11065 SW 109TH AVENUE� d
11065 SW 109TH AVENUE
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INSPECTION NOTI�IE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 91223
Phon,,: 639-4171
Type of Inspection --- -- —% ,,`1` --- _ --
Z��U
Date Requested� _ _� Time A.M.�_. P.M.
AddresS 1-6)9 Permit #:'I--I---I...
Owner r L::267-1— Lam!_ Lot #------..__ _
Builder
The following Build;ng Code deficiencies are required to be corrected:
If
Presented to Approved
Inspector _--_ _ ❑ Diapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE'
City of Tigard Building Department
12420 S.W. Main'A.
Tigard,Oregon 97223
Phone; 639-4171
Type of Inspection a4zid",21
Date Requested Time A.M. P.M.
Address LA '4 -1 Perm;r 51 0(1
Owner Lot #
Buiider
The following Building Code deficiencies ar,, required to be corrected:
Lp g: 17^0 Ac
Presented to Approved
-7
Inspector Disapproved
Date
CALL FOR REINSP510TION
El YEB NO
October 18, 1985 `"'TYCWT' RD
WASHINGTON COUNTY,OREGON
Don Morissette re: Lots 5,6,7,8 Carnahan's
P.O. Box 19524
Portland OR 97219
Dear Mr. Morissette:
It has come to our attention th— the above described lots were Adressed
incorrectly. The corrected addresses are:
Let 5, Carnahan's should be 11085 SW 109th(Permit 115475)
Lot o, Carnahan's should be 11065 SW 109th(Permit 115474)
Lot 7, Carnahan's should be 1.1060 SW 109th(Permit 15476)
Lot 8, Carnahan's should be 11080 SW 109th(Permit 115434) i
We have corrected our records and noti :ied the utiliti,s, psotai service and
city and county agencies.
We apologize for any inconvenience this may have caused you, but trust you
will. see the benefits of the change.
If you have any questions, please contact this office at 639-4171.
Sincerely,
B.L. Thompson
Public Works Inspector
BLT/jdo
cc : Building Permit-Files
---- --- - 127Y, S W ASH P.O BOX 23397 TIGARD,OREGON 972.'3 PH:639-4171 -- -— —
t
BUILDING PERMIT APPLICATION TIGARD GATE July I;_ -.19 02 5474
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILD-R PHONI"
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. nWNER PHONE
LOT NO.—
OWNER :v,a ;Ut18u�:Lu JOB ADDRESS I�iJy;J 5.v 4UJt:1, _. _.tLl%isotitld
Ne 91219 ARCHITECT
Sadie 1'.U. box 19524 ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE N NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0, RESIDENCE ❑ COMM ❑ EDUCATIONAL 11 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE 0 SLABIJ FENC
OCCUPANCY _i—.i ._LANDUSEZONE �= BLDG.TYPE -_ 5N FIRE ZONE. PLAN CHECK BY grv' HEAT_--
Construct single family dwelling%/atLAchgd garagn.
2 Il$tt,rywt*s J �^-.�Iroan
SEWER PERMIT# 28461 Garage 44 U
OCC.LOAD FLOOR LOAD 4U HEIGHr I�.; NO.STORIES AREA I85L'NO.BE0R0OMS 3 VALUE 63„O'Y).
^BUILDING DEPARTMENT _ SET B<CKS FROM r REAR LEFT SIDE 1 RIGHT SIDE I'
Permit 325.011 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TI'E BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, Ai ID IT IS hEREBY AGREED THAT THE
Plan Check 40,Uu WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC'!-;CATIONr NNU IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Of: THIS PEAi4IT DOES NOT WAIVE
Subtotal 365 eUU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CdRRENT CITY 811SINESS
13 {) LICENSE.SEPARATE PERMITSREOUIRFD FOR SEWER,PLUMBING AND HEOTI!:G.
.0
Slate Tax i. r,..... u.o v
Total .378.%)u SDC— $500.UU � l:--l � ( � 7 _ c�
PDC#L S 15 U.OU A P P 41tA TOR AG NT
BY Cti t
Receipt No.
ApprOYed �'rW AODRE95 ___._ ____ PHONE
i
i
--DATE INSP.I TYPE INSPECTION — REMARKS PLUMGING _ DATE
Conic,ctor
- I Permit Nl-
Ji-
�Lei
.— —V......
—
/ Cuntrar for
ermi,No.
as Oil
9EWE
DRIVEWAY-
Final
Storm Uran+ape
(Rain Or:iin!Final
Sldownl'c
Curb b,Street Fina'.
Appi uae't _
BLDG. 7EPT, FIN;,L TEMPORARY r CERTIF'ICAT'c OCCUPNNCY —
CERTIF 14ATE OCCUPANCY Final -
r II I,.dntllL,Uir
GS �/'-���j�.. _ 7oninq Final - - �
BUILDING PERMIT APPLIGAW-IN TIGARD DATE_��—
THE UNDERSIGNED HEREBY APPLIES FO1.A PERMIT FOR THE WORK HEREIN INC�CATED BUILDER PHUreZ
OR AS SHOWN AND APPROVED IN THE r.Ck;01.IPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
_ LOT NO_
OWNER L_1zf. II O, JOBADDRESS �IJU��v :� (.� �L'��+�- N yvv+ I {r�•
AR(;HITECT
T r I D (,� ENGINEER
ADORES`.' ° d � 19�� �� DESIGNER
BUILDER
STRUCTURE NEW ❑ REMOOEL_ ❑ ADDITION C1 REPAIR ❑ RENE'NAL ❑ FIRE DAMAGE ❑ DEMOLJTIC
'_RESIDENCE ❑ COMM ❑ FDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PANO 10 ❑ CAR?ORT ❑ GARAGE G STORAGE ❑ SLAs❑ FEN(
OCCUPANCY " LAND USE ZONE BLDG. TYPE PLAN CHECK BY
-- ��
SEWER PERMIT M ,
_A/ NO.BEDROOMS 3 VF.L
OCC.LOAD FLOOR LOAD f G HEIGHT NO.STORIE Z _1RE _ .
BUILDING DEPARTMENT SET BACKS FRONT �)- T.=REAR 4 -r_.� L_FFT SIDE r(1 RIGHT SIDE ^
Lrrnll THIS S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONA
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND r IS HEREBY AGREED TkAT TI
IPlanChack U WORK WILL OF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAM
WITH A_! APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIT
total J RESTRICTIVE COVENANTS.C NTRACTOR ANP SUB CONTRACTORS TO HAVE CURRENT AT?' BUSINQ
_ UCENSE SEPARATE PERMI RtkUIREO F AEWER.PLUM81NG AND HEATING.
\1 J
Slates Tax � � �, �
SOC— , _. 1
Total Y � �pp� NT OR AGENT (,
BY PDC )(_; (�o _ z CIU
��
Receipt No. ADDRESS
NE
Approved I C
I_ I cZI.aANO
CL 72 -- -
;slll --- $
s o c - —
POC -
SEWER CONNECTION � �
i
SEWER INSPECTION $
SEWER SURCHARGE 5
��`` 0�s
Building Permit No.
L o c a t ion
Certification of Registration
With the Builders Board
doing business as (dba) ,
il�� ��� am registered under the provisions
ocS Chapter 101 Oregon N ebuilders Law) .
My Builders Board Registration Number is
fly registratiun is in full force and effect and expires on
5kgnature