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INSPECTION NOTICE
Uty of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
Time A.M. P.M.
Address Permit
Owner
Lot
Builder 77- Cj'&/
The following Building Code deficiencies are required to be corrected:
�)A'ka'YN
F)�CACLCL- CID V, Cl'
12 P0 5PJ
'War %EOPW'
Presented to �provad
Inspector F
-------------- —----- L-1 Disapproved
Date
CALL FOR REINSPECUON
1-1 YES 0 NO
IAWW sssr ww ssir fI
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection
Date Requested - Z Time A.M._ P.M.
G
Address�..._ �" Permit #-i�-X 3 z
Owner Lot
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ Fq�groved
Inspector �_. �_� Disapproved
Date
CALL, FOR RFINSPROWN
❑ v A [ANO
CITY OFTIFARDBUTI-DING PEAMIT
CITY OF WARD I-:,EAH*J. T* NO. ! BUIE181.6521
COMMUNITY DEVELOPMENT DEPARTMENT -,000
13125S.W.Hall Blvd,PO Box 23391.Tigaril.Oregon 97223,(503)639AITSDATE TS51JEA): 1p/PO/88
-- 171 M JIM I MI.I t:0-11 63i.�
.,1(71:5 ADLWIESF-5 : 1.0432 SW KENT L.N
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I AND IVA-:. : 14112PI)
1 01
VAI LJA'T 3:ON' !'A '967 !A.I IJACWti
F14ONT : 20 REAW
1411014K CLASS : N I.4W DW(:-.A. L. .UN I US J. I EFT: 1.0 A 1 CIA VAI
LP:4., I *:', , ' ' 51NE"ALF." FAM11-Y NO. HI.-J.)POOMS : 3 EXT . WAL.L. CONST :
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OCCUP P 1:43 F)PUT .OPE-NXINIC35 :
(A."r,I.J1: 1 (lot) N S : E: : W
-1 OT AN AREA: 1.092
1.93 T : :1.091? ROOF C.X)W-.Vr C FIAE: PET7
liv: IIA11 21417; AI7EA SL.PAW?
3140 : SI-EPA111111 PA TV:0:
11..(.101'1 1. (1 11 /Ik) ;2(30 F"11:41HE SPI-4kLA? Al APM?
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R 1 [PE" DEXYT
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C
O 1'.)E"V F..I-.('.)P M F N'T C.A-IAR[A.-.S
N MUIA.36N SOC.,11 151*01-14M 11 $1.*!50 . 00
T
F; I I AN 1-:1POPERTTI.T'S I.M."" SDC, $600 , 00
C A (.j VIM 6(1.3.05 r-10C., 4
12 112"50 . 00
T AI... AIA OP 97007 46(3"V.) 1:44EPAIJ) C 1111-10 . 00
0 1-1-11:11W.' (!J03) 60/4 F. 606
R
141-- L'I(.3 F WAJ,I LIN INIJ A 0!;)1)1J- TOTAL.. : 411 1/10n . :3n
This permit is issued subject to the regulation.^rintainecl In Title 14 NO . m
of the TMC, State of Oregon Specialty Codes,zu,,Ing regulations ..........
and all other applicable codes and ordinances, anu It Is hereby 1.1;.14,JITPEA) :I.N5PE('..'1J0N5
agreed that the work will be done in accordance with the .;'sins and
specifications and In compliance with all applicable code, and 1:001 A NO F..)Fwr:.:p
ordinances The issuance of this permit does not waive restrict,ie F OUNDA'T.CON WALL. PAIN MAINS
covenants Contractor and subcontractors shall have current city P(M-51 & PAKAM WMEP L.INE
buF;nesR tax permits This permit will expire and become null and H. I-JINEXIA151M) LI'VY APPPC,H/S#W
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 !iLF—ENAL
commenced It shall be the responsibility of the permittee to assure P1 F) , T01--IOU T
all required inspections are requested and approved I'I1AMTNG
1149RA.-ATJON
P,rrnitl, gnature 1,YP BOARD
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN OESCRIBEP, ABOVE
aw
CITY OF T167A RD �=�Lv F-Ami'r No
SEWE.r.4 PERM11'
4one" 1D
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639.4175
-4175 DATE" 1'. 0 C-30
T
AK)j)pI;-.SS : 1.0432 SW KEN'T' I-N USA NUMBEP . 01571-:1.9
PE51. 141191r. SLM: SWANSONS 01 E N 03 WK :
TAX MAP/I OT I 111 1.41200
I-AND USE: 1:1 1r.2 P D
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Iir 'TION � 1.ATWP: 2% PNC..,: 1.w
WORK CA-ASS: NEW
I.JSE: 'ryPE : SINGLE F-AMIL-Y
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..........
IM-5 Y*Aj.'rL TYPE ImpEr4VIOUS AREA
v 1:XT1.I PF.'* LIN 3:T S TE'NANT IMPPOVEMENT
l,)wI;J I I NCI UNI T•B
No . OF M-DGS - : 1.
[VV PEPKE'T
N A K MOPGIM CONNECTION CHAPGE
E I::,(:) HUX 60Mull
R Al.,OHA ON I.,JNF.1*. TAP IN$1*Al.-I-.,
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C t I F) 9'r00 1 6 1]W335 5
T A I 01-11A
0 PHONLI 604-6606
TOTAI.- 3. 135 . 00
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO
of the TMC, State of Oregon Specialty Codes,zoning - guiRtions
and all other applicable codes and ordinances. and it is hereby f4r-.*(AJ11'Pr,-J) INSPEC'"I"TONL."s
agreed that the work will be done in accordance with the plans and Pt.)UGH-1 N
specifications and 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 ter permits This permit will expire and become null and
void if work Is not started within 180 days,or it 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.
Permittee Signature
Issued By:
I TON 639
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUM13ING Pl;;PMX'T'
C11Y OF
TIGA RD 1::IEFiM:I: T* NO . : PL*11HIE2328
(CITY(W TWA RD
ItD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W.Hall Blvd,P G.Box 23397,Tigard,Oreg in 97223.(503)639-4175 PO El(3
104.*P,'� SW Kl'-.:N*T 1•..N
1AX MAI-1/11 0T Z?Clj. 1.1elffi.4 1-11fROO SUR: SWONSONS L.J :83 FW
I s)NI) USE:' 1:41.121:11)
J:*11'1..;M N(:): NO :
WOPK CA-ASS : NV..W WA TEA USE I TPAP
I YPE: 11::: 1::'AMJ:I. Y (.11*11NAL. HI<F;*I.,.()W PIWI41*14
1' . "1 VN L-AW)PATOPY P I PAP"
SHOWED 2 GPE
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This permit is issued subject to the regulations contained in Title 14 PEEEISCT NO.
of the TMC, State of Oregon Specialty Codes,zoning regulations ...... ........».....»................
and all other applicable codes and ordinances. and It Is hereby INSPELAJONS
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and UNDCKWA-Ab
ordinances The issuance of this permit does not waive restrictive h'('.)!!5 V a 14F AM
covenants. Contractor and subcontractors shalt have current city WA 11:1:4 L.J:NEK
business tax permits This permit will expire and become mull and 1:11 h< . rup(A-VI,
void if work it;not started within 180 days.or if work is suspended or 14011N DWAYNS
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure V 1 NO L.
all required inspection)are requested and approved.
Permittee Signatum-
Issued By - -----
11 1 , -), I , , ' , I I I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANIJ;Al...
CITYCSF T 167ARD _A4
C17YOFWARD I:*-'l-'-:PM:l:T NO . : ME882329
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW.Hall Blvd.P 0.Box 23397,Tigard.Orpqon97223.(503)639-4175 DATE 1.2/20/80
PITI.M. Pm F . NO FJ 111- 1.71-7777----
11-041M`2 SW KENT LN
((')X MAP/1 C11 2511. 1411:10 14POO SUH: 5WANSOWi L.-L.L.N L.T . 03 DK :
I. AND USE7: 1:412 P D
(I Y.
1TEM : NO: NO
WOPK (X.ASS : NEW F1.11, 4ACH <1.()()I< 1. A134 HANDL.F4 <1.0
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14;3 Vl--*N*T* FANis
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81 P/(MMP ."31AP H(:M)
NO . 51 UPT EG , E41 PICOMP '31-1.11511-11P INCTNE"nAlOP(DOM
DWELL L. . U.N:l T! 1.5-30HP J:N(;J:NF'RAT0A((.,0M
TYPE:. A 5 C.L-P/COMP 30 50HP REP6334 UNI TS
MAX I*Nl:ltll* Rl P/GOMP" 50+11-111", 0
DmPlIs"?
PIPING OUTLETS J.
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E1 V'ol< M011(3AN
1-411 4i'l.0 . 0 0
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R 11-(N l4E.VJ:j'--'-W $9, 313
N (A-16 0A j;:-
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'T(TT A- L. : *18- 76
This permit is issued subject to the regulations contained Ir Title 14
of the TMC, State of Oregon Specialty Codes, zoning regolstIons
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 and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POS T'
roven3nts Contractor and subcontractors shall have current city P(A)(1111.1...1 N
business tax permits This permit will expire and become null and 1.. NAL.
void 11 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 mqUired Inspections are requested and approved
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIFA RD MY PLAN CHECK APPLICAION
#
MMMUNITY
DEMOMM DPAMEW, KRMIT N PLAN CHECK IL Z
DATE ISSUED --
JOB ADDRESS: TAX MAP/LOT
V, 2o o
LANO USE:
S LO'f :
VALUATION:
OWNLR SPECIAL NOTES
NAME: REISSUE OF: GZ
L.AC,-f REISSUE:
AODRI
FLOOD PLAIN/
SENSIiIVE LAND:
PHONE:
APPROVALS REQUIRED
CON"RAC)'OR PLANNING:
ENGINEERING:
ADDRESS' FIRE DEPT
OTHER:
PHONE: ITEMS AK2UIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAM[. : CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
F4,5N-1 OIHER:
PERMIT # ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. 9AL, DUE
10-432 00 Building Permit Fees
10--431 00 Plumbing Permit Fees 41_2,.5L., .50
10--431 01 Mechanical Permit Fees .37, 3() 0
-5
10- 230 01 state Building Tax (5%)
Building /V,30
Plumbing
Mech
10- 433 00 Plans Check Fee
Building
Plumbing
Moch 9
33 0 30--202 OG Sewer Connection _11r,u
30-444 00 Sewer Inspection 31-
51--448 00 Street System Dev Charge (SD(*) C,
52-449 00 Parks System Dev Charge (PD(;)
31-450 00 Storm Drainage Syst Dev Chrg (SSDQ
10-230 09 TRFO
10-...230 06 Washington County Firt, #1 (95%)
10--220 00 Amart/Wodgpwaod
FAI
REC #
Af V1 WANT s1tiNATURE
Rouvived By: Date Received:
i (1/11)0/p/10P