10400 SW TUALATIN DRIVE D400 `LW TUALATIN DRIVE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. B 3x 23397 C�
Tigard, Oregon 97223
Phone: 66339-4175
Type of Inspection
Date Requested rime A.M._- Acf::"P.M.
Address 1 Y 7 _ 2. �/ Permit #42 2j,"21W
Owner f Lot #
Builder L% ,
The following Building Code deficiencies are required to be corrected:
Presenten to — - pproved
Inspector
Disapproved
-3�
Date ~
-- - ---- -.
CALL FOR REINSPECTION
DYES 0 No
CITY OF TI��4 RDPLUMBING
PERMIT
PERMIT NO. s PL870144
CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MOON DAI'E ISSIJEDs I 1 /30/877
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 PRIM.PMT'NO. 870 141
JOB ADDRESS 10400 SW TUALATIN DR
TAX MAF/LOT 2S 15 AD SUB: dower landing I-To Bk':
LAUD USES
LOT SIZE:
ITEM: NO:
WORE: CLASSt NEW WATER CLosEr TRAP
USE TYPE SINGLE FAMILY URINAL SkFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP. GRP. # R3 TUB SHOWER
GREASE TRAPS
DISHWASHER I I
GARBAGE DISPOSAL I
NO.STORIESs 2 WASHING MACHINE I
DWELL.UNITSli I LAUNDRY TRAY RLDG. DRAIN (DIA
FLOOR DRAIN
SINK* I SEWER (FT)
W,�(ER HEATER I STORM/RAIN (FT
OTHER
REMAKiSp
FEES:
mer PERMIT
0 ill $140. (10
W
N
E FIXTURES
STATE TAX 00
OTHER
0 C WATTS ,TS
N KEN WATTS PLUMBING
T 89(.10 SW BURNHAM
R
A t i gard or 97227,
C PHONE t'503) 684-6626
T
0 REGISTRATION NO. 50878 TOTAL: 147 Ci()
RECEIPT NO.
This permit is lss.ied subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and It is hereby PLB.UNDERSLAB
agreed that the work will be done In accordance with the plans and POST 84 SEAM
specifications and in compliance with all applicable codes and WATERLINE
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PLB. TOPOUT
business tax permits This permit will expire and become null and RAIN DRAINS
void if work is not started within 180 days,or if work is suspended or FINAL
abandoned for a period of 180 days any time after work 1.ds
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Jc
4A
Pe—iittee Signodr4
Issued By LALL Uft—INSPECTION. 6Z9-417!5
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIIYOFTIFARD ANO.: PERMIT
.:m��lm F�EkMI T NO. : SF87+:+.�'33
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON DATE ISSUED1 It /1-(U87
13125 S.W Hall BI:�.P.0 Box 23397,Tigard,Oregon 97223.(503)639-4175
JOB ADDRESS): 10400 SW TUALATIN DRIVE USA NUMBER: 54593
TAX MAP/LOT 2S115AD2000 SUBS COVER LANDING I LT: 1 6f -
L.AND
f :L..AND USE:
LOT SIZE:
SECTION: 15 TWD': `s RNG: 1w
WORM: CLASS: NEW
USE TYPElf SINGLE FAMILY
The applicant agrees to c,:lmply with all rUles and regulations of the Unified
Sewerage Agency. The permit e;lpires 120 days from the date isst-ted. The total
amot_tnt paid will be forfiei ted if the permit e,ap i res. The Agency does not gUar•-
antefi the accllr•ac,v of the location o+ the side sewer laterals. if the !sewer- is
not located at the measurement given, the installer, shall prospect -7 +eAt in
MIl directions from the distance given. Ti riot so located, the installer- %hall
pUrcha$w a "Tap and Side Sewer" Permit arid the Agenr..;y will install a lateral .
INSTALL . TYPE: BUILDING SEWER IMF='ERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELL I NLS UNITS: 1
NO. OF BLDGS. : 1
0 FEES:
W miller- Say PERMIT
E CONNECTIuN CHARGE
E
R LINE TAP INSTALL.
---- OTHER
c
ni MILLEk JAY
T
R JAY MILLER BUILDER
A p.r . FOX 23291
T
TIGARD OR 97'223
0 PHO14E (5+:13) 684-7543
R RE01 STRAT I ON NO. 30109 TOTAL: $1 , t'5.
This permit Is is:ued subject to the regulations contained in Title 14 ----------
of
--------of the TMC, Ste a of Oregon Specialty Codes,toning regulations REQUIRED INSPECTIONS
and all other ap olicable codes and ordinances, and it is hereby ROUGH—IN
agreed that the v,ork will be done In accordance with the plans and
specifications art f in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Contrrlctor and subcontractors shall have current city
business tax perrr its. This permit will expire and become null and
v)id If work Is not t tarted within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shell be the responsibility of the permittee to assure
all required Inspections are requested and approved.
PPrrnittee Signaturp
Issw , l;` - 1=-FCR- I RECI IE�N--6 :9-4#7,•
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C17Y OF T117A RDA PERMIT N0. t "�EE�7t�142
r"* DATE: ISSUED: 1 1/30 0'97
CITYOFT ARD
COMMUNITY DEVELOPMENT DEPARTMENT 04100" PRIM.PMT. NO. E,70141
13125 S.W.Hall Blvd.,N.O.Box 23397,Tigard.Oregon 972223,(503)639-4175
S -- 44IL-T Thi if.'
TAX MAF/LOT 2S 15AD '.SUE'— l and inq L"f If Et
LAND USE:
LOT SI7.E:
I TEM ti N0: NO,
WORK CLASS o NEW FURNACE <:.100K i AIR HANDL.R <::I C►
USE TYPEt SINGLE FAMILY FURNACE 1 C►C►k:+ AIR HANDLR 100'
CGINST. TYPE t VN FLOOR FURNACE EVAP.COOL.ER
OCCUP. GRP. it R3 HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP ,3HP HOOD i
NO. STORIESs 2: BLR/COMP 3-15HP INCINERATOR1DOM
DWELL_.UNI Tia`: 1 EILR/COMP 15-30HP I NC I NERA'TOR(COM
FUEL. TYPE GAS EILR/COME' 30-50HP REPAIR UN 1 TS
MAX. INPUT BLR/COMP 5(!+HP 0THE!--R
FIRE DMF'PS GAS PIPING OUTLETS
HIGH PRESS?
LOW PRESS_'
'EMAP .S:
Mi 1 : el- ja'v PERMIT $1u. u�l
o PLAN REVIEW $9. 38
N FIXTURES $27.50
E STATE TAX Si .88
R OTHER
C
0 HEDIN S HEATING
N 84:5 NW 2*1ST
T
R h 1 1.1 obl-_1ra or- 97127
A PHONE (5()7.) 648--1 1!;r,�
T REG I STROT I ON NO. 47211 TOTAL s $40. 75
0
R
RECEIPT NO. �4
----------------------
This permit is issued subject to the regulations contained in Title 14 REQUIRED INSPECTIONS
of the TMC. State of Oregon Specialty Codes.zoning regulations GAS L_INE
and all other applicable codes and ordinances, and it is hereby POST & BEAM
agreed that the work will be done in accordance with the plans ana ROUGH–IN
specifications and in compliance with all applicable codes and FINAL
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 Sigh. ' 1
CALL FOR INSPECTION 6.39--4175
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
3UILDING PERMIT
CITY
OF TIGrARD PERMIT NO. t PUB71-P141
cm.,.r�tw t,r�TE: �
COMMUNITY DEVELOPMENT D ['3SUFc.Gt 11 �r'r,t3,EPARTMENT
13125 S.W.Hell Blvd..P O.Box 233P7.Tigard,Oregon 972:.3.(503)6394175 I M.PMT I. NO. 871'd 1 4 1
JOH ADDRESS t 10400 SW TUAL.AT I N DF' — -
TAX MAF'/LOT 2S115AD 260i► SU13t dovler lending LTi 91: t
LAND USEI
LOT SIZE'.t VALUATIONt $ 71,►r40 SETBACVS
FRONT I 20 REAR t 5
WURP. CLASSt NEW OWELL.LINITSt 1 LEFT$ 15 RIGH'Tt
USE T'YPEt SINGLE FAMILY NO. BEDROOMSt 7 EXT. L. CONSTt
CONST. T►PEI VN NO. BATHS t N;NR S1 E t NR W I NF,
OC CUP.GRP. t R3 FRO1 .13PENINOSt
C1C:C...(IP.L.OALr, Ns NIR S t NR E I NP W I 14F1
TOTAL AREAL 1562
NO.ST OR I ES I 2 I ST t 810 ROC)F CONST t C FIRE RE T
HF_I GHTt 1.) 2ND t 752 AREA SEPAR? RA TEV I
PASEME'NT -3RDt OCCUP.SEPAR? RATEDt
MEZZANINE -.' BAsE M,T
FL OOF• LOAD t 41'' GARABE.t 44r:1 FIFE SPRk:'LR`1 AL ARM''
FLOW(GPM) DETECT ,- rE.''-
HE AT 'T ,F`F t CAS, HDCP.ACCESS CORP'
KErhAR1-';
it
REISSUE' OF NO.
LAST RF" TSSUE
----------- F F E Cw t ,�
O M T LL ER JA'r PERMIT - t , •,••.r
W P. 00 BOX 271291 FLAN RE's 1 EW
E TI GAP D OR rO "a'2T FIRE DEPT
R PHONE 0501- ) 694-754' STATE TAx A1 '. 45
OTHER
DEVELOPMENT CHARGE S It
C 1`11L.LER JA,( SD" (STORM)
N JAY MILLER SUILPFF' SDC (STREE:T rfhl:n:l, [;rr.
Tp. 1]. BOX .2!,241 POC (M2 150).1)4.1
A TI(3ARD OR Q''2"''" FIR EPA 11)
C PHONE 6134-7547
T PE V111 STRA T I ON NO. 7011)9
RECEIPT NCI. 171 .L
This permit is Issued subject to the regulations contained in Title 14of the TMC, State of Oregon Specialty Codes.Zoning regulations l F I U I RED INSPECTIONS
and all other applicable erodes and ordinances, mud it is hereby rOO T I NG SEWER
agreed that the work will be done in accordance with the plans and FOUNDATION WALL RAIN DRAINS
specifications and In compliance with all applicable codes and POST & BEAM WATER LINE
ordinances. The issuance of this permit does not waive restrictive PLS.UNI:)F_RSL.AE CITY AF'F'Rf H SW
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and SLAP FINAL
void if work is not started within 180 days.or if work Is suspended or PL.B.TOPOUT
abandoned for a period of 180 days any time after work has FRAMING
commenced. It shall be the responsibility of the permittee to assure F I REPLACE
all required Inspections are requested and approved
GAS LINE
INSULATION
f GYP. BOARD
Permittpe S
Issued By ""� r la�l.__FC1F' IhJ,ii'1tJN_ •ti __ -41_`_
I '
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI13ED ABOVE
--
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PLAN CHECK APPLICATI N ._
PLAN CHECK #
PERMIT
DATE ISSUE6-11c ti J
JOB ADDRESS: G yDG .5w. 7 t, a 1_,a�_,, 7 T i ,">> `� TAX MAP/LOT r-1 i /-/j 4,--4
SUB:_ v LOT: _ { f
F
SETBACK : FRN_: LEFT,:
.� tI�nH
T:VAL[ 4TIUN: >`
WORK CLASS: HEIGHT: Vit) TOTAL AREA: - Z
USE TYPE: SF FLOOR LOAD: <./U 1ST:
CONSTR TYPE: 5,tip HEAT TYPE: �� 2ND: -2.5
OCCUP GRO1iP: - J'T DWELL/UNITS: / 3RD:
OCCUP LOAD: — - NO BEDROOMS: BASEMENT:
NO STORIES: 7_- NO BATHS: GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
Pf-kNNING: REISSUE OF: I i T-sUBCONTRACTORS:
ENGINEERING: LAST REISSUE': _ BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
PLAN CHECK BY: LANDSCAPE PLAN:
_cam_ OTHER:
COMMENTS: --
ACCTS DESCRIPTION --��- AMOUNT
OWNER 10-432 Building Permit Fee a--� 49
NAME.. 1.0-431-600 Ptumbing Permit Fees $
ADDRESS: 10-431-601 Mechanical Permit Fees
_ 10-230-501 State Building Tax (5X) -3 j
_ 10-433 Plans Check Fee
PHONE:- - 30-443 Sewer Connection (20x)
30-202 Sewer Connection (30x)
CONTRACTOR 30-444 Sewer Inspection t
NAME: �.J A,/ /` (1 �r �"61-4�:3 Street System Dev. Charge ;SDC) 1;7r-',:1
ADDRESS: /,� IV 3 a al 52-449-610 Parka I System Dev, Charge (PDC) $
7 r e a ��. G 52-449-61^0 Parka II System Dev. Charge (PDC) t_�;
7 I.L 31-450 Storm Drainage Syst Dev Chrg(SSDC) s -
PHONE: -7Sy 1.0-230-505 TRFD (95x)
10-43` TRFD (5%) t-'-----
ARCH/ENuiNEER 10-233-506 Washington County Fire #1 (95x) $
NAME: 10-435 Washington County Fire #1 (5X) _
ADDRESS:_ - 10-220 Amart/Wedgewood s
PHONE: TOTAI, :_ •'�01 (!,
PREPAID �„ o
IEC #� '
' BALANCE DUE s a � .�G
APPLICAN S GN T RE
Received Bq: Drte Received: f (S
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