13080 SW 107TH COURT LULM
13080 SW 107TH COURT —
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INSPECTION NOTICE
City of Tigard Building Department �Q
P.O. Box 23397tH d :rY
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 0 Cf ` '� "_ /T�M N r i
Date Requested_!��a_pO Time_e A.M.--,P.M.
Address -,go �Z Oermit #---�
Owner . _ Lot
Builder -- - ------ -- -- — - ---
The folio-mg Building Code deficiencies are required to be corrected:
Presentee to [ /Approved
Inspector — _ L� Disappw,ed
Date ----
CALL FOR REINSPECTION
CI YEI 13 NO
i"
CITY TIGARD �
OREGON
Janu-try 26, 1987 25 Years of Serwce
1061-1 Q86
Mr. Douglas Heath
13080 SW 107th Court
Tigard, OR 97223
Dear Mr. Heath:
On October 8, 1-985 a permit was issued to you, for constructtnn of A M.118011ry
chimney and installation of a wood burning stove.
As of this date no inspections have been requested. Please contact the laity
Building Department as to the status of this project.
Sincerely,
Brad Ruast
Building Official
BR:bsO504W
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 —.- - ---...-
flum!11111111�ffiwON' im
BUILDING PERMIT APPLICATION TIGARD DATE_ 0Cf.• _`'' _ 19 8J 5646
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �2t?-4(lb0
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —
LOT NO.
OWNER Uouglus V. &.uth JOBADDRESS 13080 SV lUitb Ct.. Tij;arci
ARCHITECT
ENGINEER
BUILDER Same ADDRESS Same DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL 9KADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
F--P fESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE 6—i BLDG.TYPE 51; FIRE ZONE __ PLAN CHECK BY — HEAT
Construct t;asonry Chimney all per Code hequirecwiitsl to install
aoodburnink; Stove. Keiritorcing bar required and ties to building.
SEWER PERMIT#
OCC.LOAD FLOOR LOAD _HEIGHT NO.STORIES_ _ AREA NO,BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1 a•1►U _ 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 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
15.UO WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Suo•total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ' '�u
SDC—
Total 15a.6IJ
PDC# APPLICANT(M Acer NT
By
-- . Receipt No,
Approved ADDRESS PHONE
1
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i
DATE INSP. TYPE INSPECTION REMAR" PLUMBING DATE
Z39 y Contractor
Permit No. ------
� �.te�
Rough-in
Fixture
I
Contractor
1 Permit No. d
y Gas or Oil //r
1 l+ Rough-in
d
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rein Dram)Final
Sidewalk
Curb&Street Final
Approach
lL.Dti.DKPT.FINAL TEMPORARY i CERTIFICATE O;CLIPAMC%' Final
CERTIMCATE OCCUPANCY
Landscaping
Zoning Final
�r � s s �► it � �
ADDRESS 15 Y t Ia, �'�u PERMIT NO.� c --
PERMIT CHARGE none
OWNER CONNECTION FEE ftiyo
PAID B Y
TYPE OF BUILDING �. �,t ,�i�_� DATE CONNECTED
SERVICE RATE D„yy` 1 T, INSPECTION FEE �2
CONTRACTOR .�� I �D Lkli �'.�►1[�'._ PAID BY -,J arn� DATE
SIZE OF CONNECTION ASSESSMCNT PAID
�
a � � 5 �
oh OC
f; 1L CU 15
CITY OF TIC_><ARD
L ORh'CON
Owner:...........L3-asa..a.-W.....10.7.th...CQ.ur.t_ .....Permit No...Z4-.I.4.9........ �
,AC, Building Address.........130.80...5...W....10.7.th...G.au.r.t..................................... ... II[r11
}' Certificate is hereby given this...2Ath....(Jay of.......o.gt.ab.e.r.......... 19.....7.5.
S >
~ that said building may be occupied and
that it complies with all requirements of
�rT C.- the Building Code for the City of Tigard, j
�+ = as approved by the Tigard City Council.
llL�,.L.� lac eta---
Building Inspector
(rEJ T._� �./ •;:; �.) U .� �.,� .4. �, �,,� -r p l 11 c". ; �:� ,: ,.; ►,
C � � f Y ; gcrd
INSPECTION RECUEST
for
�: "_..
INSPECTION TIME : PERMIT N".). ' _
"ATE SSUED:—.-r
OWNERS N y>Vi'c
ADDRESS . ;
�OVT. R.aCTDR
TEST: air LC 'Ai':ter Viiva! ",,—, , �.aborato•y c
RZE3JL.T: ,,ppr:vad' z .`a:p;�o��ed
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City of Tsgoi .sl
INSPECTION REQ *i --�.,;1'
for
INSPECTION TIME * ��' � PERMIT rti. ; ...r.
DATE: �� %� DATE
OWNERS NAME :
ADDRESS :
C,0HTRACT0R :—
TEST: Air O, Water p , Visual �R , LaInerelte •.
RESULT: Approved Disapproved ❑ ,
SKETCH: 5 01
INSPECTOR
&OTE : Attach eupplelnnntcl tett dp^o h-.*, ,
I
�t I
� y of Tigard
INSPECTION REQUEST
Q T
for
MPECTION TIME: J/ '0C,' :.. _ PERMIT NO. -.._
DATE: _ //S2 7� DATE ISSUED :
OWNERS NAME : .�
ADDRESS: 5' h
CONTRACTOR : _ ` 2%? _1___
TEST ' Air ❑ 4r , VIGuclfie, Laboratory ❑ '
RESULT' ApprovedA,�., PP roved ❑ Pending ❑
SKETCH. c ,= ✓r�� '
I
INSPECTOR DATE
[OTE: Attoch suPNlemental test doto beret]
1
C ' TY '!F
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHO�W/N/ AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —
OWNER S ADDRESS ��U�,L� J �G �G J T�` l BUILDER PHONE_
ENGINEER
B"DER ���-' r`. ARCHITECT DESIGNER
STRUCTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
ESIDENCE ❑COMM ❑E.DUCATIONAL ❑GOV'T ❑RELIGIOUS OPATIO ❑CARPORT ❑GARAGE ❑STORAGECOSLAB [:]FENCE
QBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
/'moi
OCCUPANCY E LAND USE ZONE BLDG.TYPE-4---FIRE// ZONE -� PLAN CHECK BY.-."Zl -- HEAT_
LL Lai 7
OCC, LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE.3�4VV_ f
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 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 I!
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. l
To_al /tU
BY -- ...--— — —
APPLICANT On AGENT
`Approved -- Receipt No.
ADDRESS PHONE
t
f
I
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor !!15�13q'
Permit No. 51
1ic Rough-in
AC-' CLvyit c Fixture
Final
r '7 7S `- ''f �' HEATING
elk., Permit No. � 7 �
:: �,,•, � i' �' Gas or Oil
Rough-in
_ Final
SEWER
Final
DRIVEWAY 1 c.
Final
Storrs Drainage
(Rain Drain) Final
Sidewalk a.
Curb&Street Final
_
Approach
SLOG.DEPT. FINAL TEMPORARY CFRI IFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
- Landscaping
Zoning Final
1
I
14076
EXHIBIT "A"
CITY OF TIGARD
Residential ;=structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT, that occupancy of residential
structure (s) on the following described lands prior to the record-
ing of an Occupancy P Y permit releasing the restriction in the Deed
Records of Washington County, Oregon, is prohibited by the ordinance
of the City of Tigard, Oregon; (The City will issue a release as
soon as a final inspection determines that the construction is
satisfactorily completed) �t
DESCRIPTION OF PROPERTY;
lot 28, Pathfinder Subdivision, Tex Map 251 3AD
ADDRESS OF PROPERT`, 13080 S.W. 107th Ct.
NAME OF OWNER; M. L. Clayton ' ----------
ADDRESS OF OWNER: ------------------
IN
---
_-12.�.flQ_..S.W �•�2 A v_e. T i_y a r d� O r e y o n -�_
IN WITNESS WHEREOF , the undersigned has caused this re=striction
to be executed this 28 day of jUno
19 74 .
r
OWNER .
Name
Tit e
APPROU�;I
y
By : r
1 � /
�lcia P.M.ing
City Of TigardIocun rHOM4sr.N. n,:«»er M bempip k „ ,,
c� �,i, .
STATE OF OREGON -j'!�� +Rr................ .. Y�1�G....• .............. .... .... n.rnU”,
County of Washington � ss
unsa-1 , 19 74
Personally appeared before me the above named
and acknowledged the foregoing instrument
to be voluntary act and deed.
h otary P b l r Oregon
My ifiias on Expires
•a
booK 084 PAp /
6� 87
STATE OF OREGON ss
!aunty of Washington
I, Roner Thomsstn, Director of Records
and Elections and Ex-Officio Recorder of Con-
veyonces for said county, do hereby certify
that the within instrument of writing was
received and recorded in book of records
No. - - — ..._. . - ------ .
of said County
Witness my hand and seal offixed.
ROGER TNOMSSEN, Director of
Records & Elections (�
Lleputy F,y
JUL 17 12 24 N I T
°r
14076
EXHIBIT "A."
CITY OF TICARD
Residential Structure Occupancy Restriction
KNOW ALL. MEN BY THESE PRESENT, that occupancy of residential
structure (s) on the fo.11ouing described lands prior to the record-
ing of an occupancy permit releasing the restriction in the Deed
Records of Washington County, Oregon, is prohibited by the ordinance
of the City of Tigard, Oregon: (The City will issue a release as
noon as a final inspection determines that the construction is
5atisfacto�ily rompletc-d)
DE3f.RIPTION OF PROPEF,•v:
l,3t 20, Pathfinder Subdivisions Tax Map 2S1 3A0
ADDRESS OF PROPERTv: 13000 S.U. 107th Ct.
ago " v NAME OF nWtlER�_ M.L. Clayton _
m r� ADDRESS OF OWNERt 229E10 S-U. 132 8%tr). Tinnsd� Otanan .
brA. IN WITNESS WHEREOF, the undersigned has rqused this restriction '
a to be executed this 20 day of June 19 74 .
OWNER:
00, 1
L
.. ,yi: his. • � � .r—
' J
p
Ti f In
APPROVE -l-)
-
eurlding OfficialM
r City o f T i t a L d '�OOL�TIWM{HCN.tb�o�w.r M ELan�A�6 ClwchoM
] ..�.�a'
.............h ��) D•p t► e3
__.. . i.... .9..
STATE OF OREGON
) j
i,"'0y , County of Washington ) 3Une 28 74
Personally appeared before me the Above named
rt_t _ r_tayten and acknouledged the foregoing instrument
to tin voluntary ar. ` Find deed.
'Notary PLi )rsgoi�My 4timrtlrn9S
984 iu287
t.
� I
UNIFIED SEWERAGE AGENCY NO.
WASHINGTON COUNTY DATE June zB, 1974
CITY 0E-----------_— - . -----Tigard - -
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER:
OWNER'S ADDRESS: -
12980 S.W. 132 Ave.
_—-------- – - --
STREET
Titgasd - – - —D�egon - 97223
rY Sl'ATE ZIP
BUILDING SITE. LOT—._2$ - BLOCK. __ ADDITION pathfinder----
-TAX 1-01- NO. - _ TYPE OF OCCUPANCY Resid-ence
ADDRESS 13080 S.W. 107th Ct.
DWELI ING UNITS 1 FIXTURE UNI IS
SUgCHARGE IF APPLICABLE -
PERMIT FEE 500 INSPECTION FFF 25 TOTAL DEPOSITED 525
C
(EXISTING) BUILDING SEWER -YSIEM Tigard
\. ",.
The'Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLI':ANT"_WL - --- — ---
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE all INSTALLER .- -
RECEIVED BY..----- . -� ^'� a JK
tJ7
NCY OR ITS AGENT)
COMMENTS: _�.{_7 O fW -
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
CIT"Y OF TIGARD
12410 S. W. Mein srr..t
TWARD. ORHGON t7t23
APPLICATION FOR BUILDING PERMIT
New Construction F-1 Demolish Addition Remodel Move
ZONING DATE ISSUE.'D_� yi BUILDING PERMIT
DATE RECEIVED
BUILDING FEE ll ! ��� No.
BY PIAN C11E:CK S i ` •` �. rs _�5�.1._ ______
OTHER $ VALUATION S T2
TOTAL S Li�� RE:CFIPT No.—j1?gjjk
TWO SETS.-OF I.ANIf-j ND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 1 2� P / CENSUS TRACT _ e JOB 1
Architect or Fnginee rL-,yam_
_Phone--
Owner
Address i .I �r `�.5`_ _`�._ !_..1�.��_!� _ � ----Phone
Builder (c� ►1 _._
Address �`=��'-'4'= _._. ... . _. Phone
BUILDING USE Single Rer,. Multi Res. Comm. Industrial LI
OCCUPANCY GROUP � No. of Stories �_ Total li,,ighty_ Area of LotQlGO _
Type of Construction I It III 1V V Floor Area
Set Backs: Front__.4Q 1ack_/,3- t i..Side R.Side _Z i^.
Private Sewer Pipe Size Sewer Septic Tank U
Water Service Pipe Size Storm Sewer ® pitch C, Drywr.11�
Street and Curb Requirements
Driveway WidthdvNo. of Parking Spaces___________
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNW._� JP) l_) /���
FIELD CHECK BY _.__ -- -- -- - DATE
PERMIT APPROVED BY ��'. . ►, r!/�
It is understood that all work will conform with applicable cotles and ordinances
of the State of Oregon and the City of Tigard, Oretjon, and that the building will
not he occupied until a Certificate of Occupancy has barn issued by the City of
Ti,Iard Building Inspector.
91 nature c'f ,I hl l rnt