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INSPECTION— NOTICE
City of Tigard Building Department n '
P.O. Box 2339, 1 �"
Tigard, Oregon 97223
Phone 639-4175
i
Type of Inspection
Date RP.rtUP.41ed 1
_.._..-ZL - __ Time k� AM P.M.
Address Permit #
�
Owner 7l J� ) �r c,-/ Lot
Builder CLti/
Thr. followinq Building Code deficiencies are required to be corrected:
IrJ
11Z J&
l'rP,s?Y,fed 10 -
jJA — -- -- Approved
Inspector C•�
�r� ---- j Disapproved
Date
CALL FOR REINSPECTION
Q YES L-1 NQ
INSP CTION NOTICE
City of Tigard Building Department n
P.O. Box 23397
Tigard, Oregon 97223 v
Phone: 639-4175/�,
Type of Inspection � � �L= 0/,
Date Requested (� /
--7 /- �_/ Time_ A.M.
Address /(1 — / -I C Permit # y
Owner_
"--- —� Lot #
The tullowing Building Code deficiencies are required to be corrected:
Presented to ._
Approved
Inspector
Disapproved
Date -_-_
CALL FOR REINSPECTION
DYES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
je of Inspection _
Date Requested ------
i Time_ i - A.M.—�.�P.M.
Address � EJ S l„ '7 '
�— Permit #y /3y.
Own,
Builder_ L.
The following Building Code deficiencies ere required to be corrected;
------------
----------------
---- -
'1-
----------------------
Presented to
—'—`—
Inspactor ❑ Approved -
�— ------ 0 Disapprnved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
Poim:ur NO . 15E:881.352
CITY ®F T16A RDt-It" U;-,I'E ISSUED: I/20/80
CITYOFTW7�
COMMUNITY DEVELOPMENT UEPARTMENT ORIGCM P01M . PMT ,NO . 8 F)I,'-'A 9
13125 S.W. all Blvd.. 1119lg1k, on 17223,(503)6394175
!:�T
E.4 C . 4 . �i I — I IIGA NI IMkP 13 0 A IN Q A.'3
rAX M(.*,P/l O'T 1.56- A -1000 SUB: DOVE'R I-ANOINC. L.*T* : '79 BK :
L.ANU USE : 1:4-1 -5VID
01, 5,1Z I::*
5 T*wl::, : -'Pu; RNG: Iw
WOWK CI.Witi : NEU
Wir-,': *T'YI--AI'.': : SINGII E FOMI'LY
fhwp 4n.T)p1.:I.(*.*61.rit 11.0 C131111FO.Y With 011A. 1--1.41A,1111 ftrl(i 1`4611411.11111. i.4311fl; C)-II thwurij.-Fi(oct
5 ewai-iftge A(jvne.:!y T'hk-h pe#-lni.t clXpir-el"t 120 (JRIJM 11r'(31" the ditch if)wt.le.cl . 'The ultal,
ilkli,0111,)t F)la:l.cl w:1.11 be? 41CII-pe:Lted :I.f thqi J:)r.-.-r,Mj.t ('I-I*) A!jlvaricy c1clest
Ntritcr-1 Lhlrp (3.11 the! Icir.�dtj.ali Uf ini.de iliewivai• Iatcar-ia.:Lin . '141 tl-i(o tunwti-i- iis
licit. 1,1clat,cad sat -I,h*j the fiihin'11 pi,c)inl: ..ic.-t, 3 fc�*)t -1.1'1
.
in.3.1 Fr- J.1.1 jil.t,R:I. r
:)L�Ata?d , the'. r, 111[1 in 1.
om tl.)*p c1xv;�.Aric'.0 5j:l.vtort .I:f ficit i6l.) 11t,
in, `Tiap axid Side Pel'in:11A Airld .1,I)IM W:1.11
A141-A,
PF: 01IM7 '11"NAN't 1MI::%40Vr-.:MI::.N*1
DWELLING, UNT'rS : I.
NO . OF F31.1111r.5 . I.
M 1:L'I F.,R ..I A If, PM 11, 155 Oq
0 p . a IDOX VM293. (.,ONNE(-T10N ('14AROCE Ili 1, 1.0O
%V 0P 9*7223 LAME' 'TAP 'Mil'TAI L.
N PHONE- (503) 6811-75/13
E
R
MT1 I g:-u
C dAY M1.1-1-F714 HUILCEP
0 ' 3P
N P - 0H-- B(*)X --911-
T '111.9WIL) 0 P 7 P.,R 3
R
A PFIONE 4503) 6011-45413
TC NO . 301.09 '1 OT AL . *1 1.;4:5
0
FI NO.
This permit is issued Subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations 1'.N
and all other applicable codes and ordina.ices, 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.
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
f7ermitte attire.
UALL F:'(:)P
Issi.ed By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TI6A RD /�L�n, FIEPMT I NO 111,01111, �.4149
CITYCIFT1101IRD I DAIF.:.
COMMUNITY' DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.I-A)3)639-4175
JOIN ADDRE::55 : 1.0567 SW Kf.*.NT' ST
TAX NAP/I.A.11T P-5:1. 15AA 1000 SLID: DOW.44 LANDTINIG I... t' : '79 SK :
LAND USEE: PA.5P0
LW F-)IZL- : 76,6A3 SEA'BACM.i
FRONT : PO PEAI:*"
WOPK CLASS : NI W DWEL.1- UNT'I'di I-FKFT : 6 1:11XIII-11' . 3e
USE:, TYPE : SI.NGI L I' Aml 1-y IN() F311DR001"V: i-"X*T .WALL. CONST
CONST . *Y'Yi:)I:-:* : VN NO . 1?-A- THS N: S : W
E)('.ICUI*-,.GRID. . 1.13 PR(.T . OPE:NINGS
0M*11.4" . LOAD N S W
TOTAL AREKA : 1.711.0
NO. STOPIES : P- 1ST : 93.2 AI)OF' CONS T - C F-1111411111K. 'T"?
Til:?:1:11311-4,11,
'
eo P ND: 790 AREA SLPAW? PA T E 0
HASEME-N-1-7 3RD: 0(:,(7U1:*, . SEPAR? PATI;:*I*,):
M1:-:'ZZAN1N%:'7 BASE:-'m I'I
F"I-00A LOAD: 40 G APAGE: 417 SPPKI-P? X..APM?
F*I-(:)w(("PM)
'P .A(;CV-S!5'?
(7,A!5 HDC
L e _ ---l- u--1a:H-�,a'? - -
PI AN CHF:X,K BY : r-].L
WISSUE OF NO .
1-AST REISSUE.
FEEKS :
0 )AY PEPMIT 0
W F-) . U . BOX e23291 PLAN PEE'V-11--M
N
E 014 9 7'c'!'2 3 FlPE, DE'li"T
R PHONE (503) 69/1-7543 !:0* TF: TAX *J(4 F.0
0 THEP
DEVE'l-OPMFENT CHARGES:
C M.r.I. I... n JAY 513C.I ST011m) 0'1
O $601 , 00
N JAY MILLED DUILOPP SDMSTIN,�.XKTI
T p . 4:) E.K.lix 23PI71. MCI(ti.1 $P.5n . 00
A . f,PE.i-,Av) 11100 . 00)
A V 3:(*.,A A 0 OP 97223
CPHONF. (50*311 684-7543
T 3
0 WF.KX.;1S1PAT10N NO . 01-09
I TUTAI-
R1 I
This parmii is issued subject to the regulations contained in Title 14
of !he TMC, State of Oregon Specialty Codes,zoning regulationti PEQUIPF11711 INSPEA*: Y I(IN.1i
and all other applicable codes and ordinances, and it Is hereby FOOTT NG S 1::11411E P
agreed that the work will be done In accordance with the plans and ;-13UNnATION W('Ll. PAIN DPA INS
specifications and in compliance with all applicable codes and P05*I* & tAIME-:P LINE
ordinances The issuance of this permit does not waive restrictive
coveni�nts CoMiactor and subcontractors shall have current city
P1 9.UNDEASLAH C"I'Ve APPI;1CH/sw
business fa;, permits. This permit will expire and become null and r3i..hF, I N At
void it work is not started within 180 days,or If work is suspended or r1k 9 "111N)UT
abandoned for a period of 180 days any time after work has FAAM.04C.;
commenced.It Shall be the responsibility of the permittee to assure r:,1 PF PI ACE
all required inspections are requested and approved.
GAS L'NE
INSULA-710N
(11 Y P SOAPU
Permittee I ature
FOR WiPECTIUN 631-4175
Issued By dA
SEPARATE PERMITS REQUIRED r-OR V.'ORK OTHER THAN! DESCRIBED ABOVE
I
111.1%EV2 -- — I. - - --- I
PP'�--PiMIT NO . MERR1351.
A
CITYOF T16ARD loa-u. 71P0180
C17yorTlW100
coo
COMMUNITY DEVELOPMENT DEPARTMENT GON P P I M 1:'fi M.1' .NO , 1:11813W19
31 ,;A P.O 7223,(5031839-4175
T
TAX MAP/l..(:)*T' 2SI. 1'5A0 -1000 SUP . l.')OVF--:P I ANDILNG I T : 79 RK :
I AND USE" : V141 115PI)
LO1'
ITEM NO NO :
WOPK CLASS : NE'W F'URNACE <1 OOK 1. AIP VIANDLP <10
USE: TYPE: : S:I,N(.,I...E F-AMIL.Y FURNACE 1.001<4- AT.P HANDLP 1.0K
CONST . TYPE:: : VN Fl.(:)OR F'.V A P .COOL L'P
O(X1UP.G11P. : Ve3 HI-EATER VENT FON 3
VENT VF:NT . SYSTE:*M
EI1.A;I/(7OMP <31-11P HOOD 1.
NO- S1'OPI1 S : 2 BL-I:I/C(:)MP 3-1.51-4) INrINEAATE)A(DOM
DWEL.L. . UNITS : I 1:31R/("()MP 1.3-3014) T NCINEPA*rOP(COM
F'UEL 'TYPE GAS DI P/GOMP 30-50HP Pit-'PAIP UNITS
MAX . INPtJ'I' Ul P/GOMP 150+11-11D OTHER 2
FIRE. DMPA57 GAS PIPING LAYTI F:A*S P
L--OW PAE.'SS0
RE .3 :
MIL.LER JAY PF.DMT'Y' III 10 00
P . D . ROXPLAN RF--KkI31"LW $10 1.13
W TIVI^Pu (In 97P :3 FTX T't.JPF-'.*S $.*!0 . 50
N PHUNE (503) 634-7!5/113 'T'AX
E IIII P 03
R
I l4r.nj'N
C 1-ILDIN IF, I-IEA*T'I'N(.;
0 1:114,4) NW 231SI
N
T ht1:1.9tbi3ra rrr 971 i:'3
A R PHONE: (50-3) 640 11.59
� C REGI'VTDAT I(")N NO TOTAL :
T
0
NEI.
This permit is Issued s,bject to the regulations contained in Title 14 PE:QUIRED INSVIES"T IONS
of the TMC. State of Oregon Specialty Codes.zoning regulations GAS L]'NI:-'
and all other applicable codes and ordinances, and it Is hereby POST & B1%AM
agreed that the work will be done in accordance with the plans and R(JUGH—IN
iiipecifications and in compliance with Fill applicable codes and F-INAI—
ordinances The Issuance of this permit does not waive reeWctive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work is not startod within 100 days,or it work Is suspended or
abandoned lot 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
�<
Permitte nature
CAILA F:('.)P 1N"P1E(*-TION 639--11.7.05
Issued By If P -- ----..- — - ----
SEPARATE
- -SEPARATE PERMITS RFUUIRFD FOR WORK OTHER THAN DESCRIBED ABOVE
: asr � aae � .
PI-UMFIING VIERMIT
CITY OF TIGrA RD PERMIT' NO. : PL.ae:L35o
ClTfOFTIG�Affi )
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON DA'1'1.::: 15SUED: 7/e0 /60
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639A 175 PRIM. PM*T' .NO , 8013419
JOID ADOMESS : 10,1567 514 1<1-"N'T' 51'
'TAX MAP/1-012SI. 15AI-1) X1000 SLID: DOVE A I.AND:1N(.-', L.1' : BK :
LAND USE: P1 31313
L.OT 1-07E: I)1--M: NO: N(J:
WOPK CLASS : NF:W WA,m:P MOSE 1' -5 1 RAI:)
'T'YPE:: : S1N(A E F*AMIL..Y URINAL.- HI<V:'LOW I::,AVNTI:*�
L;(:)N151' .TYPE : ! N LAVORA113PY q TRAP PPJ:ME.*P
P3 111B SHOWEn 3 'rnruL"'i
D1SHWASHER .1
OMMAGE. 1):I:!..)P(*)S()l I
NO STOMA::5 : 2 WASI.11NG MACHINE' 1.
DWELA.. .LIN I l'S 1. 1 AUNDII- Y I MCA
H-OLIN LMAIN
i5:1:NK 1. S11WEI-4 (F,I
WAIEA HF-'A*rE.R 1 5sTOPM/1.111.I.N (F' T' 1.
01'HE.141
PE'MAWKS
Flr".Es :
0 MILA-E.H JAY
W (3 BOX P-'3291
qN
E 1,1GAI.-M Op 9 tPP'.� F*I XT U A FKS
R VII-ZONE (503) 6841--'7.
�i FATE
I'IE n
WA*T T's KEN
0
N KF::N WAT'T S ;)I-UM['41:N('.71
T p13 BUX 230925
R
A t i 9W.V0
C 1:11-IONE (50'311 60,41 6626
T
rn
0 NO. 50870 TOTAL : $1.62 .
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations REWITRED TNSPE(-TTONS
and all other applicable codes and ordinances, and it is hereby PL8 . UNDF-:'P9I A D
agreed that the work will be done In accordance with the plans and [KIS't & BEAM
specifications and In compliaoice with all applicable codes and W(.)*T*ER I-A:NK
ordinances. rhe issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PI••.B. rOPOU,T
business tax permits. This permit will expire and become null and PA.T.N 0PAINS
void if work is not started within 180 days.or If work is suspended or P'T MAL..
abandoned for a period of 180 days any time after work has
commenced. It shall be the 9sponsibility of the permittee to assure
all required inspections are requested and approved
Permittee- S--,0 ire
Issm,(I Ry CAI I FOP THSIPEM'1014 6,AY-417.5
SEIPARA"rE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA RD ON CHI AI'I'l 11:A11UN
PLAN CHECK N
CITY P
RD PE RMI F N
COMMUNITY DEVELOPMENT DEPARTMENT oPF" DATE ISSUED —
13125 SW IWI BWd. P.O.R40@(23397.Tgord,Oregon 97223(503)639-4175
SOH ODDRESS: f11 �S� 7 -:5 Lc.' _.-3 t V TAX MAP/E01
Seo
e �a„1 r LOT: 7 9 L AND t1SE
OWNER SPECIAL_NOTES
NAME: REISSUE REISSUE OF :
ADDRESS; LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE
APPROVALS REQULRED
CONTRACTOR � r( PLANNING:
NAME: 11Ct y �I�ILj ENGINLERING:
ADDRESS: �, 4 Y 3 2(j C _ FIRE DEPT
`7707e d OTHER:
PHONE: -- S ITEMS REQUIRED
LIST%SUBCONTRACTORS
ARCH/ENGINEER BUS TAX:
NAME: /L CALCULATIONS:
ADDRESS: TRUSS DETAILS:
_ �— �-V-----_^-------
PARKING PLAN:
LANDSCAPE PLAN: —
PHONE: OTHER: _
COMMENTS:
PERMIT q ACCT N DESCRIPTION AMOUNT AMOUNT PD BAL . DUE
/.3 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit. Fees /S5•�v /S$,��
��-3.1 10-431 01 Mechanical Permit FeesO.sp
10-230 01 State Building Tax (5%) _A7•?
Building /f.J-0
Plumbing 7• �
Meeh 2•ds
10--433 00 Plans Check Fee
J/4.7.3
Buildinq Z3G,�v
Plumbing _
Me c r,
30-443 00 (a")
fi�/35 L 30-202 00 Sewer Connection (Oft) /lL_..• _ //uu•��
30-444 0.0 Sewer Inspection -IT-.-
51-449 00 Street System Dev Charge (SDC) Gc•e _� wuu
52--449 Cri Pa;'ks I System Dev Charge (PDC)
52--449 02 Parks II System Dev Charge (PDC) -.SU
31-450 00 Storm Drainage Syst Dev Chr•q (SSDC:) .? rU .73 d
10 -2.30 09 1R D (95X)
10-435 00 1RFD (5%)
10-230 06 Washington County Fire N1 (91.)%)
10-•435 00 Washington County Fire NI (5%)
10-220 00 Amar•t/Wedgewood
RLC N
APPIICAN' SIGNATURF
Rt•c o i ved uy pato Rv( v I void 7•s••kir
ht /'tr.n in
I
I
I
C1TY0FT117ARDPLAN CHECK APPLICATION
PLAN CHECK N
C11YOF WARP PERMIT N _
COMMUNITY DEVELOPMENT DEPARTMENT oReooN DATE ISSUED
1312SSWHell 8W. P.O.8-2x!97,TOW.Orpon grin(609)&99-4176
JOB ADDRESS: /6 5 (7 5-ty enl sT _ TAX MAP/LOT
SUB: 196Ve- I Q-A dLOT: 7 q LAND USE:
VALUATION:_
OWNER —� SPECIA_L NOTES
NAME: REISSUE OF:
ADDRESS: _ — _ LAST REISSUE:
FLOOD PLAIN/
_ SENSTTIVE LAND:
PHONE: •-
APPROVALS REQUIRED
CONTRACTORI PLANNING:
NAME: �,!-� 6- 1h _ ENGINEERING: _
ADDRESS: U 23,21.q/ FIRE DEPT
_- o)y — OTHER:
,J
PHONE: _ — 4,9Y- 7Y12 ITEMS REQUIRED I
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: _ --Y M �, � `_ —__ CALCULATIONS: _ _ -
ADDRESS: TRUSS DETAILS:
PARKING P�-AN:
_ LANDSCAPE PIAN:
PHONE: OTHER:
COMMENTS:
PERMIT N ACCT # DESCRIPTION R,4¢1F_ 7r31f7- AMOUNT AMOUNT PD. BAL. DUE
10--432 00 Building Permit roes �� 653•°�� cfer _ _
—" 10-431 00 Plumbing Permi'_ Fees 76
10-431 01 Mechanical Permit Fees _
10--730 01 State Building Tax (5%)
Building -�----
Plumbing
Mech _
10-433 00 Plans Check Fee . `1S
Building �3� `a -
Plumbing _ —
Mech
30-443 00 Sewer Connection (-e^'of
- -----------
30--202 00 Sewer Connection (&"I 7o ---,
30-444 00 Sewer Inspection _ 3S• �� _
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 (POC) -
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) --.30
10--230 09 1RF0 (95%)
10-435 00 )RFD (5%)
10-230 06 Wshinliton County Fire #1 (95X) Y�-
10-435 00 Wabhington County Fire 01 (5%)
10-22JO Am rt/Wedgewood
TOTAL
RLC # J— _„
APPLIC, _Y�_ - -- -----
Received By: a [late Received:
I't