10523 SW TUALATIN DRIVE s o
10523 9V Tualatin Dr.
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INSPECTION NOTICE
C'ty of Tigard Building Department
P 0. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ I I / TIMV_r L A.M.- '1 P.M. i
Address (.'�,7 �.l CCL)CC t f��ti.�' Permit #Q 2 Z
Owner _/ ) Lot #
Builder _\1 L4 _
The following Building Code deficiencies are required to be corrected:
Ga�T[71.
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Prise.nted to� _
Approved
Ins,t,ector _
Disapproved
Datr.
CALL FOR RFIh:SPF,CTIO.N
❑ YES 0 NO
W
BUILDING PEWIT
CITY OF TIGA1QD, �I(DPFAMIT S2,3
NO . : BU021.
(Cl N
COMMUNITY DEVELOPMENT DEPART1,11ENT 01119M DAIE-: I.SSU E-1): 1.2if 5/13E.,
13125 S.W.Hall Blvd.,P.O.Box:'.3397.Tigord.Oregon 97223.(513)1394175 P,1:4 3:M P MT ,N0. (:)82',3i?* :1.
,JOB ADDRE-i'XiS . 1.0523 !"M T*(.)Al..,AI'3:N OR
'1AX MAP/L.01' PSI J-5AD 6300 DUVEP LAMPING I T : 416 P.I<
LAND LME:: 1:111. 115
1.01 1:11ZE : VA LUAl 1:ON: 4l 80 . 1'elO 5E FDACKS
FRONT : 20 REAR :
WIWI< CLAY5 . NEW I)WEL.L.— UNIT!5 : J. LE-FT : 5 wmi-rr : 6!)
USE TYPE., : 51'.04C.4 In'. FOINILY NO. Hf-*:DPVC)M!i ! 4.1 EXT .WALL CONST :
CX11WIT' VN NO . SAT1115 : 3 N S f:
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CK"C'UP C.341 : P.'-.% PRUT . C)PF-.-.N1NfAFs .
0C..,-GUP P . I C)A 1.) N S U W
A14E*.A : 18015
N0 . SiTUPIKS . 2 'T 1.1.90 PC)(3F* GONST : G, PIPE.: PEJ7
PND: 61,V5 APEA ti[J-10197 PATEED:
UP. (�EPAP? PATKU :
PASJ..ME.NT*1 0C ."X
MF-:ZZANTNI;..?
[A-0(: N 1 C)AD . Y) Co A 1:4 A UE 21100 FIPE. SPIULP? ALAW?
Fi Ow(C-OPM)
FIE:6l' y*yl::1j::- C-11()- !:i 1-111.)C1' . AGICIR,Y57 COPPI?
1:1 AN ("I DY: ;': I.
PEISiSUE 0F NO .
LAST REISSUE.'
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M 1.1. L Er.I. JAY 913,76. ()0
W BOX 2329:1, PLAN AF:V.lA::W *2414. 410
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1 1 11.1—CIPMEEN'T CJ-IAPGF'ti !
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H.".LIAH*11 .lAY 5IDC I 511.1111- m) $21.50 . 00
14 'IA- 1y' M11.1—F,14 13UTI-1,1*14 11111600 . 00
T Ff t3
El(:)X 91 ;50 p
.. . 00
A A 1:41.) (44 97R23 V44EPAID < 19100 . 00)
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T F)HONF. ( :!30 3) 664 75._1:3
0 11FEC351PAI TON NO :i 19 J(11 Al.. : $1 6,-440 . PO
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1:* T' NO .
This permit is issued Subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Coclos,zoning regulations 14-KI[ALELPED INS5VIE"I'VION5
and all other applicable codes and ordinanc9s. And i! is hereby 1'1.111131 INC., 1`3 E W E*A
agreed teat the work will be done In accordance with the plans and F'OUNDATION WAL.L. PAIN I)PAINS
specifications and in compliance with all applicable coder and
ordinances The issuance of this permit does not waive restrictive 1:105 T & 1:31E.Am WATUA 1-TW"
covenants Contractor and subcontractors shall have current city 1-N-B . k.lNOr-.*.NtiLAE) GITY APPHCH/SW
business tax perms':: This )Prriit will expire and become null and LS L-A V) l':'1NAL..
void if work is not eiirted withir 180 days.or if work is suspended or P1 " , TOVICA.)F
abandoned for a period of '80 days Any ime after work has F R A M I NC1
commenced It shall he the r,sponsibillty of the permittee to assure
all required inspections are equested and approved 1-J.l:**.*.PL.ACA-:.,
ClAt) 1. J,N!I::.
.1.N'if 11. A 1,*1'.ON
G,Y 1:1 POAPD
Az&17
Permlo, U
Issued By
SUPARATE PERMITS REOUMED FOR WORK OTHER THAN DESCRIBED ABOVE
W AWM
CIIYOFT167ARD sill::*WE IPA PHIP1,111*1*
cn�L& Pc----nmi'r NO. � S1.70E-32361
COMMUNITY DEVELOPMENT DEPARTMENT DA'T'E: 15SILIED: I.P/ 5/es
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 r)n Y.m.Pm'r.NO . 869,2321
JOU ADDOCSS : 1.4;sa',4 i-.sw rum-ATIN DP USA NUMBER: 037127
TAX M A P/I OT PSI 13AD 6300 MID: I.')(:1VEJ:*4 LANDING Ll : 416 BI(
LAND USE
I OT SIZE
s li-.".urr ow 1.5 TWID: 2 If. ANG: 1.w
WORK [,LAS!S : NEW
USE:: T*YPE : SINGLE, FAMIA.-Y
lhr4e.' al.ppliclikivi, iIk5Jl'0%?U; i,a crimply wl-th all rl-13-11.4% airid Of LhQ
Aclericy rhf.? Permit, exp-! re"; 1.20 cl"Lym froln t1-14? Chwtm! A.Mini.ia.d . The 't'c)ta1A'
a1mc1i.11,11, pwlcl +,jill. 1:)*., 4'c)r-P4'd.1"74d J.41 -t'hel parwi.t The AT:Ienc--y c1cies nut Utiair--
fitlltelf.-N t:)'F the 1(3r.,at.tAnn t7•(1 thoild(J". 11162wc"r' Lhe si.ewer 1111
In*!m.9ii,ii,eiment 5)ivan , thir') invit.I.1.101, 1111-1813.). '3 -rroe't' J.1-4
1.11 tint %ci lc)r,inted , the inistiall-oir, ffil-IRI'll.
lal.lcc:ilalalee «I W n -](:I t'he. Acjp±rlc.y will il-Itiltak:1.1 a 1111.terat'll.
"Trap airicl I"Irij. 4LI
TYPE' : SUILDING, SEWC-A :j:h1PEIWIDUS, AREA:
FIXIL)PE: UNITS : Ir;.'.NAN'T IMPP(:1VEAEKNI' :
1:)WELA-ING UNITS
�10OF
FE.'ES
0 Il*.;:D I NIf.)Y PERMIT $35 . 00
W
N p . n . BOX 23,2191. CONNECI XON CHAR(:;E-i.: $J. ' 100 . 00
E .
R I UAW) OP LANE TAID INSTAI I-
JAY
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T T JAY WE I LE-A BUTLME�l
R pi . ci . nax Pzw*ot
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T rIGARD 0114 97E123
0
R PHOW.'. 11,1503) 60A
TOTAL i $1 1 135.00
R PE133:91'PATTON NO. PECEIPT NO.
10s permit is issued subject to the regulaiions contained in Title 14
,f the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done in accordwice with the plans and 1:40LIC11-4—IN
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does riot waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is su,,pended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the vp:inittee to assure
all required inspections are requested and agpiroved
Issued By: a
1.11-4 1.Wn P17C I . . OF1749-411. 75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
RD
CITY OF TIC7A PLUMBING PEERMST
cjrol�6jiw VIEP11111T NO. : PLOW.'1359
COMMUNITY DEVELOPMENT DEEPARTMENT OMOON
13115 S.W.Hall Blvd P.O.Box 23397 Tigard.Oregon 97223,(W. 3)639-4175 DATE: 115SUEA) : 1.F2/ 15/88
11",Ile M 1-4111 1' Mt.) VJMEI-54�1
,.100 A-DDPI::'G$ 1.05,23 SW T*UAI A'T'E N 1)P
TAX MAP/LATT P!-ii. 1 5A 6300 StAii: DOVEA I AND'ING LT : 4116 HK :
1. AND USE: r-41111 5
LOT GJ:ZF :
.1..I.EM: NO: NCI
WOAK ASS : NEW WA'T ER (31,A)SET 13 TRAP
UPINAL f31<FL0W PIWINITR
I YPI-1 : VN LAW.)WATORY 4.1 1 ruv;, r,Axmi:.'.P
OCIA11.11- AAW.). : 143 TUE., SIAOWEA T'PAPS
DISHWASHEP i.
(*.;APW)('.1;F: UTSF�05611...
NO WA5K(Wa MAC IA
DWF.l I... . UN 3:TS : I I AUNOPY TPAY PLAK.'o. DWAIN (()10
VLOOP DPAJA
!:;INK :1, SLEWEP (F-l')
WATEP J. ri-TOPM/PAIN (FT
OTHEP
1A.;'MOWKS :
0
W JA y PE14MIT $1.410 . Oki
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E p 11MIX �.332YI
I A n 1) 0P 1'*I:X T'LJ WE 5
15TATIL' TAX
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l(F.'.N WATTS P1 111YID31.,
A 1111 HOX V30W.?15
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0 F-HOW:: ( 503) 61-1/4 66e6
i WAIT(IN NO WHIM TOTAL.. : I."l/ O0
This permit is Issued subject to the regulations contained in Title 14 FIFA:EIPT' NO.
of the TIVIC. State of Oregon Specialty Codes,zoning regulations ........... ..................................
and all other applicable codes and ordinances. and it is hereby 411F.GWIPED :11"WiPEE-CITUNG
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and I'LD. UNDEPSI-01--.1
ordinances. The issuance of this permit does not waive restrictive POST & F4FAh
covenants Contractor and subcontractors shall have current city WATI'41 LANE:.
business tax permits This permit will expire and become null and PL as I I UPLATT
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any tImP after work has P.- IN t.)r1ATN!-'s
commenced If shall be the responsibility of the permittee to assure
all required inspections are requested and approved
PerYmittenature
Issued By
I.(1P 134W."F. T VON 639 "It
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Witt -Im
CITY OF TIOA ECHANICAL PEMMI V
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RD CITYOFTWAND 1:+�PHII. NO MIS SR2360
COMMUNITY DEVELOPMENT DEPARTMENT onto
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503I639-117,i DA'Y4.K :l:5i 2/ 5/30
,A31ii! ADDI:!I:**l5l5 : 105i.M !*:iW VtJAI..A'T'.I`.N DR
TAX ?5:11 1-13AL) 6300 51[.W . DOULP I-ANDINC, L..T - dA el til K
I AND USE. : 114.:5
.1:1'E'M: NU: NO :
WUPK (...1 AS!ii : NE:*W 1 I J.
< 00K AP HANW-14 <1.0
U 4.5 TYVE ! ':i V'(211111 y I::'LJWNAC',E' :1 OOK4- AIR HANOL.P 1.01(
WN5i1' .'y*yPE : VN FL.0C.44 I"'LIWISIACE: EEVAP . ("(1:11I.-En
0C.X"AII' , 014P . : P3 I-i A'T E:-'1:;1 VEN'T' FAN
Vl:..N*Y VENT . SYSIT:M
Ell 11/(:'*0MP <31Ap HOOD 1.
NO 510 A 1 r-.!:5i i? 81 1.1/COM 1%, .3• :1.;51-1P J:NC 3:NF.::I;IA*T 0P(DOM
1:)WI"1'r L- ON IT5 I BL.W/L'0MI:' 130HPI IN( INEPATOWG(M
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fyl')I--- GAS DI P i COMP 30 .501-111:.' PEKIPATP UNI TS
MAX COMP 150.1-14) 0 111-11ER R
I'; 'I 1A PIPING 1XII'LE115
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R N[3. 4:11 11A 1,07AL. III ZIS 75
This permit Is Issued subject to the regulations contained In Title 14 NO .
of the TMC. State of Oregon Specialty Codes,zoning regulations —,....• ...........••••...•.-•
and all other applicable codes and ordinances, and it is hereby
IPED IWiI:'1FA,'TJDNS
agreed that the work w'11 be done in accordance with the plans and
specifications and in compliance with all applicable codes and CW5 I—INE
ordinances The issuance of this permit does not waive restrictive POSI* & DUKAM
covenants Contractor and subcontractors shall have current cite DOI 101-1-•1:N
business tax permits. This permit wIll expire anc; become null 13nr, V 'I NAL.
void If work Is not started within 180 days,or if work issuspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to asFu-,e
all required inspections are requested and approved.
a
2)n�It W ignatut 5
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
.dol o 9 r
IC0F71GrA PLAN CHECK 0iPPLICAT";ON
PLAN CHECK N
C1i C!
TIGARD� PERMIT' # 3 •a
COMMUNfTY DEVELOPMENT DEPARTMENT ortEoon DATE ISSUED ^-
19125 SW Hall Blvd P.O.Box 23397.rQW.Onpon 9722!(5W)83%4175 ---
JOB ADDRESS: l � ,��/• Tfto14l �Jr" _ TAX MAP/LOT a .;j l -� ,09 4
SUEZyer Lek nclin LOT: LAND USE: r
VALUATION:
OWNER SPECIAL NOTES
NAME: _ REISSUE OF:
ADDRESS: _ LAST REISSUE: _ ^
FLOOD PLAIN/
SENSI-i IVE LAND: _
PHONE:
i APPROVALS REQUIRED
CONTRACTOR ` PLANNING:
NAME: _ ENGINEERING:
Ig _
ADDRESS: G o X �3aR/ FIRE DEPT
rd Gv^ OTHER: _-- --PHONE: i tl- -j C 2 J _ �— ITEMS R WIRED•
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: — _ J M �� T CALCULATIONS: — —
ADDRESS: _ _ TRUSS DETAILS:
PAF KING PLAN:
LANDSCAPE PLAN_ —
PHONE: — — OTFER: —
COMMENTS:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
Z 10-432 00 Buildi•ig Permit Fees o I
;'e1 3S1 10-431 00 Plumbing Permit FeNs IY 0 _ f�
Sy' 23_ Ga 10-431 01 Mechanical Permit Fees ..3 75v
10--230 01 State Building Tax (5X)
Building /6'.8'()
Plumbing 7, rJD
Mech'
J
10-433 00 Plans Check Fee S� I(X)•
Buildtng o2d�l, U
Plumbing
Mech
30-443 00 Sewer Connection (20X)
�3 4� 30-202 00 Sewer Connection (BOX)
30-444 00 Sewer lnspection
51-448 00 Street System Dev Charge (SDC)
52-449 01 P&rks I System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC) �s G U
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) d _ 3.S-V
10-230 Ooh 1 RFU (95X) _
10-435 00 TRFD (5%)
10-230 06 Washington County Fire #1 (95X) _ _ —
10-435 Gni Washington County Fire #1 (5X) —
10-220 00 Amort/Wedgewood
TOTAL
REC #
APPLI(:ANT -
Received By: __ __ _ I�Gt�^ _____— Date Received: