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INSPECTION NOTICE
City 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 –_- -_c�� S /�E l- -- Permit goo 99
Owner _ 1 of #
In/Ilee 1Z
Builder
The following Building Cor- deficiencies are required to be corrected: Cle
;
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Presented to —f .Approved
Inspector -- L-I Disapproved
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CALL F6 R REINSPECTION
C1 YE. f NO
SEWER PEAKIT
T NO SFOU0899
/19/88
CITY OF TIGA RD CiTk JE D
OPlOON
COMMUNITY DEVELOPMENT DEPARTMENT MT NO • 88011396
-13125 S.W.Hall Blvd..P.O Box 23397,Tigard.Oregon 97223.(503)639-4175 \-'� —
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I AX M(.,�p 1...C)1' ptil. 1"5AA A�ROO SUE) : D(')Vl::'F4 LANDING
D I44 . '5130
GECTION: .5 '11*,.P : PNG: J.w
WOPK CL.AS ; : NEW
USE SINGLE FAMII-y
t.ta c. camp 3.ti) w1 u 1.a ti 1.111111 ca'f r.h +i to d
T*lrie permit expirow U.'?O da.yv; .111--am the clatte 10;'141-Ifed Thee t.0tillill.
:),it-icl will bo fl!)"'f0itod if thc? plern r'llilt, loxpir-ovp.ml . c1cletic licit
tj-lwe aocurarny of ti-le 1.or.-mtictn of the If thea ivvwetr' I.w
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ma.;,, rii.r c ti.anm fi -; , the dist"Ll"c"O givon If not. 9;o lor-�atcad , thfa
Side 5ewelr` f-lor-mit ill-nd 1,11*1 A90111CY will, invita- 11
F—LXTLJI': UNITS . 'TENANT IMpPOVEMENI
DWEI L-ING UNI'T*5
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PECEIPT NO
This permit is issued subject to the regulations contained in Title 14 IN!5PE( *-T'.IONS
of the TMC, state of Oregon Specialty Codes,zoning regulations POLIMi—I N
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 rompliance with all applicable codes 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
Permittee Signal r=On TNSPErTION 639-4175
Issued By
SEPARATE PERMIT,, REQU'-r`1eD FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PIEWW''ll
CITY OF T'��RDI'•'1...1•wl•1.L'1' NO . : PL.C.180897
an4�LIID DAI'l-K :I*S'-1(-I1;;:U: do/1.9/013
COMMUNITY DEVELOPMENT DEPARTMENT 01111IMM I-I)PI.M. PMT .N0. 1380E196
13125SW Hall Blvd.P.O.Box 23397.Tigard.Orpgor.97^-23.1503)639-4175
JOE"il 105,31. Saw KI .IT 51
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This permit is issued subject to the regulations contained in Title 14 111*-!*.(4 1.11:14"L) lWilIF-A T I ONS
of the TMC. State of Oregon Specialty Codes,zoning regulations PIN LINDEPSLAD
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plans and POS T & BEAM
specifications and In compliance with all applicable codes and WA'111-11 I-T.WK
ordinan-es Tim issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business W, permits This permit will expire and become null and NAT,N DPAMS
void if work is not started within 180 days.or if work is suspended or FA.NAL
abandoned for a period of 180 days any timg after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
Iii,)"tao7y (�ol . 2d(,PY
Permittee signature
(.,Al-.L. ron IWSPEL-TION 639-4113,75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ME(J4ANICAL, PERMT-1.
C'7Yr+.'WM1T NO . . ME:80089C'
OF TIGA RD CM Timm
— 0111MM
COMMUNITY DEVELOPMENT DEPARTMENT 5i1.9/t18
1:3125 S W Hall Blvd.,P.O.Box 2?397,Tigard,Oregon 97223.(503)639AI 75 R 1:M . FJM1 NO- ill-a0113,96
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PE.."CA: 1PI NO
This permit is issued subject to the regulations contained In Title 14
..........._. ... .... ............ .._.__ .... .._. , �_,�`
of the TMC, state of Oregon Specialty Codes.zoning regulations
and All other applicable codes and ordinances, and it is hereby 1NE'.
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and 011,'AM
ordinances The issuance of this permit does not waive restrictive N
covenants. Contractor and subcontractors shall have Current city ll'TNAL
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 or
abandoned for a period of 180 days any time after work has
commenced It shall be the responalhility of the permittee to assure
All required inspections Are requested and approved.
N-
Permittee Siqnayrr�
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
DUIA-DiNG PF---PI`111
1:)E:IQMI'T' NO , : BUIRICA0696
C17YOFTIFAR&D ClTyV�ARD
COMMUNITY DEVELOPMENT DEPARTMENT 1)A'11; 1SSUE-Eu . 5/19/se
13125 S.W.Hall Blvd,,P.O.Box 23397,Tigard,Oregon 97223,(5c J)6394175 I::'Mr,N0.- 880096
a : 10531, W KEN'T S'T
!911. F.it.iLl; V)UVF.*.:1:4 LANDI.M.;
IAX MAP/L'01' 15N) 41,200
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1.(:),r lip.1.Zr' . VAL-LWTION 113,4*3ZI SFIAMCKS
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USE f*YPI: 1-51:11NIC.A.E. VAPID y Nn . DE'DR(:OM, .5 EX T .WAI I.- LL)INIS'l : E: W
CONS'T . TY'.."F. : VN NO BATI-45 3 N: S :
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NO
This permit is issued 3ubject to the regulations contained in Title 14
of me TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby
Agreed that the work will be done in accordance with the plans and I (AYTTISI(4. SEWEA4
specifications and In compliance with all applicable codes and r:,(:)IJNDe%'t:l:(.)N WAI I PoiN DPAIN!-'s
ordinances The issuance of this permit does not waive restrictive 1:1051 K VIEAM WA1+'.P L. I'MC.
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and Pl R .UNIA-Wil AS C111Y APPACH/Sw
void if work is not started within 180 days,nr if work Is suspended or ril no FT NAI...
abandoned for a period of 180 days any time after work has PI 13 . TUMAYT
commenced It shall be the responsibility of the permittee to Assure 1''11101111 NO
all required inspections are requested and approved 1::'1 FII E PI A(lF
6 A!i i L 1 N[T.
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Ilptillitler, 1911ahj,f, !Y1
Issued By F.1.Tr--rrr.-1TTF7'T T.r.JN e5,59--q.1, M-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA RD PLAN CHCK AI'P1.1 CA I TON
PLAN CHECK N
7CrT TIOARD PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT DATE
1 125 SW Hall Blvd, P.O.Flan 2W97,Tgsrd,Or9gw 97711(SWIM-4175 �
JOB ADDRESS: /0,53 %- TAX MAP/LOT 1 J/ IS AXI
SUB: LAND USE:
_ � _
OWNERr SPtiCIAL NOTES
NAME : _ /,may 17I i /41r REISSUE OF: _._�----
ADDRESS: T'a- d, A 23�'-/�/ � LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: 7S y 3
APPROVALS REQUIRED
CONTRACTOR PLAN.41413:
NAME: _ ENGINEERING:
ADDRESS: Y i_ FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _
NAME: CALCULATIONS: _
ADDRESS: _ ___ TRUSS DETAILS:
_ PARKING PLAN:
LANDSCAPE PLAN:
PHONE: _ _._ OTHER:
COMMENTS:
PERMIT # ACCT # OESC:RIPTION AMOUNT AMOJNT PD. BAL. DUE
� 'Y(l 10-432 00 Building Permit Fees
'leo 10--431 OO Plumbing Permit Fees
IL r!8 alb 10-431 01 Mechanical Permit Fees „ vo
10-230 01 State Building Tax (5X) 3.G 3 —_ 3
Building :3 ,y
Plumbing 'f
Mech -2
10--433 00 Plans Check Fee /S. �lS �'c . ' ' l5• 4.5
Building
Plumbing _
Mech ��• z i_
d 30-443 00 Sewer Connection (20X) �2ao
��q/ 30-202 00 Sewer Connectiun (80X)
30-444 00 Sewer Inspect ion
51-448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC)
52--449 02 Parks II System Dev Charge (PDC)
31--450 00 Storm Drainage Syst. Dev Chr•g (SSD(;) 0
10-7.30 09 1-RFD (95X) ,.-
10--435 00 1RFD (5%)
10-230 06 Washington County Fire N1 (95X)
10-435 00 Washingtor, County Fire #1 (5X)
10--220 00 Amart/Wedgewood 'f • f
TOTAL _1G-c' PW
REC h
APPLTCANT SIGNATURE
Received By � Uate Received' -
ht/3587P
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