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1111 7111
KA,
:NSPI:CTION NOTICE
City of Tigard Building Department
P O. Box 23397 C_,
Tigard, 0;(-.gon 97223
Phone- 639-4175
Type of inspection
Date Requested Time A.M. )c' P.M.
Address Permit 2
Cwner C T,T Lot
Builder
The fc,;Iowi-ig Building Code deficiencies are required to be corrected:
cc cl 7 J'I'3
-10'ry
Preiented to
OL Approved
Inspector Ij Disapproved
Date
CALL FOR REINSPECTION
E-I YES F-I NO
CITY OF TIGA MECHANICAll PEPMI t
RD NO . ME08:I.n26
cnyornmra
COMMUNITY DEVELOPMENT DEPARTMENT DA'T'E-: ISSUED: B/ /1/98
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 P P T M PM'T* .NO . 881524
,108 ADDRESS : 10-152 SW TUALATIN ISR
'TAX MAF'/I..(:)7' 2?51 -L,r.1Ao 2100
1 ANU LISE : RSI. —5 SUB: DOVFP I AND]NG L.T RV
WORK CLASS : NEW N 0 NO .
FL)PNAr,'E: <100K i. -*Q14 HANDI Fs, <1.
(JSE' 'T'YPE: : SINGLE FAMILY I!r(.JPNA(`E J-001(4- AI P FIANDI A 10K
CIC)NSI* . I'YPE : VN FLC014 F(.IPNA(:,'E-': I"-*VAI:*' COOLEP
(1C1C1.1P. GPI-'). 11:43 HE"WrEP
VEN'T' FAN
VENT' VEN'U . SYS'TEM
81 RWOMP <31-IP 1 IOOD I.
NO. STORIES : 2 TNICINC:PA'I'OPI DOM
DWEL.L . U1411'5 : 1. TINIC,INE PA*Y'014(COM
F, 1"YPE GAS "I P/(�UMP 30-501-If
MAX . INPUr 8L.P/(:'(7MP .50+1-jr) 074-WR
DMIPPS111
HIGH V)PFESS 1 GAS PIPING OUTLE-I'S I.
I JL MAPI(5 .
F 1:.,.Es :
0 Mil I.-CER %.JAY
W P . 1:1 BOX P3P91 flij.0 . 00
N - PLAN Pl.--.-:V3'EW 11 1.U .cis
E TTGAPI) 0141 97P-23 FIX11)IIES
R 11"'Nk-: 150*3) 6841-75413111113.3.30
111111p.
C H I-E.D I N P(:)BEPI'
0
N iIE'DIN' s 1-41:.'Al':EN(;
R T FIAZ5 NW c?3 1.ST
p h i 1:1.1x b(:)I-,r3 r3 9,71eZ.5
C, PHONE' (50-3) 61-1113-1159
T
0 NO . W721,1
R 7'arm.. :
PFC-*IP'T NO .
TI normill Is issued Subject to the regulations contained in Title 14 •-•-••-•.-••••-••
of rmc, State of Oregon Specialty Codes.zoning regulations REQUIRCZ 1N!:iPEC,1*1ON5
and ill other applicable codes and ordinances, and it is hereby (;A!5 1 1:NE
agreed that the work will be done in accordance with the plans and L,GciBrEAM
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 1-:*:[NAL
business tax permits This permit will expire and become null and
void it work is not started within 180 days.or if work is suspend 3d or
abandoned for a period of 180 days any time after wo-K has
commenced. It shall be the responsibility of the permlttp,.to ast.wris
all required inspections are requested and appro--,j.
- �1 -Jc
Permfftee Sign re
Issued By� -5;6co FOR INSPEC)'10N 6,39-41 j,,)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
::,I::-PMI T' NO i SL-,-.:k38J 1I527
CITY OF T167A RD C74,�6 IR1
)OD - .
COMMUNITY DEVELOPMENT DEPARTMENT one" DATE ISSU EO: a/ I/Ele
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon M21(503)6394175 Ppim. Pm,r .NO. 1:18 1.5 RAI
,.J0H ADUPESS : 11.0,4152 SW TUALATIN UP USA NUMBER: 035986
'TAX MAP/L.0'11 251 13AD Z1100 SUH : LAWFN I AN D1 NG, L*r:P 9K :
LAND USE : P-41 . 5
L.O*T STZE.�
SE 1"T I ON: A.pi FW-1 lw
WOW CLASS : NEW
U1511 TYPIE : SINGLE, FAMTI Y
I her ;applicsitnt iftol,cm."Ifli 'tc) cul"p.1y wii,h iN.A.1 r-ciloots mricl of the 1.1 n i.f i ca d
!3(i-pt,jr.ii-age Agency . T*he partait vmx;)J.i-G)* IZ!0 clayin Fr um tivni do.t". 'iffi'm1 ecl . r h e t ci t la.1
lill"ni.11,11. lalx.acl will. bfi? Tc)i,41eii,ed if the I:ivrin.Li. expioets . 'The Agency dciraw i-i(-jt giciiiii,.-
writ,po the acc:mwatcij of the frac ititicin t3f, t'he ffi.Lclvffiewer. J:f there tm
ricit ImcaAkt,ed all, tt)(A) trivank"11.1ve.-In"I'lt g:Ivilan , 1,1110 !I I till 3 -pera.t. :1.1-1
&13. dil-ectionlit ill.-nin the div;tdrlve giveirl . :1.'f i1cil, W43 Inewte(l , the in9ntm:114'..1- shia.13.
pill-'ehal.111e) W. `1*11tp 111.11(1 S![Cle iil.11(:l '.,Ile Agency wil.). ill, T I'l t,cil I"i"'I
INSTALL. . TYPE BUT.L.DING SE.WF,::I;,1 IMI.-JERVIOtAi AQ1:-*..A:
FIXTUPE UNITS :
DWELL.ING UNI'TS : 1.
NO. OF F31-DIIS . :1.
FEES :
olI MIL.L.Ell .JAY PEPM11, $3,15 0N0
p . a Box 23e91 CONNECTION (;HAP(*.vF:. il;t 1,00 00
El *1 1GA111) 011 97223 LINE:' 1*441
R PHIDINE (303) 604-7-513
OTHER
C
0 E P ..JAY
N JAY MY.1 81-11):1-004
T
R p 0 . BOX P3291.
C A I I G A P D Op P
97R3
T PHONEK' (503) 6041-75413
0 PE(.0*.(:0'RA*T.10t4 NO '3 010 9 *1 , 135. 00
R I I 1-4 r,-.-:c r---3:P T N0.
This permit Is Issued subject to the regulations contained in Title 14 ...........
of the TMC, State of Oregon Specialty Codes.zoning regulations PrF.141.1131IF-D 1NSjj:#Ec'r1(3NG
and all other applicable codes and ordinances, and it is hereby NOUGH—IN
agreed that the work will be done In accordance with the plans and
specificallong 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
husiness tax permits. This permit will expire and become null and
void It 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 Mum
all required inspections are requested and approved.
Per 5ittee Sigh' re
Issued By-
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
BUILDING PERMIT
NO. : B11-118815244
��� �FTIGARD Cm0t:TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 1.)A'T'L- ISSUED: a/ /I/HH
13125 S.W.Hall Blvd.,P O.Box 23397,Tigard,Oregon 97223,(503)63941:�175 PI-11M . PMT .NO.
,108 AUDPE:SS: 10A52 SW TUALATIN DR
TAX MAP/LOT P-51. 15AU 2100 SLID : DOVIEP I ANDING I T :2 EIK :
LAND USI--- : PA .5
L.01 SIZE: : VAL,LJA1 ICIIN 111 71 ,600 31EKTPACKS
FRONT : 20 PEAR: 5
WORK U.-ASS ; NEW DWE'LL. . LINI'rs : 1. 1..EFT 5 Rim-IT: 40
USE-* TYPE. : SINGLE: FAMII Y NO, BE*DPOOMS : 3 EXT . WALL. CONST
L,ONS*1' . 'T*Y PIE.:: VN NO. BATHS : 11; N: 5 . E : W:
UCCUP .GPP - : P3 PROT . OPF:NINGS'
(X'C,LJP .LOAD N S W:
TOTAI.- APE'A . 1.;:590
NO. STOPIU*S : a vi*r : 864 ROOF LIONST ; Ll FIRE PE.'T'7
I-IF:I('.,H I : 20 2ND : 7P6 APr:KA SUPAP7 RATED:
0AbF:MLN*T-7 3RD: OCC XIP . 51-iVAP? RATED
MF.-:ZZANINF.-.:'? BASE'll' 'I
FL.00P I OAU: 40 409 FIRE SPRI(L-P'? ALARM?
F I OW(GPM) DETECT7 YF-S
1--IE:A'T' TYPE: (;A5 HI)CID . ACICESS? ("OPP7
RI:.MAI'4K5 :
REISSUE OF NO . 811310689
11-AST !1LISSLIE' 801201
0 MILLE.'Ff .JAY PERMIT $3A9 . 0o
W P . C) BOX 23P91. PLAN PC--V]:E-'.W $10 . 00
N OR 97 2 P-3 F.1:RF: D r--*1:-"t
E
R P11-41[INE. ("5031 68-1-7543 STATE TAX $1. 7 49
V-VIELOPME.141 CHARGE:5
7.
C MT.I LE'P dAY Suc,(STOPM) $(.?5 0 . 00
O N 1.IAY HILLE:P DLJ:I:l DU'.P S DC(S 1'PIZ T $600 . ()0
T B(:)X P.329t PIN.,(02 1 $$..1150 . 00
R
A I I(.-P A P 1) OR 9 7 R P PI:4E:.PA:l 1) < $40 . 00)
C PHOAC (503) 684-4543
T
0 PI.-KU.,11-il'RATION NO . 301.09 TOTAL: 30
R
This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations 41EQUIPED INSPEC.TVINS
and all other applicable codes and ordinances, and it is hereby F:1:11011:NO SEWER
agreed that the work will be done In accordance with the plans and F'OUNDATION WALL PAIN DRAINS
specifications and in compliance with all applicable codes and POST 9 BEAM WA 1'r.-;'P L. INE:
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PL EI.IJNr.)F-.ASI...AB CI'T'Y AVIPPCH/SW
business tax permits.This permit will expire and become null and SL.AB FINAL
void if work Is not started within 180 days.or If work is suspended or PL r-.1. T 0 POLI T
abandoned for a period of 180 days any time after work has 1:*'PAMIN(',.',
commenced. It shall be the responsibility of the permittee to assure F I P E.'P I A(11E:
all required Inspections are requested and approved. GAS I-INE.
INSLJI ATTON
nn
Gyr, onAno
Permliasiqn1m ,
Issued Rv 'Al .1 . FnP I'N!-sPE(.*T T('1N 639-A-1 P)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PERMIT'
CITY OF TIGA RD � "i4mrr NO. : P11-81131525
C,
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O Box 23397,Tigard.Oregon 97223.(503)6394175
104152 SW I'tJAL..A*T':I:N D14
TAX MAF)/L..(:)T P.53. 15A 21-00 SLJD : D0Vl::'.P I ANDING I...T :2 8K
11-AND USE: r.441. 5
11-01, SIZE." :
T TEM: Na NO:
WORK CLASS : NEW WAI'EP CLOSE'T' 3 'TRAP
USE TYPE: SINGI E FAMT I y URINAL SKFLOW FAI-IVNI'l-I
(:ONSI' .I*YPI--' : VN I AVORATC)PY 3 '1*PAP
OCCUP.GPP . : P3 rt.18 SHOWER 2 GAEASE T'1:4AP�-.i
UISHWASHEP I
GAP6A(.'A-- UTSIN)SAI... 1.
NO. SIOPIES : 2 WASHING, MACHINE 1.
1:)WF-.*I-L- .UNITS : 1. 1 ALJNDPY BLDG . DRAIN (DIA
DRAIN
WA*TEP HEA1144 L
O'T'1-IE:P
11C.:11,11ARKS .
0 JAY
W 111 . 0 . BOX P3291.
N
E TTGAr4l) up 971223 F I X'T 1.1 S
R PHONE 1150:311 /A34-7513 S rkl'E TAX 1M6 . 63
C WAIJS KEN
0
N 1(1:_::N WA'T'TS PLUMBING
T ).713 HOIX (.23094,25
R
A t,ignLi-d t)r 197PR3
U PHD E (503) 6841-66P.6
T
01411:11GIS-TPATIMIN NO . 30878 TOTAL : 1.39 . I
1 IR
PECEIP'T NO. 1601
This permit IS issued subject to the regulations contained in Title 14
"
of the TMC, State of Oregon Specialty Codes,zoning regulations PE0tJ E INSPECTIONS
and all other applicable codes and ordinances, and It is hereby PLH .UNDEPS1 AS
agreed that the work will be done in accordance with the plans and P0431' 6 11-.'3EAM
specifications and in compliancq with RII applicable codes and WA'I*r-.:P LINE
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PL B . 'U)POU'l
business tax permits This permit will expire and become null and PAIN OPAINS
void it work Is not started within 180 days.or if work is suspended or PA:NAI
abandoned for a period of 180 days anv time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
A/
Pc-mittee Signrt
Issued By CALL _F(:)rl INSPE-1.1.1.TON 639--41175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DVSCRIBED ABOVE
rA fly
CITY
OF
TI17A RD
PLAN CHECK APPLICATION -
PLAN CHECK p
C7�jARD PERM'LT p
COMMUNMY DEVELOPMENFI' DEPARTMENT DATE ISSUEo
1 125 SW Hall 80M. P.O.8w M97,159",Oregon 97M(S J)61941175
3JB ADDRESS: IOYj 2 / 4AL���n IJf __- TAX MAP/LOT _ _ --
SUB _ !� GyP� L_a-N cA � LOT: � — LAND USE:
VALUATION:
OWNER - SPECIAL NOTES
NAME_ _ __ REISSUL
ADDRESS: -- LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: ��l< e,�� ENGINEERING:
ADDRESS: FIRE DEPT
OTHER:
'FH—ONE'. Lf - 7S�3— __�—_— ITEMS REQUIRED
LIST/SUBCONTRACTORS'
ARCH/ENGINEER BUS TAX:
NAME: �'S'� CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN-
LANDSCAPE PLAN: _
PHONE: --�— OTHER:
COMMENTS:
"•: PERMIT p ACCT p DESCRIPTION AMOUNT AMOUNT PD. BAL, DUE
/.-1 10-432 09 Building Permit Fees
10-431 00 Plumbing Permit FeesT,
10--431 04 Mechanical Permit Fees '>'•S�
10-23C O1 State Building Tax (5%)
Building
Plumbing _
Mech _
10 433 OC Plans Check Fee -
Building —
Plumbiny _
Mech ___
30-443 00 Sewer Connection (20X)
30-202 00 Sewer Connection (80X)
30-444 Or, Sewer, Inspection
51-1,48 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC)
"2--449 02 Parks II System Dev Charge (PDC)
31•-450 00 Storm Drainage Syst Dev Chrg (SSDC) ? 3 l
I^-230 09 1RFD (95X)
10-435 00 TRFD (5%)
10-230 06 Washington County Fire 01 (95X) — —
10-435 00 Washington County Fire pl (5X)
10-220 00 Awart/Wedgewood
TOTAL.. , cif; .c.X)
REC p
APPLIC
Received Ely UAte Rorplved-