11720 SW 113TH PLACE r..rr.w u�Cri.......+Mw.Yau'e+�..WlwrMrww..w..'�/IY4•W +�w�a' 4.iy —_•�� ............ "
V
N
O
r
W
ro
rr
w
n
u
I � r
r
�1
1.1720 SW 113TH PLACE -'
. ..W< < UCG[T
i .;�` =hY! "'�ai"f?,.� ��,ttl��' p•'^.y'`��•'•�:d4t�'�'{9i�r #��.,�r�ld '•�.6'�d.p• r�' M � �1 ;Y�`,"n'�,`a �'
"G
ji
' ;t�(t,pry, ,..� cow � � � •• M :, ; t,AK;,
��� d A. � w O F•1 � ��'��E4' „��f•4
in
,r,r
t
d`� 0 0 F— co C O �►
CL
Ln
rd
. F b as ., c4
b .'W t•+ a zAll
o
��,�`•"'fie a. ,��-, I�" I ''-rl�: . `�'��
J �+�.• UI `�.1' `pT�� M� of t' .a U +a a ._" �y1 ., f
or�^:lr/
INSPECTION NOTICE
City of Tigard Building Department j
12420 S.W Main St.
Tigard,Oregon 97223
Phone: 6,•4171
I Type of Inspection -
1 At
Date Requested tna A.M. P.M.
-
Address `� �r! � �{ L� � Permit
Owner_-_.—__--. -�- _ Lot #
I,luilder —�_ --The following Building Code deficiencies are required to be corrected:
i
Presented to _
�—.r/..�..._� _ /Approved
Inspector _ _ C- /L� Disapproved
Date
CALL FOR REINr,SPECTIOi;
EJ YES YES '� NO
;f
INSPECTION NOTICE
City of Tigard Building Dep-.tment
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
:Y
Type of Inspection
i
Date Requested, Time A.M.— P..Mj� /
1'!1._..zLl—_��111�!_---,[J.- � Permit # �_
Addra;s _.__
Owner ---_---_ _ _ _ Lot #-- _
Guilder _
'The following Building Code deficiencies are required to be corrected:
7
Presented to ._ Approved
Inspector Disapproved
Date - - —
CALL FOR REINSPECTIOA'
YES ❑ NO
BUILDING PERMIT APPLICATiL,;; TIGARD DATE.___.��►�� ,9��_ 5407
THF UNDERSIGNED HEREBY APPLIES FC.�A ,C^MIT FOR i HL kNORK HEREIN IND":.ATED BUILDER PHONE ?46•803-_
Ota AS SHCWN AND APPROVED IN THE.ACCOfviPANYIN� PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0. 9-_______ —_---_--
OWNER Herb 1__riamettr _ JOBADDRi=.�S-_) 172U SW ! i tti >'1crGe _ Gallo8__
ARCHITECT
P. 97223 ENGINEER
BUILDER Saws ADDRESS 7470 SK 76th AVenule DESIGNER
STRUCTURE W) NEW ❑ REMODEL CJ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION_
Q RESIDENCE G COMM ❑ EDUCATIONAL 17 GOV'T ❑ RELIGIOUS ❑ PATIO El CARPORT ❑ GAaAGE EJ STORAGE ❑ SLAB El FENCE
OCCUPANCY --_Bel_LAND USE ZONE Jile&&5_BLDG.TYPE _AB-FIRE ZONE- 'PLAN CHECK BY B�HEAT
Construct sinxle family dwelling w attaChedgara�e.
Ke—Ixsue of Permit #5406 3 bedroom S 1Rathroog
SEWER PERMI f H 28441 _ Cara:-.,! 444
OCC.LOAD_ FLOOR LOAD _4 4 HEIGHT 15 NO._S_TORIESAREA 1815 NO.BEDROOMS 3 VALUE 65,
BUILDING DEPARTMENT SET BACKS FRONT .7 > REAR` LEFT SIDE RIGHT SIDE >
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPI.;(ABLE CODES AND ORMUANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4U.UO WORK WILL BE DONE IN ACCORDANCE WITH THE "LAPIS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE COD:-S AND ORDINANCE" THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 368•UU — RESTRICTIVE COVENANTS.CONTRACTOR AND SUd C')NTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 13.12 �'.Jv.ou
UU
Total 38 1.12 SDC— $5UU. _
-
�Y cz PDC# I $iSU.OU APPLICANT OR AGENT
Recelpt No. _____
Approved ADDRESS -- PHONF
DATE (INSR TYPE INSPECTION REMARKS PLUMBING DATE
G Contract - — —
Permit No.
c,
Rough-in
Fixture - --- — - -- -
G_ - Final
Z'
Contracroi ,, C
Permit No.
Gat or Oil
Rough-in _ - --
� � Final
SEWER
��-�--- Final
DRIVEWAY
—_r—_ ----- -------___- --- Final —
--- - �-- - — --.._..------- - ------ Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Cunt Final
Apprnach
..__BLOC. ')F.i T'. 1 INK'_ —T---TEMPORARY-_-- --- CERTIFICATk pCCI�ANCY - -
ICERTIFICATE OCCUPANCY Final _!-
jLandscaping
Zoning Final .--
Lad
y Z " f r oy.^
140
--
~`. n�HgA!ar �
cro ' �ur,r
AS
O
A
ow_NI O"TU t
4MPOgrrANT M480462)
FOR__2 `(_ �� -
DATE TIME M.
M ! ►-�
i
OF- - _
PHONEL_�_. s-e-1.2AREA CODE NUMOFR E%TENS'NN
TELEPHONED PLEASE CALL
CAME TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
RETURNED YOUR CALL SPECIAL ATTENTION
MESSAGE
r
e Nc7 (57d 4C h'u'rl
LITHO IN UAJ►.
TOPS#FORM 300212
BUILO:NG PERMIT APPLICATION TIGAr-i0 DATE
THE UNDERSIGNED HERFOY APPLIES FOR A PERMIT FOR THE WORK HEREIN NDICATEO BUILDER PHONE
OR AS SH7.,,,,,,��.O.ADDR
N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIE TIONS. OWNER PHONE
,,/1 r No.G�) _�� ESS �'^' � ------
ARCHITECT
ENGINEER
�?n �t �r1 7� L_ (iii
BUILDER �� AOORES_S-�— DESIGNER
STRU,TURE ONEW 0 REIAOOEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEIAOLI
Cl RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS O PATIO ❑ CAR ,OAT Q GARAGE G STORAGE ❑ SLAB F
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE FLAN CHECK BY —
HEAT—SEWER PERMIT/ _
OCC.LOAD FLOOR LOI-' HEIGHT NO.STORIES AREA:SO#i-- NO.BEDROOMS VALUE
RUILONG DEPARTMENT SIT BACKS FRONT' PEAR LE.FTSIDE RIGfITSIDE
THIS PEnurr IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.Z
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS NERF'IY AGREED TVA
Pl+^ ►+ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPO
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT
(SI:S faUl RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CON rRACTORS TO HAVE CURRENT CITY BUS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUTARING AND HEATING.
StitA Tax •
r - SDC—
TotalPSP ERANT(OCR�AGENT
ENT
y
F
�4< <
ARecolpf No. KEW'
pproved
SOC
Poc - �P
SEDER COtINEC'i ION S
SEWER INSPCCTION $
SEWER SURCHARGE S
eu
1 1
r
BUILDING RECEIPT
�/�� /
NAME: I GATE:
ACCT. N DESCRIPTION AMOUNT
10-432 Building Permit Fees
10-431-600 Plumbing Permit Fees S �_
10-431-601 Mechanical Permit Fees S _.
10-230-501 State Building Tax
10--433 Plans Check Fee
30-443 Sewer Connection (20X)
30--202 Sewer Connection (80x) $ )
30--444 Sewer Inspection $
51-449 Street System Dew. Charge (SDC) _
52-449-610 Parks I System Dew. Charge (PDC) $
52-449-620 Parks 1I System Dew. Charge (PDC) $
31-450 Storm Drainage System Dew. Chrg (SSDC)
10-230-505 TRFD (95x) S _
10-478 TRFD (5%)
10-130-506 Washington County Fire N1 (95x) _
10-478 Washington County Fire M1 (5x) s
10-220 Amart/Wedgewood f
TOT
(bs/1214P)
vt
e6
flu Iding 11 erm i L No.
Location
Date
Certification of Registration
With the Builders Board
doing business as (dba) ,
am registered under the provisions
of ORS Chapter 701 Oregon Hanebuilders Law) .
My Builders Board Regi�:tration Number is -70, �`�►�yGs
Ply registratio,i is in full force and effect and expires on
�iTjattri•e
��A�GKFtO�V "}�R I�V.Ie l�R'LR LoGA.T_E
`/CRAWL. DRAWS
1
Lc r 8 L or
I
I Lor
LOT
8
7, ,r
r. _
C✓R8
C^T'CN 'AASIN
M
NOTE TO FILE
DUE TO AN ERROR IN THE ORIGINAL BUILDING PERMIT, THE ADDRESS ON SOME OF THE
PAPER WORK IN THIS FILE IS INCORRECT. THE PROPER ADDRESS AT THE TIME PERMITS
WERE ISSUED, WAS 113H AVE. THE ADDRESSES WERE CHANGED TO GALLO AVE, AT Ak
LATER TIME. PAPERS IN THIS FILE ARE CORRECT,BUT, NOT NECESSARILY THE ADDRESS ON
THE JACKET.