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INSPECTION NOTICE
City of Tigard Building Department
12.420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Permit
Type of Inspection
The following Building Code deficiencies Are required to be corrected:
Presented to _ Inspect6t
Date
CALL FOR REIA PE TION
❑ YES ❑ No
BUILDING PERMIT APPLICAZ,JN TIGARD DATE '�/ + L 19 fil 3597
THE UNUERSlr:NED HEREBYAPPLIES FOR A PERMIT FUN THE WORK HEREIN INDICATED BUILDERPHONE 620-6601
OR Af,SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE b —478
t a X LOT
OWNER TxnlothY PIc]OT® JOBADDRESS 1'c"'505 SU Karen Street �FE c—,
o0{Cw*�2
ARCHITEGf
BUILDER Oalru Duval. ENGINEER
�! Corp- ADDRESS X3990 SW Greenberg Rd• DESIGNERv DelrO
STRUCTURE _ !.J NEW E] REMODEL __ IX ADDITION ❑ REPAIR C7 RENEWAL_ _❑ FIRE DAMAGE ❑ DEMOLITION
LXRESIDENCE ❑ COMM C i'. 'ATIONAL EJ GOVT ❑ RELIGIOUS P PATIO P CARPORT I.7 GARAGE ❑ STORAGE G SLAB❑ FENCE
OCCUPANCY �-3 LANDJPcZONE 2-f—Y _BLDG.TYPE JN -FIREZONE�--PLANCHECKBY dwh HEAT elc<,:-
Construct family _room addition to existing single family dwelling.
SEE. CORRECTION SHEET ATTACHED.
NO PLUP'ISING.
SEWER PERMIT#
OCC.LOAD FLOOR LOAD 40 HFIGti r 1 NO,STORIES _l` AREA 1 NO.BEDROOMS — VALU15,000.
BUILDING DEPARTMENT SE—BACKS FrIONT RE R 35 LEFT SIDE -- RIGHT SIDE 26
Permlt $32.0o THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 16.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SLb-lotal _ 48,.
OQ RESTRICTIVE COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
state rax it:
1. 28 r':ELICENSE.SEPARATE PERMITS REOUI RED FOR SFR,PLUMBING AND HFAT ING.
Total $49.28
PDC# APPLICANrGRAGENT
By
Approved dwh Receipt No. I fJ ADDRESS -- -- PHONE
tt�l Its It atm .. s tI�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
,2-20 )� ,� _7�e� �— Contractor —
3 -/1'�/ �,� '� ✓ — — Permit No. -
3 Rough-in
Fixture
Final
HEATING
Contractor
-- —= _ — -- -- —` Permit No^ -
Gas or Oil
Rough-in
Final
SEWER � _—
______ _-- ---- Final
----_ DRIVEWAY — —
_ ,__—_.`---- ------ Final J
Sturm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG. DEPT.FINAL TEMPORARYCERTIFICATE OCCL NCY Final s
CERTIFICATE OCCUPANCY �_/��G/
O [ Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION TIGAZ:i:) DATEAe..it___...•ism
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TtiEi WORK H.:REIN INDICATED BUILDER PHONEI(v2o d
OR
AS SHOWN AND APPROVED IN THE ACGOM.PANYINr PLANS AND SPECIFICATIONS. OWNEP PHONE4 _
qb
SNE 1• OOH' JOB ADDRESS 2S�Oj ttgrl 7{. LOTPJO.
ARCHITECT
BUILDER-bet •�i ADDRESS NSW 1ldN M RXESIIGNER • )SI.rV
STRUCTURE ❑ NEW ❑_REMODEL _XADDfr!ON -- REPAIR ❑ RENEWAL ❑ FIREQAMAGE ❑ DE+A01_ITION
RESIDENCE IFfCOMM 0 EOUCATirNAL-7 GOVT C RELIGIOUS Lj PATIO C CAR PC,RT C GARAGE r STOMA E 0 SLAE?❑ FENCE
OCCUPANCY ?!_.LAND USEZONE __-BLDG.TYPE S N-_FINEZONE__�PLAN CHE',CK E3Y _ HEAT_ _
fit, Roon
SEWER PERMIT N ___
OCC.LOAD_ _ FLOOR LOAD `'/0- HEIGHT 12 NO,STORIES � AREA /�(� NO BEDROCIMS VAL UEAOPO
BUILLiNG DEPARTMENT �i ^� T
SET BACKS FRONT REAR 3f LEFT SICE RIGHTSIDE .2(0
Pjrmit ��•�� THIS PEPMIT IS ISSUED SUBJECI TO THEREGULATIONSCONTAINED Rl THS BUILDING CODE, ZOP;:`Ju
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT PS HF9E3Y A.GPEED TpA T -HF
iPlenCheck • � WORK WILL 3E DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CC.,"PLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS FERP"IT DOES NCT WAWS
!Sub-total �oJA RESTRICTIVE COVENANTS. CONTRACTOR AND SU9 COPITH-ACTORS TO HAVE CURRENT CITY B6sl,vrSS
i-- — Q LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATIP•G.
,tats Tax
g I SOC—
Total
2—� PDC$ APPLICANT OR AGENT -- ---------- - —___�
By _ 41
Receipt No. �4
Approved ADDRESS PHONE
,OC - w
TIC
SEWER CONNECTION S Iv%110" LQ
EWER INSPECTION $
EWER SURCHARGE s
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :. ---- PERMII- NO . -----.---
+ DATE/--- Z3 ')ATE ISSUED--
OWNERS NAME :
4 D OR FSS
TES 1 &nfer 7 , `':^ �I La , L
- k
RESULT Nppr�v ed w , :J --proved 1 itd+,:,j 1
I SKETCH:
I
DATE
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7
IN$pECtC� !
L Attcoh supplemental test .ln�r+ hUre1
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of Tigard
INSPECTION REQUEST
for
N,-;PECTION TIME . Pi:P-Mll- NC
DATE )ATE ISSUED
OWNERS ojAME :
ADDRESS'
0 N r R A r,T 0 R : _-;Gaa�.�.c--
EST ' ,- Y, ierc] V
RESUL-' ,p. roved 0 uppt -,,,idK d k (6ke.
SKETCH:
IF
ZZ
' l�N4PE(:::Cl-T' OP
DATE
11
.-,
[NOTE: Attact, supplemental test data h6rf�t!j
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME '
PERMIT NO. '
DATE.' aDATE ISSUED*— / L_
OWNERS NAME * r 504
ADDRESS :
CONTRACTOR :____
TEST Li, Wnter llirl,cil X1 , La' ,rotor
RESULT. Approved Dkrpproverl J Frl,inding
SKE I TCH' 7-w eo
4-1
INSPECTOR DATE
(.J E At to n h ski pple ment n I test I c1r; hprvtc
City of Tigard
INSPECTION REQUENST
f o r
INSPECTION TIME.' PERMIT NO. :--
DATE ' -e-?!7 /3 %& DATE ISSUED :__LJ_
OWNERS NAME
ADDRESS .
CON,rRACTOR I
EST : Air fes , Muter [j , V*,,.,.ija1 ?1-<�_aborctory r—
f
RESULT' Ap,�roved G.
SKETCH:
c_
INSPECTOR DATE
NOTE : Atiacri supe"amental test data here t
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ' PERMIT
2
DATE ISSUED*—/
0 W N E R S N A M E
ADDRESS '
C 0 N I R A C T 0 R x
TES1 r '-j , Water L-1 Ln rrfor,, Fl
RESULT Approved ' Discpprove'
SKETCH'.
INSPECTOR DATE
�r401F Attoch supplemental test Jctc-1 hef'etol
l 1!" q ✓L.(.? � pp �l?
Address 12505 S.W._ Karen Permit No. 4010
Permit charge ..
Owner J. A. Paterson Connection f as
Paid by J. A. Paterson
Type of building Residence Data connected 6-6-7% r
Service rate 3„00 per months inspection fee
Contractor J. A. Pateerson Paid by date
Sxze of connentiun _ 11 Assessment Paid
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City of Tigard
INSPECTION REQUEST
for
INSP'EC'TION TIME *.------- PERMIT NO. '. .
DATE-. _ACLZ_/_Z-3 R)AT F ISSUED*�1--L--
OWNFRS NAME ' --_ - -- '
ADDRESS : _ _._!a� r� �'�•'"J -
I
CONTRACTOR :_ --
TEST .� r J, Water L-3 , La'• .rctori P
RESULT: Approved x1 , Disapproved Z , rending J
I SKETCH:
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3&low
1 111 U TG'
I T.9 5�Nt
I
7_ `�y;� ► 73
—__lNSPECr6R DATE
rNc)1E : Attnch supplemental teat o' , beret]
L._ .
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : ,,"-,:" PERMIT
DIATE: -' AP-11-173 DATE ISSUED'
OWNERS NAIJE *
ADDRESS :
C OIN TR A C T 0 R :--
TES1 ,\ t D . Water L7 ,
RESULT .' Approved Disopprove-A J
SKETCH:
4SPECTOR DATE
COTE : Attach supplemental test dot(; herntlo
ww eer ar w w w w w w �
i
City of Tigard
I
INSPECTION REQUEST
I
for I
INSPECTION TIME' 13. 3 D PERMIT NO. ' — I
INS I
DATE : � DATE ISSUED :_-L-I-
OWNERS NAME : . amb"aii, i' ---
ADDRESS'
CONTRACTOR --
i
TEST . Air ❑, Water[] , visual G , Laboratory 0
RESULT : Approved �( , Disapproved 0 , Pending 0
SKETCH: Al oT�
teR-
G p gM&, DOo K WOPOff f
muSy A4,,,
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�✓ s iTir�
T v �3"Oi,v L P�'M/T fvh 5;7'
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�SP�ECTO�R �
DATE
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(NOTE: Attach supplemental test data beret a]
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or
PLUMING PETIT APPLICATION
Jurisdiction of
INo. Type of Fixture Fee Permit No.
Permit fee �—
Wa lose Toilet Permit IssuecT'D-7j
Bath e Approved by
n VIf Building Permiti
Shower - wv Receipt No. 71
$ Hhen
n
e
s Ordinary Location of BuildInks. Bar ' g
u ma c a w
siDosal
11 rave Name g Address of Owner
ains. oor
na re
an Drains
Automatic as er N Ik Addres ,of Pi
o ansWinging
a .,oUM
r Tank
t ery Z
r a wild n -or Neh r
-Basins - r ns
a r
w n oo �
r Syot@m
This permit becomes null and void if work or construction authorized is not
commenced within 60 days, or if construction or work is suspended or abandoned
for a period of 120 days at any time after work is commenced.
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
? hereby certify that I have robad and examined this application and know the same
to be true and correct. All provisions of laws and ordinances governingthis type
of work will be complied with whether specified herein or not, the graning of a
permit does not presume to give authority to violate or cRncel the provisions
of any other state or local law regulating construction or the performance of
construction.
gna re of Applibknt
wv at rw w iw w w w
=N-WJL�
AVOID VERBAL MESSAGES
CITY OF TIGARD
Loreen N Wilbon T'rom: Faye
"ubject: Leron Heights nate: 3-16-73
Allan Paterson paid Leron Heights $150 for
lot 34 in Broohway--125G:) o.W Karen
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UNIFIED SEWERAGE AGENCY nao,
WASHINGTON COUNTY DATE 3-s�•Tj y
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER -__.-. J. A* MorM
OWN[R'S ADDRESS:_ -
at�sat
city atA -- ir►
BUILDING SITE LOT ._.__.._____ BLOCK ADDITION __ "kftz
TAX LOT NO __ _ __ _ TYPE OF OCCUPANCY
ADDRESS 1=1L16V4 Yams YtMil
DWF11ING UNITS __l ---__ FIXTURE UNITS..__ _.._
SURCHARGE IF APPLICABLE
40
PERMIT FEE .._ -..__ . INSPECTION FEE �� TOTAL DEPOSITED
INEW) (EXISTING) BUILDING SEWER SYSTEM T _
The Applicant agrees to comply with all rules and r ilaUons of the Unified Sewerage Agency
APPLICANT
SEWER P RMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM
LINE SIZE .__._ .4!!__ ___ INS TALLER
RECEIVED BY
v r AataT)
COMMENTS:.__.
'This Application and permit expires in ninety 190) days. The amount paid will be forfeited
should expiration occur.
a
.T
CITY OF TIGARD
INN a W. MWO spno
Tt$ARD, owe00M "M
APPLICATION FOR BUILDING PF.RNIT
1 New Construction !_J Demolish t. Remodel Move
i
ZONING, R-7 `^ NATE ISSUED- 3_1- BUILDING PERMIT
DATE: RECEIVED_3,,�TY BUILDYNG FEE $ T4-00
No• �,�,���}
PLAN CHECK $ 31
BY n
VALUATIONOTHER $
TOTAL $ RECEIPT No.-7-k
TWO SETS OF PIANO AND PLOT PLANS MUST BE: FURNISHED WITH APPLICATION
LOT 1 34 MAP I 2111 30 CENSUS TRACT W-1i JOA I
Architect or Engineer
Address :.tr h irr•► Iv%U Phone
Owner--- J. •• inttrrL,,,
Address_..__ I L "Vt Jaren ----.--Phone»
e�ilder
Address---------------. -- _-- _ ..—Phone-------
BUILDING
.Phone`----- _BUILDING USE Single Res. a Multi Reg.-� Comm. Indua,.r.ial�
OCCUPANCY (.ROUP __ No. of Stories__L - Total Height c Areca of
Type of Construct ion 7 �.-�1/ V Floor Area 8_—.
Set Backs: Cont 2D Hack 34 I..Side_ 14 _ R.Side _20_—
Private Sewer PipeSite l�"-_ �SewerAftT Septic Tank �_ J
Water Service Pipe Size_----I&v Storm Sewer hitch C� Drywell C�
Street and Curb Requiremer txist
Driveway width-_ _ 171 _No. of Parking Space a__2_
SEPARATE PERMITS REQUIRED FOR ,SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED _14LE5 g j6 N&Offis. _
FIELD CHECK BY bA'fE
PERMIT APPROVED BYJ61,
It is understood that all work will conform with applicable codes and ordinancf
of th,, eccte of Oregon and the City of Ti r r-0rejr gin, and that the buildinq w}
not be occupied until a Certificate of Oc hag—keen issued by the City of
Tigard Building Inspector. -
SI'glia re (STli tMcant "
settIffALARULMULN
INSPECTION NOTICE
City of Tigard Building Department
12421) S.W. Main St.
i!gard, Oregon 97733 r
Pho,ie 639-4171
Address_ l _ �.. Permit # I
'type of Irspdction
The following Building Code deficiencies are required to be awrected:
1
Presented to _ Inspector
Date ---
e;41
-e;41 L FOR REhffECl70N
6 IV Es D Mo
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