!nded for more --------
than 180 days.
............. ......
.............. ......
c-,-v ni i.t t e t -r
__....._.w..........._.._-.-.__...._.-
T �,
................--------------S U e!d P Y ................ .............
Call f(.-)-r irispertinvi 639 -41*7 5
/t�hr741(-Cl {�C r�✓Yl l
CITY OF TIGARD MECHANICAL PERMIT 13ecelpt #
13125 SW HALL BLVD. Permit
P. O. BOX 23397 Description ^—
T I GARD, OR 97223 Table 3A Mechanical Code GT-Y PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
Nanta of I'" ier" 2) Supplemental Permit 3.00
Address j) Furnace to 100,000 BTU 600 I
incl.ducts&vents
Address
5 (L' k�� -----
Tax Lot Map Nu. ) Furnace 100,000 BTU +
2 incl.ducts 8 vents 7.50
Lot (froth SubdhAaion -------
Name(or name olbusi tsaa)"' l�Z}'6� ' Floor Furnace
6.00
3) incl.vent
4 °IS,lspended heater,wall heater 600
II Owner , 17 ) or floor mounted heater_,--
cityrsute zip5 Vent not incl.in 300
appliance permit _
Repair of heating,refr ig.,
Name(or name M buWAm ta) 6) 6.00
cooling,absorption unit
A�dreea p 7 Boiler or comp to 3 HP 6.00
Occupant ' ) absorp.unit to 100,000 BTU
,rg ear r _ 8) Boiler or comp to 3 HP-15 HP 11 00
absorp.unit to 500,000 BTU
— Namu 9) Boiler or comp 15-30 HP 15.00
absorp.uni'';-1 million —
MaiNnq Addmss / ` c F4vx 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
r',ntractor Cityrstate — ztp 11 Boiler or comp to 50 HP _ 31.50
absorp.unit 1,750,000 BTU
Mate Hegistralion No City Bus Tax No 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge Iftal I have read this application that the inla,nation givers is 13) Air handling unit — 7.50
,vxrrct,thaI I am the owner or authorized egad of the owner,'hat plans suhrrimed are_ 10,000 CFM.i —
rYvnphance with State laws,that I am registered with the State tkiilders'Board,that the 14) Non portable 4.50
rvanbor•liven is oorrecf.(II exemril from State.regi". lion please gnro reason below). t iv—orale cooler
- --_ 15) Vent lan connected 3.00
to a single duct
---- -- — 16 Ventilation s1 stem not 4.50
inckded in appliance permit
17) Hool set ved by 4.50
r �. - ��//, ,� meet anical exhaust _ ---
f— icsle 18) Domustictype 7.50
Desc ft-wnrk ❑ addition (I alteration W repair ❑ __in,::,lerator
to be duce residential ❑ non-residentialCommercial or industrial
1 9) 30.00
Existing use of / type incinerator
bull-ling or properly .�.� y` _ 20) Other i.e.,woodstove,water 4.50
Proposed use of �- healer,solar,clothes dryers,etc.
building or property(. C _
21) Gas piping one to four outlets 2.00
Type of fuel - oil 17 natural gas electric
-.--- 22) More than 4-per outlet
NQ CE -- --
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - - -
STftUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1605ti:SUnPHARGE
DAYS, OR IF CONSTRUCTION OR WORK 13 SUSPENDED OR � PLAN REVIEW 25%OF SUBTOTAL —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER —------- ---- --
WORK IS COMMENCED. ss�� 'TOTAL
Special C)nditions`._y it.(t ii„ _ !VJ ,<�'c9 L'//1l.// 1&a E'1
— - -- Date ieeutid by
71TY OF TIGARV RECEIPT OF f"'AYMEN1 RECEIPT NO. t90-206355
CHECK AMOUNT 1 711 . 2f)
CiTLI.IF-RTSO1.1-L.C)L.Y[)/DAF�t..E W.I. CASH AMOUNT o 0.
1590().l SW '"'ILONY PLACE
PAYMENT DATE s 1 1/06/90
SURD I V f!"-�I ON
TIGAPD, OR 177224 - 1 376r f3W PACIFIC
f-'LIF-FO,9E OF F"AYMENT ArIOUN r PA.I D fum',otw or' PAYMENT AMOUNT rAll)
NECHAIV,111--AL PE MEIC90—c_2T,'l 24.00 PLAN CIIECIFE 6. 00
'IT , BUILD PEP 1 . 20
TOTAL AMOUNT PAID ,i . 20
CITY OF TINA RD
OREGON
1-3-90
Mr. Lloyd Gilbertson
159,30 SW Colony P1
Ticard, Ore 97224
Pe: 13765-13775 SW Pacific Hwy
Dear Mr. Gilbertson,
On December 29, 1989, I inspected your solution to the rain drain problem pre-
viously brought to your attention, at the above referenced address. While the
solution is not going to be a permanent one, it does for now, eliminate the
discharge onto the adjacent property.
I have had the civil infraction case dismissed, and will not pursue this
mdtter, as long as no probleme arise.
Thank you for your cooperation in this matter.
Sincerely
Brad Roast
Building Official
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 -
--
W e ! t t R
JANUARY 2, 1990
(OLREGON
FA
RD
ANTHONY PELAY,Jr.
Hearings Officer
Civil Infractions
City of Tigard
RE: ( D'URE OF CASX 8# 9-32.0.=6I (Lloyd Gilberteon..13765-13775 SW Pac. Hwy-)
Judge Pelay: I
The above matter is scheduled to be heard on J21lIlTARZ
9, 1940 at 2:3 I am
making this request for the following reason.
I was contacted by
BRAD ROAST, Building Inspector, and told to send Mr
Gilbertson a Summons & complaint. A certified return receipt letter was sent.
on DECEMBER 26, 1989 and accepted on the 27th.
:r Gilbertson came to City Hall on DECEMBER 28, 1989 and asked to speak with
me. I told hie the matter was to be addressed through Mr Roast as I knowno-
thingabout his case except for the court documents. I left them toget
work out a solution.
On JANUARY 2, 1990 I was told by Mr Roast the matter
r had
dis dbeen ccorrecpmenta d ted and was
no longer an issue. He requested I notify you
est
this closure.
The intent of the ordinance has been met_ and no further action is needed.
Therefore I am closing the cane due to comilli.ance.
If you require clarification please contact BRAD ROAST at city Hall . lie can be
reached Monday through Friday by calling 639-4171. His hours are from 8:00am
to 5:OOpm.
Respectfully Submitted,
fu. -�yi Hrey
CO OFF ICHR
!/
c: BRAD ROAST, Building Inspector
ch/co-cls-1 (gilbertson)
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171
CITY OF TIGARD Cleff(F WARD
Washington County, Oregon
OREGON
CIVIL INFkACTIt,.'t3 SMq!ONS
TO: I�LOYD GILBSRTSON, pier _ civil Infraction Hearing
Case No. 89-320-V
15980 Sit .Colony Place
Hear.inge Officer; AlITQmi FSS.l1Z, Jr_
TLgaard� OR. 97224---.----
Date of Summons: DSIEMBBzt 20, 1989
You have been charged with the following infraction: AllowinM etOrNmAter to
drain onto neighboring property after warnings to cease , a violation cf
Section #2401 (_STORM-itATER DRAINAGB RZWjR=j Of_ 5
Edition of the Uniform Building Code of the Tigard Municipal Code.
This is a Class 1 Infraction with a maximum possible civil penalty of
$250.00per. day the problem exists past the date to resolve.
A hearing has been scheduled for JANUARY 9, 1990, at 2:30pm, in the Town
hall Room of the Tigard Civic Center, 13125 S.W. Hall Blvd,, Tigard, Oregon
97223, The hear�ng will be held shonld you or your representative fril to
appear.
You have the right to counsel at your own expense (please notify court
Manager five (5) days prior to appearing with attorney), the right to bring
any witnesses or supporting doc(,ments, and the right to cross-examine adverse
witnesses. You have the right to compu LAory process for the production of your
witnesses. If the Hearing officer finds you guilty as indicated, you may be
charged tritnesr fees, plus, the civil penalty or other hearing fees.
r • • • * t • • • • • : • • * IMPORTANT NOT ICB • • • t • t • • w + • * • • •
This Summons, and enclosed Complaint, has been filed with the Civil
Infraction Hearings officer for the Tigard Municipal Court. Failure to comply
with instructions in thin Summons could result in a default judgement entered
against you in favor of the City of Tigard. An unpaid Civil Infraction penalty
can result in a lien against the property on which this infraction occurred.
((7ONTTN11EP ON REVeCRSh SIDE)
97 Tigard,Oregon 97223 503 639-4171
13125�W Hall Blvd.,P O 8�::233 g g ( )
PAM #2
• r r * r r r r * * * r * * c2u= ApPItiOP QATE Box r r * r * r r r r r r r r r
_ I DENY committing tEe infraction(s) as charged. lour denial will be
considered a request for a hearing on the time and date indicated.
_ I ADKIT committing time infraction(s). If the violation(s) noted herein
is/are not corrected immediately, the penalty will continue to accrue until
resolved. If you admit the .infraction(s), 1iou must return this form mail or
in person, along with a .:heck or money order, or cash (only if urned in
4
person; do not mail cash), In the amount of $175-Q0 (half of totalasouat of
the mazimum per day_ fine for one day only).
rYOD KOST RgT«RN THIS FORM WHETHER YOU_NDKIT OR DEM THE INF►.ACTIC01%
In person: By mail:
Civil Infractions Hearings Officer civil Infractir-:in Hearings Officer
Tigard Civic center. Tigard civic- ;.enter
13125 S.W. Hall Blvd. P.O. Box 2j39','
Tigard, Oregon 97223 Tigard, uregon 97223
You rust• mail, or personally deliver, this completed form to the address
above within ten (IO) days from the date of this summons. �
c: BRAD ROAST, Building Inspector
ch/summons (gilbertson)
CML INFRACTION C TrAINT C11YOFT11FARD
OREGON
gTATU OW URN" C'VIL INFRACTIONS
County of Washington Case No. 89-320-f1
City of Tigard
The undersigned City of' Tigard COD& iMFORCKHRMT OFFICKR/private citizen
certifies and says<
That: on or about the 20th day of DECEMBER, 1989
NAME: XJAM) Owner -_—
ADDRESS:- 5980 SW colony Place
_Ti4ard, OR. 97224 1 - —
City, State Zip Code
did unlaw.:ully and in violation of Section 1401. STORM-WATER.._DRAINAC'S RE-
QUIRED in qh
Apter {14 of the Uniform Building_Code, 1985 Edition of. the Tigard
Municipal Code COMMIT/PERMIT to be committed the violation as follows:
_Allowed stony drainage from- _pjZqpertty to flow onto neighboring y after
written varning to cease_ in the Cit} of Tigard, Oregon at or in the vicinity
of 13755-13775 SW Pacific Highway_1other�rise known as Tax 1'49D #7�.
Z I certify, under penalty provided by ordinance and state law, I have
reasonable grounds and do believe the above person (COMMITTED/PERMITTED
to be committed) the above violation.
DECEMBER l0_ 1989 --- —
Signature of Complainant Date Complaint Issued
CODE ENFORCEMENT OFFICER
COY R. HUMPHREY _ DECEMBER 20,_1989
Name of Person Signing this Complaint Date Complaint Filed with
(Please Print) Civil Infractions Hearings
officer
c: BRAD ROAST, Building Inspector
--oy/comp I a i it
13125 SW Hall Blvd.,P.O.Box 2.3397,Tigard,Oregon 97223 (503)639-4171 ---
A
CITY OF TIGARD C17YOFTIOA
Washington County, Oregon OREGON
NOTICE OF INFRACTION
CASE # _ 89-320-W _ DATE: DRUMER B. 1989
ADDRESS: 13765-13775 SW Pacific Hwy.
TAX MAP: 2S1 13DD #700
TO: _ Lloyd Gilbertson — _ TO:
15980 Sit Colony Place _
—Tigard, OR. 97224
It has been determined the ;allowin5 activity or condition is an infraction on
yoir property an defined by the Ti.gurd Municipal Code: You failed to contain
stormwater discharge in an approved !,;cation as ankkd in a letter from. Brad
Roa,vtLBuildin�L ()fficial, dated November 9.1489 .
Please correct the problem by DEfTJCBER 18, 1989 in the following manner: I am_
enclosing a copy of Kr Roasty letter. Please comply with his recovmendations.
If the above time limit Is too restrictive for your schedule, contact ma to
discuss an extension. My phone number is 639-•4171. I can by reached between
8:00 a.m. and 4:00 p.m. Monday through Friday to discuss entering into a
Voluntary_Compliance Agreement. You will. be asked to agree to remedy the
infraction within a different time period and the City will agre La not file a
summon/complaint during this period.
If this corrective action is not taken, or an agreement not entered into by
the date above, a Civil Infraction Summons/Complaint will be issued. This can
result in a maximum penalty of $250.00 per day, per violation, if you are found
guilty by the Civil Infraction Hearings Officer.
Please help resolve the above problem by working with me to eliminate thin
issue.
CITY OF ITIGARD
B Y: _ --— Com R.__Humphrc}�__
SNF0RCENEN7/ OFFICE (Print Name)
c: BRAD ROAST, Building Official
13125 S''Vv Hall Blvd.,P.O.Box 23397,Tigc rd,Oregon 97223 (503)639-4171
w s � w �r R w ■Ir Jnr ►
C11Y OF 1FA PD
OREGON
11-9-89
Mr. Lloyd Gilbertson
15980 SW Colony P1.
Tigard, Or 97224
Re: 13765-13775 SW Pacific Hwy. WCTM 2SI3DD Tax Lot 700
Dear Mr. Gilbertson,
It has been brought to my attention, that the rain drain system on your abo•:e
referenced property, discharges onto an adjacent lot in an unapproved manner.
During the course of excavation for development on the adjacent lot, a 3 Inch
diameter pipe was uncovered. The pipe comes from the direction of buildings on
your property, and there was indication of water flowing through the pipe. It
Is apparent that the pi-pe serves some drainage system on your property. There
Is also a downspout serving the building at the north end of the lot that
discharges directly on to the surface.
All. storm water drainage systems must discharge to an approved location. The
discharge of stormwater from a pipe directly onto the surface or oiito adjacent
propert;'. is not an approved method or location.
There 1.9 apparently no public storm sewer system available to your property,
which •_eaves only two possible solutions:
1. Obtain an easement from the adjacent property owner to run a pipe to the
public storm sewer on SW Watkins St.
Or
2. Connect the storm drain system for your property to a "trench drain".
The "trench drain" consists of an excavated trench, a minimum two feet deep by
two feet wide by fifty feet long. The bottom of the trench is filled with six
inches of. drain Lock, on top of which is laid a perforated drain line. The
perforated drain line is connected to the solid pipe collecting the stormwater
from the downspouts and other etormwater systems. The perforated pipe is then
covered with a minimum of six inches of drain rock a layer of building paper.,
and then the remainder of the t-rencn is covered with dirt. The trench must be
a minimum of ten feet from any building and a minimum of five feet from any
property line.
Please note a plumbing permit is required for the work to be done to correct
this problem.
13125 SW Nall Blvd.,P 0.Box 23397,Tigard,Oregon 972.23 (503)639-4171
J
•
lingl
i
Your prompt attention to this matter will be appreciated. If you have any
questions, please mall me at 639-4171.
Sincerely
Brad Roast
Ruil.ding Official
i
I
CITY OF XX -?uly 7 71$ N2 0909
BUILDING PERMIT APPLICATION TIGARD DATE_ 19— i.J39-2020
THE UNCERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE_
OR AS SHOWN AND APPRC)VED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
jaflIBF3 !.aL)Jdo&Ct ADDRESS BILDERPHONE__ ._
QWNER — -- —
t3�ill7lt� ENGINEER
DESIGNER
ARCHITECT
STRUCTURE Li�NEW 0 REMODEL [,,ADDITION ❑ R_— ❑RENEWAL_ CFIRE DAM
AGE —❑DEMOLITION
❑ RESIDENCE OCOMM ]EDUCATIONAL ❑COV'T :JRELIGIOUSOPATIO GCARPORT []GARAGE
—IJ STORAGE OSLAB ❑FENCE
_ L,.IBOND []MOVING ❑CONDITIONAL USE El DESIGN REVIEW 0C3UNCIL APPROVED — OSIGNS
LAND USE ZONE_ BLDG.TYPE_
_.FIRE ZONE— PLAN CHECK BY_ :TEAT _
CICCJPANCY
..-
----_- copy Carpsclassics
—
color ['IIS Frown Y ge s � eVa 1 oa withIIS; rp bAm • , rwT!�
OCC.LOAD FLOOR LOADHEIGHT NO.STODIES_ ____ AREA _—_ VALUE
— BUILDING DEPARTLAENT SET BACKS FROIVT REAR J LEFT SIDE_ RIGHT SID- --_
Permit
-- THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS ANL: ALL APPLICABLE CODEF, AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPI_ICABLI: CODES AND ORDINANJES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR %f'J SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FIR SEWER, PLUMBING AND HEIAIING.
Total ---- — P;�9 �,�: .'Yi�,/ •�'!
AP 'ANWTO AGENT
Approt,ed T Receipt No ----^-- ---_—_--
ADORE55 � HONE
C -? 'f •/�^ _._-.�. ',.� CAT- �
AP��._S ':CO A _ ; - CyyN".PH0NE
OR AS S^dVVN AND APP°CVED 'N T .- ACCr0%`A%v'\G
BUILDER Pi-!01'=
STRUCTURE �-,� — - -- -
�ADDIT'Oti _ 2ro q ^?ENEWAL _Fi'7=DAMAGE �0EMOLIT'.ON
7
R=ST*?=tiC- comm. r" ==A'' '>A� �GOV— _iREL1GtC'-'S-'A''.O _CA2 ?OqT F—GARAGE
_5'^RAGc _:SLA3 FEAICc
�3^ ^bOV t — O'V^ LONA' USE �DES'G1 -=V`7' 2 tiriLA"PROVc IGNS
^CC'PANC" ` D AN - __ -
9Lr'�i.TY?E F'9E Z')NE ?La\CH_CK 3Y_ H=AT
16C74 LATJI.'
�N W ) ^'�••�1.� r.Lf J�1 r r
C)
Occ,LOAD =LOCK �OA� HF.G --
HT NC.SRIES � -= VA'-
3: = - - SET3ACKS =;ONT ==AR LEFTS'ID= _GH-SIDE —
^, J 4�
'ermit O4�
THIS PERMIT IS ISSUFD 5:3.ECT TO TV= RECU= 1T t'�iS CO`'TAfNED MTHc 8uIL4iNC CODE,ZONING
Plan Ohec;( R'GULAT:ONS AN'D ALL :??=:CQSLE CODES AND ORDINANCES, AND IT IS H=-rE!GY AGREED THAT THE
-J y4ORK A;LL SE DONNE :11 ACCGR OANCE'.Ve`ii T1E?l-ANS AND S,-ECIFICATICNS ANON COM?LNAi:C2'N!TI-i
r i ALL AP?L.CABLE CCOES rND ORDINANCE3. T'rZ 'SStjX%C2 OF THIS ?ER%'.1'.
DOES NDT :":A1V?
�e ordiny f " r T
RESTR'CT:VE COVE`:A?NTS. CG:YTnACTCR Atiu SU:. Cr T'-:QC•OfiS TO HAVE CI;RRE'f:T CITY 3JSry-tea
%Stan LICENSE•SEPARATE PL-:t,•-1.1TS REOUIRED FGR SIEWER,?L--'!J3:NG AND HEAT!,-V-..
70t3: 0 5 •i J
3y 1
aaa_ caN` _� _-
Approved Ae:e4 Dt No.
nOUa��S PHONE
- - ..;......Oi' .�.....5'..•+, _. ..�. ..__ - ..,. -..... ..{fir1�^'wYw�lwi✓+y'.nlsir."... ...,q..
CITY OF
BUILDING PERMIT APPLI�,ATIUN TIGARD
DATE------, 19 Np O 7 69
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED ;N i;iE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _-
Jim kjokluf3ru 13"/b� 116W, paci i'1C Hwy
OWNER ADDRESS BUILDER PHONE
ENGINEER
EIWLL2EH— _ ARCHITECT _ DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑_ADDITION ❑REPAIR ORENEWAL _ [:)FIRE DAMAGE _ ❑DEMOLITION
❑ RESIDENCE ❑COMM OEDUCATIONAL OGOV'T ORFLIGIOUSOPATIO ❑CAR PORT OCIARAGE O STORAGE❑SLAB ❑FENCE
RE
I BOND OMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY —LAND USE ZONE BLDG.TYPE---FIRE ZONE— PLAN CHECK BY__ _ HEAT
Copy - Carpet Lisenics ---- - --
QQC, LOAD FLOOR LOAD_ _ HEIGHT NO.STORIES AREA _ VALUE
BUILDIN': DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE _ RIGHT SIDE
Permit — -- - _-_ — ---
---- — THIS PERMIT IS ISSUE'.) SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1HF
— WORK WILL BE DI.:jE 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 CONTRACTORS r0 HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
• APPI (CANT OR AGENT
Approved RecviRt No
ADDRESS �HONF
PERMIT TO CO N E."I'
Tigard Sanitary District
PERMIT N9 916 DATE
PERMIT 1S GIVEN TO 1
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS FERMIT Ml1ST RE POSTFn ON THE DESCRIBED PIIEMISN;S IINTM CON-
NECT.ON IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $. ...............................TIGARD SANITARY LISTRICT
r.. Ry
CONNEXION INSPECTED AND APPROV$D
I)ntc. Superintendent
ww
( IMP011111TArair MUSSA4k
FOR_
DATE. P.M.
OF
PHONE
_AReA roor NtJMnrtn FXTUNSION
PLEASE CALL
CAME MSEE YOU WILL CALL A13AIN
WANTS M SEE YOU RUSH
RETURNED YOUR CALL SPECIAL ATTEN110N
MESSAGE
0�
TOTAL OFFICE PRUDUCTS Tt1002-5
and printers, Inc. 228-2195
u 00
e
�5
�L
1,
i(
i
a
{
r
* .r..+�► 'RiFAM•",44'Y..-✓......l.y.,-nun•;1rM•1."M1ttW^'M'6�•.I...r.w.:, .,.............» ..r.aw+r.waw�....+r.�
f I
i
p t 1
j
A
I
i
� f
I
I
-wro..�.we,n. •mrrw.e..n
f
T• Y v LUT -700
-4
r' '� �J _ - 1 �.�,• y rrl • _y '��. .�.ma +� :�:.'' ii fV✓r-•r a• � �� .r��:.r,� i.:,._ .. _. ,. - -
.v
� � � ' t�111111 �1 • 111 ' II � IIIII'111 I � Ililt till �� t 111111 I �i � l� i ~� IIIt�'1 I �'II. 111 I � fll �� 111111 , 1111111 IIIIr� i 111111 1111111 1111111 1111111 1111 � 1 � X111111 i1111�11 ' 1111111 IIII11 � 11111 ) b.. ._. � '�
NOTE : IF THIS MICROFILMED °'�� ( 2 5 6 7 8 9 1 o 1 1 12
DRAWING IS LESS CLEAR THAN ri ,
THIS NOT ICE i-IT IS DUE TO
THF (QUALITY OF THE ORIGINAL
DRAWING. OE 6Z BZ 12 92 92 02 EZ ZZ 1? oz 61 of t 1 91 51 b I E: I Z I I I Ol 6 9 1 9 S b E 2 I "111i
�oil III llclIII III 1c1cc1!!!il!!!!1!!Ic11c!!I_III111111111111111111!1�I�i!iI!!!!I!!!!ImIII 1111III lI1IIIIIfu1IfIlIII11Itl+Ilt111I1111I11!Illltll!!!I1l111111lII1111Iftl!Iti11IIII lIII IIfI11IIiIIIIII III IIII111f�1yJI11�ilIIIIlI11IlIIIIIIIIIIL MAV 7 Q Q 9
IIIIIIIlJI�l1�111�I111�I11�1�I.1I111.1III11�W1I1111
..■�