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9843 SW KIMBERLY DRIVE im w w 9843 SW KIMBERLY DRIVE 1 N n N m E Y 3 cr] M m 1 INSPECTION NOTICE City of Tigard Building Department ` 1242C S.W. Ma'n St. Tigard,Oregor. 97223 Phone: C:,9-4171 Tvpe of Inspection --' ? Q .o C •te Requested _ Time A.M. _F Permit # _ Address - Owner_— . Lot # Builder - — — The following Building Code deficiencies are required to be corrected: I _ � I k Presented to _�� — — /Approved Inspo-tor _-- '` __ � Disapproved Date CALL FOR REINSPECTION O YES ZNO w w BUILDING PERMIT APPLICATION TIGARD DATE ::i;.,_ i9_ ,y4 4943 THE UNDERSIGNED MI-FIERY APPLIES FOR A PERMIT F(�R-1 HE WORK HEREIN INDICATED BUILDER PHONE _ti2U-1242 OR AS SOOWN AND APPROVED!N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNERPr�t�tun c:ut:I,iliB JOB ADDRESS �9443 SW Kimberly Ur. NO.-_- _ --- -- ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER S. iRE L_] NEW EiREMODEL 17 ADDITION El REPAIR ❑ RENEWAL CI FIRE DAMAGE_ 0 DEMOLITION C.kReSIUENCE ❑ COMM EJ EDUCATIONAL ❑ GOV'T O RELIGIOUS C.] PATIO ❑ CARPORT f] GARAGE 0 STORAGE EI SLAB❑ FENCE OCCUPANCY _ � _LAND USE ZONE —A--7 —BLDG.TYPE FIRE ZONE, -PLAN CHECK dY HEAT_ ti�I1B Addition tO exiatin.j Si&nle f _ly ltwelliug wood flour — crawl aJ�ac,�. SEWER PERMIT M - 140 Pltupbing OCC.LOAD ''BOOR LOAD 40 HEIGHT _ I6+NO.STORIES I AREA 440 NO.BEDROOMS _ VALUE 4,UOO. buii_i,..irGUEPARTMENT SET BACKS�FRONT REAR _LEFTSIDE i 13 RIGHT SIDE j( -- — - _ Permit 44.51) _---- 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 PIP,n Check •8.93 WORK WILL BE DONE IN ACCORDANCE WITH Tt•IE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total 73.43 RESTR"'rIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State 7r ,.1t; LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. c Total -- — 1.5.2► SDC-- Y PVC# APPLIC, ORAOEFT— -. -- — By f„t Approved t, !hl Receipt Nn ADDRESS PHONE � tael e r DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE Q _ { Contractor — Permit No. �� •>Lvt• _��`� Rough-in Fixture Final ------ HEATING '�x.Jlyrli/1'L� d�?/at ri✓i(: �'O/(/:�"T! >.rFl�� ' Contractor 4 (,>� /I y' �. . Permit No. — Gas or Oil Final -- SEWER Final DRIVEWAY Final — — — __ —i Storm Drainage ,Hein Dain)Final Sidewalk Curb&Street Final Approach — BLDG. 'U,EPT. F'INAT_ _ TEMPORARY CEF;TIFICATE OCCUPANCY iCERTIFICATE OCCUPANCY Final i Landscapi^y iZoni q Final EWA TIGARD DATE- - BUILDING PERMIT APPLICATIONx,20 THE UNDERSIGNED HEREBYAPPLIES FOR A PERIAIT FOR Tk.E WORK HEREIN INDICATED BUILDER HONE —� OR A5 SHOWN AN PPROVED IN THE ACC011PANYING PLANS AND PES FICATION: LOT — �+ ��Q� __ Q/flrj O•NNERP✓AA41/' b-_� -fig ADDRESS ARCHITECT ENGINEER DESIGNER _ RUILDER ADDRESS _�__�-- -- XFRIEEMODELADDITION 0-REPAIR ❑ RENEWAL. ❑ FIRE DAMAGE QE►.IOLITI01•STRUCTURE ❑ NEW - ❑----_-2N ---- - - RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GAR4GE ❑ STORAGE ❑ SLAB❑ FENCE _-- - _ - - — C}u.iiPANCY 2�A��NO 11SE 20NE .-BLDG.TYPE r __FIRC-ZONE_'F_"•�'CHECK B HEAT SEWER PERMIT k --- O Q� ARE\ NO.BEDROOMS VA.LLIe OCC,LOAD HEIGHT 'Jf" NO STORIES L- -- FLOOR LOAD (f� G -- RIGHT SIDE rU - LEFT SICF_ -BUILDINGDEPARTM�NT- SETBACKS FRONTREAR _--- - _--- ---- -- Permit y TO THIS PERMIT IS ISSUEq SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDING CODE,ZOW!4: +1 RFISPERMIT ILATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT Tt:' PlanCheck - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN (:OIdPLIAt1C F- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIS RESTRICTIVE LICENSE.SEPARATE ANTSPERM.COREOUIRT 0 FOR S EWER,PLUMBNG AND HEATINGNTRACOR AND SUB CONTRACTORS TO HAVE . CI rr BUSINcS Total _ / y7 1 "� PD( APPLICANT OR AGENT BY -- -_ Receipt No. ApORESS F'HOI:� Approve4 SDC____ PUC - — SEWER CONNECTION_ 5 r f SLWER INSPECTIONew SEWER SURCHARGE 5 _-_--- ---------------- s 'r> a \ ar 1 ' P ee e r. mwjKwlKKm V !N ~ APPROVED FOR CONSTRUCTION`+ CITY OF TIGARD ' R PERMIT NO._-- SITE ADDRESS BY _TITLE DATE j II i L�-� III � IIII ► III . I I I : il ' . II TTIT, � f i a-- L i I � Ii � I r; T � i it i T li rr yi f It 14 I'M 1 fill I t I \ i '� *' ,y � 1 ` r v { •1 ♦• AX V 7 N �. ■ I G ,l ~ Aim � y w V r 't s r_--- t s s�r M y`,N t S � i v V Y! Ari v 1 i I �l i 1 1 � 4 I \ w x j 1 > �A ddrez3s q?43 CU P rr.,j.t 1!L) 13 Fs 7 :2____. Permit charge 7 r.nnnection fee Poid by i.d n z .sem Date corner gd lrvice rr, InoPection fee nntrar_tor Paid by date A ze of nonnTction Assessment Paid 2,15 4 w� � ■w +ate �r wlll .� .+rl ,Iii .`_. ....r,.„.Fr ,..��.SA^'1 •-vA.�.......-�-^- r.,.r_..._,,..___"„�,F,�,.-, ,,.R'+*+1�IAs1Rc�+Mw1�.«wil�4vpr"".eg"^,J"'^bYtriaL4 .WkM�^ �{R` �.5�'., 'u9+tP+M?..+;,q. ,:�. -_ _.'i7 BUILDING PERMIT APPLICA r ION cOF TIGAR"J DATE— a, r� 7c, THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANU SPECIFICATIONS OWNERPHONE� LOT NO— OWNER -irri1'!traphE Inc. JOB ADDRESS " 'a PMOAIE ADDRESS _ ARCHITECT ENGINEER BUILDER ADDRESS — DESIGNER — STRUCTURE ❑NEW 0 R MODEL ❑ADDITION ❑REPAIR ❑RENEWAL-- ❑FIRE DAMAGE —❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'1 ❑RELIGIOUS❑PATIO [-]CAR PORT ❑GARP of ❑STORAGE❑SLAB ❑FENCE LeRC VO ❑MOVING ❑CONDITIONAL. USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS OCCUPANCY LAND USE ZONE 'i BLDG.TYPEIRE ZONE:;._PLAN CHECK BY_ - HEAT___u___ _ �— �'� >M160tr. um QCT L4A4 FI,QQf3_I C�A_C2 —_._�lE1CzHT _ 1VIQEIE� l31AC�ACI __rt_yALUE « 4600 BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE � Permit 1.97.00 -- ` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINSD IN THE BUILDING CODE, ZONING Plan Check EI REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TNA: THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS 'NE)IN COMPL IANCF WITH Subtotal HI_I_ APPLICABi.F CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NO1 WAIVE — RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTt1ACTORS TO HAVE CURRENT CITY BUSINESS State Tax 1+ LICENSE. SFPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total .( BV — —--- APPLICANT OR AG7I�T Approved i Receipt No. 1911 —" A SS ww ilei ■eer ee� e�w � � .e e� e� DATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE Contractor------ _ - - �_ Permit No. Al 1,5- (� S �� - ' Rough-in Fee 11 Fixture Final HEATING _--- -^� Contractor Permit Na.! 3 Gas or Oil Rough-in Final _ - --- —._-- -- -- ---SEWER -- Final — - --- - -- ---- - - DRIVEWAY - - Final — Storm Drainage ---- -- �-- ---- (Rain Drain)Final --- -� Sidewalk Curb R Street Final -- -- -'- --- ----- APPnmch BLDG T.FINAL — fiEiIPORARY CERTIFICATE OCCUPANCY I Final CERTIFICATE OCCUPANCY --------- Landscaping Zoning Final V SEWER PERMIT NU 15877 Uf ni'sd Sew�rag a Ag*ncy T I G A R D A r i l 26, 1978 of `Vaahington County CITY OF DA'f E OWNER : _ jonsteoh. Tnc. PHONE : OWNER 'S ADDRESS: 9843 SW Kimberly Dr. TYPE OF INSTALLATION: ❑ BUILDING SEWER ❑ BUILDING SEWER .AND SIDE SEWER TYPE OF OCCUPANCY: D NFW ® SINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. WRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTUkE UNITS DWELLING UNITSL.___ ADDRESS OF STRUCTURE : PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGEi,,CY. WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE- HUNDRFD AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FFI-S: PERMIT FEE $ 600, 0 CONNECTION CHARGE 25. 00 ----��---- SIDE SEWER INSTALLATION -.__��c��.�,tn SUED BY OTHLR TOTAL $ 625. 00 ) -/_!�4,- h, �— ) 4-26-78 APPLIC T -� r DATE He CHARGE lrll QECIAFOA IfHl3 N° 15877 PERMIT SEWER PF RMIT ADDRESS OF STRUCTURE 9843 SW Kimberly Dr . TAX MAP _ TAX LOT SYSTEM LOT BLOCK OF , J L. Walden 4-26-'70 _ ` J F,)cl. k Q - ' c; -J kY ,APPROVED BY DATE ISSUED BY DATE ' S _ 1 — REMARKS EI.:��_ iggnc;a Jll_LliNG F)LRMIT APPLICATION c�Y RDD ATEQ N° ? ,IF LINDF REIGNED HEREBY APPI. IES FOR APF_RMI i FOR THE WORK I,t-RFIN INDICATED BUILDER PHONE _ AS SHS '�� ANE.' APPROVED IN 'THE ACCOM .+HYING PLANS AND SPECK ICAlIONS. OWNER PHONF -.. LOT NO._ Z < JOB ADU17E55 �S�(/`/L, t�E ADLJRC55 ARCHITECT LNG NEER R ADDRESS _ DF:.SIGNER 1 0NFL- W TQ RE MODE �_. DADDITION LJHEPAIR RENEWAL ❑F IRE DAMAGE []DEMOLITION (� r1MM LJ ❑EDUCATIONAL OGOV'T RELIGIOUSOPATIO ❑CARPORT ❑GARAGE C]STORAGEEISLAB []FENCE Dnn_ `ND []MOVING ❑CONDITIONAL USE ODLSIGN REVIEW COUNCIL APPROVED ❑SIGNS I' NCY LLAND USE ZONE—?-" BLDG.T','PE FIRE •LONE PLAN CHECK BY AU - -. F4gQPl.U�Q- ----NEAC�lY - NQ..STSlRI��---.APEAr90--Y- iEgp40M� �uEt�~��- � PUILUING DEPARTMENT 7 SET BACKS A,90--Y- F �.O REAR IFFT SIDE RIGHT SIDE '7 THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINU CODE, TONING liar: Check REGULATIONS AND ALL APPI ICABLE CODFS AND ORDINANCES, AND IT IS HE FIERY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCE WITH `,uh iota( — -- `^ ALL APPI ICABLE CCOLS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RLSTRIGTIVF COVENANTS CONTRACTOR AND SOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ,iai—Tax LICENSE SEPARATE PF RMITS REOUIRED FOR SFWFR, PLUMBING AND HEATING. J� _ APPI ICANT OW AGENT Receipt No Phil ir,r SS f � r` /