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Pj693 SW KENT STREET
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INSPECTION NO FICE
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 _ �,��7 SL.v � r
-z t _ Pe•mit # nr/u/ _
.N ell
Owner e?__- _ Lot #-----�-
Builder 2 r� l "�— /� �t S
The following Building Code deficiencie. are required to be corrected:
- d
Presen ed to .Approved
Inspector __. 5�,,_� Disapproved
Date
Gil GI ( REI/ NSPECTION
C_1 YES f--1 NO
CITY OF TIGA RD TN . 8PF.:PMT' O .800431.A- D
COMMUNITY !EVELOPMENTDEPARTMENT
A3125S.W Hall 3 vri.P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175
%.JOB ADDPF ..0i 3.0693 SW KE.N1' ST
'TAX MAP/I,.(' P C;11 b A D DWE.P I ANDTN(*..', 2 LT : 72 SK;
I AND USE: Pd1I. !5PI:)
I OT S:IZF' : VAI LJ()'T 1:0N 111 66 000 SEKTHACKS
FRONT F-20 REAP: 5
WORK CLASS : Nl::'W DWEL.L.. . 1JNIT5 : 1 L.FEF I'
3 [::Xl* .WALL COWVT
NO UKI)WOMS :
USU TYPE: : 151.N t. FAM L.Y W
C11ONG*T* . 'TYPIi_ VN NO EWTHS 13 N
OCCUP .GU!d . 143 .or)F::N:LNC.,S
OGGUP .I.-DAU N W
1114RE:A: 1/190
NO .S'TOPIES : P 1 ST : ROOF CONST : (7, FXRE RE*r*?
HE'IGH'T' : L*0 PISID: APEO SEPAR7 RATED
BAaE:K-Xl? 3RD : Olt"CUP. SEPAl"? RATED
MF:7ZrNTNF-:7 BASE:M I I'
FIL OUR LOAD: GARAGE: : 410.4 F'TRE WAKI 11 A I APM?
F 1 0W Cl FAM
Hr::A*!' TYPE: GAS HUCP. ACCU!-17
rel..:1N CHE:CK BY : IU-11-
REMARKS :
R F:I S:i 5 U OF NU. 5937
1 A ST 1-4 T.S151-JE 6F)P7
E.5
0 MTI LEP dAY VIE'RIVITT 11111.331 . 00
W $-1( 00
N r.) BOX '23P,91 -AN I'!EV'1rF'W
T1(a A 11 D IDR 97223
Pl-l(*.)Nl:;' (503) 6"A 75A13 CiTATF: TAX VI.6 . 65 5
D F:V F..L()P M F.N'T (:,HAl2GE:5i :
0 M11 I E:-*V I .JAY SIX(STOMM)
N tlie.'100 00
T JAY M:j*L.L.ER RI-JTI-0`:,P S 01171( 5,11,RE'F*7'
R P BOX P329 1. Pr)(11(0e 1 0 0
A
C 1*T(:JAI'4D OR 97P.2'13
T PHONE '-503) ABA-7543
0lb!'.�
R P in,,1L_'o,nA,1,T.0N NO. 30109
mF,--_cEi:P'r NO._36)(:;,2(�
This permit is issued sul:,-A to the regulations contained in Title 14 ............
of the TMC. State of Oregon Specialty Codes,zoning regulations HEQUI.NED I:N`l"jPI::TTTUNS
and all other applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the plans and FOUT T N113 SFWF.P
specifications and in compliance with all applicable codes and r-OUf,,)AT3X.)N WAL.1- RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive, PU115T & BF:AM WATER LINE:
covenants Contractor and subcontractors shall have current city PL.8 IJNE)I--:PSLAB CITY APPPCI-10SW
bk siness tax permits. This permit will expire and become null and F1NAl
void If work Is not started within 180 ft i,or it work is suspended or Cil_AIS
abandoned for a period of 180 d,,.-- any time after work has VILE! . TOPOU1,
commenced It shall be the responsibility rf the permittee to assurt, F:14 AM I N(1,
all required inspections are requested and approved. F I;IF*.PL.A(*;F..-'
GAS LINE:
INSULATION
pw" ittee '-p, 1hile
l5subJ By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1-'4'.PM1
CITY o f T167A RD �4 PEPM:11''I" NO. : 11%,1-60041,32)
Cir,OF i0AIM
COMMUNITY DEVELOPMENT DEPARTMENT DA'Y'E' 1*4/I lei/as
13125 S.W.Hol'.Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175
lr)('A') ADDWES'2" : 1.0693 SW KENI s*r
] AX MAP/LOT 25113AD 51L.1161. UOVER I ANDING L' L'T : 72 UK
I.-ANIJ USE : R4.511313
LOT 53:ZE :
NO : NO:
WOPK CLAtiS : NEW W A'T I-'-:r.4 3 '144AP
USE 'TYPE : SINGLE FAMILY UPTNOI 1:)I<I::'L-OW I::'I4VN'Y'P
3
O(I("Up.("a, 13 '7'1JB SHOWEP
I`)'.I.!-')I`-IWASFIF.'.'1:4 1.
ND. SI'DPIES : 2 LJAwJ-ITN(.': MACII-11NE"
DWELL . IJNX TF:i : I I..01.)N17l:1Y 'rrmy i N ( DTA
FLOOP DrIAIN
151NK 1.4 (F'T)
WA11*174 Hf-,'.-:A*T'F.-**A L S'I'01:41"I/Pl(1:EN (FT
ni,.:mAr1KFi :
0 M I L L E P
11V JAY PEPM11'
$13P . 50
r.) . (I . BOX 2.3291
E
11A.,A P 1) OP 9*7223 F."IX11.)PE:5
PHONE. 11,503) 681-7,5413 '—TATE TAX 416 6,.1
DTHEP
WA'I'T'S KEN
Iv
KF:N WAJ-T5i
A p ta BOX P30925
C t J.g Im 1,(.1 01, 97PP3
0 T 11:1-40NIE 3
( 03) 6841-6626
R I - PF-.'G:r.S*1*PA1'1()N NO . "50978 1*01 Al $139 , 3.13
This permit is issued subject to the regulations contained in Title 14 ISE CE.I r' I* NO.
of the TMC, State of Oregon Specialty Codes,zoning regUIRtIOMS
and all other applicable codes and ordinances, and It is hereby
,,4greed that the work will be done in accordance with the plans and UNDE'r.11SI A 8
specifications and in compliance with all applicable codes and rl(]!i'T & HFAM
ordinances. The issuance of this permit does not waive restrictive WAI'EP I-INE.
covenants. Contractor and subcontractors shall have current city 14.8. 'T'()P(',)U*T*
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 RAIN DRAINS
abandoned for a period of 180 days any time after work has F'INAI
commenced,It Shall be the responsibility of the permittee to assure
all required ins 3ectionq are requested and approved
Permittee Signature
Issued By:
TON M.159 -41.-f'*M-
SEPARATE PERMITS REQUIRED FOR OTHER THAN DESCRIBED ABOVE
CITY OF T'FA MFC,'!-1AN1CAL. V-1ERM11
)O
1.)I'-:PMJ:'Y' NO. : ME880-13.3
CITY W RD rT 'ARD
C.OMMUNITY DEVELOPMENT DEPARTMENT I)AIL.' 1SSUED: 311/4/88
1311:S.M.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.1503)639 4175 PIPIT.M. PM'r. NO. SBO A31.
JOF3 AIN)PESS : 1.0693 SW I(E'N'T' ST'
'FAX 2SI:1-5AD SUB : DOVEP LANIXE.W., 2? HK :
LAND USE :
T'rEM: N NO:
W011- 11K ('.,L..A%S : NV*W F1.1"NACE (J.00K 1. A'J.Fi HANDI-54 <1 0
USE:' TYPIE : SlINI(., E F:'AM'1 I Y F'URNAGE 100K+ A114 Hr 4001'4 10K
CON151' .I'YPEK UN FLODP FURNA1,11F: EVAP . L-JOLEP
UCCU P.G111-) . 1:43 H EWT I-:N V E.NT F AN A
VE'N'T V:-'.::N*Y' . SYSI*EM
113111-14/11'(:11MV) <31-111 1ILl(11:) I
NO . 11VTOP31.S : IF? "IJ1/(*.1()MP 3-451-111)
DWEELA- UNI'T'S : 11. 15----ZOHP LINICTNERATUR WOM
FLIEL 'T'YPE. GAS HLP/COMP 30-501-11P PEPA131 LJN3:1'rn
MAX. INPUT F31-1=t/COMP 50+HP
FlNEE DMPPS7 GAS 1:'11J)1NG C)kJTI..E*11*S 1.
FIIGH PRE..-5S7
1-1:11W PPESSI? YE:5
PEMAAKS) :
F:r-,:E::s
0 WE I I 1:;*I:l JAY PERMY*T' *10 . 00
W
N p . PDX 23291. PLAN r1I.-::VTF-.'W 10Y . 15
0 P 9'7 :2,3 F I X'1*U R E S 111 9
C)II.-ILINF: (503) 684—Y543
C
0 r4OF31cli"I HEDTN
N
T HEDIN' S HEA'rTNG
H 845 NW R31.S'T
A
C h:L11%bnr,u 1 *3
cil, 97R
T PHONE..' (503) 6110 :1.1."59
0
R REGIS'TPAIJON NO , 47211, I 'T's.."TAI V50 . 70
RECEIP'T N'-.).
This permit IS i9lded subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations RE-QUIRE iNSPEC1JUNS
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done in accordance with the plans and G A S L IF,E.
specifications and In compliance with all applicable codes and P105'T IF HEKAM
ordinances. The issuance of this permit does not waive restrictive A011.101-4•-1:N
covenants Contractor and subcontractors shall have c-1-Ant city F.INAL
business tax permits.This permit will expiry and become A and
void If work Is not started within 180 days.or if work is q- upended or
abandoned for a period of 180 days any time dtter work has
commenced.It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permittee Signature
Issued By: ----A------- - ------- trqtt. I"41H Nil 1-P.r.'T—T Mm
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGrAEPIMIA' NOSGO
. : EC-134
CITYt1F MAPI)RD
l ��j
DAI '
-L 1:55ILWO: 3/1 88
COMMUNITY DEVELOPMENT DEPAr,-rMEN'r P li;i I:M. PM'T' .NO . OF-30,4131
13125 S W Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(W3)639-4175
Jcllkil ADIJIMESS : 1.0693 SW LISA NUMBER : 3,(1994
MAP/L.O'T Rii)115AV) SUD.: DOVEA4 I—ANDIM'..', P L'T : 72 HK :
I ANU USE: Plel .51-11)
LAYT 51ZE:
SEN','TION: 1.;'.) Y'W I m PN(',,; : w
WORK MASS : NEW
USE *TYPE: 151N(.AA'-.-. FAMTLY
1,11F.A ac.gre"it; tc) kif-I'l-I raAA. ri.i1vittri akricl
Skitwetl-lagu.- Ag('?!r1CY . 'Thet 1:)erivo.it w?xl-)J-re?% 1.20 (InLyin from then chate tcitiq.].
liLincli.irlt wi:11. bet i.-F tl-le l:)"nrl11:IA. 'Mot 65;je'r1(::Y c1ciclia rich, (A 1.11.4.r---
ntritwto tho-.4 ao(,t.ir-utc.!y (3f thf:i? lmc�iittl.ciri c)T tl-ics) mc.4wc-ir the J.ii)
ll'it Ott thip., q:Lvvolri , n11-lllk).A. :1.1-1
a1.1 direitc^tiarita fr(3in tI-,P (Jistatirice6 5ji.veii , If ric)t titc)
W:I.:1. :1.1.1!ii 1,Ill. Ill :1.JJJ.t'k..�I ift.l.
villcl 1.4tkl !3*Pwe,!W' F.'el"Iti-IA Y
TMI-7:71V3,0013 1111REM'
FIXI'LIAE UNIA'S : 'I'F.:NA. N*I' IMPPOVE-i-MENT :
DWEA LING UNITS : :1.
NO. OF 911—DUS . :1.
MILLER JAY PRIM 1:'T' '35 . 0 0
W 0 11 . 13 . tilOX 2-13PM. (. )NNE(''TION (2,11-4ARGIE 411 :100 . 1)0
N 3:G'A"D OR 51'7r P.3 1 INE 'TAP INS'TALL.
1:140NE.- (50 3) 684-75413
AEA
C
0
N
T
R
A
C
T
0
R
This permit is Issood subject to the regulations contained In Title 14 FTE JAUTPFI) INSisPECIJOW's
of the TMC, State if Oregon Specialty Codes, zoning regulations QfAA'4'P1+-JN
and all other Rrpll-able codes and ordinances, and It is hereby
agreed that the won(will be done In accordance with the plans and
,ipecificatior,s and in compliance with all applicable codes and
ordl ances. The Issuance of this permit does not waive restrictive
covenants Contactor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void 0 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 ate requested and approved.
!Iermittee Signature
) / i( �) F*011-1 639--ZU. 75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1
CITYQF1117ARD No. 29986
13125 S.W. HALL- BLVD.
P.O. BOX 23397 Datc
TIGARD,OR 97223
Name
Address
Lot � Block/Map Su bdivisionlAddress
Permit li's Bldg. i'lumb Cash Check
Sewer Other Other Rec. By
Acct. No. Description Amount
10-432 Building Permit Fee. _
10.431.600 Pl,)mbing Permit Fees
10 431-601 Mechanical Permit
10 230 501 State Bid . Tax__
_10.433 Plans Check Fee
30-443 Sewer Cnnoection
30.4_44 Sewer Inspection J�_T
51-448 Street Syst. Dev. Charge
52.149610 Parks I_Syst. Dev. Charge
52-449.620 Parks II Syst, Dev. Charge
31.450 Storm Drainage Syst. Dev. Charge
10.430 _B_usiness Tax
10-434 Alarnl Permit
7. _
10. 27 Bail _kin — _— – --�
10.455 Finess - Traftir,IM_isdlr'arg
10 230 CPTA TrafficlMisdlVic. Asst.
10.458 Indigent Defense _
30-122.401 Sewer Service/ SA _
30-122-402 Sewer Service/City 30%
30.123 Sewer Sevice/Glty Maint^
30125 Unmatched
31.124 Storm Drainage
40.475 Bancroft Prin. Pymt.
40 471 Bancroft Int. Pymt.
TOTAL ,
WAHTME.IUT COPY
i
w ..
/T
PLAN CHECK AFPLICAlION
CITYOFTIOARD GCt1 00WARD PLAN CHECK #
COMMUNITY DEVELOP' 1ENT DEPARTMENT oR�O°N PERMIT # L319 G>y3 /
13125 gW HdI Blvd.P.O.Box 23397,Da d,anon O7 (5W)630417'5 DATE ISSUED _
5K� S 1 TAX MAP/LOT
JOB ADDRESS: IO6 9 3 —'- LAND USE: ,k'-5/S iz)
SUB: �cyF✓ LOT: 7 z
VALUATION __, SETBACKS: FRONT: REAR: L3FT:� RIGHT:
WORK CLAS°: HEIGHT: TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: 2ND: -
OCCUP GROUP: DWELL/UNITS: 3RD:
OCCUP LOAD: NO BEDROOMS: BASEMENT:
NO STO:.IES: NO BATHS: GARAGE:
IMP SURFACE•.
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNIV REISSUE OF: --L LIST SUBCONTRACTORS:
E'ir; :..BRING: LAST REISSUE: BUS TAX: _
'4:KE DEPT. : FLOOD PLAIN/ CALCULATIONS: —�
0`-'e.E ;EN LND.: TRUSS DETF.LS: _
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK EY: OTHER:
COMMENTS:
�- ACCO DESCRIPTION SUNT
OWNER 10-432 Building Permit Fees /
NAME: 10-431-600 Plumbing Permit Fees�3'3y 3^
10-431-601 Mechanical Permit Fees R%"3`'�;j 3 9
ADDRESS: _
10-230-501 State Building Tax (SX)'`,z ° sem. t
-
10-433 Plans Check Fer.
—� 30-443 Sewer Connection (20X) -z-2
PHONE: c -
30-202 Sewer Connection (80X) 9 �t-''y3Y �_"s_�-
CONTRACTOL', 30-444 Sewer Inspection t
e
�h L .51-448 Street System Dev. Charge (SDC) ►_
NAME: �� � •-- --
ADDRESS: c z 1 5L-449-610 Parks I System Dev. Charge (PDC)
p d_
52-449--620 Parks II System Dev. Charge (PAC) _
31-450 Storm Drainage Syat Dev G'hrg(SSDC)
PHONE: _ 10-230-505 1RFD (95X) 3i -
10-•435 TRFD (5X) -
ARCH/ENGINEER 10-230-506 Washington County Fire #1. (95X)
Nom:- 10--435 Washington County Fire #1 (5%) { i
ADDRESS: 10•-220 Amart/Wedgewood
-- TOTAL .3
PHONE:_ _ PREPAID
REC #
BALANCE DUE ' ��-
�
APPLI
Received By: <C+ Date Received: