11165 SW MORGEN COURT air � M �r � wv �wr 9 W
11165 SH MO.2GA1'4 COURT
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INSPF-CTION NOT+CF.
City of Tigard Building Department
p.0. Box 23397
Tigard, Oregon 97223
Phone:639-4175
r
Type of Inspection
�!� — - -- -
__—=� Time�..__ _ A.M. - P.M,
pate liequested -- L
f!�& 1 �L-� Permit
Address
Lot #
Owner
Buildev - --The following Building Code deficiencies are required to be corrected'
E�ARL-U, 6
_ '�'+.�2±�T'J Ste•_-.� r�-_
Approved
Presented to
Inspector
�' ,X,' ❑ Ditepproved
Date _-
CALL FOR REINSPECTION
C1 YES 16 NO
CITY OF TIGARD 639.4171 5992
BUILDING PERMIT DATE S' /A*_k_1_19_� Cd
TAX MAP S LOT NO. i 0____.SUBDIVISION'
OWNER__Flet to 4 JAk(: C Eir><dOt
JOB ADDRESS���S�
BUILDER ....ltmg9L �,1�Sr�:L1LiQ811,j1�;r�L ,tal ( rvt. STATE REG.NO. _-44"�� _EXP.DATE-_.—�x- '67
BUILDER'SPHONE 24-0920 Portland OR 97219
ARCHITEIJTIX CQtlitkltint• _ PHONE OTHER
STRUCTURE I—I NEW 0 REMODEL "J ADDITION I _rH11? _ MOVE_ L] OTHER DEMOLITION
RESIDENCE COMM ❑ EDUCATION 17 INC) RELIGIOUS ACCESSORY L) CaRAGE OTHER FENCE
OCCUFikNCY LAND USE ZONE --BLDG.TYPE j"` FIRE ZONE PLAN CHECK BY HFAT
4;uncstrict It ,, 14 living; ruou, am 3 x 8' shower. mym #'/12' x 2U' clerk additions to existiti;
k0tise. :;ateh all nM+ material with existing. Plumbing permit required.
SEWER PERMIT#
OCC.LOAD FLOOR LOAD 40 HEIGHT"" ''' N0.STORIES 2 AREA 141.i NO.BEDROOMS VAL141"100"
__BUILDING DEPARTMENT~ — SETBACKS FRONT^ REAR LEFT S10E _ _ RIGHT SIDE
Permit 1j.50 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONINO
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT Is HEREBY AGREED THAT THE
Plan Check 5i ,31 1NORK WILL BE DONE IN ACCORUANCF WITH THF PLANS AND SPECIFICATIONS AND IN COR7PLIANCE
~� 711VITH ALL APPLiCABIF CODES AND ORDINANCES THE ISSUANCE OK IIIIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACrOFS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS R5 IREU FUR EWER,PLUMBiN.a AND HEATING.
State Tax 6.U5
SDG
T0181 14U.8E1 PDCN APP4
Prepd. x2.33
_-
Receipt No/ 17ADDRESS —�___------___-------__—__ _-----.------�-----
Sal.Due 2�a 05
Issued By___ Approved By— —...
=MAW W
DATE INSP. TYPE INSPECTION v REMARKS PLUMBING DATE
Contractor AA
Permit No
Rough-in
Fixture
Final
HEATING
Contractor
Gasor9
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Raln Drain)Final
Sidewalk
lCurb&Street Final
j4pproach
Final
BLDG.DEPT.FINAL TEMPORARY CER11FICATEOCCUfANCY [Fi.
CERTFICATE OCCUPANCY ____ .1--
Landscaping 1.
Landscaping
""a - I
Zoning Final
sL a ijn a w k 'q P". L,w Rs •"ti •► n :rJ+•••^' s
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\ �_ bri�k r',wll!!; _ � a;e"`A �� ,,,.rt. ��TL fy� �'�f1 �f y� � � iM•M�+ +iy„t ..,�y �...y�.
> s ".M � y,._._ •71�1,'I�4Yv11 � ,efY tai � •�, n���oI•'� ,�`�, ` t tht_ .,
S" •�r .`` /��b�' P-16-UMBiNG PERMIT �-
St'
_ holder of a vatic a;trmbing contractors license is h0ie:,y
:ihGrlXCd to CaUSeY t7iU T1bi ,C VUi K aS herein noted 'io be
eo in accordance with the piurnbin; code G`
Tie�ard. much instaiiations require inspe-ion by le City Ins;ector who s,�ail be noti` ed not less than Fou;
of ;i and Business License requsrad i
,4i nours prior to the tirne the instaiiations are ready for ir,spccUon, City S
for a.l contractors and sub-cont-rdctors.
OF O
t7.`' cAC:-i A.'.Ol . T I (Office U u C;a,Y1
TYPF OF
25,00
UJ:.!x-•Goch i bath unit,_ _---
_. 10„00
At:d. .or;,1 b:throoms_•c:µh _._,__,.,r�..._..._.-�I_...._-.L---------- i
VJ (Vl0U.1L FIXTUR % FcC5 - i— ---- i
1 to CO Fixtures in 1
;;1 to '•C.11 Fixture: in 1 }wiWin�enrh,-,,, ,_,_I _._.-_ � - - 1 - --i�
2.00
101 to 200 Fixture�_ir._1 bullring-each
2J'. or rmo,s r ixtures in 1 Guiidimt-_each I _ i �-
10.00
Scvtar-cac� a�di;ionai '1110
Nla:c•5t^�.. : ''o builtlina _....___...__._...__..•— ---�------- ..�- 5.011 _.....r.�.:..�-f1-�...,..1 ........
For Pl:rmhinj lnspae:icn Phone 6:19.4 i91
--- — Piur:bir,5 Contra-.;o: 5y
(1
BUILDING PERMIT APPLI ATION TIGARD DAT�_____'s��7r.��_,1fl A1 3615
THE UNVERSICNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 644-206
OR AS SHOWN AND APPRCVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
(� LOTN0.-90 - Genesis _3
OWNFR 6r,'!id Clevel. Cy,IOBADDRESS 111G5 51_.! Margen Ccurt
-- ---- ARCHITECT
Er
BUILDER same — ADDRESS11C190 5W Allen Blvd. JGINEER
_BOEAIGNER Mackprang & Neff
�—
STRUCTURE I(NEW ❑ REMODEL Ll ADDITION Cl REPAIR 0 RENENVAL O FIRE DAMAGE O DEMOLITION
F�4 RESIDENCE ❑ COMM 17 EDUCATIONAL ❑ GOV'T O RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB Ll FENCE
OCCUPANCY f"3 LAND USEZONE R-10.-BLDG.TYPE . §N ._FIRE ZONE_-_ "" PLAN CHECK BY . C1wt1 HEAT._ g8S
Construct single family dwelling u attached geraSLe. 2 -t--oroame 2 2maths•
SEE CORRECTION SHEET ATTACHED,
SEWERPERMITM 23277 - $750.00 garage 5U—NQ„ft_�--_-----_-
OCC,LOAD FLOOR LOAD 40 ` HEIGHT 13 NO.STO_RIES_ 1 _ AREA 17_U 2 NO.BEDROOMS _ 2 VALUE97 2,200.
BUILDING DEPARTMENTS ET BACKS FRONT 20 REAR '. LEFT SIDE 9.7 RIGHT SIDE O
Permit _ $233.00 '1 HIS 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 110• -'0 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
Subtotal 349. 50 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTCnS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4 :; 9•32
SDC
Total S•62 �- -----�- --
-- PDC# I I l j 0.Ll APPLICANT OF�� NT
By ---)l
Rerglpi No. -- -
Approved I ADDRESS PHONE
tll� w It�� t� sl t>. 4
F
1
1
f
ii33 '
-- PLUMBING I DATE
RFMARKS
DATE INSP. TYPE INSPECTION --
_ Contractor _ (�
•i�si > : �__._ — - �/ 1, - - 8 /v�^/
� Permit No.
Rough-in --
Fixture
Final
HE TING ry"7
7✓ .
Contractor
Permit No. �— �.�_
Gas or Oil -- _-----
-�- Rough-in
-- — Final
�. - ------ gKWER
— -- Final 3 _z 3- -- -
DRIVEWAY
— - Final _
Storm Drainage
(Rain Drain)Final _
Sidewalk
— --- �—- -- Curb&Street Final
__ ------- --- - - _
Approach
-� CERTIFlCATE OCCUPANCY
Final --
81.DG.pEPT.FINAL
CERTIF LATE OCCUPANCY
Landscaping `
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE!!
THE UNDERSIGNED HEREBY APP!_IES FOR A PERMIT FOR ThE VVORK HEREIN 1,NDICATED BUILDER
OR AS SHHOQVV�N AND
APPROVED IN THE ACCON PANYING PLANS AND SPECIFICATIONS. OWNEn P ONE
J.1.,_„��a"�R �iBN�•�/O•JOBADDRESS ���G•� S� IF
�t 4N C LOT
ARCHITECT
Q •IygAIIal ESIGNER
•
BUILDER ADDRESS1/0- --
Oh
STRUCTURE NEW Cl REMODEL - J AODITION�-- C REPAIR_ ❑ RENEWAL ❑ FIRF DAMAGE Cl DEMOLITION
RESIDENCE C CCMiN ❑ EDUCATIONAL 1:1 GOV'T C RELIGIOUS Ci PATIO G CARPORT C GARAGE-C STOFLAPE Cl SLAB❑ FENCE
OCCOPANCY __LAND USE ZONE BLDG,TYPE 67 _FIRE ZONE .00-- PLAN CHECK BY HEAT S! •
SEVVERPE'1MITM
OCG.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA17 4�.Z NO.BEDROOMS VA.LLIE ,2 200
BUILDING DEPARTMENT �' •
n .._._ SETBACKS FRONT ,ZO REAR' /� LEFTSICE_ . ' n;C.ITSICE
Pafmit J�•a�'_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODs, ZOP1;'40
REGULATIONS AND ALL APPLICABLE CODES AND OADDIANCES, AND Ir IS HERESY AGREED Ti AT i HE
IPlinCheck • WORK WILL BE DONE IN ACCOACANCE WITH THE PLANS AND SPECIFICATIONS AND IN CC)';i,L1ANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NCT WAIVE
nm)-total � RESTRICTIVE. COVENANTS. CONTRACTOR ANO SU-3 CONTRACTORS TO HAVF.CURRENT CITY EUSItie°S
LICENSE SEPARATE PERMITS REQU,RED FOR SEWER,PLUMBING AND HEATING.
SLata Tax
Total _ ��• $L Soc— / N & Sr•�1 w __ _- ------
---- PDG# APPUCANTOR AGENT
By
Receipt No.
Approved ADDRESS PHONE
R C
EWER CONNECTION S >J0 '�++`�' ` __ _•:��k' '
EWER INSPECTION
EWER SURCHARGE S
cm-19 el t r- J4.1 3
GZLA�IOP 3r&vaLOfAfvuT C�.... 3 AA&ci+ 1iSI
al l (ag� IVa a sh Com. Ln�#tip • �a+w�� JJL
Floor VIA 146
/8 X /!-'e 26Z
/Co X /;•o ,x a$
17x2 31 PiR .?/$
s� 8
asst ssstr sssR was sats' sssst �
•car a IbY y u v 80w.
.�.. ....... .�.. .. —.. �.. .... _. - �-
f4ew-*;t-_allation%o Replace Relocation n Addition ❑ Alteration DATE:
HEATING Imperial Mec-h. Grand Development Co.
CONTRACTOR — OWNER _
PO Box 06327/197206 OWNER
11.165 SW Morgan CL.
ADDRESS_ JOB
777-3801 Imperial Mech.
PHONE_ __— APPLICANT_ 44
Heat Input Rating(BTU per Hour) 80, 000 Vent Size_ ' . Flue Size_ 4"
FUEL OIL[] GAS Dv ELECT OTHER
_ ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW r_ Each Air HandlinjUnit or _Duct S sy tem_ —7.50
New-up to & incl. 100,000_BTU _ 6.00 Commercial 'food System _ _7.50
New 100.000 BUT'ss & over7.50 Other Equipment - Each 4.50
Woodburning :;lave 4.5_0 1 Trip Inspection + 4.51]_
Wall-Floor- Suspendcd 6.00Air Condition_Compressor - up to& incl.3 H.P. 6.00
Vent System w/Fan _ 4.50 Air Condit;on Com ressor.3.1 to 15. H.P. incl. -11.0o.-
-IC
11.00—
�— CIT_Y_BUSIN_ESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANLE 10.00 Commants:
FEES —._�,
SUB-TOTAL
STATE _ Issued By_�
25%PLAN CHECK u�
TOTAL � I REC. #
C