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INSPECTION NOTICE p�
City o4 Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection .__
Date Requested
_ (�J� y/�� Time--- A.M. P.M.
Addressg� Permit
Owner / TlJ r_ )L/(.�ot_ # �
Builder /) ,Q, 791- E L J x) V-' GfaE. 1 c_., E_
The follov,,ing Building Code deficiencies are required to be corrected:
Presented to _ _ -----_---__.— Approved
Inspectorp �q --,--_----- U Disapproved
Date
CALL FOR REINSPECTION
0 YES U NO
INWM
I®
INSPECTION NOTICE r
City of Tigard Building Department
P O Box 23,397
Tigard, Oregon 97223
Phone: 639-4175+
Type of Inspection =`-- A f2— --
Date Requested . ! t✓ Time A.M._._.--P.M.
Address /,/)7 1 — _ 'J-/L2 & – Permit
Owner --__.___ Lot # _
Builder __ YY1L7r -- —
The following Building Code deficiencies are required to be corrected:
Presented to ZApproved
Inspector _ ❑ Disapproved
�-
Date v —
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
PC) Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __ __. _ . .__. �ti.�Gf
Datil Requested !-�—_ Time A.M. P.M
Address ( (N,..]2- v/1( / 1Permit *1
Owner—_ Lot
Builder ---�-
The following Building Code deficiencies are required to be. f.orrected:
r,
I
Presented to �_, , IApppproved
Inspector ❑ Disapproved
Date_
CALL FOR REINSPECTION
0 YES ❑ NO
W w a
CITY OF TIGA .�RD
CITYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT owEc ON DA-1 F--* 3:S 5 U EV 6/'E2 7 6R
13125 S.W.Hall Blvd,P 0 Box 23397.Tigaid,Oregon 97223.(503)639-411"5 PI-41M. PMT .NO. 881.1.11132
ADE)PESS : 1.07*27 5W TUALATIN DP 1.145A NUMBER: 35 9 R- I
TAX MAP/L.01' 851 11-5ADA900 51.)B: DOVER I AND'XNG', L.T: 32 HK :
LAND USE : PA . 31101:)
1 OT 51ZEK :
15ECTION ; 1.11110 T*WP: PNG:
WOPK CLA49S : NEW
USE 'TYPI-.- : S:CN(;I. E: F'AM1LY
tn witVl iilll.]. 1�1.11"Ifi 1a,)CI ti-imUnified
91 ewe r-ittg iiii-, Aq"m�y . T'1.14.4 I..)e r-mi t a X :LI-1?.-a; 1.20 cI ak y ta f r-c.)in t h e cI af,t t In fit 1.1 e.d . T tie .1 ti t a J.
RI.MC11.1111. piaicl W:1.11 tm +nI.-f(millowd J.111 thg.-i j!)ei-niJ.i. Aqvric�y c1c)eut ricit
anteo: thO Of tl-ic"l t.-),F the fltic9o-.4 f4ewer, 1:42 the sewei- i.%,
rent 1.c)c.!8kt'VhCI nt ti-le the I.I-IfltlallelHO-IA1,11 ,11. *3 T ra.it!?1, :1 ri
PAl'. clic-irnctionis 4'r-cm ti-le" cliltitatlic.'" g:Lvell . 'I*f rit3'11, igo Imme.tt.,itirl , tl)#* insuit'.1.1tor, %hat.1.11.
"llalp ianill S:i.cliw 54awc-11", Plf:r-lvl.t 111.nd ttie., Agorit.Ly wi 'll irivit;itll vi,
TN953TALL . TYPK: 131.J1LE)',l.'N(.'-'s 15EWE'n IMPEMVIULM AREA:
I"IXTURE.' UNITS : 'TENAN'T IMPROVEMEN'T' . NO
DWELL.ING, UNI rS : 1.
NO. nF F31ILDGS . J.
M I L.L.E P IIAY PERMIT
W
N 1:1 . c) BOX P-321,91. G'ONNF.*L(::*1*10N CHAP(.')E $1 , 10o .00
E Tl(.',A A r)
R 1,,I:Nl--.: TAP XN51'1111-11,—
OTHLEA
C
0 M'[L..L..F.*P -JAY
N JA)' PUTI-DEP
T
R P . 11 . DOX P3291
A Yl(„API)
C
T P 1,1()N F.- ("1();.31 68-1 7ndl 3
0
PE1.',Vj'T'r1A'T'ION NO. 301.09 TOTAL: $1 11311) . 00
PI"--*CX7.P1* NO.
This permit is issued subject to the regulations contained in Title 14 ............._•........
of the TMC, State of Oregon Specialty Codes, zoning regulations PF-KIRUTPEE) IN5PECTTONS5
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done In accordance with the plans and RO1,JGH-1N
specifications and in crmpliance 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 180 days,or if work is Suspended or
abandoned for a period of 180 days any time after work has
ommPncad It shall be the responsibility of the permittee to at sure
I rec. ind Inspections are requested and approved
ignaft r'.
Issued By ('AI I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MET'HANICAL PF'PM:I' T*
CI1(OF TI�ii4Dr PERMIT NO. : MiEF3811P4
DATE 3:SESUED: 6/P7/PEI
COMMUNITY DEVELOPMENT DEPARTMENT PA I M . PMT .NO. 901.:1.82
13125 S.W.Hall Blvd.P.O.Box 23397,Tigard,Oregoi97223.(503)639-4175
ADDr-OIE4- tolfe't sw 'mmm invr.LN mn
TAX MAP/I-01 3511.1.!.AD-1900 SUB: DOVER LANDING
I-AND USE: P41 . 5PD
LATY SIZE. :
I TEM: NO . NO :
WORK CLASS : NEW FURNACE <100K 1. A.144 I-IANDLP <1.0
USE TYPE: STNGI-ki: FfiMIA-Y FURNACE 100K+ ATP HANIA Q :1.0 K
CUNfiT.TYPI-': : VN FLOOR FURNACE E*:.,V,.)I::, . (:,00I E*P
OCCUP . GRP . : P3 HEATER VENT FAN
VENT VENT . SYS-O'EM
BL,r1/COMP (311P HOOD
NO. STORIES : i? 9LR/CUMP 3-1WIP INCINERATOR(DOM
DWELL .UNITS : 1. B I P/COMP 15-301-11", 1 NC I NE RA 1'0P(COM
FUEL 'TYPE A 1; BLR/COMP 30 50HP RE PAIP UNITS
MAX . INPUT BLP/COMP .50•i-HN OTHE14
FIRE:.' DMPPS? GAS PIPING OUTLETS I.
HIGH PPEESS?
LOW
REMARKS :
MILAAEP .JAY PERMIT $10 . 00
0 P . U . BOX 23291. PLAN REVIEW $9 . 00
W OP 9*72e. F1 XT U RE S
N $42 445 00
E STATE TAX M 1. . 00
R
OTHER
C
0 Hl:-::DIN' S HEATIN(*.,
N 845 NW 231.51
T
R I-ii 1.1.m 1.)a r n a r 971.213
C A 1:-HC)NE (503) 6-18-11.159
T PEECTSTRATION NO . 417F211 TOTAL : $46.80
0
R1 RF-CF':IPT NO.
This permit is issued subject to the regulations contained in Title 14 REQUIRED INSPECTIONS --le-
of the TMC, State of Oregon Specialty Codes,zoning regulations GAS LINE
and all other applicable codes and ordinances, and It Is hereby POST & Br':AM
iigreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and ROUGH IN
ordinances. The issuance of this permit doer,not waive restrictive F: 1:NAL
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
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permitter-to ps-smo
all required inspections are requested and approved
P2 ---144-
Crol-I 1: (:1P 'I NS PF r. T 1'.UK 6 3 9—4 17 5
issued
SEPARATF PERMITS REQUIRED FOR WORK OTHER TI-'AN "JESCRIBED ABOVE
PLUMBING PE'RM*l. 11'
PE:I!M1*1' NO. : 1:4-081.183
CITY Oi T16A ill
�'�OFTIGARD
DA11- I
COMMUNITY DEVELOPMENT DEPARTMENT Pr:]:M. i:)m,r .NO. 8E.11.1.(-.)P-
13125SW Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175
P K
I AND UiE : AA . 5PD
LO'T SIZE .
11�11X MA- Pil O*T 251.11-15ADI(1900 SUB : DOVE I ANDING I.J : 32
:r*rEM: NO : NO :
WORK C'.I ASS : NEW WAI'E:P CLOSET 3 1
USE: 1'YPE : GINGLEt FAM11 Y UPINAL HKFt—OW PPVNI*P
CONST . I'YPE: VN 1-.AVOPA1*OAY .1 141AP PnIMER
OCCUP. Gopp. : R3 'T'LIB SHOWER 2 GPEKAGE 'TRAPS
DISHWASHER 1.
CAPBAGIE DISPOSAL.. I
NO. STORIES : 2 WASH3'N(*.; MACHINE 1.
DWELL . UNIT'S ; I LAUNI)AY I'RAY I 81.-D(*., . DPAIN (DIA
I'LOOR DRAIN
51NK 1. SES WEA (F'T )
WA'TEA HEA1'ER 1 SIORM/RAIN (FT '100
O1*HEP
AEMAPI(5 :
MILl E 1-4 JAY PEPM3.1*
-1 50
0 1:) . 13 . BOX 23291 1
W 1,1136r.4r.) OR 97223 FIXTURES
SPA'T'E 'rAX *7 . ;3(:1
R O1*HEP
.5 Kr'W—
C
0 KEN WATTS F"LUMBING
N P13 BOX 2.5091125
T
R ti U aL r.d cir, 97223
A PHONE: (503) 684---6626
C
T NO. 50878 I'OT'AL : $15'1 .
0
R
REXIE I P'T NO.
This permit is issued subject to the regulations contained In Title 14 REQUIPE"D INFiPE-C-TIONS
of the TMC. State of Oregon Specialty Codes,zoning regulations PL.R .UNDERSLAB
and all other applicahle codes and ordinances, and It is hereby 1'*,(.)G'T* & "Erim
agre,,d that the work will be done in accordance with the plans And
specifications and in compliance with all applicable codes anc, WAI*I:-':P L.INE
ordinances The issuance of this permit does not waive restrictive r,i.-EI . 'r(JP0UT
covenants Contractor and subcontractors shall have current city PAIN DRAINS
business tax permits This permit will expire and become null and FTNAI
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 IQ assure
all required Inspections are requested and approved.
Permit) gnahlre
LAL.L. FOR INSPECIJON 639-4111.705
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
HU1lL..D1'NG PEAMI'l
CITY OF T'GA RDW
PERMIT NO. : BU001-JAN?
CITY 1111 A
COMMUNITY DEVELOPMENT DEPARTMENT OR10004 DATE ISSUED: 6/27/E18
�il-
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 PRIM. IMT.ND. 8811.132
JOB ADDRESS : 1072*7 SW TLIAL-ATIN DR
TAX MOP/1-OT PSI-15AD4900 SLID: DOVER LANDING LT:32 BK :
11-AND USE :
VALVATION: $ 86,496 SETBACKS
FRONT: 20 RE 44 119.1
WORK CLASS : NEW DWEIJ... 'INITS : I L-EFT: 15 1:11 GHT : R)0
USE TY'JE: SI:N(;I..E F:AM:r.L.Y NO . BF.i*D14(:)(:)MS : 3 EXT .WAL.L CONST :
(.'.UNST . ,T'YPE : VN NO . BATHS 3 N: 5 : E : W :
00CUP.GRI' . : R3 PPOT .OPENINGS :
O(:'(:AJP .L.OAD N: S : E: W:
TOTAL ARFA: 1930
NO . STOR.EE'S : R 1qT: 10141 ROOF CONST : C i-*IPE RET'
HEIGHT : P 2ND: 91.6 AREA SEPAP7 RATED:
3PD : OCCUP . SEPAP*? RATED :
MEZZANINE:'? BASEM I T
1:1-00P 1-DAD: 410 GARAGE:.: : 4*13 1*--- :I:PE 5PPKL-P7 ALARM'?
1::'LOW(GIPM) DETECT? YES
HIH:AT TYPE : GAS HDCP .ACCESS?
Pl.-Afs CHECK BY : bcr�
PI:M A P K!-'.,
REISSUE-ii: OF NO.
LA3TREISSUE
FEES :
0 M11 L-EIA 'JAY PEPMIT $3941. 00
W P . c) . BOX 23291. PL-AN REVIEW 256 . 1.0
N
E TIGARD OR 9'722;3 F,Ipr-., DEPT
R STATE TAX 111119 . 70
OTHER
DEVELOPMENT CHARGES:
C
0 m i i-i F,.*n JAY SDC.(STORM) 11111250 . 00
N JAY HIL.I-EP I31J1I-.Df:R SDC( ST PEF- 1 $600 . 00
T
R ):) . CI 8(.1X ;.13f.?91. DDC(*2 $250 .00
A T I()A 1:1 D DR 97223 PREPAID
C
T V1l-I(JNE 11,503) 684-73413
0 NO. 30109 T'OT'AL. : 11111 .769 - 00
R
RECEIPT NO.
This permit Is Issued subject to the regulations contained In Title 14 .0
of the TMC, State of Oregon Specialty Codes,zoning regulations PF.*.'Q()TPED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby r-*(1(:)'T'T.NG SEWFIR
agreed that the work will be done In accordance with the plans and FOUNDA'T'ION WALA- II- ATN DRAINS
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POST & REAM WATER 1-1NE
covenants. Contractor and subcontractors shall have current city Pl 8 .tJNI)EnSl-.(-)P (.IT Y A P 1")PCH SW
business tax permits Thlj permit will expire and become null and SLAB F. .1.NAL..
void If work Is not started within 180 days,or if work is suspended cr Pt..8 . TOPOUT
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 1:!*I AE P I-A C.K
GAS I-INE
INsui-ATION
PermliblSignature
Issuer' BYINSPECT-11-LIN
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB('JE
M
rTY ^ PLAN CHECK APPLTCATION
CITYOFTIGARD- - ' �I, PLAN CHECK H
C1TY01 TwARD PERMIT N
COMMUNFTY DEVELOPMENT DEPARTMENT ORM,%4 DATE ISSUED
13125 SW NrTW- P.O.Bou 23397,Tgaid.OWW VrM(SM)63 .4175 r�
JOB ADDRESS: �Q I,� l"' to TAX MAP/LOT
SUB: _ V pr L ckv\ iNLOT: — 3 1 LAND USE: _
VALUATION: _ —
OW14ER SPECIAL NOTES_
NAME: _ REISSUE OF: — --
ADDRESS: LAST REISSUE:
-- _ —� — FLOril PLAIN/
aENSITIVE LAND:
PHONE: —
APPROVALS REQUIRED
CONTRACTOR 1 PLANNING:
NAME: -!A 4 ri i I rt'_ �j� cel C — ENGINEERING:
ADDRESS: t�� 70 — A --� 3aq - _ FIRE DEPT
Y4 OTHER:
PHONE: —_ ITEMS RCEUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _ V
NAME: S h1 _ — CALCULATIONS: — �-
ADDRESS: _ _^ _— __ 'TRUSS DETAILS: _ �—
_ PARKING PLAN:
LANDSCAPE PLAN:
PHONE: -- OTHER: --- __
COMMENTS: ��--
PERMIT N ACCT N DESCRY AMOUNT AMOUNT PD. BAl_, DUE
10-432 00 Building Aes 39� od 3as��
10-431 00 Plumbing i
L 1,0-431 01 Mechanical Permit Fees / v 3 v�
10--230 01 State Building 'fax (5X)
Building -
Plumbing
Mech /,
_ _
10-433 00 Plans Che:K Fee
BuildingSYr./U _
Plumbing
Mech _
30-443 00 Sewer Connection (20X)
30-202 00 Sewer Connect-ior, (80X) -- -
30-444 00 Sewer Inspection 3
51 -448 00 Street System Dev Chargc. (SDC)
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks II System Dev Char-ye (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) Az 5 o
10--230 09 1RFD (95X) _
10-435 00 TRFD (5X) --` — -"
10-230 06 Washington County Fire N1 (95%) -- _
10-435 00 Washington County Fire N1 (5X) -
10-220 0 Amar•t/Wedgewood �—
` TOTAL
RE-C If 3 --
AP _ I:I 'Rl URVVV - ----------- --
Received By: —__ �. -b Date Received: