11695 SW MANZANITA STREET ,A,'1 ��� �y
11695 SW MANZANITA STREET
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INSPLCTION NOTICE
City of Ti!lard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
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Type of Inspection
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Date Requested 1,1A1/S-el Time_ .2 _._ A.M. P.M.
j Address .�1 r �' 4 ��1' 4`LPermit #_
Owner __ Lot #
! Builder—_--.
The Sollowing Building Code nc!es are required to be corrected:
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Presented to ____--- 4�rkpproved _--
!nspector _ —_— ___ ] Disapproved
Date --
CALL FOR REINSPECTION
[� YES El NO
wx=-I=-a
CITY OF TIGARD PlumbJng Permit
Building Department
Residenlial El commercial No.
New installation El Replacc U Addition Alteration F-1 Date
Licurised
Plumber
Owner
Aadress Job Address 2V
Phone
Applicant
C11-y BUSINESS LICENSE REQUIRED FOR Al, CONTRACI ORS AND SUBCONTRACTORS
ITEM NO. FEE TOTAL ---ITEM NO, FEE TOTAL
Fixtures-Traps 7.50 Sewcr:First
Dishwashfj,r Each Addit.100 tt. 15.00
Garbage Disposal 7.50 Ejector Pump
7.50
Water Fleater 7.50 Water:First 100 ft. 2000
Backflow Preventer Each Addit.200 ft. 15.001---
Storm&-Rain Drain:First 100 ft.--- 30.00
Each Addil.200 ft.
MulileHoryie Space 25.00
Other(Specify): Rain Drain-Single Fam.Dwelling T 15,00
ERMIT FEE commenm
STATE %
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Receipt No. ._I Applicant
TOTAL For Plumbing Inspection Phono 6'39-4171
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INSPECTION NOTICE
Cov .,i Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 9722.3
Phone: 639-4171
Type of Inspection
Cate Requested Time 'r A.M. _--_---P.M.
Address - z -� - --r F.1
��—,—_a.. Permit
Owner - — __ Lot --
Builder - --- — -- ----- _ _�
The following Building Ccde deficiencies are required in be corrected:
Presented to - -- — ---.__.-.-_—-- Nj Approved
/ yy--' _ �, Disapproved
InspectoI_(�__-------
Date � — —_._--__—
CALL FOR REINSPECTION
f_. , YES ENO
•.1 A-
w aer e� ear �r +w W nsr
INSPECTION NOTICE
City of Tigard Buildi,ig Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address _ r�:f "1
.: ,:: .;:. Permit #
Type of Inspection
The following Building mode deficiencies are required to be corrected: _
Presented to Inspector
DatF ___ __�_--_—•--- _`_ i
CALL FOR RElWEC7101V
❑ YES ❑ NO 9
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MEL��WRAMELALMMULMMORMINRAM
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CITY OF TISA RD
WASHINGTON COUNTY,OREGON
Fi-�bruary 1.3, 11)HI
OWNER 0a+1 Geist _ PERMIT # 2319
ADDRESS 11695 SW Manzanita Street
OUR RECORDS SHOW THAT A BUILDING PERMIT WAS ISSUED TO THE ABOVE
ADDRESS FOR THE PURPOSE OF : converting part of garage to
family morn in existing single family dwelling.
AS OF THIS DATE WE HAVE NO RECORD OF THE FOLLOWING INSPECTIONS :
FOOTING PLUMBING
FOUNDATION HEATING
POST & BEAM INSULATION
FRAMING FINAL
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THESE INSPECTIONS ARE REQUIRED BY THE STATE BUILDING CODE .
PLEASE ADVISE US AS TO THE STATUS OF YOUR PROJECT. 1
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THANK YOU.
TIGARD BUILPANG DEPARTMENT
`- ---
72420 S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH: 639-4171 -''
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BUILDING PERMIT .APPLICATln„' -rIGARD DATE - -
Is,
3219
THE UNDERSIGNED HEREBY APPLIFS FOk A PERMIT FOR HE WORK HEREIN INDICATED SPECIFICATIONS. BUUIINDpRPHHO NE -
OR AG SHOWN AND APPROVED IN THE ACCOMPANYIPJU PLANS ANDSPECIFICATIONS.
NO.
OWNER Carl Geist JOBADDRESSilb, SW (~}r' _Zall'ta ARCHITECT
ENGINEER
DESIGNER
BUILDER same _ ADDRESS .
REMODEL ❑ ADDITION_ F.] REPAIR ❑ RENEWAL ❑_ FIRE DAMAGE ❑ DEMOLITION
STRUCTUREEl NEW
t, RESIDENCE)-j d6UM F1 EDUCATIONAL C3GOV'T ❑ RELIGIOUS 11 PATIO ❑ CARPORT—� fI GARAGE ❑ S O� GE ❑ SLAB❑ FENCE
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OCCUPANCY ._LAND USE ZONE — —? BLDG.TYPE _ _FIRE ZONE_'PLAN CH CK BY _ HEAT
Inturiar remr: s.I cif' sinc�lr� mily dwellin -c- convert part of Uarsou
ramily room. 5EE FILE:
SEWER PERMIT#
OCG LOAD
FLOOR LOAD HEIGHT —" NO.STORIES AREA — N0.BEDROOMS VALUfi
-- - ---
REAR LEFT SIDE RIGHT SI
BUILDING DEPARTMENT SET BACKS FRONT --
kroved
+�24.L)0 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
11.r fall 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 N01 WAIVE
Sub-total 3b.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLGMPING AND HEATING.
., ' SDC—_r_ PDC# RAGENT PHONE
NC}tReceipt No. I AR 55_
rat � a. rrs a� nm ror eel
DATE INSP. TYPE INSPECTION - --- REMARKS- PLUMBING L DATE -
Contractor
Permit No.
F-._�, , y�
Rough -
Fixture
rr _
e -- --- Final
HEATING
Contractor Contractor
—. -- -- Permit
�- — Gas or Oil
Rough-in -- --
Final -- --
- -- — SEWER
--� Final ---
DRIVEWAY
-� - — Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street final
_ Approach
ILDG. DEPT.FINAL T TEMPORARY CERTIFICATE OC,�t1�'ANCY Final
CERTIFICATE OCCUPANCY () --
Landscaping
Zoning Final
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*I I r CITY � I "ADD � i_—• 14
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AD
ADING PERMIT APPLIC,ATIGN OF
HEREBY APPLIES FOR APERM!T FOR THE WORK HEREIN INDICATED BUILDER PHONW
OWNER P �
H0NEaj57 U-"r�Y
4ND APPROVED IN THE ACCOMPANYING aLoNS AND SI'FCIFICAT!U-6 LOT NO.---
(�WiIEE �igx ".2yr��.1G8 ADDKESS i`/:. �< :: J�' 12 ARCHITECT
ENGINEER
DESIGNER
Buildders-G_-.. r�1_._ r cMOt-ITION
-• UQE W_Cti=w REMODEL ❑ADUI'ION- O�EI,EWeL _❑ IRE DAMAGE �-( ❑D-_
_ - �•--� M q (-�i;ARAGE� ❑STORAGE❑SLAB ❑FFN!:E
1n-� ❑r REL'GIOUS❑PATIO ❑CA PORT LJ
C'.NCE 1_JC'_'r'M ❑EDUCATIONAL �OV'1 lJ_. ___ _----
❑mOVING ❑CONDITIONAL USE - ❑DES�1�RPVIEW ❑COUNCIL APPROVED [:]SIGNS
FIRE ZONE PLAN CHECK BY - HEAT���_
.L.oaNCY ''3 LANn ucP PONES _BLDG TYPE_ _ — -
N_L.�:�"'_�- ELQ._S_T�R1�� —_AREA _ ___N�-9fDRO0MS VALE''�-dC.�U _
AFARLfiFT-�1{jE-------- RIGHT SIDE
BLILDING OcPAF`1MENT SET yACKS ,F'RUNT� —'- - _
�elmlt `
_ _ THIS PERMIT t5 ISSUED SUBJECT TO 7HE REGIJLATIONS CONTAINED IN THE BUILDING CODE., ZONING
Plan Check �' `- RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THA1 THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL IANCE WITH
I S_b total 6 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RFSIRICTIVE COVENNNTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C:17V BUSINESS
gate Tax I.I(J NSF. SEP.P%,fATI' PF HMI IS N-I)I11RED FOR SEWER, PLUMBING AND HFATING
Total .�
APPLICANT CA AGEPIT
Applc,vM — Receipt No —
_- ApUpE55
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Address��G_��+��M/�N����1�— Permit No.1y -
2 � o
Name of Occupant Permit charge —
Connection fee
Paid by -
Date connected -
Type of Building Inspection fee --
Service Rate_ _ Paid by --------Date—
Contractor
— ____—DateContractor _ Assessment _Paid _
Size of connection. _—_--
PERMIT TO CONNECT
Tigard. Sanitary District
PERMIT M 1014 DATit
PERMIT IS GIVEN TO
OF .-.'�t - -____
TO CONNECT A__I - -TO THE SYS'T'EM OF TIGARD SANITARY DISTRICT
ATI ,
THIS PERMIT MUST BE POSTErr ON THE DESC7tIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSP'.CTION OF CONWICTION PAS BEEN COM-
PLETED.
PERMV , FEE PAID $_.............-................TIGARD SANITARY DISTRICT
1 By
CONNECTION INSPECTED AND APPROVED
--