11640 SW 98TH AVENUE-1 11640 SW 98TH AVENUE —.
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Ile
Type of Inspection
Date Requested _ �""-2 9%l' Time A.M.--P.M.
Address —
Owner
ddress __Owner_.__ -� r _`_> . �G/ '' `_...�_r� Lot #_
BuilderThe following Building Code deficiencies are required to be correc'.ed:
Presented to __—_— r ] Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
;J `YES O NO
a� R tibPff r Pff
CITY 4F TIGARD Plumbing Fermit 3
Building Department NO.
011
Residential N Commercial ❑
New Installation ❑ Replace ❑ Addition ❑ Alteration ❑ Date, _ji ax
Licensed r�
Plumber _ .�:u r1_ �(�t� �p 4� i� . . C p Owner — d L ;' ezo _q..
Address �� � '� Job Address
Phone _ ~ ��i'.�c'h+Cu. r't� /�k° Applicant
BUSINESS LICEt.SE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS _
ITEM NO. FEE TOTAL -- ITEM — " NO. FEE TOTAL_
Fixtures-Traps _^ _ 7.50 Sewer:First 100 30.00
Dist-washer _ 7.50 E ach'ACAQ 1 A _15.00
Garbage Disposal _— 7.50 AeWr ,u p _ 7.50 __
Water Heater _ 7.50 V W to .Fir '100 ft 20.00 _
Backflow Preventer _ _ 7.50 ach Ad it.20 fi _15.00
S rni&Rain Dr in First 10
_ Each Addit.200 15.00
--�— — _ I Mobile Home Spa e _ — .� 25.00 !A�—
Other(Specify Rain Drain-Single Fam.Dwellltf 15.00
PERMIT FEE oo Comments:
STATE /� % ( r-� Issueo dy: � —_--
Receipt No. > it ! Applican _
TOTAL `�, traC� � 81gnu
For Plumbing Inspection PhonA 839- 71 ir
Address �,�� r9cy 1 �. Permit No. A/
Permit charge 22.0y t:-
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.Owner Connection fee
Paid by
Type of building Date connected
Service rateInspection fNe �5��
Contractor Paid by data
Size of connection Assessment Paid
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�- OREGON
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- 1077
Hill Godwin Permit ;vo.. ...... ....
Building Address.....11640..SW. 98th ....... .
. ................................ .
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�.4 Certificate is hereby given this................day of...... �
..... ...
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M1.. that said buildingmay be occu ied and
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that it complies with asl i-equirements of
the Building Code for the CiLy of Tigard,
rf as approved by the Tigard City Council. ) y<
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'\. \ ''�'' ..... „��Fr�.�..... ./i�..�•t t•�. ..... ...................
N” Building inspector +
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Attic: Mr. Jim Brian
City of Tigard Re: 11640 S. W. 98th, Tigard and 11650 S. W. 98th, TiEard.
Tigard, Oregon
I hereby agree to furnish bu -ers a drain field for purpose of handling roof water
to be approved by City of Tigard, Building Department and to furnish clean oats on
sewer line &o be cut down to ground level and imbedded in concrete.
March 25) 1977
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City of 1 igjrd
I NPPECTION REQUEST
for
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INSPECTIONTIME'. --,-.
�TIME. _. PERMIT NO. :
DATE: �1-1k,17 DATE ISSUED . Z
OWNERS NAME '. -29-'1 -
ADDRESS: ,"?Vdo -s'&,
CONTRACTOR : Q-e
I
TEST : Air ❑, Woter ❑ , Visual 0 , t_aboratc--ry ❑
RESULT: Approved ❑ , Disapproved C Pending Li
SKETCH.
INSPECTOR DATE
NOTE : Attach supplemental tett doto bereto]
I
UlmUMAZIN
UNIFIED SEWERAGE AGEN1-`.'#Y N0. -- 106.46
WASHINGTON COUNTY DATE 9-21-76
CITY 0p Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER:
OWNER'S ADDRESS:
STREET
CITY
BUILDING SITE: LOT—.---- BLOCK ADDI FION -------
TAX LOT NO. TYPE OF OCCUPANCY residence
11640 SW 98th 2Ave.
ADDRESS ...
DWELLING UNITS FIX-PURE UNITS
SURCHARGE IF
25. 00 600. 00
PERMIT FEE INSPECTION TOTAL DEPOSITED .---
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to cornp:y with all rules,and regulations of the Unified Sewerage Agency.
APPLICANT-`'-'
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION 70 THE SEWER SYSTEM.
LINE SIZE INSTALLER
RFCEIVED By
t AGENCY OR ITS A(J
COMMENTS: . elt. -4'1077
This Application and permit expires in one hundred and twenty (112171.,
The amount paid will be forfeited should expiration occur.
i
BUILDING PERMIT APPLICATION Co Y TIGARD DATE ��
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE w'
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAINS AND SPECIFICATIONS. OWNER PHONE
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LOT Iy0.
OWNESbill Ca00dwin JOB ADDRESS 11640 SW 98th At+f,. HOME ADDRESS
ARCHITECT �� 1 32-
1, ENGINEER
BUILDER satilla ADDRESS Hillsbuto DESIGNER _
STRUCTURE__ NEW ❑REMODEL ❑_ADDITION ❑REPAIR u❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUSCIPATLO ❑CAR PORT ❑ r
GARAGC 1_J STORAGF❑SLAB ❑FENCE
❑BOND LJ MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED L'SIGNS
OCCUPANCY_ LAND USE ZONE _ BLDG.TYPE � —FIRE ZONE PLAN CHECK BY % HEAT
[:anat. LcIlnulit Earijily jwallinQ w/attach&dg&jLs_gIw f urniul) f rues deeii,"►
2 bath ge aQt., 460 eq. Ft.
l ARE 200 NO.BEDROOMS ,5 VALUE
Ur.C, LOAD f},QQq,LOAD _ HEIGHT NO.STORIES _
_BUILDING DEPARTMENT SETBACKS FRONT 32' REAR ark' LEFT SIDEN 4 RIGHT SIDE2n
Permit 130.00 l �_ � !
C THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 6500 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 WAIVE
— RESTRICTIVE CUVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
State Tax C.85 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total [U0.0 J
By APPLICANt OR AGENT
Approved Receipt No f
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ADDR S Pr1 Nl
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