11700 SW GALLO AVENUE-1 t M r� ,� �+�,ti*��.���M.�r��n.Rx+t �^�aR?M�!+t:a+wie+lOMNI�Mw'��+".n�ur wNr4W4NM�t"�pV `r*'M'y�l°'IK""1M�`"'yR����,�y,� � � �HQ.. .
.�;, �,. � .,#' ,b�� 'a .p� ;: r ' �`3";�y' fir..' '�'a�'�. � Y. n '' �'���..;� 1�� :+!'�'��� .!' .�.
Mt 1°�° '+9R"
�_
• �.,I
�'.
,r
'J . , , � 1
j
a
I� �
.� , J � '
''
`, .
,•
� ��
�'"
�� ���
:� r
,,�� � .��
:,�
.f 1�
X
�{ ��
�,
:.�
1
�1
•�. s: •
j;
' i
n �',.��
;,. �'
'��
V
Y • •- • • ��
��' .' !
'�';
�� ,<: '?}
Q ��
�' �Il
r, Aff
A w 7YfW , �
F.
Oki
", 4 4--,jeA0M.
j
tl
1
,n
i
'7
J
'Lr►CC
C� '•., � • 'moi .aw � � I
OFr
A�
OCC(
.
��
�1 �, ��
CITY O'e 0R.3�'IC�ARD
Owner: Morissette 1226
;y . .....................................................................i et mit No... .... . t
11700 SW 113th P1.
_r ,
•
Building Address.
Certificate is hereby given this...14 t h day of N oy
that said building may be o.cupied and
that it complies with all requirements of ! ., -
•�: ., the Building Code for the City of Tigard,
t as approved by the Tigard City Council.
} { �• ! -, � j ♦, . ...........:... _ Yt�..'t.'?:'.:`.�-�...../..Xyl,-�=n:✓.'. ...._....... F
1 !
t Auildin� Inspector 4
• lt s
.sfi: o
s _
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. ; i
DATE: / �%� DATE ISSUED : I Z `
OWNERS NAME :
ADDRESS. _
CONTRACTOR : �' ► C, r�
TEST : Air p, Water Visual 0 , Laboratory p
RESULT: Approved IX , Disapproved C Pending p
i
SKETCH.
,a
3111--7Z
INSPECTOR DATE
COTE: Attach supplemental 'eet data 6eretal
MISS
I
XlY
IS '
City of Tigard
INSPECTION RE® UEST
for
I
I - 1
I I
INSPECTION TIME :r.__ PERMIT NO. :
j DATE: ' '' DATE ISSUED:.LL__
OWNERS NAME : ��-6
ADDRESS : 11�7 aG.
CONTRACTOR :
{ I TEST: Air ❑, Water p , Visual ft, Laboratory Q
j RESULT. Approved , Disapproved 0 , Pending n
I
SKETCH:
I
I INSPECTOR DATE
COTE . Attach supplemental feet dntn hereto
I
r
to
N
N
Ut-
41.0 l) j •3 nl t]Ilj
4
Ll.I-
ti U
G N .7 • O OLr) CD
''',�
C( 7 y 4 n pu pp r) ri
("� ►' tJ t7 O u7 In c? u G. .� h
V) V ,:, In o In r^ (+ c+ r) lr
us O to I
ltl iv 'tu
It
11J � �• i 't. d ,,�.
I 171 T
1 r� i u
If
t)
Irn !J2 A' I°4J El co)
r.
U,
cn
Ill
. d .A
i
W a) :ro ly S u. c ►: w ro r c r" O O O
y
.e4 ] J U fr CG UJ r i •, }( H a ' In i7 V to 'D
C n n g 1i u. . L U '" ri ri
L
x lu I 14ILd
x {• j d �� F > u n c
to V f: f0. C :7 0., t) q til � �_ !,; '►,
tr'J) In to O l N 1!1ro
S� iy -t: 0.j � i.
-. �..-.._.__...._....__..,._.__.,, .. .._...._.. ._......._ ., -7777
f
APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMF NO._I��-�.. . SITE
BY TITLE DATE:?
77*
WT
� a P
itt' 0!-
va��u
R-1 z6we
15'
I Aly '
r{
k. R
1 ,•
M:
�}� � ) ; ��`+•��}�°r, �'di�l��LY`�. .. : : ` ... s ,., .L ^A' w1 S. 1 ,uIG.....2
� I
+
uj I UJ Con
, Iuj
o Z r 3 a z
^ ki
xZF d
co z
OL)uit
H ul = d O v u G zu
LU LLJ
O �w0i7 O
t Z O S1 z ¢UL7 a
I a 2r
Q�,jr O 0. `L ¢ Ww wW _
� a o �
CL ¢ w O F � {n0hCQ
W Z N O w
o) W O C7 W w zHFIZI s.
J Q
k)djj z W LL [� o' a o o �' ° a �l
y k+, O ¢ ¢ WT LLNz
r1]{`Jxi.i w m Q zaLLOx 4 �
Q r. Q O
O U 1
tnwry_, C➢ 2 Y U
O : w a
Z w F L) QZQHO
Lt 3 00 di w to z 4 z 1 1
r` zlJui
CA
w , JOCL
a ) 1
W ❑ Q ]� 2 w
Q N` ¢ I O w d I u = t7
u) w ` `Ll➢I tFi) ¢w 1 U Q O t
Kt�trt OEl 7 0LL Y
Y IL w O z I0 z00 �
U
O a O ¢ w < ~ w w O v V. r7
y z OJUCL ^t �Iai .W
w Q C) 2 w F 7
rL
o ? ❑ []
u v v . 0 -
u CA
VIA
U f' y
}.1 O L O 7du vii
LL Q C) L7 -.�. y J d W z ¢
N W W z 1 1 n _I Z p Q W
w 7 } O rr¢ ul F � d Wu7w
CA
IL
O V u F L y z yzOw >Q
e d o < w <cr p cj O F r O sOJ0 ¢
1 1 LL in ul
Q L1 F z
t l�s tr < [� O 2 ➢ N O J — T h O
O LU C7 O ¢ X F. J a f Z
U. X. [ � F U w J� Q U W +.
r•,�z (.) d a Y a z o
J a' o f W =wo :Jwcn V l
{ Q ul z U �, � ¢ � < ¢ J a
2° > w < [ W L7 u' O 7
x
z C �� , Lp
- n r I > o o r
�� o z o a
l�7 < o f t J d
[ I LL w
r y U
cr
. w
C<� N a u{ o
< U.V) cru Q WI O U O =1 a �_ u u
+ Ctl F CCL 0
) a "I [ o E A v a? o
L > a
O C _ m -r-
Nx 1r � i�pC � y^ t s .
.r1�� ✓ �lr'.}y�. ti� ;; '. , f.., itW.t.� � - ?t'J7.
f; y'4 �' {off f i r v i +°� ��
A !" �i�'yi''"•.$S'�r f241• fil, '�qr �•'�l�r { I + 't�r�.:i� { ➢ vi�4➢� ,��'', '!P
� {:. >t r-, F r 4 �,• ; r •", w�1��,�r�Sj� i A{,'T,��fi r;� R +r✓`,r(3�� / rl' � � '
, r T
Y
UNIFIED SEWERAGE AGENCY NO. -_ 1103'7 --
WXQ! i I NGTON COUNTY DATE --1= —�-�--
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER:
i
OWNER'S ADDRESS: --- -- ��!
STREET
CITY ---- y 87ATE --- -__.. ZIP
BUILDING SITE: LOT..-_____2.3, BLOCK _ -_ ___ ADDITION —
residence
TAX LOT N0. TYPE OF OCCUPANCYADDRESS _.____ 1�Z_DQ�ld__ll�ttl.�l.-----�. _-------- _�._-------
DWELLING UNITS-----—1--- --- FIXTURE UNITS
„A
SURCHARGE IF ___--
PERMIT FEE __535........_____ INSPECTION FEE .-_2.5_,—_ TOTAL DEPOSITED —_.big.-----
(NEW) (EXISTING) BUILDING SEWER SYSTEM Fanna Creek _
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. �
; t
APPLICANT� ----_--.__
SEWER PERMIT
THIS PF_RMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
v
LINE fiIZE ._. _-- ------ INSTALLER ----- .....- -- - - -
RECEIVED
_
tAGEP OR ITS AGENTI
COMMENTS: 61da. X1226. Paid to Leron Ha ghts $150,00
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
i�yA I
R
1
y
1
1
` r«]] .n.,,.._n.-- .r«..w+..rr«n yRs•"«N11"r+.n.vf•r'.r1+��,w.w�w Wti+-. .. -. ... ... ... Nyay.h'hT^' Ir-./.�.rrlWM.n...M.�/.M.
BUILDING PERMIT APPLICATION 11 Y TIGARD LATE �• -'�? -_. 19 1226 t�
THE UNDERSIGNED HEREBY APPLIES FOR APEHMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ —
OP. AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS C,.VNERPHONE
LOT NO.— —•
OWNER i'!:i'I : ";I .`I P:,;t%,C: JOH ADDRESS I. 1 HOME ADDRESS I 1
ARCHITECT
ENGINEER
BUILDER it Jd1116J _ ADDRESS DESIGNER
STRUCTURE ONEW_ ❑REMODEL W C3 ADDITION ❑REPAIR _❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION �
I 0AESIDENI = ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [-]CAR PORT L�GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BCND ❑MOV ING ❑CONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_.—LAND USE ZONE -BLDG.TYPE_ FIRE ZONE—.. PLAN CHECK BY HEAT
CA..mi.a.y dwu11:1r.:.; '� t,lll r.s :m r. teat w/yarage Lot; 23 Type"Y" ,haosped
OLS HEIGHT-__l__-_-,IVO iTQflIF�. ! AREA 1260 NO.BEDROOMS 3 VALUE�+�s��p•
BUILDING DEPARTMENT $ET BACKS FRONT 2n REAR 43,5 LEFT SIDE 8 RIGHT SIDE
•
Permit 133,00
—�- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 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
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT V%IAI%,E
i
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSiWESS
State Tax 4,9G` `) LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING,
Total 147 2v
BY __ -— ----- ------
-- APPLICANT OR AGENT
Approved Rrr.ril l NO
ADD 01F55 P11)NF
..vk,..w�,la/V..4aMhY4,i+.w.....♦.WIpiWYM1.:.ynM,wy.r»w — :+'.xwf«.,,,:...wrAr-r. .W.•w.« ��:.,�. .:......-w.. ..... .,..._,_...�, ......aMw«..A __a.Y. .w....:,4r.+ur.w+iuberlp'lj'�Ytn kk
jo
.f'
�r
1'
,y
.,N
I '
aIDATRINSP. TYPE INSPECTION REMARKS PLUMBING GATE
Contractor
Permit No. �`d ;F Ro •in � E
!�[� � Com- �.cn •L •.(.
Fixture
v9R
Final
� HEATING
;d 1.2 3 5 Contractor --- S '77
Permit No.
Gas or Oil
Rou -in
^-- _- Final
-- SEWER 3-/?. 7 i B
Final
` DRIVEWAY
Final
Storm Drainage
j (Rain Drain) Final
Sidewalk A-r—
_ Curb&Street Final _
A osch n•
BLDG.DEPT.FINAL TEMPORARY CERTIFIC4TE OCCUPANCY I
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i
i
1
M
i
ADDRESS / -�w//3Ll�l' PERMIT NO._ %�_> _
PERMIT CHARGE none
OWNER l S'1 u se_ CONNECTION FEE d5
PAID BY ;/,�1_:
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE �� INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
4!
1
f' Ililil/
����'�� Mechanical Permit �n �� • j Permit t0.no___
New !n;ta'Intion F!e Marr n Rr.!c,c»t'on �____; Foe --A-_0U
Q I ❑ Addition ❑ Alteration ❑
TOTAL 7 .21_
>t
CO'VT'tACTrJIt OWNER
Ahnf!tT; ' -AmHf . 72t �RK ALlrinr r; �7� _.
PHONE 7h1 - 1n7jL — AP^1.ICANT xDi�l�itK .__I.��Ipv T F+Ai�ii
Heat Input i"1atin0 (BTU Per };our) Vent Sire
FUEL 01- ❑ GAS ( ELECT ❑ OTHER _
ITEM NO. FEE ITEM _ ^'n. FLE
Cur Isst!.+nrn, o' Permit 3.0_0 Roi!ers Over 50 HP 15 or
Ne+ • Under tOQ 00 RT -�~ r!'
Air I-La 10,noo cr_M
New—Over 100.010 QT!! I+5y0Q_ Air HandiinrL ver
FlcrJr Purrrnr-e _
-20-0— CvaP�r�tiye Cooler —2.0
�
Wall FInnr Suspended � ~� �_4 r1(1 Vent rnnI "
7;�r
imcnIf Vows- I �I � nn�'f Vent .",-stem
LIc��Ir�Ficnt °w Cnn''nn Pond
;l 0
D� 4
r..`. 1..
mrstir. Inrinrrntor r
1ri Hp ILA' Cnrnm. Incinerator —_ 2o f1(
.
1� �r �Cthur Not Listed
!hSPrrTO^'�i CO`AI,1f'1IT^,. r__—W______ _____. �..� _ _.._..._ -�--• _ .�- .;
CITY '.IU SItir"^ !.iCl:ti C !?rC1U1RC r-`11-AL1. ChNTFAC,ron11 QR SUB-CONTnACTOII S
A!1'190V<D IY.�.� DAT!' pATr.+
r' 'CEIt'T N0. � ----
i
774•-----• D_ ttrm of Ap 'Icnnt ,�
i
t