10957 SW 118TH COURT ADDRESS:
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CITY OF TIGARD
OREGON
April 9, 1992
Rod Belshee
10957 SW 118th Court
Tigard, OR 97223
Res 10957 SW 118th Court Permit #BUP 91-0209
Dear Mr. Belshee:
The last inspection conducted on tr.e above project was a failed
framing inspection on August 12, 1991. The next required
inspection will be a framing re-inspection.
Pleass advise the Building Division of the status of this project:
as soon as possible so the file may be kept current.
?lease note that any permit without activity for over 180 days
becomes void. if you need additional time to complete the project,
please contact this department so that an extension can be
discussed.
Brad Roast
Building Official
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13125 SUV I fall Blvd,P.G.Box 2.1397,Tigard,Oregon 97223 (503)639-4171—
INSPECTION NOTICE
City of Tigard Building Department
1.3125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono): 639•-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Po.t/Beam Struct. San. 3ewer Framing Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Like Gyp. Bd. -Hoch.
c�y
Date Requested: 1�J Time, AMS)
Addle se: 0` �_ _ /�if Permit
Builder:
THE FOLLOWING -�DRRECTIONS AR7 REQUIRED:
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Inspector: . r_ bates
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinap.
INSPECTION NOTICE A � J
City of Tigard Building Department
1312S SW Fall Blvd. Tigard, Oregon 97213
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection: _
otinq Plbg. Underalab Mech. Rough-in Appr/Sdwlk
(found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldc .
Post/Beam Hoch. Rain Drain Insulation -Pluab.
Plbg. Underfloor (,Water Line Gyp. Bd. -Mech.
Date Requested: Times -XI—AM PM
Address:_ 2 _ Peim t I:
Builder:
THE FOL1,OWING CORRECTIONS ARE REQUIRGDs
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Inspectnt s -
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
��Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I n epect ion:___ ---
Footing
--.Footing Plbg. Underelab Mech. Rough-in Appr/Sdwly
Found. Plbg. Top Out Gag Line FINALS
Poet/Beam Struct. San. Sewer '1<2 raming -Bldg.
Poet/p3sm Mech. Rain Drain Insulation -Plumb.
Plbg. Onderflonr Water Line Gyp. Bd. -Mech.
Dat Requested:_ �G �`/ T[,,i�yme(s AM PM
Addresn: O ` PBlmit Is
Builder.t
THE FOLIAVING CORRECTIONS ARS REQUIREDi ��✓�9AI�rel� `��`S�
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inspectors Date:
APPwMw �-"DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reiiep.
CITYOF TIV A RD
WYOFTWA1110
COMMUNITY DEVELOPMENT DEPARTMENT OREGON BUILDING P,ER1vIIT
13125 SW W Blvd. P J.Box 23397,repand,0"gon 97223(SM)W94176 Z�
L I 1:::,FRIIIT 4. . . . . . . : BLIP91012"09
639-1171 DATE ISSUED: 08/22/91
SITE ADDRESS. . . : 10957 SW 118TH CT PARCEL: 1S134DD-11100
SUBDIVISION. . . . : METZGER ACRE TRACTS ZONING: R5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :23
REISSUE: FLOOR AREAS------------- EXTERIOR WALL CONSTRUC"rION--
CLASS OF WORK. :iADD FIRST. . . . : sf N: S: E: W:
-'YF
i DE OF USE. SF :SECOND. . . : sf PROTECT OP,ENINGS?-.-----
TYPE OF CONST. :5N THIRD— . - sf N: S: E: W
OCCUPANCY GRP,. -R3 TOTAL------------: 0 S f ROOF CONST: FIRE RET? :
OCCUPIANCY LOAD: BASEMENT. : s AREA SEP,. RATED:
STOR. I-IT. : 14 ft GARAGE. . . . sf OCCU GEF.,. RATED:
ssm-r?: ME Z Z? : REOD SETBACKS- ------- REQU I RED
FLOOR LOAD. . . . :40 PSI` LEFT:5 ft RGHT- ft FIR SPIKL: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: 15 ft FIR ALRIYI: HNDlCP' ACC.
BEDRIVIS- BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 6000
Remar-I.(S .-
Owner-: FEES
ROD BELSHEE type amol-tnt by date 1-ecpt
10457 SW 118T CT PRMT $ 56. 50 JLH 08/14/91 216339
PLCK $ 36. 73 JLH 08/14/91 216339
I* IGARD OR 97223 5P,CT $ 2. 83 JLI,A 08/14/91 216339
Phone #: 685-3197
Contractor-:
TIM SULLIVAN
P, 0 BOX 232
EAGLE CREEK OR 97022
P11.10ne #: $ 96. 06 TOTAL
Req 66091
REQUIRED INSPECTIONS
ermit is issued subject to the regulations contained in the Foot/ful.tnd Insip
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framinq I n s p
applicable laws. Ali work will be done in accordance with Rain drain Insp
oproved plans. This permit will expire if wnrk is not started Final Inspection
within 180 days o' issuance, or if work is suspended for more
than 180 days.
CC
IDP ,mit ee SiUnc-Ati.tr,e :
f s 1-t e d By •
AJ Call for inspection 639-.4175
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p'CY or: 'T'I GAF D RECEIPT OF PAYMENT PEC:E I PT NO. 0L -216339
CHECK MOUNT ; 36. 06
NAME GASH AMOUNT 0. 00
ADDREEiEl a 10957 SW 116TH CT PAYMENT DATE t 08/14/91
SUP D I V 13 I ON
T I GARD, OR 9/r.:i-2,tit_..
PURPOSE f..1F PAYMENT AMOUNT PA'I U PUF1F='OSE. OF' PAYMENT AMUi_tNT F'A If.)
85-1—L'. C NC) F'E FiM 56. 50 PLAN CHECK FE 36. 73
T. BUILD PER 2. 83
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 4-- 1�7� 1Time_....._ A.M.��P.M.
Lfi� l 1
Address _ � � Permit
Owner / \ ( Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector ff� -� j_� Disapproved
Date
CALL FOR REINSPECTION
F] YES l A NO
Pian Check No. : :—/,57--/Z
13125 SW Hall Blvd. Permit
CITY OF TIGARD 639-4171 DATE
BUILDING PERMIT Insp. Line 639-4175 / / -3y g p
P.O. Box 23397 Tigard OR 97223 TAX MAP LOT NO. �SUBDIVI I N
�l '
OWNER Roa JOB ADDRESS /�9$-7 15 ��� � C .
BUILDER STATE REG.NO. E''LP.DATE _�A?Z —
BUILDER'S PHONE
ARCHITECT_ npQ,0 RHONE_stz�_G_� OTHER
STRUCTURE "EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE _❑ OTHER ❑ DEMOLITION
"ESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSOHY ❑ GARAGE: ❑ OTHER ❑ FENCE
OCCUPANCY - LAND USE ZONE BLDG.TYPE FIRE ZIJNF PUN CHECK BY __NEAT '
SEWER PERM;T• S? "e"':Af0 1 �
OCC.LOAD FLOOR LOAD HEIGHT 7 f NO.STORIES L AREA 7 Z NO.BEDROOMS VALUE FP, 6.1r,
MPMP�d,
DEPARTMENT SET BAS FROG 7 REAR 7,�_ LEFT SIDE % >> RIGHT SIDE
bQ THIS PERRSii%ISSUED SUBJECT TO THE REGULATIONS CONTAINED 04 THE BUILDING CODE.ZONING
D THAT THE
Z E,b WORKK WILL,ETIONS ADONE M ACCORDANCE WITH THE PLANS AND VPWF1CA:bNS l.ND IN ND ALL APPLICABLE CODES AND ORDINANCES,AND ff A HERESY ECOMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PKIWIT DOES NOT WAIVE
RE!'T, RICTIYE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO CURRENT CITY BUSINESS
TAXPEIIMITB.SEPARATE PERMITS REQUIRED FOR S P1.�IMBIN HEATINOL
E; SOC— APPL .AN PDOO
Receipt No. A DRESS - � L 2
Issued By ._—_._._:Approved By.r
SSDC
sor, -
POC �._..�'S' Receipt #
SEWER CONNECTION S 9 75 Date Pd:
SEWERINSPECTION �'� Amount Pd: /cJ0
-
SEWER SURCHARGE 8
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Cammente: Miami -
-... 33 e7N
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CITY SOF TIGARD 639.4171 a y '
6558
BUILDING PERMIT DATE-19-'i=i
TAXI,4APk317•343D LOTNO. 39 SUBDIVISIONI'elui 7,at'tt
O\ 'NER kids ,ecreat horses —_ JOB ADDRESS Ill2S7_—:illi. il>�ttx Ct. "tate9
BUILDER +,N t _ _ __.... STATE REG.NO v ? Sl— EXP.DATE
BUILDER'S PHONE
ARCHITECT _ --_—_-_ _ __ PHONE _--OTHER -----__—
STRUCTURE a I NEW REMODEL I 4L)u. lON REPAIR F- MOVE ' OTHER DEMOLITION
[_' RESIDENCE I1 COMM 1 EDUCATION IND RELIGIOUS ` 1 ACCESSORY GARAGE OTHER FENCE
OCCUPANCY _ ". LAND USE ZONE 41 BLDG.TYPE -----,—FIRE ZONE PLAN CHECK BY HEAT_ ..
( UllliLTllC.t '7l.li 1c' I. 11� f!i: 'lllllj k'/&LLtj(;i '.l 11 a,cr !1 )prayeaj)1ans. suL)]Ncr_Lf, J7 Cade.
SEWER PERMIT M 3b;ftlt 11 th:lk.14 ,tra.c. oi,))
OCC.LOAD FLOOR LOAD ! HEIGHT NO STORIES ? AREA -129 _NO,BEDROOMS 4 VALUE
_9UILDING-DEPARTMENT SETBACKS FRONT 1(� REAR LEFTSIDE 15 RIGHT SIDE
Permit `r 'u�U��_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
iibU•4!V 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
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Plre RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Taxlfi,LjU •Uu
SDG buuouu
Total �ylb.(J!t PDC# A IC ORAGW -
Frepd. _ 1 1SU•L1O
_. Receipt No. � , ' •�iD�b��99__ —�'MO-NE
Nei.Due - 516.1)tJ . _ _
- Issued By Approved 91►__�
DATE INSP. TYPE INSPECTION -- REMARKS PLUMBING DATE
Y _-- Contractor / s_- , -
" 5 - ".. j17
y Permit No.
.2 - -- --- - -- Rough in -- --
i , e�., 7-�t �4 Fixture -- -
// Final _
HEATING
Contractor
_--- Permit No yfr y/7
y Gas 01
A. p,,� � 0 X Rough In - -
' / / L .tp Final --- ---
U
SEWER
mal
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
,rb 6 Street Final
-- k )pro®ch
BLDG.DEPT.FINAL CERTFICA PORARY NCY CERTIFICATE OCCUPANCY Final —
Landscaping
Zoning Final
( A r1
CITU OF TIGARD MECHANICAL PERMIT Receipt#Permit#
Description
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1> Permit Fee =o 0 10.00
P.O. Box 23397 2) Supplemental Permit 3.00
Tigara, OR 97223
639-4175 1) rurnace to 100,000 BTU
F.00
incl.ducts&vonts
2) Furnace 100,000 BTU t 7.50
it I.ducts&vents _
Name of Development 3) Floor Furnace 6.00
incl.vent
Job Address 4 Suspended heater,wall heater 6.00
l Address ' -7 S c / t" � �' !� ) or floor mounted heater �^
Tax Lot Map No. 1'5/ 3 y CS ( 5) Vent not incl.in 3.00
Lot Block Subdivision —_ appliance permit
Name(or name of business) 6) Repair of heating,refr ig., 6.00
" + i — cooling,absorption unit
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner Z 27
- �7u �_-
BTLI
City state jlp -- 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU _
Name '"'-- 9) Boiler or comp 15-30 HP 15.00
absorp.unit'/,-1 million _
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million _
Contractor City;State —Zip -I 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _ _
Sf- 'a Registration No. City Bus rax No 12) Air handling unit to 4.50
10,000 CFM
Air handling unit
I hereby acknowledge that I have read this application that the information given is 13 10,000 CFM 1 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in — —
compliance with State laws,that I an,registered with the State Builders'Board,that the 14.) Non portable 4.50
'umber given Is correct (If sxempt from State registration please give reason below). evaporate cooler _
15) Vent fan connected 3.00
to a single du'
16 Ventilation system not 4.50
included in appliance permit
17) Hood served by — M T 4.50
mechanical exhaust
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work ( 1 addition i I alteration I I repair f] incinerator _ _
to be done reside.itial I_I _ non-residential 11 _ 19) Commercial or industria 30.00
Existing use of type incinerator
building or properly _- _ 20) Other i.e.,woodstov'e water 4.50
Proposed use of heater,solar,clothes dryers,etc. _
building or property _
r 21) Gas piping one to four outlets 2.00
Type of fuel- oil I I natural gas 1 1 LPG I.1 electric I_I e
-I 22) More than 4-per outlet
NQTICE SUr!-TOTAL
w THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
4%
ON —� - — �- - --
J STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ---�—
WORK IS COMMENCED TOTAL
Special Conditions
__ Dallis issued by_ _
CITY OF TIGARD PLUMBING M%U
now at vm
1>boiaouffbim PERMIT &"75
busitlt!aa«rnlgl bt .. owtiiN
tWnlad Wwtoprnartl P1umberyt"it NO.'222
O.aa
AddrUsOUAKAMT
r. ORS e14-21-610
Job Tax Lot t+taP
Addnao FIXTURES
Lai Block � �Oltl ^ S� 1.i0 •S- `
� < 7,60 UCS
or narna ofas Lavatory
Tub or Tub/Shower Comb 1 _ >•.eo 7 S�
as
bo
Shower Onty L
r 7S�
C U-) � 0L WalerClosel
Ovrner / is �P — �T
Cf 7 aanwasher I - 7
Photo Garbage asposai
-- I 1!0 `J 5
Name WasMnq Macfune -- -
IFlax Oram 150
1xxv Phone Water Hever - � .
Laurdry Room T,ay — �. 7
Occupant City/Slma zip urinal — 1 5o
OtherFWbm"(Specify) 750
Pnom 50
contactor
2-7t z 3 MMCB.LMEOUS
-tiv 9w To No S~lot lar _
< c 7Saw.r•*a.Kdt*1 pp W00 _
WSW serAm 10100 _ ! _moo ,
WaMrSr1MoaasI�ddl '
MOO
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follow rod Trim apprc�ataor�s t w ktlormataor+ 30.00
t;;tornt ti Arn Orrin 1 N War-
have
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h ve a 8Wd MOw1sflow No rtlrtttJtata Gov"am 00from Ow al 8br1n f;P*Orton A"d 100' 1 s 00
phanbMq rarotlt tM b� N ta0ootdMaft*►t�lproabM prvriM"d Or.
qoe RrrlatiQ«wilt M� tlOS tM aod"and tt►at .AAobIN lotlra Mao
ro hap M b� b1dK��•h•>e«rtPl Mortr �w�t
HOMEOWNM
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