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CITY OF TIGARD BUILDING INSPECTION NOTICE J
Inspection L' a (Rec..--O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ ' \ C.G'V a_j`
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. UnderslaL Mech. Hough-in Fireplace
Post/Beam Struct. Plbq. Top Out Elec. Rough-in FIN�'
Post/Beam Mech. San. newer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. iAlarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �"Z _ 1�' — Time: AM PM
Address((:�:_ 4A CD V-71-'L(-- /
Builder:t Permit At'
THE FOLLOVIING CORRECTIONS ARE REQUIRED.
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Inspector: L' L--- — Date: I
"APPROVED __DISAPPROVED __APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY
OR BUILDING
19GNSsiIpOn:Inspection Lie (Rc-O- oe6947Business Phone: 639-4171
Inspection:
Foc!ing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
(Foun_datio Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Fnti�L
Rough-in -
9 :
Post/Beam Mech. San. Sewer
Gas Line _Bldg
Plbg. Underfloor Rain Drainr
Framing -Plumb,
Water M
ater Line Insulation
-Mech.
Underilr. Insul, Shear Wall
GYP. Bd. ' -Elect.
Uul� Requested: C' ` no
q/ ---I---I'-�7 Time: - AM
Address:-J��,yy Q �- v ----PM
-1-r- Permit #: - ,Ll- ✓`�I�Jx
THEF LOWING CORRECTIONS ARE REQUIRED:
------_------------
Inspector.:, %� L/ I`
— Date;- � /
_APPROVED _DISAPPROVED ,-/APPROVED SUBJECT TO ABOVE_
/-) - ,Call For RaJnsp.
0
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41 5 Business Phone: 6,4�-4171
nom, � ./✓
Inspection:_ J� �4--� `�"- '�✓'•_ -f _
Footing Susp. Ceiling Sprink. Pough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplac
Post/Beam Struct. Flbg. -fop Out Elec. Rough-in �FINA .
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drainrare n iui
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wail Gyp. Bd. -Elect.
Date Requested: ?- �' �7 M_Time: AM PM
Address:_(fy-yoC�-
Builder: Permit # �
THE FOLLOWING CORREC 'ONS ARE REQUIRED:
�CA 41
�� n ,7 , u-y--�---�� `�a�r-� `' ��•--,..--.� . 1,
Inspector._ l!" -- '1 Date:
_APPROVED DISAPPROVED ,-OMOVED SUBJECT 1"0 ABOVE
—Call For Reinsp.
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CITY' Or TIGARD
COMMUNITY DEVELOP MENT DEPARTMENT 0
13125 SW Hail Blvd.Tigard,nragc r 97223c8199 (503)839.4171 BUILDING PERMIT
F'ERMIT #. . . . . . . : RUI=19,4 -0:368
DACE ISSUED: 12/e?6/94
6:3'3-41 i 1
i PARCEL: 1 S 1.:lJA�._.I�:S(4QI171
SITE ADDRESS. . . : 09400 SW OAK ST
SUBDIVISION. . . . : L45HB ROOK FARM ZONING: C—P
BLOCK. . . . . . . . . . . l-01.. . . . . . . . . . . . . : 17
REISSUE FLOOR AREAiS --- --- - EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. .NE_W F I RST. . . . : s f N: 5: E- W: •
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TYPE OF USE. . . :faC > ;E:COND. . . : S PROTECT OPENINGS?___.___.-__.__
TYPE_ OF CONST. :,:,N TH I RD. . . . : 5f N: S: E: W:
OCCUPANCY GRP. : R3 TOTAL--- -- : 0 S ROOF CONST: FIRE RET?:
j OCCUPANCY LOAD: BASEMENT. : 5f AREA :iEP. RATED: a>,
GTOR. : 111 . : 10 1-t GARAGI . . . : of OCCU SEP. RATED:
BSMI;': MEZZ? : REOD SETBACKS----------- REQUIflED—
FLOOR LOAD. . . . ps•P LEFT- 13 ft RGHT: ft FIFA SPILL: SMOK DET. . :
DWELLING UNITS: FRNT : 10 ft REAR: ft F=IR ALRM: HNDICP ACC:
BE:DRM5: BATHS: IMF' SURF=ACE.: PRO CORR: PARI- I NG:
VALUE. $: 1300
Remarks;: 18' X ::1' DETACHFn METAL "PORTACOVER" (CARPORTCov- f0 BE IN i'Trll l_ED I
i N
FRONT YORD. MUST DE 30' FROM CENTER L.TNE OF STREET.
' Owner-: ___.___.____.._»_.____.________.__._____.___.._____..._. ____w__ FEES
CLARENGE: THOMS type a MOUnt by date` recpt V -
1 9400 SW OAF; STREET PRMT -'3. 00 JO 12/28/94 '34--`'S' 2,i3O
PLCK $ 16. 25 JG 12/28/94 94--259240
1IGARD OI- 9-7223 5PCT $ 1. 25 JG 1'c'/c:'8/1)4 94--c`39240
Phone #: 244-8229
Lontr-•ac.,t or s
JUST US CONSTRUC1"I(.)Id
b5blZ1 SW JEAN RD
LAKE OSWE60 OR 97035
Phone #. 699-.0398 $ 42. 50 TOTAL
Reg #. . : 98949 �
_..._..._____. REQUIRED I NSPE:CT I ONS
III This permit is issued subject to ':he regulations containEd in the Foot/foUnd Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will to done in accordance with .
approved plans. This permit will expire if work is not started
.___.,.
1 within 180 days of issuance, or if work is suspended for more
i than 180 days.
fsi-m1.ti;ee S1ynat _tr•e :
/ Cal for, inspection 639-4175
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CClty tl�
13126 $ jlyy 1�
(saj)
Jobalto Addles: . :��Oj,
3ubdIV141ttlir9 Lbt It
valoiahl
Corner Ldd
Flag Lot? yf �' i
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Ownbr:
Add., 96;
Corttw�lt�w 1 c-r. ,'
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Contractoes LWnS6 _
(#tMch Cty 0 cuttent Omp ri ft*"hd)
Contict Ndrh* A, Ph w. �O-AcIL , `�`�- O•$ ,
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Subcdrttt�ctri9M: M � dr�ttltdcbElM,�yylntwM:
Plurrtbfng: _ eau _ Ad�r�se: I �I " ,
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TAX
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Orry Of 1TWAND, 019000
CITY OF TYGARb, ]3119 5W Hall, PO iiefr 2339' FOR PUFF USE ONLY
Tigard, Oregotn 91111 - (503) 639-4171 cl
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Ct OTIIEK CASE
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APPLtcATION,4qdtPT9D els
DAM
1 . GENERAL FORMA ON _ 1pl datioft o►jIs&a! is submitted
PROPERTY AbtHL '3!i/LOtdIfiiON O� (A) Appltedtibd form (1)
Of #r'd pigttsiture/wr.itten.
TAX MAP AND TAX LOfi 96-19 �N , gyp� _ r _1 e7- J�� ` ndtli�oi`i��tibn
• ' ' '� v � �`) 'title ltAtIdfar instrument (1)
_
SITE SIZE l_._—_.�. ��� � �`T� / (n) AAsesgbt'�H step (1)✓i
PROPERTY OWrO/DOW 90090G � _
Plot olk" (of*-app checklist)
AnnRESS d_2 NONF�_ 3 �lr +� (F) Applicant's Statement
CITY � r riF ,� ZIP I (ire-app checklist)
APPLICANT* 1.0 J S �t-i..71`.._ `�(�G) List of ptororty owners &nd
q cP .Gv 01RONE,S e3- 'J' �19 AddrebssA With
ADDRESS in 250 feet (1)
L --i----�--� z1P C° � - H) filing fAd (380.00)
CITY
;When the oartter and tl applicant are different
people, the Applicant must he the purchaser of tticbtd
or A 1P_a8P_e in podti'44onfatf with written authotftst16n nATi; 0 TLRMi `N O 'A COMPLETE*
frim the owner or an agent of the owner with written �li�
authoriyatton. Tho ownet(s) moat sign this
appl {cation in ►-hat ApAce provided on page two or FINAL DECISION ri�ADLINE:_______
submit a writt(,n authortt!,tion with this npplioatlbn. COMP. vI.AN/ZO b ONATSON:
7. PROPOSAL SUMWW - -- �`
Tlie oanf:ts of record of the subject property N�p.b Nuilber:
request in Acdoigot�y structure which in
foot in heig'ht with an area of
l�ua1+A �Aek. Approval nate:
Final Npptaval bstef
Pl.knni.ng -
11.87P/].3P ingineering
� Rev' rl: 3/88
to�'
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3. List any variandd, condi.tional use, sensitive lands, or other land uld detiond
to be considered `Idb par,. of this application:
4. ApplicantAs To hAve a complete application ybu will ddi*8 to bubmit ttttdthtdentd
described in thA Attached information ahett at the time you duNd t this
applidatibd.
5. THE APPLICANT(S) $HALL CERTIFY THAT: V
A. The Above.,UgUdidt does not violate anj deed r#4t,r(ctlaltr ..kl?��,
attached to ,#S imposed uEon the subject ptoperty.r
B. if the application ie granted, the apolicAnt will exercisr the Yights
granted in ACdordance with the terms and itcbject tb All the cbtiditiatxd Acid
119kitption* Of the approval.
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C. All of th6 above statements and the statemecits in the plot plant j
attach*entdj' and exhibits transmitted herewith] tire true; and the
applicants so acknowledge that any pttHir i;laued, bAied on thle
applitationo mdy be rdvdked if it is fdohd that hVit 6skh MAtlltiffitb dt6
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false
D. The applicaht hab read the entire convents of the *P011,69tiun, including
the policilt and criteria, and understand* the reduirewenta for Approving
or denying the application. ,
DA110 this day of
/l:Y..�i,l .:L11 :.-...�_I YL Y...tYW,Y11.1..r•1. - -; .,1;.y,!.'..
SIGNATURES of 4ach 6"er (eg. husband and wife) of the subj6dt prdpGtty. 1,
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(RSL:pm/0524p)
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THE
MULTIPLE USES:
• MOTORHOMES ;
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PORTACOVER
• TRACTORS
a • LAWNMOWERS
• (TAMPERS
-'GREENHOUSES
• BOATS
• HAY oR WOOD STORAGE
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$;71 PER UNIT
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INSTALLATION
AVAILA 13LE - - --- .
:ALL FOR RATES!
10X
12 X 20 $625 '` `
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• ALL METAL CONSTRUCTION; ■ CHOICE OF 12 COLORS
■
COMPLETELY PORTABLE ■ TWO HOUR INSTALLATION
BAKt:D ON FINISH ■ CUSTOM SIZES
A��rEIdlM �1 -TIE DOWNS INCLUDED
` CITY Or TIGIAND " yTANDARD SIZE 12' x 20'
MIT NO, MTV. AbDRE 9 (1�/z,L f>[&,) &a
E3Y.,I i.. l 1� �; Y +...._ _.________.DA ITE?_?h
RIMETI E PPODUCTS
.. (513) 699-0599
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i�u,�r�,�. �n'�?':�1N.��*;: � .'• CSVS ��►n�w4111� ,.IAi.,J A►,Ivw,iNt�lE�,..�AAT�M� . �.., e
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V VALUt CHANOt NOTICE
IA I%;d f.larknt Valtui(PkIV) �' Lart YAAr This Ya Code Area Account Numhnr
RMV LNO 31 , 000 3�f� b 023.81 10_5x0 _ RQ7�
u RMV SIRUCTUaS,��} 66,940 73; 0 Oregoni'rofttarlyTyxYear"-
TOTAL 95,940 109J 0 7/1/04 to 6/30/35
C ASSESSED VALUE a
H ' , 31 ,000 3�, ♦ WACountSHINGTON REAL .
1AV)
A AV LAND tl0 FT
(Map Numbe+)
N AV 5TRUCtUaE( � 65,940 73 50 -_� _ r -- _
G hip +;rpt $etllOn r 114 _� 1/10 I — for Lal -�pecW(ItferM M.
E TOTAL AV • I 95,540 100,450 iS13G4C-03400
N EXEMPtION�
o ,ji{`, _._._ _35 -. 10.14
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� N�fi A93E9�rrd ��� � s�; 5d0 1d0,��d
C I i i, i i 9400 SW OAK St
E I'r)r(rlrta:Ae �f,' 1 ,008 .93 1 , 71811 THOM5 CLARENCE E LOIS_N1 .__-...___.___ _
and _ ...;. .. ._..: Ali:. .__ .. :.!_:. : 9400 �W OAK �►
PAOPEAtY TAX PAYMENT OPTIONS PORTLAND , OR 97229
Q (See insn,t h,f instructions anri your nppr,ni ,iph1�)
R F',✓ Ry Discount 411(verf Not Arnou,tt
U ----�_ A--HBROOK FARM+ LOT PT 17, ACRES . 35 '
P 11/ 15/94 51 . 56 3% �,�
R 11/ 15/94 22 , 92 2% 1 , 123. 9
T 11/15/94 NONE 0% 573 . 11
Y DELINQUENT •FAXES Office Closed 11 ` 11 -94
T Int^," +inr-lw0d Ihm,i,iii I f'ax Year Arnnunt
1 1/15/94 I - SF.F INSE nT FOR APPEAL R101-11 Ei
A ANIl PAYMENT" IhISTRUCTIONS `
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iRall ttrolr?riy eC,bunta �fh' er, Seo 77r.inq 00111 oil bank(if stnt4ment
S uuoaid bnlnore lot nny 16f� 1lAl I +or Bret4MdoWn of Taxns 13y [)Ir;1riC1
T merknd wllh nn A91nrisN,,( �fA
A 911111 ct h, ►o t,cldlttrn II tid� ld l d PLEASE MAKE PAYMENT TO.
T on n+ 1)"I"' May td, lAmy
nnphti tit,wolvoml on thin J+6uf,t total C)sunauAnt An,n,.ml ASSES SME N T & TAXATION
E MUST I- mipildt) In n¢ry trl hint 0.00 P .O. BOX 3587
In>esnrAt. PORTLAND , OR 97208
N mInl t.hXEF1OWEDOfJT1113
T Irf:0iINI IFP4InbYW.WFURIch 11 1 .667 .13 Va It uo Ouost icifig Csll
+ l 648-8826
-M`�-- -`- -- TAX WeatiOhf - C- 61 648-8801
Other Questir�hb 0111 648-8741
wirmwo�V�tn1mT!r�l r.r,. � 17 777--
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�1 tlL�lgf~N� 8 M. TNdrIN3 �- IJYI�b ;
$ f, -
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JillI�
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SECRL 7'A�iY ter STA It
rHIM N►A81t Itlp�blt tfaa ot�r � � �
Fee $t0.00 Corpatatlbm Division
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+2.00 per oountyMilo"lallgNltty r , T ! i
TOTAL: rZ$.Dy
158 1024h 91irbat NE
Salem,OR 07310-0210 y1 ,
(503)
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RogtstryNumbor: �f _
ASSUMED BUSINESS NAME REGISTRATIO14� S
1. ASSUMED aus0ing NAME.'
2. Principal Piece of bk#*%0ts8:
-�
it'Mt s�tld tMJ�l1�f�� tam zip com
3. Authorized rbpr#6#M#ffve (ONE NAME ONLv,):
2 6 Va( A 9 z ata
'tree" r at PO box city °
4. SIC code: `r (see back of this form)
S. iiegistrants(att&oh a sepirate sheet If necessary): ^
Name ti7nm address CRY [
I )f
E
ame — t ed b Ps 4
Name St4MM WY
Flom Sur" t�ss Ry lip V
6. Courdlee: All countIASDoug + lMRwNkw
Bak* "��� 011iam Lanb Tlllan) 41 t,
Hertl�h ___— r~�ra Lkwoln �� Umatilla
Ctankerf�als "' L1M Urhon
ftfl�
Ci i MbN�eur WMlbwa
Coluntt�i � Hood Rim .,,, .• .
_ Jaden ,, Marlon V, ...r_.. wow
Coft _� Jefferson �„y Mormw __� Wkshl"01ti
C" , ._ ,losephine �,, Pok v - Wheeler
Klamath„ MuNncmaft Yarrihlll ✓'
13btIt1MltAs ---- �
7. sigridt"Of so I rsr*s(attach a separate sheer I necdsaary):
8. Peraan 10 Cori VA ON ft rr►plstrationI4e / 0soIM. , PIVX0 tNRtlber:
ABN-1 �"01
04299-10,1316 SIC1111
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