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71
INSPECTION NOTICE
laity of Tigard Building Department
P.O. Box 233971
Tigard, Oregon 97223
Phone: 639-4 175
Type of Inspection
Date Requestwl i��� ' �_ Tit,ie_ A.M. P.M.
Address _./-La / G- Permit
Owner _
Lot # _
Builder CLL./ l I l L,� o-Y' 'j�J}Y7 �'�•_� (� %
The following Building Code deficiencies are required to be corrected: UQ,
Presented to [.I Approved
Inspector
disapproved
Date
REINSPECTION
YES f.] NO
�— -----_�—�-_ _`�� •�,+ � — — CIT
BUxL..D:I:NC; I•'�E:RM:i:'1'C17yor T 117AFSI-.RM;L•T' NO . : BU11301201.NDOMMUNITY DEVELOPMENT DEPARTMENT °" DATE: ISSUED: •7/ l,'BE?
13125 S.Yd.Hall Blvd..P.O.Bo►23397•Tigard.Oregon 97223.(503)639.4175 PRIM . 1'-,M'T• .NO. 81131201.
r'�)
13 ADDRESS : 10"740 5W Kf.-::N'T' 5'1•
MA
F'/L.01** '251.1.5AA31.00 Si DOVE.! LT : 70 BK :
I...AND USE: : 1:44. 5pU
LUT SIZE:.: VAI...IJA'T:I:ON: 1< -It 600 SETBACKS
FRONT:: 20 PEAii : 15
WORK CL.A(W»i : l'OH-W DWELL—LIN':.T S : 1 LEFT: 1. :' F2:1:U;HT : 62
USE: TYPE : Sa:NC;I_.E: F:AM:I:I...Y' NO. BE:DPOOMS : 3 EXT ,WA,..E- CONST :
CONS 1' . TYPE ; VN NO. RA'TF-ISa : 3 N:NN 5 :
OC:CUP.GRP . : R3 PROT .C4'Ei:NINGS:
OC:CUP.I-OAD N: S E:: : W :
TOTAL.. (IPLA .
C.i'i�0 W
NIl. STORIES . r' (:16"a 1--40OI ( ONST : (:: FI RE DE:'T"7
VIE IUHT : r 0 is?NI:) : 726 AF7F::A 5E:PAR7 F40 11:'0:
BASEMEN-1 7 :31:1C) : (:)(:l:'UF`. 5EPAR7 FtA TED :
ME•l Z:A►N I NE:7 DASE:M' 'I
40 (;APAG;F::: : 409 F'I WE: '0:4411<1-1417 AI...APM'7
F�E:'TYESCcTE:(::T'7 Y
AS HDCP. ACC:E:SS'7 EgC
'I AN CHECK BY : r1.t --
I41: MA17KS :
RE.'15SUE; OF NO . E18062.219
LAST PEISSLIC' (3806*72
MILLER .JAY PERMIT $3.19 . 00
W F' . ci . DOX 23c^.91, PLAN REVIEW %00 . 00
E
E F:
1 ECARD OR 9'7203 INEr DEPT
R POONE. (.503) 51 ATE' TAX 1111117 /15
0'1 Hr:::{":
--�— DE:VE L.CIPMENT CHARGES :
C MtxI...I...F:'R JAY SDC`(S T'OP11)
O $250 . 00U
PI ')AY HILL-EN gUtI..C)I:C) SDC'(STREE 1') $600 . 00
A p . a . FJOX '1'3291. PIJf.;( l'r.' ) liF_'.z0 . 00
A T:I:CARD UA 91"P-23 PRE:PA:Cp < $40 . 00)
T
11,1(iNr': ( "5U:3) 6E34 -'7`54:5
o RE:C;T!'iTPA'TTON NO 30109 TOTAL_ . +Ni ,466.4"!
PE'C:ET17'•1' NO . .4
This permit is issued subject to the regulations contained in Title 14 - - •- --- --•••-•• •-•of the T'..t;, State of Oregon Specialty Codes, zoning regulations PE"Q 1TPE::D INSPECTIONS
and all other applicable codes and ordinances, and it is hereby F:'O(:)'T':I:N(:; SEWER
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes a,,n FOUNI:)f,'T7(]N WAL..L RAIN DRAINS
ordinances The issuance of this 1 3rmi1 does not waive restrictive POST & "EAM WATER LINE:
covenants Contractor and subcontractors shall have current city PL•B.UNDIi".RGiL-AS CITY APPPCH/5W
business tax permits. This permit will expire and become null and SL_AS F:INAL
vold If wo-k is not started within 180 days,or if work is suspended or PLO 'T OPOI)'1•
abandoned for a per rd of 180 days any time after work has ( K7F'1MJ1�!(;
commenced It shall! • :he responsibility of the permittee to assure
all required inspections arc requested and approved. rTRF.EPLACE.
l GAS L 1:NF:
Permittee nature -
Issued l3) 1 � _ E,AI.1 ' 0R NSPk
SEPARA7 E PEHMITS PEOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
TI��
IANICAL.. PF.-*..*RMI:I'
PEAM1'I' NO . : ME96120,
ClavCIT"YOFRD
COMMUNITY DEVELOPMENT DEPARTMENT MOON DATE V: SUED 7 60
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,G,—gon 97223.(503)6394175 . PMT -NO . 881,201
%.JOB ADOPF'SS : 1074110 SW KEN*)* 5'T
'TAX MAP i 1..OT 2 5 J.1;'.oo3.1.0 0 SLID : DOVU-P L.ANDTINIG PI-12 L'T 70 DK
1..AND LISL': :
I-ATT r.-iTZE :
I TEM NO : NO
"'11011K CI-A%S : NEW FURNA- CE. (100K I A1114 HANDL.P (1.0
J'."i rypii--:: ;J,NGI-E FAM:tI...Y FLJPNAC'I::' 1.00K+ ATP I-JANDI.-H 10K
NT .'IYPI::' : VN F'I OOP 1--'I-JPNA-CA':* EVAP .
OCCup.CAP. . Ali HEA11'.11 V=N'T FAN
VEN1VEI"11' . SYS1 EM
61.-1'•i/COMP (31111'.) HOOD J.
NO. STOPIE'-ii : 2 131-P i C'OMP 3-1.51--lp J:NC:1 NEPAl'O A(DOM
DWEI-I.... UNI T15 : 1 PLP/CIOMP I:N('.,1NE:-'I4ATUP((Intli
'TYPE GA5 BL.R/COMP 30 501-11:� REPATR UNITS
MAX . :ENPUT BI.-Il/CXIMFA 504-1,41-, OYHEP
r-3:AE oMP14S.7 GAS P1P1N(*.-, OL1'1111714
I-.OW PRESS'?
PE"MA i-'IK,1.5
FEES :
0 M li..L.I--".P JAY PE RM IT $10 . 00
W P . 13 . 13- OX 232191. PLAN PEVIEW $10 98
N
E T Y.GA A D oil 9*1223 FIX*TLIRES $32 50
R PHONE (503) STATE TAX $2 . J.14
o'rHEA
C HED11N
0
N HEDI.N' S HEAVING
F11,45 NW 23151-
R
A I-i J.1.1.%b Li ar. 971.�.:113
Cl PHONE`.' (503) 648-1.159
0 NO. 47211. Tam, : 1111156.53
R I C'
RECEIPT NEI.
This permit is issued subject to the regulations contained in Title A
of the TIVIC. State of Oregon Specialty Cudes, zoning regulatio.is PEQUIPEE) :11SISPEC1'TONS,
and all other applicable codes and ordinances. and it is hereby GAS L-INE
agreed that the work will be done in accordance with the plans and PUSI & REAM
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POLIGI-11-I N
covenants Contractor and subcontractors shall have current city I* TNAL.
business tax permits This permit will expire and become mill and
void if work Is not started within 180 days,or if work is suspenaed 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
not
P rmil W,9 ,ure
Issued By: L[,-'A—LA -ESIA T-N-SP EC T I ON -6 39--:9.1_x'
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WNW-A-1111111111F NEW JW-JILWULM—ALM- Ww
PLUMBING PENIVIII
11W NO. : P! 801202
CIOF TINA (C I LTY0jF TlSeA RD)
COMMUNITY DEVELOPMENT DEPARTMENT MOON Do *T,r--: ISSUEO :
13125 S.W.Hall Blvd.P.O.Box 23397,1'hlard,Oregon 97223,(503)6394175 PRIM. Pf"I't BE)1 It.?01.
,JOB ADDU-ESS : 10-740 SW KEN'T S'T*
TAX MAP/L.O'T 251.15AA31.00 5UB: 1A)VER LANDTNG PHP LT :70 BK :
LAND USE- '
LOT 5)3:7.:E: :
ITEM: NO NO :
WORK CA-ASI-i : NEW WATER 0-C)SN-l' 3 1 RAP
USE 'IYPE: S'INGLAH. F"AMILY URINAL Iiii(Fi-OW PI-411.1IN'T'n
CL)Nt5*1' . TYPE: VN LAVORATOPY 3 'T PAP PP'.I'.MF-P
OCCUP .G"PP A3 'TUS SHOWER 2 ("..'34KAGE: T'PAPS
DISHWASI P.:P
GARBAGE" UV:')PO(7'6l-
N Si TO 1:4 1.E S 12 MArHI:NF;: I.
D W r-E UNI 11'15 : 1 I-AUNDI:41Y [*PAY HL.fat:; OPAIN (DIA
11 LOOP DIIAIN
SINK I SE.WE.P (FT)
51'Or-4MIPAIN 111`1' 1.
WA'TEP
01 HER
RI',':MAPKSi
0 .JAY PERMIT *:L 3".? ri 0
W BOX 2,3291.
N C#'�1 P'*) F I X TURE S
E OR 972P3
R PHONE (303) 6811 75.13 STATE TAX $6 63
UTHIL'R
C WAT'T'S KIEN
0
N KEN WATTS PLA.JMBING
R
T P4. 8(:)X (13()9 2 5 1
.1
A tigtiti-d at, 97223
CPHONE 1503) 68,q---66',,'?6
T J.3
o PEX.,15TRAI-1.01N NO , 310878
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby PI...8 LJN()L-RSL,AW
agreed that the work will be done In accordance with the plans and 11,105 T, a FAA AM
specifications and in compliance with all applicable codes end WA-Tl..;.P 1. INE
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city PI...S . 'TOPOU'T
business tax permits. This perr-;' will expire and become null and RAIN DRAIN!5
void It work is not Matted within' —days,or it work is suspended or F1 NAL
abandoned )r a period of 80 days any time after work has
commenced � shall be 1'.c responsibility of the permittee to assure
all required Inspections are requested and approved
V41
erm4ilignature
'L QN Al 11 b�
GAL11- I'AW I Naps: X 45h
Issued By
SEPARA'rE PERMITS RFOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
5EWE'r'! PE.14111 1
FIE,
...HMIT NO . : SE001.204
CITY OF T167A RD CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CAE DATE:
13125 S.W.Hall Blvd.,P.O.Box 23397,T1,lard,Oregon 97223.(503)639-4175 PMT .N(4 . eF31201.
JOB i")l:)UPESS : 10740 SW KENT GT USA NUMBEP : 35934
1" MA- P/1 OT 21515AA3100 51LIS' DOW.".11:4 LAND"ENG P1_2 L'T - 70 1:11K
I AND USE :
1-01, S I ZE :
5jE(:',T:10N: 11r5 TWP : Zito 11"ING: 1.w
WOWK (3 Al-$F1 : N E:W
SINGLE FAMIL.Y
'I hc!) at ppl.J.c.,ilk I-It In 5J I"eVA is to r.o in p].4l w:1 t I i Ill,IJ Ill.I i(:) Pfurtit-I J I;k 1,:1 01-1 lit 1.)4' tl-le U 111'F i W C.1
Auerlc^y . rl-le pilrpl-•lnit expir-elu 1E-20 iilm.yffi fl.-orn 0.1c.-b clottv, ilfilnoe'(l total.
Hilliount pliticl w:1.11, 1:10 for-Faited if tlie 1;)er,mit vwxI.)ivc .")fli . I'lle Ageric"y clooll; lint
antee the of the Inc.,ffl.t-ion of the (Ni(le isower, Iiiii.ter-ut'im . 1. f cl-ilw fnewer- iiii
not 191, then givell , t.11ur irltitfil].Jchj• m11011:1 "s -1111welt in
0.1 clir-e'c�tic.11-1111 fl-clm thil,.-) (.111.9itianc!e gimen . 14! not. inc) Ujc�attecl , itil-la.3.1
lit "'Taint okiricl !:ii (:Iw t'irmwer•" V:1(4?1•111J t MAUI thlF.-1 (-)y%)l)(..AJ W:I 1.1 .1.11MI1,11.1 1. 7i1 LAter-lik*11.
7Ei;TtFo1.A- . TYPE : ClUTLAXENG 5EMEP 1MI1;)I.;"PV101.j5 APE A:
f YXII11RE: UNITS : IMPr-4(')VEMF*..N'T .
ING 1.1141'M : 1.
NO OF HLA Xi'ti . 1.
FEE F5
0 MIA-L.ER '.;AY PEAMIT 111,3115 . 00
W Box £"; '291 CUNNECTION CHAPGE.' 411 , 100 . 00
N
F I'mIARD Orl I XNE TAP INSTAl L.
OTHEA
0 1101:11A.L.Ert JAY
N JAY M:EI-.1 En BUILIX-A
T
R r..)(:)X, 2.329:1.
A JAA.Ano 0 rl 97 P R 3
C
t
10 NO . 301.111Y $1 IZ45 . ()0
PEX.FIFIT NO.
This j)-grmit IS i4SLled subject to the regulations contained In Title 14 ........•.........
of the TMC, State of Oregon qpecialty Codes,zoning regulation3 P F.:Q 1. Q r-
,.:U
and ail other illoplicable codes and ordinances, and It Is hereby
agre,j,i that the work will be done in accordance with the plans and
spit0ications and in compliance with all applicable codes and
ordi;iances. The issuance of this permit does not waive restrictive
Covenants Contractor and subcontractors shelf have current city
business tax permits. This pem-sii 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 responsibility of the permittee to assure
811 required inspections are requested and approved.
Al-
Pe ill '. nature
Issued By.
SEPARATE PERMITS FIE"QUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGARD PLAN CHECK APPLICATION
PLAN CHECK N •��
Mri1 O4T„ggp PERMIT N _
GOMMUNiTY DEVELOPMENT DEPARTMENT MOON / DATE ISSUED
13 Q5 Svr wri Blvd. P.O.Boy 23397.'haaM,Onpon 972:J(SM)e39-4175
JOB ADDRESS: /G7 yO 5�4. /(r,I r TAX MAP/!OT 2•`�/ /j'i;� 7 y'�*�"�
SUES: _ -L)pVj'r (_er.,ak^ -^ 0 LOT: 7 LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: _ REISSUE OF: _
ADDRESS: �- _ LAST REISSUE: _
_ FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
h AML _ ENGINEERING:
ADDRESS: j.q I
_ FIRE DEPT
---- ---- `� �J
OTHER:
PHONE: _ _ )S�/�? ITEMF REQUIRED
1_IST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _ _ -A-
NAME: ^'1 1 r, s CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN: -
_ LANDSCAPE PLAN:
PHONE : OTHER: �^
COMMENtS: _ F ISSuf'
PERMIT y ACCT Ot DESCRIPTION AIAOUNT AMOUNT PD. BAL. DUE
/ 10--432 00 Building Permit Fees
2. 10--431 00 Plumbing Permit. Fees
10--431 01 Mechanicai Permit Feesi
10--230 01 State Building TR„ (b%)
Qui lding le"
Plumbing � g;-�
Mech
10-433 00 Plans Check Fee x Qi2_ 'Zo
Building --
Plumbing
Mech '
30-443 00 Sewer Connection (20%)
30--202 00 Sewer Connection (90%) �� _ � � G�^.•
30-444 00 Sewer Inspection
51448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Char•gt.� (PUC)
52-449 02 Parks TI System Dev Char•gs-, (PDC) _ :!5
31-4C,0 00 Storm Drainage Syst. Dev Chr•g (SSDC)
10--230 09 1RFD (95X) _
10-435 00 TRFC (5%)
10-230 06 Washington County Fire N1 (95%)
10-435 00 Wash:ngtnn County Fire M1 (576)
10-22 00 Amart/Wedgewood
r TOTAL
REC 11
Received By: _� L{-� 0
Date Received: