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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection F'I,,,4(7 / -
Date Requested 611"5- /99, Time A.M. � P.M.
Adr'-,,iia �--r.59 y Permit
Owner enk Lot #
BUV'der Is_.L.L1—
The following Building Code deficiencies are requiVed "e-cw"rictd:
Presented to t,4Approved
Inspector Disapproved
Ica
Data
CALL FOR REINSPECTION
YEI El No
PLUMBING, PE
CITY OF TIGrA RD
PERMI'T' NO. : PL_(380299
cmoF ncaRn
COMMUNITY DEVELOPMENT' DEPARTMENT OOtooN DATE. ISSUED: 2/26/83
13125 S.W.Hail Blvd.,P.O.Box 23.,97,Tigard,Oregon 97223,(503)6394175 PRIM. PMT.NO. k tar.^-398
..OB ADDPESS•.; : 09039 SW REJI..ING ST
TAX MAP/LUT 251 1.1.A1a :1.5200 SyUH: MAI...I...ArID LAKE: LT 3.a RK
LAND USE: :
I T'I:M: NO : NG:
WOI1K CL.(,hSS : NF.::W Wr.'r E:.f2 CL..OSh'T• '3 •TK.Ari
USE. TYPES:: SINGLE FAMILY 1.)P:r.NAL BKFL.OW PRVNTR
CONST . TYPF: : VN I...AVORA•T•OPY 'el T PAF, PrrIME:R
occur.).GPP . : 143 TUN SHOWER P [ur7[::A!;E: TRAPS
IJ 1.Sii I"IWA'i',F'IF::r7 :1.
GAPF3AG. DISPOSAL.. 1.
NO. S•T•OR:I KS : 2 MAC:F• TNIn' :I.
DWELL .UNITS : 1 I...AUNDRY ;RAY 1. RI..DG . CAW ':N (DIA
F LOOP DRAIN
SINK
WATER HE':^T EJ4 1. Si T l)r1M!G2F1:i:h (F—f 1.
OTHER
RE'.MARK S
1. :Lnc.17 w(ntei x14+1 v:lc::wt rFr.clu:i.r•ce(i
F UEi.S,
O BRISTOL JACK PERMIT 11(1,11'7 . 50
N P(3 I:3OX EIA
E west 1.i.nn 9706(] E•IX•T"URES
R PHONE. 1303 h:'f3 66,el0 STATE 'T'AX 1117 . ;3(t
OTHER
C
O 1•11NE:S ALAN
N PIPEMASTER PI-13G. HTNG.
T
R r)(:1 ROX P.301
A ]mike (301weecl(3 mr- 9703A I
T PHONE." .303) 6:.36 -5>%tPI.
R REG (3
ISTRATION NO . 5e0 —y—`v I TOTAL_: +h 1.5*I. (:I EH
RECEIPT NO.,
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations r�F:GTL)J:)'TEi:ra INSPECTTUN5
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done In accordance with the plans and PLE4. UNDE"c`v.A8
specifications and in compliance with all applicable codes and P01.51 & DE„.Ahs
ordinances. The issuance of this permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city F'1._B 'TOP(:UT
b0siness tax permits This permit will expire and become null and RAIN DRAINF
void If work is not started within 180 days,of if work is suspended or
abaidoned for a period of 180 days any time after work has F INAL
com•nenced. It shall be the responsibility of the permittee to assure
J all re4�Ured Inspections are requested and approved
4
.�7 C,,
44 LL --- --- -- ---- .
A---rmitt” 'Signature
Issued By �L✓�'� 4nAk,4 'ta4 —X# ► TION 6a9
7777 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWER PES RMI'l
PERMIT NO. : SE-811-30*301
CITYOFTIGARD j
crilVaTI111101111110 DATE ISSUED :
COMMUNITY DEVELOPMENT DEPARTMENT PPIM, PMT.NO . 8130298
13121 S.W.Hall Blvd..P.O Box 23397,Tigard.Oregon 97223.(503)GN411175
JOFA ADDRESS : 90.",9 SW PEILING IST USA NUMBER: 3,1969
TAX MAP/LOT 251 11AD 15200 Mi^a-1 ADD L.A K F LT : 18 BK :
LAND USE:
LOT SIZE :
':-".CTX(3N: 11. TWP : 2is RNG: 1w
WOPK CLASS : NEW
USE TYPE: SINGLE FAMILY
1110 applicant lagreem to comply with all rules and regulations of the Unifjolf.i
Sewerage Agency . Thu permit expires 120 days from that date Immued . The total,
minnunt paid will by forfeited if the permit expires , The Agency dclee® not gump
striteft the accuracy of the location of the aide sewer laterialm . If the mewor ill;
nut located nt the measurement given , the inwtwllfr�'r Ifl-141i'l.l. pvC141pect *3 f---pt :1.11
all directions from the dimtairica given . If not am located , the Instaliar shell.
purchase in "Tap and Side Sewer" Permit and the Agency will. irnatakil as
—411111STALL. *Fy4Df-- .
F IXTURE UNITS : 'I F.i:NAN*T* IMPDOVEMEN I
DWELLING UNITS : A.
NC, OF 81 D GS . I
IFFES :
BRISTOL JACK PERMIT 111135 , 00
p a BOX (34 CONNECTION CHARGE $1 , 100 . 00
W
N wamt Jinn ur Y7068 I-INE TAP INL5'TAL.L. .
R E PHONE (303) 638-66410
OTHER
BRISTOL JACK
0 BRISTOL HOMKS
I'll
r pu Box 04
R wc-%mt Jinn cn, 97060
A
C PHONE (503) 638--66-10
T PF.T1,TSTPA110N NO . 999 TOTAI- : tn1 ' 135 . 00
0
R
RECEIPT NO.
This permit is Issued subject to the rayuMns contained M TRW 14 REQUIRED INSPECTIONS
of we TMC. State of Oregon Spet.laity Codes,zoning regulations 1:N
and Fit other applicable codes ane ot-jinances, and it is hereby
agr-,-ed 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 it work is not started within 180 days.or if work Is suspended cr
abandoned for a period of 180 days any time after work has
com,.1enced. It shall be the responsibility of the permittee toassure
all required inspections are requested and approved.
Permittee 'gnalure
� ,0 CALL FOR INSPECTION 6319-11.75
Issued Sy,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
7m_
riiECHAI4117,
C17Y OF T16A RD F'I--14MX'Y* NO. ME880300
awkwo DATE ISSUED: P/i*.!41,1 R 8
COMMUNITY DEVELOPMENT DEPARTMENT 011100" PRIM. PMT.NO. (380298
13125 S.W Hall b.,d.P 0 Box 23397 Tigird,Oregon 97223,(503)639-4175
ztm. . MODRE.515 : -P-0"., .- 5W REAMINU 51
1A MAP/1-01 P.Lil 1.1A1:1 .I-!'WOO MAI LAPD I AKE Is SK
LAND USE:
I OT SIZE :
ITEM: NO: NO:
WORK (I'LASS : NF-i:W F:tJPNACE' (1.00K AIN HANDL.P (10
USE TYPE: FAMILY FURNACE 100K+ I AIN HANDL-P 10K
CONST . TYPE : VN F:L. FURNAGAi. I--VAP.COOI I.*.r-4
OCCUP.GAP. : 1!13 HEATER VONT FAN
VF.::N*I* VEN'T . SYti'Tr-.:-*M
BLA/C(.)MP <31-41:) HOOD
NO. STOPTE-KS : ZJ BLWCOMP 3--15HP INC'INEPA*TOI-4(D0M
DWELL.UNITS : I 11131L.P/CCAP 15-30HP INCINSPATOR(COM
FILIEL. TYPE. GAS BI R/COMP 30-60HP REPAIR UNITti
MAX. INPUT BLP/COMP 50+14P (TV,11EP
VIRE DMPF457 GAS PIPING, OUTLE:T -s 1.
HIGH PRESS7
L.Ow PRE.Ssl?
11EMARKS :
�___ ___ �_____ _ FEEiFs !
_ -_- _ __1
BRISTOL. JA(*,K PI--RMIT
ptl W.)X 044 PL.41N F*.:V*T.I"-.W $9
W wilott ].inn c)1- 97 0 6(1 FIXTURES 9
N
E PHOWL' (503) 638-66,010 STATFi,
R OTHER
C RUMPOLD HINC, . AND AIR
• 0
N 2005 S BEAVC11 CPEEDK RD
R T mr. 9,70/113
A (503)
C AEGISTRA11ON NO . 1.4176
T
0
R PECE
NO
............
ThiF permit is issued subject to the regulations contained in Title 14 REGIG IRED
of the TMC, State of Oregon Specialty Codes,toning regulations GoAS I I NE
and all other applicable codes and ordinances, and it is hereby POST & REAM
agreed that the work will be done In accordance with the plans and AOUGoH----I N
specifications ano :n compliance with all applicable codes and FINAL.
ordinances The issuAnuo .' 1!-!, 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 If work Is suspended or
r"fidoned f(,r 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 CAI-11- VIII INSPEC',TION 639--all-15
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
HUXI-DING PEP'411'
i::,I:.:.:RM1T NCI. : BUSE'0298
iTy OF T'VA RD crr4t;t,wARD H/26/88
COMMU"."TY DEVELOPMENT DEPARTMEN'r PRIM . PMT .NO . 8130e98
13125 SM Hall Blvd.,P.O.Box 23397,Tigaid,Oreg)n 97223.(503)639-4175
—JGFJ-Aribr,12-ri-57U 0K
'I AX MAI':'/1.,01 11 AD 1..'5200 '.,LIP : M r-'i I P
A0 I A K E
I—ANU USI`.: VALUATION rail„3()EI SETHACKS
I...(:)T SIZE : PPON*T : 20 HEAP
WORK CLASS : NEW DWFLL .UNITS : 1 LEFT : :1.5 RIGHT :
Lj!-1F 'TYPE-- : SINU.41 E F'AMILY No. BEDROOMS : 3 EXT' . WALL CXIINST .
CONST . VN NO. BATHS N, S : W :
UCCUP.GAP. : 113 PP 1* . OPENIN113% :
OCCUP ,LOAD r;. 5 : E:
"TUTAL, AREA : ;?1.12 6
NO . STIDAIES : 412 IST: 1.191 POLIF C.,(:)NS*T* : C, FIRE RET"?
20 2ND: 937 AREA Sli`PAP7
BASEMENT'? 3RD: OCCUP. SEPAR7 14A'TED
MF:'ZZAN1NF.-.*.7 DAY.-;EM I 'T
LOAD: 40 GARAGE: -16R? FIRE SPR::!.r)7 011-ARM7
F I..OW( PM) YE'S
HEAT TYPE: A S I-II)CI3.ACCESS7 ('nnf417
REMARKS : r1EISSUE OF' N6 -
E-+1��cI f.r'+1 11;11; V, I.)cp LAST REISSUE
r ntt
BRISIOL JACK PERMIT
0 1.11:1 ROX RA PLAN Pf-.'V'.I*.F:W ih P71 . 7 0
Nwoot linn of, 97060 PIPE DEPT
E PHONE 5
( 03) STA'TE: T*AX 111RO . 90
OTHER
DEVRI OPMEN1 CHAr-7Ur-i'.S :
BATSTOL SOC(STORM) $950 .00
C $600 - 00
0 Rp 1:5101 HOME, (STRE'ET)
N F)rJ BOX 84 PDC(# 11 $P30 .00
T $1.00 00
R wivillst 97 0168
C A PHONI*--" (503) 638-6640
T NO. 999
0
R RECEIPT NO.
This permit is Issued subject to the regulations contained in Title 14 REQUIREU INSPECTIONS
of the TMC, state of Oregon Specialty Codes,zoning regulations F*0 0 TX N UP CtiEi:WE P!
and all other applicable codes and ordinances, and it Is hereby POUNnATTON WAI.A.. PAIN DRAINS
agreed Wall the work will be done in accordance with the plans and I
specifications and In compliance with all applicable codes and & WATER
ordinances 7 he issuance of this permit does not waive restrictive UNDEPSI.-AkIl CITY APPPCI-I/SW
covenant,, Gontractor and subcontractors shall have current city ".i I—A H FJ NAI
businw—s tax permits.This permit will expire and become null and PLB. TOPOUT
void It work Is not started within 180 days,or it work is suspended or FPAMT.NG
abandoned for R period of 180 clays any time after work has
commenced It Shall be the responsibility of the permittee to assure. F IREPLACEE
all required inspections are recuested and approved. UAS I I N
INSULATION
Y P "(16111)
rAf
Pi'm Signature CAI I.- FOP INSPECTION 639-4175
IsRoed By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THA14 DESCRIBED ABOVE
CITY001Tl '~-'ERD � PLAN CHECK APPLICATION
PLAN CHECK # -; ' y /�Z
COMMUNRY DEVELOPMENT'DEPARTMENT 01ROO" PERMIT
1 125 SW Hall Blvd P.O.Bent 21397.Tlpud.Oregon 972:x!(603)63"175
_ DATE ISSUED
1OB ADDASEG) �' TAX MAP/LOT
;IJB: L,- LOT: /. __ LAND USE: f
IALUATIONsSETBACKS: FRONT- :2t-) REAR: LEFT: ; RIGHT:
WORK CLASS: HEIGHT: TOTAL AREA:
USE TYPE: FLOOR LOAD: elu 1ST:
CONSTR TYPE: HEAT TYPE: 2ND: 7
OCCUP GROUP: DWELL/UNITS: - _ / 3RD:
vCCUP LOAD: NO BEDROOMS: __ BASEMENT:
NO STORIES: �_ NO BATHS: __ - GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE Ok: LISTSUBCONTtMCTORS:
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN IND.: _ _-- TRUSS DETAILS:
PARKING PLAN: _
LANDSCAPE PLAN:
PLAN CHECK BY: Q OTHER:
COMMENTS:
ACCT f DESCRIPTION AMOUNT
OWNER 10-432 00 Building Permit Fees � dl .0 v `k
SAME: _ 10-431 00 Plumbing Permit Fees 3 U
ADDRESS: _ _ 10-431 01 Mechanical Permit Fees 3 c �
10-230 01 State Building Tax (5%)�•y' C
10-4:33 00 Plans Check Pee��1.7v #�9,'h �- cr)-
PHONE: 30-443 GO Sewer. Connection (20X) -
-�� 30--202 00 Sewer Connection (60%) U
CONTRAR 30-444 00 Sewer Inspection
NAME: 51-448 00 Street System Dev. Charge (SDC) �_ o
ADDRESS: >,� � t '5,-449 01 Parke. I System Dev. Charge (PDC) 3
_Jr 52--449 02 Parke II System Dev. Charge (PDC) $_ c
31--450 0 0 Storm Drainage Syst Dev Chrg(SSDC) $_ u
PHONE - t{(� _ 10-230 09 TRFD (95X)
10-435 00 TRFD (5%) S ��
ARCH/ENGINEER 10-230 06 Washington County Fire #1 (95X)
NAME: �^ 10-435 00 liaeaington County Fire #1 (5x)
ADDRESS: _ 10-220 00 Amart/Weagewood
10TALi
-
PREE AID 1 v
O 3 0 0 AEC # Z b'-
cf ?
z� BALANCE DUE,
AP T SIGNATURE
Received By: �,A ____ Date Received: