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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639.4175
Type o' Inspection —`-- nr�*
Time—.—� A.M.
f1a.e r .guested V c_-
7 Permit
Address _L. r y Lot 4
#___—.--
Owner_ _ -
BuilderThe following Building Cade deficiencies are required to be rorrecte&
-----�-� z 5 N ---
Approved
Presented to _
C� Disapproved
Inspector
Date
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
86dglZd
Type of Inspection - r ' }I C.
Date Requested _ -, // iS Tlme A."Li P.M.
Address -� I I C_ Permit
Oar"er Lot #
E i.ld+
The following Building Code deficiencies require.1 to be corrected:
Presented to _ — f}--Approved
Inspector _._ [._1 Disapproved
Date
CALL EREINSPECTION
C7 VES 0 NO
WawJIL w st
INSPECTION NOTICE
City of Tigard Building Department C�
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
1 f
Date Requested-_1 1{�- �] Time A.M. p M.
Address
---+-�--t- Permit #_.� z
Owner
— _------— Lot #
Builder(.Y
The following Building Code deficiencies are required to be corrected:
Presented to
[7 Approve
Date
Inspector rt' �-
, sapproved
CALL FOR REINSPECTION
1-1 YES U NO
INSPECTION NOTICE
;ity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4176
Type of Inspection )TI
Date Requested ` V C) lima A.M.. P.M.
Address _` -��r L'%Y l l Permit `s
OwnerLot 0_
Builder_. c L'1
'The following Building Code deficiencies are required to be corrected:
------- -- -- -
Z4L 0C
Presented to
Inspector 1
� [] Disapproved
Date -
7 CAL:, FOR REINSPECTION
L 7 YES NO
PLUMBING ISI:.IMT
NOES wrr NO. : PL.08092,1
CITY OF TI6A RDDA*TE XSSUED : 6/P4/00
CITY0FTMRD
COMMUNITY DEVELOPMENT DEPARTMENT MOO" 1441M . PMT .NO . 080Y,?3
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175
T03407 tow l(F-PT (71
'TAX MAP/L.(.71* P51, 1-119114 3.1500 SUB: SWAN!:ON GLF::N L.T56 8K :
L.AND USE:* - P1.2
LOT SIZE: :
3: rEM: N(*): NO:
WORK CLASS: NE'W WATEP CLOSET 3
USE TYPE:: STNGLF.: FAMILY URINAL
CONST .TYPE.-: : VN LAVORATOPY 3 '1 nAP PPTMI:J-4
CKIMIU13 . GPP . : P3 'rue SHOWEP 72 'I'PAPS
DI'SHWASHEP I
(-.:ARRAGF-: 011SPOSAl 1.
NO . STOWEES : R WASI-11W., MAMIXNIR'. :1.
DWIFLL . UNITS : 1. L.AUNI)PY TPAY IRLDG . DPA.1N ( DIA
F.-LoOo DRAIN
qTNK 1. 4';iF:,WFR
WA1F.7P I-1F-.:A'TF'-P .1 STORM/WEN
(XTHFA'P
P
.-I F AK MOP(.-oAN PEPMTT
0 J-)0 SOX 611335
W t:tr97007 66.0), FIXTUPES
N is l.rillaa.
E r."HONFE (:50:3) 60A 6606 S'TA'T'E 'TAX 316. 63
R 01,14,14
—WA TTS— KEN
C
0 11,1:-".N WA*I IS F)LUMSTNG
N pa BOX 2 30925
T
R t J.U aL r,cI cit- 97223
C A PHONE 115031 6841-6626
T NO . 50878
0
R PEMIVI NO .
This permit is issued subject to the regulations contained In Title 14 PF:Q11-111WED JNSPE(',1*TON5 3
of the TMC. State of Oregon Specialty Codes.zoning regulations 1-11 8 .UNDEASLAD
and all other applicable codes and ordinances. and it Is hereby 171('.)5'l & ;;JFAM
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and WA'I*F--:F4 LJNE
ordinances The issuance of thin permit does not waive restrictive I-1 B .TOPOI1.14,
covenants Contractor and subcontractors shall have current city PAIN [)PA'TN5
business tax permits This permit will expire and become null and F T NAL.
void if work Is not started within 180 days,or if work is 8133pencleclor
abandoned for a period of 180 days any !Ime after work has
commenced 11 shall be the responsibility of the permittee to assure
all required inspections are requested and approved
A
Al. I
CALI FOR INSPECTION 639
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
BUILDING Pl::.PMI'T*
PERM.TT NO. : BUJ380923
Crryo�
F ID
C17YOF7167ARD C
I
COMMUNITY DEVELOP,"AENT DEPOiRTMENT M9014 DATE ISSUED: 6i24/88
13125 S kl; Hall Blvd..P.O.Box 23397,Tigard,Omgon 972:3,(503'1394175 PIS rm.PmT.NO. 8809IL-5
JOB ADOPESS : 10,10*7 SW KEPI CT
TAX MAPI11-04' PSI JAI-38 3.1500 fiUR . SWAN!A'.)N GL V.N LT 56 RK :
LAND USE : Al2
LOT SIZE. VOI UA I T(IN 2,28 S ETHACKS
FPONT : 20 WEAR : 1�
WORK CLASS : NEW DWELL . 'UNI'VS : 1. LEFT: 9 PIGHT : 28
IJSF-:* TvPE : SIN(,'-1L.1::: FAMILY NO. SEDPOOMS : 3 E:IXT WAL.I... CONS T :
CONST . TYPE : VN NO . BA'T'HS : 3 N: S : W:
OCCUP.GAP. - P3 PRO'll' .OPENINGS :
OCCO!:� .LOAD N: S : E : W :
I AREA 1.P38
NO . STOPIES : 2 1'a1, 652 ROOF CONST: RE T7
HE : PO %:NI') !.M 6 AREA !-'-A::PAR'? RATED :
BASE:'MF:NT7 31'•!17OCCUP. F--&-PAI-47 PA'Tl::.*I:):
MEZZANINE'?
FLOOR LOAD: 40 GARAGE: A00 FIRE. SIPPI(L-1:47 AL.APM'?
F:LOW(GPM) DF:1T C1`7 Yl:.:S
HEAT T*YPE. GAS HUCP.ACCESS'? ("IOPP'?
PLAN CHIEX.K BY: r I t
REISSUE OF NO. 7041H
LAST REISSUE F.160.-,69
RLAH:AK NG
MON mnmir
A ,
W $307 - 001i
N cl BOX 6 3
85 PLEE.
AN RE $199.
F nr- 97007 60',!!A 1:**IPf-.- DEPT
Fa
(503) 604 660e) CTATE TAX $:1.9 . :3.".')
OTHE-44
C i DEVELOPMENT CHARGES :
0 M 0 14 GA%4 91101C.(STORM) 1112.50 . 00
N TITAN V1144)PERTIC" .S ING9 DC STREET)
T $600 . 00
R P(3 B(IX 683.5 $121150 . 00
A V0.01iii, or 97
C 007 68*1. PPV F'A I D < 00>
T 11::'HONF- (503) 6841-6606
0 fIL"GISTPATION NO. .3055a
I 01'Al- $ 58 1. 19 0
PECEUPT NO.
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations REQDIRE
*0 INSPEC"TIONS 32 �5
and all other applicable codes and ardinance3, and it is hereby
agreed that the work will be done in accordance with the plans arid 1-00TING SEWER
specifications and in compliance with all applicable codes and FOUNDATION WALL PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST & BEAM WATER I-INr-.'
covenants Contractor and subcontractors shall have current city PL.B . UNDERSLAS CITY APPRCH!SW
business tax permits This permit will expire and become null and SLACI FINAL
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work hog PL-B. TOPOUT
commenced. It shall be the responsibility of the permittee to assure F PAM 1:NG
all required inspections are requested and approved U-I PKIPI-ACE
GAS LINL
IN51[.11-ATION
('.,YP . BOARD
L'Eunitlerr Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANICAL PERMIT
C17Y ®F 7IGA RD CfTyy"
ionF'L DIMI T NO . : ME0809R6
n
COMMUNITY DEVELOPMENT DEPARTMENT 6/?/1/80
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,15031639-4175 PI'S Ilm. PMT .NO th.st-30923
J(313 ADE)PESS * 10,4107 SW Kli-i"PI CT
-TAX MAP/LO*T* PSI 14HD :111.1.500 SUB: SaWANSON CI..+N LT :56 BK :
LAND USE : 1:112
LOI SIZE:
T TF-.IM NO NO:
WORK CLASS : NEW F11PNACE. <1001K 1. 0,10 HANDI..W <10
USE TYPE: 15INGL-E FAMTI Y F'UPNACE 100K+ AIR HANDL.14 10K
CONST .TYPE: VN FLOOP FURNAC.F." ki'VAP.C()OLEP
OC CUP .GRP . : 173 VENT F AN 3
V F N1 VF*.:N*I . SYSTEM
HLP/COMP <3HP HOOD I
NU . STORIES : P. 81 P/C('.)MP 3-- 1',iHP INC I W.PA'TCP(DOM
E)Wl;---I-L .UNITS - I OLP/COMP 1:°.r -3011P INCINE'RA TCP(COM
F UEL TYPE GAS HLA/COMP 30-50HP PE()AIP UNI'T'S
MAX . INPUT BLP/COMP 504-HP 0 THE1141 P
FJ F4E. DMP' i7 GAS PIPING OU'T'LE'TS I
I-I:L('.vH 1:*P i I?
LOW VIP"
IHEMAPKS
FEF'Li
0 BLEAK M(")P(*.,AN PE PMI t $1.0 0(
W Prat BOX 6835 PLAN REVIEW
N
E ialohia. or 9'."00"J' 613;
R PHONE (.503) 6841-6606 S'T'ATE. TAX
OTHE14
C
0
N FWEI L HEATING INC .
T
Ft 155505E PIAZZA AVE
A c-,Iam!k Ptmam or 9701.5
C
T PHONE (503) 243-1194
0 PEGISTRATION NO. 447 1 OTAL : 11111,'52 . 6t.'
PECEIP'T' NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations PF'(41.111PED INSPE('."'TIONS
and all other applicable codes and ordinances, and it is hereby (.,AS LINE
agreed that the work will be done in accordance with the plans and POST a BEAM
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not wnive restrictive POUCH IN
covenants Contractor and subcontractors shall have current city F!*I NAL
business tax permits This permit will expire and become null and
void if work is not started within 180 days.or if work is suspended of
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee`;ignatuw
Issued By _LALL F LIW INIL PLC I I UN 464%;-4 7b
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
FIE I iri.1. 1, N') - I. 0 0 W"�7
CITY OF TOGARD rt, r)A*T'F.: ISSUED: el/P-1
c,, 0 11441 M- PM 1' .NO. 000923
COMMUNITY DEVELOPMENT DEPARTMENT OVIGON
101215 S111110041W4 9Q.844 1111121111T1 (6931639-4175 USA NUMBE44 :
LANU USE : T 7M 0 _TT715T)
LOT SIZE-
(I TWP Z210 ANG ; I
WDAK CLASS Nl--':W
USE TYPE : S:t.N(,,I,..E FAMILY
J.C III.CI I"IF,?r,)Ili t(:I CC)Oft I)A.y W:J.t I- ilt I Jia1'1(1 g 1.1 *k-l':I.4:)11 t
Thm pieimit �0 cl
.xpJ.I-.c#lfl ciatytu
11LIVICKIl'it Plaid vlill hort) 'T
cl-F thiv"+ Ulm Itiv.,Iwell.,
ric)t in
,all d1.lo(^tii3rin& i?i�om i,lio?
:I:f r1totilt 1.16v]r.
In. "T.1ir) atricl !:H.de 14.1.1cl the AqWftrIC.y WJA.A. J.11inti1l.1 .1 la
I N S'T'A L L. 'r Y P I:—.- HILULDIN(; GI*_-*WL-*p THP)EA-1VIDUS APEA:
1:)W[*:-'.I-.I-.ING (.)Nl,r!-:s1.
NO OF, r-.1 I r)GL;
F EJ S
C.
lira ROX 6835 F7ONNlX(:,TION CAAARGE 311 1.00 pO
0 11 h fit
L 1. INC
(ir. 97007 WS
W INE: TAP INSIALL. ,
N r:-H(:)Nl-:*. (503) 684 6 606.)
E
R C)THI-Ep
B1 1:;:AK M 0 1.4(JA N
T JP I AtT P P[)P::.TFM.-1.-1
0 F)13 B 603
OX ,5
NJ Rl C)1.1 M.
T mr- 97007 gr)i)
R PHONE f 30:3) 681 0*606
A PEGITS'YWOTTON NO .
C 'TOTAL. $3. 135 .
T
0
R 1*.XI:-'-JP'r NO.
RE(;1UIPEA) TNSPRC'J*'r.ONS
This permit Is issued subject to the regulations contained in Title 14 PERR"OH—TISI
of the TMC, Still'i of Oregon Specialty Codes,zoning regulatior,'
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done In accordance with the plans and
specifications i-,nd in compliance with all applicable codes and
ordinances the Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business lax perrilits. This permit will expire and become null and
void if work Is not started within 180 days.or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
petmitt IgnatUre
(."ALL F'OP INSPECTION 639 AJ'75
Issued B-/
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIFARD- PLAN CHECK APPLICATION
PLAN CHECK H
CRYOF TIGARL`
PERMIT M __-_--
COMMUNITY DEVELOPMENT DEPARTMENT oaEcoN / DATE ISSUED
13125 SW Fidl BMd, P.O.Box 23997,Tigard,Oregon 97223(SW)M4175
JOB ADDRLSS: LC �G
.>>G�-' .�C < � t' TAX MAP/LOT
SUET. ,-}'S�� .•yr `t'�1 LOT: _-- LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: REISSUE REISSUE OF: _ �'` ✓ �+I r
ADDRESS:- _ pl' -�S _ �' — LAST REIS::11E
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: (.r► a c�c? - --
APPROVALS REQI!IRED
CONTRACTOR_ PLANNING:
NAME: _ / .' ENGINEERING:
ADW-SS: _ — FIRE DEPT u!— --,--
OTHER:
PHONL: — ITEMS RE011IHED
- LIST/SUBCONTRACTORS:
ARCH/ENGINEERBUS TAX:
NAME: — CALCULATIONS:
ADDRESS: _ TRUSS DETAILS:
_ PARKING PLAN:
LANDSCAPE PLA4V:
PHONE: — OTHER:
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
16--432 OO Building Permit Fees
10-431 00 Plumbing Permit F-es f Z•SG,. _ _ / .'�2 3
_ 10--1131 01 Mechanical Permit Fees 5V /� v
10--230 01 State Building Tax (5%) C1 _ 4?V.0 L
R u i ldirig L >_ j5 _
Plumbing
Mech
10-433 00 Plans Check Fee , �.�L� O.13
Building L�. �_—
Plumbing
Mech ,' r
30-443 00 Sewer Connection (20%) !` 2_�-c_
30-202 00 Sewer Connection (90%)
30-444 00 Gower' Inspection
51 -440 00 Street System Dev Charge (SDC) U
52-449 01 Parks I System Dev Charge (PUC) _ _ --
52-449 02 Parks 12 System Dev Charge (PDC) S a
31-450 00 Storm Drainage Syst Dev Chrg (`.::SDC) o
10--230 09 1RFD (95%) _---._ _ -.-.-
10-435 00 TRFD (5%) _
10-230 06 Washington County Fire #1 (95X)
10-435 00 Washington County Fire N1 (5%) _ _ _ -_--
10-22.0 00 Amar•t/Wedgewood
IOTAI
REC 11
APPI..ICANT o GNATURf
Received By : _ t� Date Received:
ht/3F,87p