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INIM
INSPECTION NCTICU
City of Tigard Building Department A'^
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Rlrq aeet-a -__L —�}—�—• Time _ A.M. P.M.
Address Permit #
Owner _ ---—- ---- Lot #... ."
Builder
The following Building Code deficiencies are required to be corrected:
�ZoQ � - lo�` �� -
Presented to }-' pprnved
Inspector ��t _— ❑ Disapproved
Date _ CALL FOR FOR REINSPECTION
Ll YES 0 NO
N W
CITYOF TIGARD
PEIPKI.T NO . bUt-3(:i1.639
CITY
COMMUNITY DEVELOPMENT DEPARTMENT I)AIE ISSUE'D 10/17*/VIR
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregt n 9722J.(503)639-4175
Jt)i; AD11314ESSi 1.0-129 SW TITAN I—N
-K
TAX MAP/L.UT PSI Vlkip SUF3 . SWANSONus 6'*LI;..N L 1 : 59 El
I AND LISE :
1.0T !isl ZE. IJAL.UATION: $ 0' ,P P 7 ST TEIA(:'KS
FAIIINT : REAR
WORK (,'L ASS , NEW DWEI-1 I IN IA'S . :1. 1 El!: T Pl('.Vl..IT* ,
LISE T'Ipr..�* : SINGL.E. 1::'AMIA-Y N0 . 131: DMA*J1115 . 3 E:-'XT .WAL.L. CONST :
('AJINST . T*YPI:--. VN Ni). EIATIAS : 3 N: S : E W
UCI(IAll). C1144P . PROT .OPENI N(*.;S .
DCCUI'-? . L.0AD N S F.-* : W
TOTAL. AREA:
NO . GTOPIES 2 1.51' : 652 ROOF CMNST : C. FIRE:
111-1 GHT : PO PNE) : 566 APE A 5E.PAA'? PATE:D:
3RD : r.7 A'T I--"D
BASI;;:M'T
r 1 .00n I OAD : 4GAPoGE : 000 FIPE SPIlKLA47 AL.APM?
Fl.OW(UP1,1) YES
PL AN LMEA'."K EIY r'.1 1.
PEISSLIE: OF NO. 6e,5,15
LAST PE191-5UE' 81131,246
0
W MU14CAN 1:"E RM 1:T 11111i0 7 . 00
N PO BOX 6H&1 PLAN REIVIE-W $40 . 00
F
Al 01-1A OP FIRE DEPT
ra
.J1 Al E: TAX
OTHEA
OPMENT (',HARGES :
0-RAK MOVIGON SIX,( STOPM) $2 I's 0 U0
N
1- .1 TTAN PROPERTIES IN[' SDC( 5146i:11T ) $600 . 00
R prj E:Ox 61,135 PDC Mi 62!50 . OU
A
C AL.OHA L"q 971"Of 6835 PREPAID < 111140 . 00)
T NE
0 606
R Pl:;T;:11.ci I PAT I(IN NO. 305156 T f71 At.- $1 Ap.i? . X)
WEECEIPT NO .
This permit is issued Subject to the regul30ons contained in Title 14
of the TMC, StHto of Oregon Sppcialty Coues,zoning regulations
and all other applicable codes and ordinanres, and it 19 hereby :4E-.QtJIPE'.D INSPECTIONS
agreed that the work will be done in accordance with the plans and ruil'i IN(.; SEWE*R
specifications and In compliance with all applicable codes and li'-�OUNUATION WAI L. RAIN DRAINS
ordinances The %ssuance of this permit does not waive restrictive POS I & nr-.:Am WATER I-INE
covenants. Contractor and subcontractors shall have current city P1 IR . UNDEP151 A8 (�ITY APPP(.*,I-I/SW
business tax permits This permit will expire and become null and
void A work is not started within 180 days,or if work is Suspended or 5 1 AD F I NAL.
abandoned for A period of 180 days any time after work has PL.14 . IT)POUT
commenced.It shall be the responsibility of the permittee to assure r"RAMING
all required inspections a.e equested and approvedl::'I PEPI AGE
GAS I I NU*.
INGI)1OVVION
GYP BOARD
'
Ittee�,,mitt,, ig nw�y
Issuee, By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N W1 WX WA
CITY OF T167A RDWia:l:e C 1111D 11"AF41MIT NO .
ow
COMMUNITY DEVELOPMENT DEPARTMENT DT
AE: 8
J.0/ 17/ 0
1131215 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.1503)6394175 C, 1::IPTM 01141, NCI A-w
J08 ADDRE.GS : 10,4129 SW TT TAN 1, N U54) NUMOL-31: 0.35 9 9 9
10X MAP/1-01 P51, 1/11910 —LJ*.i.N 1 11' : 59 Bl<
I AND
L. !.azr.' .
SEUTJON : 1./1 T,wr,., . '[W
WOPK GLA54) : NEM
T*Yl::,I:.: : !iiTNGLE F:*AM]AY
Rl:)J:):lA lit, 4"gl'thtpus Lcl 1-mlimp'.Ly wi-0-1 aill. 1't.1lc�ql lil.rlcl
$kv.wer-M.1 .11.11.a t J�1.)11 Ili
.4 fe A q 4-�,I-)ii.y ylle� r)rh1l-,ll1iA �-Ixptreq; 1.20 frtim thei daLte)
in of(;)Li ri I F)ilk 1.4:1 W 1.:1.:1. t.)U, -11 cl r,•1'+ t to(.1 J.+ t I i w. ii:)e.,i-in J. t, ea x I.-)J.r,ii to ,I h 0 A(:I ie,1-1 C q (.1 C)r.?"I 1.1c)t
lRl1t,*!e that. of than. fsi(jfit quewel- IaLtal-nlfh , If Vic-.4witi-.11, J.11;
Illit IliciRtc-cl M.1, thix t4ivtini , 'the, lilhat'll .5 Tfuli ill
all. ftres^tAlirit% from li.Vic--A given . If rivit. UILI 3.0(-Nl1.t*PCI , t,h IP J.11 th t,M.1.1 Ct I- is h i&1 1.
f)LII-Qh1ILlHW lo "Tarr) lidi'll(i 5;Jclfi? ["fatrinit, mri(l ihw will 1.1-1141,1111,11. R
1.N S TAL.1- T Y P E.' 601:11-DA'NG SE'WEP IMPRAVIOUS APEA:
I T X 0.1r*.' UNI T'Si 'TENANT IMPROVEME'N'T .
DWI::.1-1_.TNG UNITS
NCI. DF;' HLDGS . :1.
0
W 13L F.-K A K MC)ACdAN $',35 Oki
N F>(:1 191111X 68,35 T
C .I'.C)N (JAARGE $ I t C)0 1,t,
E
R (.'it.01-4A I.A.NF.;: TAP INGsTALL
OTHEA
0 Ei L.E:A K MCIPCAN
N
T T*x r A IN P P 0 P I:---ATIES I N
R
A PC) HC (A-335
C Al OHA 01-1 97001 60',3!.)
T
(3 PHUNR (303) 681---6606
R FIEWSMATION NO. TOTAL: $1 , 133 . 00
This permit is Issued subject to the regulations contained in I it le 14 PECE.TIPT NO.
of the TMC, State of Oregon Specialty Codes zoning regulations
and all other applicable codes and ordinances, and it is hereby PE'.QUIPEO INSPE-C-TIONS
agreed that the work will be done in accordance with the plans and ROUGH—IN
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 1,80 days,or if work Is suspended of
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.
00
Permittee Sigre
Issued By
;�% (,161A 101114 IN5PECI-11)N 639—Al. 7,5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY �'�� PENMYT NO ME801650 V",
OF RD`
CITIFOF TWAM
COMMUNITY DEVELOPMENT DEPARTMENT 011110014 ISUED: 10/1. 1/09
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 "Him• Pma.NO. 80J.6,59
SW 11: 1 AN TN
TAX MAP/L.0-1- V
L AND USE' `51-11191: SWANSONS GLEN L*T : 39 UK
LUT SO:Zp-: :
I'VEM NO Ni
WOPK C1 ASS : NEW F:*LJPNA(:,E <.1 OOK :1. AIP 14ANULP <10
USE `VYPE: S:ENGLE: FAMILY FUINACk: 1001K+ AIR I-IANDI-14
10KCONSI . 'TY1')j--* : VN FLOOP 1:1-1[ NAGE EVAP.CLF.
OO :P
OCCUr.(1114P. : i:.
13 VEN17 FAN
VENT' V111141' . SYSTEM
1311-11. /cIUMPI <*31-lp HOOD
NC) . srawrrs : P 14211-.P/Gamp I NCINEEPATOP(DOM
DWE.L.I.— UNI-rfii : 1. F)I-,-P/(-XMI:" t5--'30HP INGINEPAI-OR(COM
V 1-JE1 *1 YPE GAS r1l n. /comp .5()---5()HP WEPAIJI UNJ:*TS
MAX INPUT E::l-P/C1l1:)MP 50+111:; CYTHEP
GAS PIPING OUTLE-1-5 1.
L-1.1w r-1PE1.55"?
PIRMARKS :
81-1:-Ali MORGAN
0 1:)(.) PERM11 1111110 00
W NOX 61335 r'-'L.AN 14L-'Vli.'::W $10 1.",.1
N At OHA Op 1:�A:X,Tt.jR ,
E E F.,
SA11. TAX $30 50
T
(YTHER $2 . 013
C
No HE'Al ING IN("'
T 3-5550SE- 1*-'XAZZA AVE
R CL AU k AMAS
A Op 9-f01.5
C PHONE" (503) 213-41134
T
0 NO . 01-17
RECEIF,r NO.
This permit is issued subject to the re:lulations contained in Title 14 ..........
of the TMC. State of Oregon SPe-alty Codes, zoning iboulations
and all other applicable codes and ordinances, and It is hereby GAS LINE
agreed that the work will be done in accordance with the plans and PWiT & SEAM
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POLIWA IN
covenants Contractor and subcontractors shall hnve current city PTNAL
busiress tax permits This permit will expire and become null and
void if work is riot started within 180 days,ct if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. 11 shall be the responsibility of the permittee to asqurp
all required inspections are requested and approved
Pormitt e Si ure
Issued By C,AIJ-- F*014 'TNL51•)F('-TT0N
SEPARATE PERMITS REQUIRED FOR V,,'ORK OTHER THAN DESCRIBEL A90VE
A. P1 1JM8IN(*.-; PEA-)MI-T
4-1-4 1
CITY CSF TIG4 RD 14--1141K '11' NO . IDI-88.1.6149
cirribil,fir'An
COMMUNITY DEVELOPMENT DEPARTMENT
1',125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223 (5031839-415 .1.0
pplm. ptJ
1"F3 ADOPE.*GS : 10129 5W 'T'.(*T'(-)N I. N
VAX HAP/L.07' 251, :011:44 !)tJE4: SWAN5ONS Gl.-I:_-:N i<
LAND
I (AT SIZE.- :
ITEM: NO : NO
WOPK ('LASS : NIEW WAIIHA WAl)
USE *ryrw . SINGI.-L" FAMIA Y UPINAL EIKF'I.-(:)w PI-1VNT'I4
("(:)N!.i' . 'T'YPL-: : VN LAV04ATOPY 3 '11 PAr) Pwimk-w
MID
G P3 THE) %R)WIZA R GlAi'ASEK TPAPS
1)1.S IAWAG HE:P a.
GAPBAlt-Aii: 015POSA13.
NO . STOAMS : P. WO-SHING MA- (.',H:I'.NIF' I
DWI-L ,UNI T".;I : I L.AUNI)AY TRAY BLAM. UPAIN (DIA
FLOOP I)PWIN
'SINK 1. Sl::WF-."P (F:-'T)
WA'T'FP HFATEA 1. STOPM/PA:I:N (Ix*T I.
()'T'HF.'P
W MOP(.,AN PF.A4MT'T
N 683V$ SP ">()
E
R ALDHA ('4" F'I X 1111 W 1--"S
STA'VE' FAX
C
0 I<F-'N
N
T KLN WA'TT'S (:>LA)MBING
R 1343 BOX 23092-15
A
C 1.:1 Q ilk r C1r 91'a('13
T PHOW: (,"5031 684-66P6
0
R I l41-'G.I:S'T'l4AIAA)N NO 15087('.) TOTAL.. :
This permit is Issued subject to the regulations contained in Title 14 R E--*C 1:-:'1 PT NU
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes And ordinances. and It is her9by
agreed that the work will be done in accordance with the plans and PI-8 U'HIDEASI AB
specifications and In compliAnce with all applicable codes and r,c)sr 6 ov::Am
ordinances The issuance of this permit does not waive restrictive 41ANE'
covenants Contractor and subcontractors shall have current city
husiness tax permits This permit will expire and become null and I!? . TUPOUT
void if work Is not started within 180 days,or If work is suspended or 1.,,AJ.N DRAINS
abandoned for a period of 180 days any time after work has
r.ommencp.d It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Issued By Mnl I l' 11P T.N!3PF,.[;I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF TIOARDFTl_t:I:Lel.-a�, :.I.4M:I: T NO 8 TAI
CITYOF7*XVD
COMMUNITY DEVELOPMENT DEPARTMENT 0010<M
131;3 S.W.Hall Blvd..P 0 Box 23397,Tigard.Oregon 97223 (501)639-4175
,0318 ADOPEss - twa.io sw -rH(. R%'rc.)I`4 L.N
TAX MAP/L.07 'ril .'I.PC*A SUB: ASI-IFORD OAK5
LAND '.)SE :
LOT S:Ezl::* -. 86,496 SLKI'BACKS
FrPONT : 42 0 PEAR: Li
WOPK (.".I-ASS : NEW D 1-)F-.*:L.L. .ONT TS J. L..FFT: .5 30
GIN0,1_1K.: I:r.)M:I'L.Y NO . DF-J)POOMS : 3 EXT . WALL CONS'T
I*YPF-' . VN NO. 1:11A11-45 : 3 N: S : F W
GHP A3 r• POT OI-'AEN3:NGS :
(A-'XAJP ,LOAU N W
1 OTAL APF.K() : .19,30
NO . tl'TOVISES , F? 1.5 T . 1.0 14 CONS'r : Cl F14p, PET?
eND 9:1.6 APE'A 9EPAR7 9A*TI"-'0
I3A%:".MFN I"? JPI): G)("'( Up !iF-.':PAI-l? PA11A) :
Mf l lANI:NF'7 FTA 71:::M' T
III Mlp L.OAD: 40 4*73 FIRE EiPPKI-147 AL-ARM'?
FLOW(GA-M) DC'TECT'? YES
GAS
F"I.-AN GHECI< OY :1, It.
OF NO. (3431.102
I Aq1 REISSUE
0
W M.1 L 1. 1-:A (I y I I I:*EPM]:'r $39 O
4 c)
N P PLAN rj.v.--.VjL-,W
E
0 1-1
S'I'Alli: 'TAX 111.9 1
C DF::VE"I-(:)PMI:::N*1 CHAPGES :
0 wrl-I.-1---1.) .JAY 5 LK,(tm T'0141`111
N $250 . 00
T JAY MR-1...I--':Q 81.11 L.Dki-P 5 D G I N F.-..F:'*T ) $600 00
R 1:1 cI BOX eliPcpl' DC' R—
A 111112 50 . 00
C T I (1API1) 0P 9'T 2 2'.*5 PQ1-..PA:f $410 . (`U>
T (50'3)
01
NO . 3101.09 T01'AL.. . *1 151.3 . 70
This pet runt is issued Subject to the regulations contwried in Title 14
of the TMG. State of Oregon Specialty Codes,zoning regulations
and 01 other applicable codes and ordinances. and it :% hereby
agreed that the work will be done in aa.ordance with the plans and F OUT I NCy SEWEA
specifications and in compliance with all applicable codes and 1:11UNDA*VTON WAi-j RkEN DPAINS
ordinances The issu3nce of this permit does not waive restriclive
covenants Contractor and subcontractors shall have current city WAI'E::P LTNE
business tax permits (his permit will expire and become null and P1 b .UNDPA451-AB (.;]:'TY AI-*'PPCI-4/SW
void it work Is not started within 180 days.or if work Is suspended or �-;L.A P F: I NAL
abandoned for a petind of 180 days iy time after work has PI I.% . 'T(JP(jt.J*T'
commenced. It shall be the responsibility of the permittee to assure F'F4Ar*i1N(*.,
all required inspection's are requested and approved F*EPE:IDI-A(' E
NA!4 LINE
I.NiRJLATION
GYP BUINPO
store Permitte iii 11110
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIEWE34 PERMIT
CITY OFT167ARD 'k4, PEPMIT 140. ; GE01,34.91.2
Cllf=A
COMMUNITY DEVELOPMENT DEPARTMENT C4-.
13125 S.W.Well Blvd.,P O.Box 23397,Tigard,Oregon 97223.(503)6394175 DATE 15GUED: 1.0/1. 60
F)I,_;l3:M.PH11 .N(3 , SIB EL
ADDPE'SS : 1-52:30 5W 11-1UP!,5TON I_N USA NUMSEn: 01364XIA
T*AX MAP/L.01' c?51. :U2(:,A SUF.) ASHF(:1HE) (JAM) L'T F:K :
I-AND USE :
LOT S3:zr--::
Sol-ECTUIN: 12 TWP : Pli; RNG : :I.W
WORK CLASS : NEW
USE TYPE: rT.NG3A:,- 1:--AM1A.._Y
oigir,rimpi t,c) W1 01 9111, M110M iltrl(l POW-1:11ALt.i.131-191 OT 0140 Ul-1:L-F1.iviC)
Scewimr•wge (IBLY18 cillitiie ili,ml.11p(j . Thive tl3tlR.1.
will 1:)o. ft:)rFe-*i Vr-icl :i.-r i.lmi 'TI-live Aqrorm:y ciciivirili licit qt.irar—,
i4xite'e tflv-, LhC� cif LI'low
1.1 c)1. :1.r)cam t Are cl M.A. tv W4 I.*"!k ql 4.11 1 16?in irl 1-1 t q J.V eq 1.1 3 41ree?.t, :1.1-1
mll. (1tre?t-itiorim fr-cm fji /ie.r% T+ r)L)t usc) 1(jc.,iated , thive :1.iit%t,4aAjmi,
I:)1.11-tAlm"lisl AL " T'Jilp mricl Slcic, 5F,?W1v)r'" iari(l I,tie A• Ienc.,y wi.:I.*l iii1!itilt.1'1. ak fiat oi-mi
INSTAL.i T Y PE 91.111-11ING SEWIFR U1,41.110US AREW
FIKTUPE LJNI*I*!:
3 TENANT 3.1"IPPOOKMEN'T
D W rii:I 1 1:N(..7 UNIT'S I
NO. OF HLE)GS . 1.
W M11 I F:P JAY PEPM1,11, 101515 . 00
N p , a BOX 4329t (:,,0NNF_X,`TA:0N 111;1. 00
E 'T",.GAPE) UP! LTNE: T'/\F:'R
0 m:I..I_fa.1:4 ..JAY
N
T JAY WELLF'kl BU :L.IX-KP
R
A p MIX ok?'3291.
C TICAP0 On 9 72EM
T
0 PIA,ON-E.
M03) 66-1 -1,5
R riEc,,,rsmA,il NO , 301.09 TOTAL : $1 00
This permit is i"med subject to the regulations contained in Title 14 P F.C;r.--.I PT NG)
of the TMC, Stfite of Oregon Speclilty Codes, zoning regulations
and all other applicable codes and nrdinancAs, and It Is hereby PE'QUIPE.t.) INSPEit.—TIONG
agreed that the work will be done In accordance with the plans and POUGH-1 N
specifications and n compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subnontractors shall have current city
business 13x permits. This nermIt will expire and become null and
void if work is not started within 180 days.or It work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the peo mittee to assure
all required inspections are requested and approved
Fermi ignature
Issued By __TT1rPT.-1-7T1:ON639-117 n
SEPARATE PERMITS REQUFPED FOR WORK OTHER THAN DESCRIBED ABOVE
WX_XMRE]RIFAR�JR&R—AN-JUN
ME.DiANICAL. PEAM11
CITY OF TIGA RD AT4, PE:1:4M:I.'T' NO . � M11.1081911.
(Cl LTY-0jF TWA RD
m
001(KR4
COMMUNITY DEVELOPMENT DEPARTMENT 'IISCA AED 10/ 10/88
13125 S.W.Hall Blvd-P 0 Box 23397,Tigard Jregon 97223.(503)639-4175
V10rl I':'h T . NO 801A 7-1
,JCA-,$ ADDRESS : 1.3230 SW 11-11.1P51ON I N
TAX MAP/1-0,11, V5.11. 12CIA 1..1' . L:K
LAND US-E '.
L.01' LiTZE :
TTE-m NO NO
WOPK CLASS : NEW FLIANACE: <100K I A.I.P HANUI P <10
Util-, S-1'NC.A..-F: FAM11-Y FIANACE 1.00K+ AIA HAND11-1:4 10K
C11111WO . 1 Y;)F.:: : 11N FIL111OP FLMNAGE, EVAP .COOL.E-A
OCUIP . GPP : W3 HFATEP VEN'T' FAN
VF':N*11' V E-N'T - 5 Y511-'M
81 14/CUMP (3111-11P HCHR)
NO. S-TOWEES : P. L;lL.R/CCIHP '3-13FIP :1NCJ.NFPA1'('.JP(UOM
UWEA.A... . IJNI,r!-3 : 1. 81 A/CC)MP 1.5-30HP 1:NCI NEPA TOR(GOM
1-IJEL. *Iyr)l:-*: GAS 81 WCOMP 30-501-111::' LINIT5
MAX . A:NPU'r 11- IAMOMP 30+1-41:) CYTHE-A 2
1*11E DMPP51? CA!:i PIPINGv CATTLETS
HiGIA PRE1:051?
1-Dw PPF.ri�'-0
RE'MAPKS :
0
W MIA.A.-EA JAY F"EAMIT $10 , 00
N p BOX 23219:1. PLAN RE:VIEW $ 1.0 1.3
E -
FICAPI) OR I F'T KTURES $:3U 50
S1 AT 'TAX 1111P 0A
OTHF14
C
0 1-11FAYEN POBE'AT
N
T D I N' S HEA r:r.m
R 113 A b NW .?'3:115T
A
C 97tp-3
0 T PHONE% (50-3) 6410-41.`59
NO. 478t'l TLYTAL. - $52. 65
This permit is Issued subject to the regulations contained in Title 14 PECE14-It NO. 0 3
of the TMC. State of Dragon Specialty Codes,zoning regulations RQUTRED 1N':ME.C—fA.C"4L5
and ail other applicable codes and ordinances, Find It is hereby P
agreed that the work will be done in accordance with the pans and GAS LANE
specificniions and In compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive
covenants. 13cintractor and subcontractors shall have current city
business tax permits This permit will expire and become null and F*I NAI
void If work Is not started within 180 days,or if work is suspended or
abandoned for period of 180 days any time after work has
commenced 11 shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
9 Potmitte I
kature Z d-
! Z)
Issued By L
� r-00 1 lqe-i FIF.t.,TTON 639—q 3. 7
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
—(TyILUMP.A.W. E111
., PA -T
F CITY CSF TIGA RD PEAFMI'T NO : P11-8811910
CITY01IFTISAW V
MOON
COMMUNITY DEVELOPMENT DEPARTMENT DAI'E. I55 1. 10 01191
13125 S.W.Hall Blvd-P O.Box 23397,Tigard,Oregon 97223.(503)6394175 PRT.M. P1,14' . NO 681(i174
JOU ADL)PEY5 : 1.5230 SW TIAL11:11:0144 LN
TAX MAF'IL.01' 251. J.P.CA 'AA.-.:. W5IAVIA-41)
LAND USE. :
1 01SIZE:—
T*rF'M : NO: N(J:
WOPIK CLA55 : NEW WATEA CI OSE T' 3 T*PAP
US-E 'T'Yl:"I:. : S:[N(;L.E-* FAMII.Y LIPINAL. 1310::1.1.11161 VJOVINIT14
r(:)N5T . '1'Y1:+: . VN L AV0AA*T'0PY /.I 1PP PRIMEW
(7C.(:1t.1P .G'1410. : R3 111F3 151-40W1.::A '11"PAPS
I)ISHWASAAEP J.
GARBAGE U15VIOCiAll- 1.
14(7 . S0,C)NIES : P WASHING MAGHINE I
I-OUND14Y TRAY 1. 19-1 E.M. MAIN (131A
1.11..(:)(:)1,4 U11461N
151 N K 1. GE'WEP (Fr)
WA1'EP I.4F;:()'y*FP 1. S"I'OPM/PAIN (FA I.
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This permit Is issued subject to the regulations contained in Title 14 RECEIPT NO to 103
of the TMC. Stator of Oregon Specialty Codes,zoning regul.-:ions
and all other applicable codes and ci-diiiances and It ;a hereby PE1511111PEA) INSPECIJONG
agreed that the worn will be done in accc.rdanre with the plcns end PL8.UNDEA5LM8
specifications and !i compliance with all applicable codes and F'Wil, 9 HEAM
ordinances. The issuance of this permit does not waive reslrictivp WATER LINE:
covenants Contractor and subcontractors shall have currant city
business tax permits This permit wili expire and become null and 1.11-n , TOW(:UT
void if work is not started within 180 days or if work Is suspended or PAIN DPA INS
abandoned for a period of 180 days any time after wurk haS
commenced. It shall be the responsibility of the permittee t3 ASSUre
all required inspections are requested and approved.
PNVermZt, �ure
Issued ByT"rW Tffri M- M- TTTM-67 IP 7M-7'.RV-
SEPARATE PERMITS REQUIRED FOR WORK OTHEP I HAN DESCRIBED ABOVE
11s
0 / _
CITYOFTIFARDPLAN-\ � CHECK APPLICATION
PLAN CHECK N
CITY OFT1GgRD PERMIT p
COMMUNITY DEVELOPMENT DEPARTMENT MOON J DATE ISSUED
13125 SW HJI BMd. P.O.Bax 23397,TVwd,Onpon 97273(5(X1)&W4175 / --
JOB ADDRESS: 15x36 .5g, 3 TAX MAP/LOT
SUES: �y1� evcl o�Ks LOT: _ _ LAND USE:
VALUATION: _ ___•
OWNER SPECIAL NOTES � y ,
NAME: — — REISSUE OF: �d L
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
— — APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: _ � �CaY� of C ENGINEERING:
ADDRESS: ��G ' _X _3 FIRE DEPT
OTHER: -----------
PHONE: _ —� - -7 ITEMS REQUIRED
LTST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX: ~_
NAME: _ CALCULATIONS: -- _
ADDRESS: _— A— TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
SHONE: —— - _ OTHER: — —-
COMMENTS: ----------- *' . '. S U ( — -- -
PERMIT H ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees 1:3179%/— 39,9(-
10-431 00 Plumbing Permit Fees / V 7.fy Tv
Z Su
10-431 01 Mechanical Permit Fees [ _y 4(U•56
10--230 01 State Building Tax (5X) a ell _ _�
Building
Plumbing _ 7, 3 Y _
Mech cs , 0 3
10-433 00 Plans Check Fee
Building
PI-mb.ing
Mech
30-443 00 Sewer- Connection (20X)
30-202 00 Sewer Connection (90) .
30-444 00 Sewer' Inspection 3 >-
51--448 00 Street System Dev Charge (SDC) - / O
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Sys' Dev Chrg (SSDC)
10--230 09 1RFD (95X)
10-435 UO TRFD (5X) — -
10-230 06 Washington County Fire M1 (95X) ---
10--435 00 Washington County Fire M1 (5X) —
10-220 00 A11hAr t/Wedgewood
TOTAL
Q Rf-C 10
APPLICANT G.
Rec-1ved By
Dato Ror•r i ved
rIr �
I
I
CITYOFTIFARD
PLAN CHECK APPLICATION
CITYOFTIGARD)'Y PLAN CHECK N
COMMUNITY DEVELOPMENT DEPARTMENT OREGON / �J PERMIT M _
13125 SW I WI Blvd P.O.Box 23397,Tijartf,OreVin 97 M(503)63"175 / DATE ISSUED
JOB ADDRESS: /U��� :�i a� c�� �Cc ri TAX MAP/LOT _
SUB: OT: _� LAND V:E: _
VALUATION: _
OWNER ,p — -- SPECIAL NOTLS
NAME: �i riy /i�cty �a REISSUE OF:
ADDRESS: � r.: �,� �- - LAST REISSUE: g3
FLOOD PLAIN/
SENSITIVE LAND'
APPROVALS REQUIRED
CONFRACTOR PLANNING:
NAME.: � ��l,Fi ENGINEERING: ---
ADDRESS: -- - - FIRE DEPT -
_
OTHER:
PHONE: _ — ITEMS REQUIRED
LIFT/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX:
NAME: _ _ CALCULATIONS:
ADDRESS: _ _ _ _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN_ _—_
PHONE OTHER: --
COMMENTS:
PERMIT 0 ACCT N DESCRIPTION AMOUNT AMOUNT- PD. BAL. DUE
10-432 00 Buildi.na Permit Fees ..i ,.0 s 307, ;-
_U f 10-431 00 Plumbing Permit Fees _/ 3 -2SU _ _ _ __ j3zt?v
rG 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) -X ,V
Building is, 35
Plumbing .,G_,�__
Mech _ J.y3
10--433 00 Plans Cher' Fee U•1 _ _ �j ,l _
Building c/U
Plumbing _
Mach
30--202 00 Sewer Connection
30--444 00 Seger Inspection T5
51-448 00 Street System Dev Charge (SDC) GG 0 _
52--449 01 Parks I System Dev Charge (PDC)
52--449 t32 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10--230 09 TRFD
10-230 06 Waihington County Firs! N1 -
10-220 00 Amw t/Wedgewood
TOTAL
REC #
APPLICANT SIGNATURE
Received By: — Date Received: _
ht/3587P/18P