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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box. 23397
Tigard, Oregon 97223
Phone: 639-4175
�i
Type of Inspection �-
Date Requested �.� 5 `d`I _ Time A.M. P.M.
Address _ �G� - Permit
Owner _,_ Lot fk
Builder---.�. r--1' —f.e`
The following Building Code deficiencies are required to be corrected:
Presented to
A"AfEso
InspectorDisapprovedDate
CTION
O
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection
Date Requested Time A.M. P.M.
Permit .1,
Lot
Builder
The following Building Code deficiencies are required to be corrected:
t
Presented to4-xpproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
I- I YES NO
CITY OF T'��RD
EOUILDIN. G: PEPM,1. 1TOFTI1:) MIT NOBLA-1009
1-56
C17YGARD
COMMUNITY DEVELOPMENT DEPARTMENT DATE, J*SSUED 6/ 9/F38
13125 S.W.Hall Blvd..P.O.Box 2338.Tigard,Oregon 97223.(503)639-4175 PRIM. P—M'T' ,NO, GU0956
JOB ADDRESS : 10,1-19 SW KEA-41 CT
1 A MA-P/1 0 T P51, IABH 1.3.600 SUB: SWANS(JN GI.A.:'.N
I AND USE : 41.211311)
I OT SIZE: VAI UATI(IN: 5*71308 SETBACKS
';'WONT 20 PE-61:4
WOW< OWEA—L. .UNITS TS I L.EF*'T' . 10 P I G11-11 10
USF:* TY ING1. 1: F!'AMILY NO. BEDROOMS : 3 EXT .WALL. LXMST :
(;t:]NST . VN NO. BATHS : 2 N: S : E W
( :"(`,Up . GRP . PP OT' UPENINW�
OCCUP. LOAD IN S W
TOTo 41 A ArE A 1.8440
NO. STOPIES 1. IST : 1.21,(4 0 P(JOF CONI.A* C F:,XPE WTI?
II-11E.."IGM1 : 18 2ND: AWE"A SEPAP7 RATEKD:
BASEEMRNT't 31:11): OMUP. SEPAR7 PA T'Eu:
MV ZZANINF,7 BASET
P'll-0011 LOAD ; A0A P A L."E.: IOU WINE SPAKLA7 ALARM?
F*L.OW MPM)
HEAT TYPE: GAS l:`,01411"1
A
PLAN BY : r1t � � l
FWASSUE OF NU.
LAST PEISSUE
F EE.S
0 BLEAK W.1114GAN PE'AMIT A1;30'7 . 00
W
N p 8
cl DOX 635 PLAN r41;:.V1r.-.'W $1yy. 55
E al 1:1 h 4!1 far 97001 683!:) PIPE. DEPT
R PHONE ('503) 60/1 A606 STATE' 'TAX $15 .X"i
01,111EA
C 0EVE11-011-MENT UHAPGL5 :
0 01 EAK MORGAN 51)(11 1 STOPM) $250 . 00
N 1 ITAN PWOPEW IKAS E $111
INC::.. SIX,(SRET) 00 . 00
T
R p c) BfJX 6835 POC(02 *P50 . 00
A
C h 51'700'7 6HX5 PPEPAID < $1,00 . 00)
T PHONE: (503) 681-03606
0
l*.:,.G1STPATI0N NO. TOTAL : $1 IIJ21 90
PE("'EIVIT NO.
This permit Is issued subject to the regulations contained In Title 14 .......
-�') / 7
of the TMC. State of Oregon Specialty Codes,zoning regulations PF"A.111117E1-A) INSPECT.LONS
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and F 1:110TIN11'.4 G F F W r-,-IF 4
specifications and in compliance with all applicable codes and FOUNDATRM WAI L. RAIN II)FIAINS
ordinances. The issuance of this permit does not waive restrictive POST & BEAM WATE-11 LINE
covenants Contractor and subcontractors shall have current city 14-8 . UNDEPSLAH (:X1Y APPPCH/SW
business tax permits This permit will expire and become null and SI—AH F:J NAI"'
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 TOPOUT
commenced It shall be the responsibility of the permittee to assure F-AAMING
all required inspections are requested and approved F"I RE PL AC E.
CCAS L I N F.'.
I'N%ULA I ION
�
GYP . BOAPU
e
Permittee Signature
Issued By ie44— F-014 '140.44:4:344. 01,319 4144-li
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
."PIVIT1, NIO Srn:80095y
CITYOF TIVARD
D011:' 61 9/88
CITY—OF 11GARD 1.1,11 T M PPVT NO k 3 Eq 0 9'"5 6
COMMUNITY DEVELOPMENT DEPARTMENT 011100
lx:)F.} 109M I:". . .3 Mn 9?.iy.(503)G39-4175 USA NUMEME.N : 03,51841
F;WATTCiON GLEN
L AND USE : 1.11 '.11D
1_01, 51ZE :
SEC"CION: 1. Ptv' PNO : 1w
WORK C.L.ASS : NEW
USE TYPE. : I 0WIA.-Y
atI:)FOA.c"Ilt tr.) c...'I'linply WJAh 1o.1.3. t-i.ilcna- cif TJIP1111. 41 1. (J
15ewaRrnCjia! A5j*.)riic.!y The 120 (111ty-A thl.-I.- clicite T'1-1 r,c)t I&A.
ilkint:11.1-t I:)IIt:[cl WJA.I. 1.)m :1.-F the. Pw1I'M:IA "ll-le tjcivi?m licit
the thin) isidCA TA!
1*1(.`'t' 11:1cinted Hat tlm? cl:I.ve^ri , ilviim i.iimut 11.*#i* itihm.A.A. :kI*I
HL11 fl..43111 ti-It..)b N? T11 nti-t. vici the
rnir-c-hKol" Rk '' T*Iitl:) 11kric1 P4:ar,mJA iii.itcl this? wJ11 1.1111;tlICIA. III,
1NS'TAIA..... -rym' : 91YE1_DINLI SEWER 'EMPERVTOW-5 AREA:
F14C I TS-I Xtip"Evot.
0WIHAA_A:N(*.,' UNTTS : I
NU, 01' HIAX.4S . I
PETIM.I. I
BUX M3315 GONNECTICIN CHAALVIE. $1, 100 . 00
W 0 lit 1.1:111 at W00", tl'N" 5 3LANE TAP 3ASTAI L. .
N PHONE ( 50:3)
E UTHFA
P
8I..EAI< MORGAN _-
0
''T TAN PROPER1 IF'S TNI',.
0 P 1.4 ROX 6835
N
T Ftl l!)1-1 lit (ir 97001 611"515
R PHONE: (503) 60A6606
A
C WE(.4151'RATT0N NO. 30,550 I'OTAI 1 :1.3"1'1 0O
T
PECIE.XP f' NO.
RE-WRAIED
This permit is issued Subject to the regulations contained in Title 14 ROUGH—IN
of the TMC. Statc of Oregon Specially Codes, zoning regulations
and all other applicable codes and ordinanct.-. and it is hereby
agreed that the work will he done In accordance w th the plans and
Specifications and in compliance with all applicauit rodea and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax 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
I- 01714f7
Permittee Signature 01 I_ F()Vr 1.111:iPl- LA .H')N 639 -111 11,5
Issued By�
SEPARATE PERMITS REQUIRED F04 WORK OTHER THAN DESCRIBED ABr_VE
ME: PEPM3:1'
CITY OF T I GAS Iof:::F2M3:'T' NO. : ME880958
RD (C I I Y-O7-"F TWWA R D
OOM
COMMUNITY DEVELOPMENT DEPARTMENT EWTE ISSULD: 6/ 9/88
11115-IW Hall Blvd..P.O.B..23397.Tigard.Oregon 97223.(503)639Al75 PW 1M . PH 1' .NO- 880956
JOB Amm.w'.liss : 10AP19 SW KET41 C'T'
'I AX MAP/IAXT o'S J, 1.dl 8 13 1.1800 SUD: SWANSON L-0 E.N 1_.'1' : 5*7 DK :
rli 'E"
. NO USIr"". : 1412-PI:)
11-04 5,1ZE : VTEM: NO : NO:
WOAK EA-W-03 : NEW F(JANACE <100K I AIP HANDILW 0-0
AIR HANDLIP4 10K
USE'. TYPE-; FAMIA-Y 1JPNAC;F 7,001<1
c(INST . I'YPE' : VN FLOOR FUANA(:,E: EVAP .(.10OLLP
OCC."UP .L10114P . 113 1.1k:WTE11:11 VENT'VENT' F'AN
VF:N*T' VEN'T . SYS'TEM
BLWCOMP "lip HOOD
NO. STOPlES : 1. 1 NG,I NEWA TOW( DOM
DWEL-L .1;NTTS : 1. 131_.P/LUMP 15 30HP INLINILERA11IRWOM
FLIEL 'TYPE: GAS BI-14/c47mp 30-5014) V4E::PA3:P UN11'Li.)
MAX . IMPUT 131-R/c(JMP 111504-1-11".) O'THEA
F-11IIE 1:'MPP57 GAS P:I:F):EN(.*7 OU'll-EA'S
1.
HIGH PPEESS?
I Ow PW-*.:SS'?
REMA PKS :
FEES :
0 MORGAN PE"MI'll $10 . 00
W $1.0 . 13
FNI:)1:') PI AN PEUIEW 1111130 .50
E ilk cl 1-1 a ou, 97007 6113*35 FIX-1-URES
R $2. 0'3
I"'HONEE ('!�03) 68,(1-6606
C C
0
N Lor.1-1- HE.A1JNG ING.
T
R PIAZZA AVE
A ci:l.ekt!k liken it ill 97 0 J-5
C
T PI ICJNE (5031 P413-1.113-14
0 NO. 4147 UYVAL : $52 . 65
R
PE.1.:F-114-111 NO .
This permit 15 issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and It Is hereby GAS LINE
agreed that the work will be done In accordance with the plans and
speclficationq and in compliance with all applicable codes and POST' & NI AM
ordinances The issuance of this permit does not waive restrictive ROUGH-JINI
covenants Contractor and subcontractors shall have current city FJNAL
business tax permits This permit will expire and become nLIl!and
void it work is not started within 180 days.or if work ISsuspended 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 anJ approved
9.
eo�—
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUPIRI PF"WE
N(J. PLAN109157CITY OF TIOM RDIoE�I�MI"r AltD
cffyoFrTA DA'I*E: ISSUED: 6/ 9/6
DEVELOPMENT DEPAR7MENT 00P M 13609545
11�1125 r,W Hall Blvd-P.O.Box 23397,1 igard,Orpyon 97223,(50'1 639-4
MR3
MAP/1 UT P.L-JIL 1AF30 11600 !RJ#3: SWAN!.50N GLEN LA .)I F:K
LAND (1!;E:' : 141.2po
1 UT 51ZE :
XTEM: NO: NO .
WL)Pl( CLASS : NEW WiNT'EP
U5r--: 'Y"YPE: tiIWILA-.: FAMIL.Y URINAL.. M(FLOW PRVN'VP
COWil' .I'YPE : VN I oV(JPA'T'UPY I'AAP PAIMr-iM
10CICUP.GFIP P3 111114 GH0WEA e.? GREASE' ''RAPS
D'15HWASHEP
GARBAGE DISPOSAL.
NC). 5'T 0 P 3:ESS WASHING MACHINE
I)WH.A.I.- . UNI'T% I LAUNDRY 'T'14AY 1i3 I IN;. DRAIN (DIA
FLOUR DRAIN
SINK 1 5EWE.14 (FT
WATER HEATER 1. 51'01:41MI/PAIN (F1'
UTHEP
T
BLEAK M 0 ('.,'A N PERM 1,11* dl11.7 . tv.i 0
0 Rox 6835
W
N 11L 1.1:11-114 tir- 97007 6035 F1X1,UPF.-.S
E 1'-*-H(INE (`5 0'.*.9) 6 8 4 6606 S I'A'T'I-: I'A X $5 (313
R I -- UtHF-44
C WA TT!&ii KEN
0 KEN WAIJ5 PI.IMBING
N 1a 13 ROX 230925
T
R tigs-11--d Llir- 9*72P.3
A PHONE. (503) 684,-6626
C
T NU. '50078 $123 .30
0
R Iw PECEIPI* NO. 7�o
..............
This permit is issued subject to the regulations contained in Title 14 l4EQU:1:RF'.:0 1NGV+*.:C'T1(JNS
of the, TMC, State of Oregon Specialty Codes,zoning regulations PI 4 .UNDEW-il AH
and all other applicable codes and ordinances, and It Is hereby P(Ji!:i T. & WEAM
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codas and WAI'ki:P L.INE
ordinances. The issuance of this permit does not waive res1rictive PLB. *TOPOUT
covenants Contractor and subcontractors shall have current city RAIN I')RAINS
business tax permits. This permit will expire and become null and F TNAL.
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
) LAI I FFM '11'.114SPEUTION 639 Al. 'V,
Issued By
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
44
PLAN CHECK APPLICATION !
C1TY0FTii ,AL�
CJ��iMUNITY DEVELOPMENT DEPARTMENT / . LAN ' HECK l/
1C.i7`lOF61FARD) PERMIT u
� OREGON / DATE ISSUED
M25 SW Heft Blvd. P.O.Box 29397,7ipud,OnV.97223(609)839-4175
JOB ADDRESS: �(� SLC `- TAX MAP/LOT
SUB: LOT: �` ' LAND USE:
-'
VALUATION: 5 7 . O
OWNER SPECIAL. NOTES
NAME: _ _� �_ REISSUE OF:
ADDRESS: " -` LAST REISSUE:
�" i -- � ;j --(,►�I FLOOD PLAIN/
SENSI-FIVE LAND:
PHONE: —
APPROVALS REQUIRED
IRED
CONTRACTOR PLANNING:
NAME: _ ENGINEERING_ M
ADDRESS: FIRE DEPT
i
OTHER:
PHONE: — ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGI R BUS TAX: _
NAME: CALCULATIONS: _
ADDRESS: —�_ TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN
PHONE: � OTHER:
COMMENTS:
PERMIT N ACCT It DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10--432 00 Building Permit Fees _ .i`
10--431 00 Plumbing Permit Fees , j ,', ��� N.7- $D
— 10--431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing
Mech _
10-433 00 Plans Check Fee Jc , 71 /00 la 917
Building
Plumbing
Mech
30--443 00 Sewer Connection (20X.) s�.'. r �2U
^—_ 30---202 00 Sewer Connection (60X)
30-444 00 Sewer Inspection 3-5 35
51-448 00 Stree'c S!fstem Dev Charge (SDC) �,
52-449 01 Parks I System Dev Charge (PDC) _
52-449 02 Parks II System Dev Charqe (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 09 1RFD (95X) _
10-435 00 TRFD (5X,) _ �-
10-230 06 Washinoton County Fire N1 (95X)
10-435 00 Washington County Fire N1 (5X,)
10-220 00 Amar•t/Wedgewood
TOTAL
REC N
APP --r(:ANT
r
Received By: _ Date Received:
ht/3587P _