9065 SW 66TH AVENUE-1 9065 SW 66TH AVENUE ---
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INSPECTION NOTICE
City of Tigard Building Departoent
13125 SF Ball Blvd- Tigard, Oregon 47223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ --
Footing Plby. Underelab Mech. Rough-in Appr- /Sd lk
Found. Plbg. Top Out Gas Line FINAL
Poet/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain nrain Insulation -Plumb.
Plbq. Underfloor Water Line GYP• Bd. -mech. V
Date Requestedsj /�,�l Timet AM PM
Address: 96)6-5 S&LLQ C. 676A /71-' Pereit 9L
Builder: X0
THE FOLLOWING CORRL*CTIONS ARE REQUIRED:
Inspector:, Dates 70
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call Por Ralnep.
NOTICE
Imo/ City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
I ion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
tl ons_ ----- -- -----
Footing Plbg. thiderelab Mach. Rough-in Appt/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -BldD
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. underfloor Nater Line Gyp. Rd. -Rech.
Date Requeat:ede / — 'rJ _Time: ✓1 _AN _PN
Address: u' _ Permit #s_ _� 33
THE FOLLOWING OORREG'TIONS ARE REQUIRED:
MlfVl<p d' DISAPPROVED APPPOVRD SIIRJRCI' To AROVR
Call For Reinap.
aNSPEGTION NOTICE
City of Tigard Building Department
1.3125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rsc--O-Phone;: 639-4175 Bueinens Phone: 639--4171
Inspect ion c
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line rIMALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Neter Line Gy}>. Bd. -Mech.
Date Requestedt — .� /�� Times _AM/ PN
Address: ��(OS (O 90 V4Vt e5Z64me_ Permit s�ll�Lr�_
Builders
THE FOLLOWING CONJUNCTIONS ARE REQUIRED3
Inspector: Data.
�A
APPROVED DISAPPNJOYED APPROVED SUB.TECT To ABOVE
Call Por Reinsp.
INSPECTION NOTICE
f of Tigard Building Department
131 tM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-41.75 Businenn Phone: 639-4171
Inspections — —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam 3t.ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Orein �Insulaties/ -Plumb.
-.�.r_.t
Plbg. Underfloor Water Line Gyp. Rd. -Koch.
Date Requested,—! '41 ' __Times _ AM --PH
y,y A
Nddreee: i•�- ���> �•/ C-� c::- — Permit �s `�c.,
THY FOLLOW Mr. CORRECTIONS ARE REQUIRED:
Inspectors_ Dates
APPROVLD DISAPPROVED APPh1WED SUBJFCT TO ABDVR
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
' %
Date Requested__.L�_�, - y� Time— -A.M. P.M.
Address S– _ ✓1� Permit 0-A 33
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented tApproved
Inspector Disapproved
Date
CALL P01 REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of 'Tigard Building Department
P.O. B-jx 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection _--
Date Requested 37 U ;e ____ Time '`P�.M. P.M.
Address _-_ errnit
Owner—- - - -- - —.— Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
iq
1
F
Presented to Approved
Impectof
- --- ^_-------- - U Disapproved
bete _ z /O " ` o
CALL FOR REINSPECTION
0 YES ❑ NO
!R9 wit Wir AMOMML= l . >♦r
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
hone. 639-4175 j
Z'
Type of Inspection
Date Requested `�fy/ Time -X, _ A.M.
AddressC! �' Perm
it
Owner _ _ Lot #
Bailder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ I�pproved
Inspector _—.--- — t_l Disapproved
Date _ :, ' �/ '.♦�
CALL FOR REINSPECTION
❑ We$ 0 NO
VERNE ro
C17YOFTIFARD
CrTYOFRD UILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT OR[ #. . . . . . . : DUP90—Ok33
13125 SW Heil Blvd. P.O.Box 23397,11g ard,Orepn 9720 (603)ONAl 75PRIM. PERMIT #. : BUP9 - 13 3
6aq 41;zj. DATE iSSHE :
S.LT E ADDRESS. . . : 09065 SW 66TH PARCEL_: SI" DA-01200
SUBDIVISION. . . . .. ZONING -
BLOCK. . ,. . . . . . . . :
BLOCK. . .. . . . . . . . ..
REISSUE: FLOOR PREAS- EXTERIOR WALL CONSTRUCTION—
C,LASS OF WORK. :ADD FIRST- - a-514 of N: S: F: W:
TYPE OF USE. . . :SF SEVIND. . . .* S f PROTECT OPENINGS?--.--__—.____......_._..
TYPE
PENINl0S?-------------------
TYPE OF CONST. -.514 THTRD. . . . . Sf N: S.. Eo W:
OCCUPANCY GRP'. :R3 TOTAL----------: 514 s ROOF CONST: FIRE RET-:'-.
OCCUPANCY LOAD: BASEMENT. -. Sf AREA SEP. RATED:
STOR. cl HT. -. 10 f�,, GARAGE.. . . : s OCCU SEP. RATED
BSMT?." 11E ZZ?: RLQD SE:'rBnCKS---- REQUIRED--
FLOOR LOAD. . . . :40 psf LEr'T: ft RGHfs ft FIR SPIKL - SMOK DET. . :Y
DWELLING UNIiS: 1 FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS:2 BATHS: IMF, SURFACE: PIRO CORK: Pl()RK NG c
VALUE. $- 16214
Remarks:
Owvie-r: ........ FEES
GF:'.'ORGE RODS JR type aniOU11t by date recpt
FIRMT $ 122. 50
PLCK $ 79. 63
5PCT $ 6. 13
P'lialle I: PIAYM $ 208. 24 DEW 05/02/90 2005,34
PAYM t 0. 02 JLH 05/02/90
Contractor:
CONTRACTOR NOT ON FILE
Phone 14: $ 208. 26 TOTAL
Reg
REGUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the FOOt/fOUnd Insp Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/Beam Insp Pppr/Sdw1k insp
applicable laws. All warp will be done in accordance with VIlm/uridslab Insp Finial Dispe-etion
approved plans. This permit will pipire ii wvrk is not started Mechaniral Insp ..........
within 180 days of issuance, or il work is s-isperded for more PIM t0p-0L1t IIISP
than 188 days. Framing Insp
Fi-repl.,-Aee Iiisp
Gas Lints Insp
111SUII.ati.011 IIISP
Pe-rmittee Signature: Gyp Boa-rd Ir sp
Sewer Insp
Isst.ked Hl R 1-r-Aill
R Insp
Ca11 far inspection(: 6319--4175
ci*rY cw, 1-16ARD RE.CEIPT OF PAYMENT PEXEIPT NO. :QO-1 U0513 4
CHECI- AMOU19T : a. : 4
NAME : ROSS, CIMIYY CASH AMOUNT c 0. 00
A DD R E 5 IE'> t 9065. SW 66TH AVE FAYMCNT DATE 015/C+2;` 0
I-,UBD I V ION
TIGARD, OtkE(30N 9"72 2 7
PUPROSE. PAYMENT AMOUNT VA[D PURF'09F. OF F:'OYMENT Pimoiji-ir r*,,,.ur.-
PUM P U P9 0-0 17.,*7 1 22. ST. PUTLD PER
JILDIPIG 6. I
PLAN CHE(J* FE 2
T(71 AL OMOUNT PAID 74 0P_. ::A
CITY OF TTGARD PEC EJPT OF' PAYMENT REcm.r( -r NO. s 90-200t,
NAME POSS, CIND*y CHECJ� P)MOLHAT r.),LJO
CASH 'F-mojjw* a 0. Cill
90651 SW 666TH AVE PAYMENT DATE O'5..,'02,/9n'
T I GARD SUBD I V 1 S-CIN
OREBON 97
PUPPOSP"' (IF F-AYMENT AMOUNT FAID FURFUSE OF PAYMENT AMOUNT
0. 1 1;T . PUTL.D F-'F.-*P 0, C,I
TOTAL AMOUNT FAID 0. 02
13125 W HON PAd. PLVI CHBCK Aly-PlaCATION
P.O.Box 23397 PIAN CHEM if
CITY OF �'�G�4 RD U ,Oregm 97223
(503)6,39-4171 PER9FT if SO 3
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED
JOB ADDRESS: T7,X MAP/LOT
SOB: VAUMTION: LAND USE:
01qWRSPFf-1AL NOTES
NAME: REISSUE OF:
AEORESS: TAST REISSUE:
F1,OOD PIAIN/
FN SITZ iAND:
PHONE: ell-T 779
e'ne/YrjoL, 'k-X ROLA UA
COWRACrOR &9/- -7-)Y PLMOMIG:
NAME: EVGIN1 ERING:
AD[)RESS: = DEFT
OTMZ:
PHONE: ITEMS Rev-x'73
BUILDERS BOARD if: W WTE: LTSr/SL1BOCt?IRACI1ORS'.
BUS TAX:
AR OijET)GINEER CAWIUAnONS:
NAME: WJSS DEOU:IS:
ADDRJ�!- -. oulum: \/.*/dL
PHONE:
oaiwns: �Iu 61�z Oda L4
SUBOONTRA(-MRS: FILM: MEC H:
PERMIT I AOCT I DESCRIPTION AIMOUNr Ar"W' 11). BAL. DUE
/�,j P 9,0-01311 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5-1)
Build:,j-q I/z
Plumbing
Medi
10-433 00 Plans Check Fee 2-
Building l Il
Plumbing
Medi
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-446 00 Street System Dev Charqe (SDC)
52-449 00 Parks system Dev Charge (PDC)
31-450 00 Storm Drainage Syst bov Ctirg 'SSDC)
10-230 06 Fire-
TOTAL
RDC
4,1
Appj-,IdW STGNAqUM
Date Paceived:
Received By: �ZL
ef/3587P.WPF
.t.Tr_,�-�r:vncrnN C01VTR )1, INFORM STI
S►�1ti11�1� ,rr....
GENERAL CONTRACTOR NAME& ADI)R�SS: CASEFILE NO.: — --
PERMIT NO.: ——
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME&ADDRESS: ---
O IER NAME AN�ADDRESS: D G
TELEPHONE NUMBERS: PROPERTY DcSCRIPTION:
APPLICANT' STREET ADDRESS AND CROS,SlSTR T/ ff ATED
OWNER �.
GENERAL CONTRACTOR:----
EXCAVATION
ONTRACTOR:EXCAVATION CONTRACTOR:
SITE/JOB: --- LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: -
CONTACT PERSON,TITLE.TELEPHONE: 1/4 SECTION_-
SITE SIZE.ACRES:
DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS SITE RUNOFF DRAWS TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKEN CATCH-BASIN DITCH PIPE CREEK
(NOTE:PE RMTS MAY BE REQUIRED)
(CIRCLE ONE) �RIRIVATE PR_OP
PU13LTC�Lr OF WAY
EROSION/SET)1MENTATI(�N CONZROh, (F�c`1 MEASURF�
Ni1t11MUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACIL ITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER_
OTHER --
PLAN FOR EROSION CONTROL PREPARED AND SUBMTITED IN ACCORDANCE WITH"TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING.AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENC Y
pli(WE NUMBER, SCHEDULEISTAGING FOR INSTALLATIONABLE AND REMOVAL I' OF EROSION CONTROL MEASURES.AND
I HAVE READ AND WILL COMPLY I THE w OVE AND SEDIMENT WILL
THE CONSTRUCTIONSITE.IAN ESC MEASURES AS NECESSAR 1
TO
OWNER SIGNATURE
SIGNATURE
• • • • • + • • • • • • • • • • • • • • . • • • • • •OFFICIAL USE ONLY.• • • • • • • • • • • • • • • • • • • • • • . . • • .
.iCEIPT DATE ACCEPTED
RECEIVED BY
I1.1:.
------.NUMBER--- —
CITY OF TI17A E31.+7:t...D:LNC, I,F::RM:C'T
�1*rc 1 PI.RMIT NO . W..1881.21.1
CITY OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT °°!°°"
13125 S.W.Hall Blvd-P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 DATE ISSUED: 6/28/f:)f3
PRIM. I MT.NO. 881P1A
JOB ADDRESS : 9065 SW 66'r'4 AVE:
'TAX MAP/LO'T' IS1.25DA1.200 !:iLJP : L.'T : EIK :
I...AND USE. : RAI . 5
I...(7T SIZE:: VAI...UA'T'ION . $ 1 ,()()0 SETBACKS
FRONT : REAR : 5
WORK CLASS : ADDI T':LC)N DWE•:L.I... .UNITS : LEFT: 79 FLIGHT' . i?1.
USE: TYPE: ACCESSORY 8I...OG. NO. BEDROOMS : EXT .WALL CONST :
CONST . 'T'YPE: VN NO . BATHS : N: 5 : E.: W:
OCCUP.GRP . : M1. PROT .OPENINCeS :
(:ICCIJP ,LOAD N: S : E. : W
TOTAL. AREA: 320
NO.S'r(Jni r i' S : I 1 S T: 320 ROOF CONST : F I RE. PF.T7
HEIGHT : t 2ND . AREA SEPAR'? RATED:
BASEMENT'? 3RD: OCC:UP . ':I:::PAP'? RATED
MEZZANINE:7 EIASEM'T
FLOOR LOAD: /10 GAPAGE: : FF'IRE. 'PPKLR7 ALARM!
F'L.(.)W(GPM) DETECT"?
HEAT TYPE : _ HDCP.ACCE:55'7 — CORR
PLAN CHECK BY : L)c:r ----
REMARK S
•I'ut.tncla►ti.un :i.n%petc:t.:ion i.m etrvrerything REISSUE OF:' NO.
Pr:.ur to intt,t.la:l.ling flooring LAST REISSUE
FEES :
O rams; jr, yeaot,. at PERM? i'
W g $1"7 . .:10
N 906,1 taw 66th ailvoe fyl...AN REVIEW .1 . 30
E t.igetrei ur, 97P2.3 FIRM: DEPT
R
PHONE (503) 2A,5 44228 ST'A'TE 'T'AX * .Sol
OTHER
C -- DEVELOPMENT CHARGES :
O SDC(STORM)
N
T SDC(S'TREE'T)
R PDC(16 )
A
C PPE::PAI13 <
T
O
R TOTAL : *29.76
RECE:I PT NO. /
This hermit Is Issued subject to the regulations contslned In Title 14 ...� ,,—_,„�,,,,,_„__
of tho TMC, State of Oregon Specialty Codes, zoning regulations REWI.IIRE[) INSPECTIONS
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done in accordance with the plans and F=OUNDATION WALL_
specifications and In compliance with all applicable codes and F=RAMINW
ordirances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work Is not started within 180 days,or If work is suspended or
Abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Sinnture
Issued By - -- ._..._ _ —ir'f1RTWIPIT11.,I JTJJN E v—Al!_ --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W T w- f # i M( t ii
CITYOFTIGARD PLAN CHECK APPLICATION
COMMUNITY DE CITYOFIIGARD PLAN CIIECK 0
DEVELOPMENT DEPARTMENT OREGON PERMIT N
isrxssW"WBW- P.o.SON M97.TiWW.OM9W 97223(509)899,4176 DATE ISSUED _ _ ----_-----
JOB ADDRESS:
SUB: __ TAX MAP/LOT
LOT: - LAND USE:
OWNER
---'
VALUATION:- /�, ----
C:__ -
NAME: h SPECIAL NOTES
_ REISSUE OF:
ADDRESS: -
__-1'/A-'l LAST REISSUE:
Ij FLOOD PLAIN/ 1
PHONE: - - - SENSITIVE LAND:
,.<
CONTRACTOR
APPROVALS REQUIRED
NAME: PLANNING: _
.G�Q ��L� __ ENGINEERING:
ADDRESS: _ FIRE DEPT _
OTHER: -
PHQNE:
- ITEMS RE UIRED
LIST/SUBCONTRACTORS:
ARCA/ENGINEER BUS TAX:
NAM[.: CALCULATIONS:
ADDRESS:
TRUSS DETAILS:
-- _ PARKING PLAN:
-- LANDSCAPE PLAN:
PHONE - OTHER: -
PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE.
10-432 00 Building Permit Fees
_---_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) --- �-
Building
Plumbing _
Moch ----
10--433 00 Plans Check Fee
Building
Plumbing _
Mech __ -
30--443 00 Sower Cc,nnectian_(20X)
30-2.02 00 Sewer Connection (00X)
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) -
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks II System Dov Charge (PDC) -
31-450 00 Stor•o, Drainage Sysl Dev Chry (SSOC) - �-
10-230 09 1 RFD (95%)
10-451 00 TRFD (5X) - - - -
10--230 06 Washinuton County Fire pl (95X) -i--- -
10--451 00 Washington County f ir•e N1 (5;L) -- -
10-2.20 00 Amar L/Wodgewood - - -
TOTAL
f:
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APPI_I ANT srGNATURE -�
Received By:
9
Date Received.
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CAL
RD
March 18, 1988
Ms. Peg Yeats
9055 SW 66th
Tigard, OR 97223
Dear Ms. Yeats:
This letter is to confirm that the property located at 9065 SW 66th Avenue,
Tigard, Oregon, 97223, (WCTM 1S1 25DA, Tax Lot 1200) is connected to the
sanitary sewer system.
As per Unified Sewerage Agency's records, the property was connected on
5-19-77 (permit no. 13252).
If you have any questions, please call me at 639-4171..
Sincerely,
Arad Roast
Building Official
ke/3796D
13125 MHall Blvd.,P.O.Box 23397,flgard,Oregon 97223 (503)639-4171
r
OF TIG_A RD
RErAN
25 Years of Service
1961-1986
February 16, 1988
Ms . Peg Yeats
9065 SW 66th
Tigard OR 97223
Dear Ms . Yeats :
This letter is to confirm that the above propert- is connected to the
sanitary sewer system.
As per Unified Sewerage Agency' s records , the property was connected on
5-.19-77(permit #13252 ) .
Tf you have any questions, please call me at 639-4171 .
Sincerely,
Brad Roast
Building Official
i
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 -- --