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INSFEC rION NOTICE 1 ''
City of Tigard Building Department �I I ,
P O. Box 23397 v`
Tigard, Oregon 97223
Phone: 639-4'I 75
Type of Inspection
Date fieou�esteed_ // - 3-- 3Trine ._LL_ A.M. P.M.
Address _!_LJ�—� _� �rJ�r =� Permit
Owner, -- Y _ Lot
Thp 'Alowing Builth g Code deficiencies are required to be corrected:
4- c,r
Presented to '
.^ _ Approved --'
Inspector
./ _ ❑ Disapproved
Date
CALL FOR REINSPECTION
C) YEs ❑ NO
EE
INSPEcriovv -oT7
City of Tigard Builc I I Department
P.O. Box 23397 ( `�
Tigard, Oregon 97223
Phone: 639-4175
C-
Type of Inspection ---- /
Date Requested-
Address Permit
Owner Lot
Builder A.—k—jY-1 rT1 L
The follcwing Building Code deficiencies are o-e4u!!c;;to be corrected:
Preiented to Approved
Inspector clor Disapproved
Date
CALL FOR REINSPECTION
Cl Y111.8 F-1 NO
INSPECTION NOTICE
City of Tigard Building Department ��� ►r
P.O. Box 23397
Tigarc', nrogon 97223
Phone'::/\639-4175
Typeof Inspection �.C1Z.r-
Date Reqtv rr, — 10 , 3 Time A.M.�.M.
Address L ..L_� y`�Q'Yl��/�t._ Permit #
Owner v Lot #_
Builder
The following Building Code deficiencies are required •i be corrected:
r
Presented to
Approved
Inspector
[] Disappror;td
Dete
CALL FOR REIATSPF(7TION
❑ YES 0 NO
WIN W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection '—Pn ct'm
9 - 1 ---
Date Requested Time—A M. _S[i P.M.
Address
Permit #--4z-'/ZS-'?—
Owner Lot
Builder
The following Building gpde deficiencies are required to be owracted:
41
QL2M e
00,
Presented to pprovod
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
EJ YES r--1 NO
RrRm�
INSPECTION NOTICE
owl', ..
P ,� City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175 )
Type of Inspection �y % d� �L
Date Requested . Time ."- A.M.. P.M.
Address je-ul �141n eny 4k— permit
Owner Lot
Builder A.)&77 /n .. /Jim
The following Building Code defiL `^s are required to bo corrected-
ea-S
orrected-eaS P nX �='.z
Presented to _ RpproYed
inspector ` ❑ Dieapprotrad
c
DALE :
CALL FOR RFINSFF.CTION
( ] YES 0 NQ
BUYLDING PF'PMjj
C17Y OF T167A RD PERMIT Nill. : 8011,381232
ORD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O Box 23397,Tigard.Oregon 97223.(503)639-4175 PRIM. PKV NU, 881232
,JOB ADDRESS . 11,31.713 5W *T'AM :'PA I. N
fAX MAI*)/I-.(:)'T I -):I 33D(", 1.7900 SUB VTLLAGE: AT 51IM!"ILPLAKE PAPK ILT : Z43 Eill<
I.AND USE: :
1.(]7' STZE : VALUATION: 41 517, 119 SETBACKS
FP(:)NT : PIF'AR :
Wl0RK NEW DWEIL.L .UNITS : 1. T
USE: '1')'PF: : STINIC.-A-E FAMIL.Y N0 . BEDROOMS : 3 KXI' .WAL L
(N]INST . *1 YPE: VN NE) . 0A*T'HS : 3 N: S E W
0crI1.IP . ('PRP . 143 PPO'7* . C)PE:N1NGC; :
D(N.-3.1P .LAIIAD N 5
TOTAL.. ARE:A: I E•'6 7
NU . S70"IRS : 1 .1.S T 1.267 F-400F LX3NS1' : C FIRc, Re,r7
1.6 2_N D AREA SE:PAW7 QATE:D:
BASLME'N'1_7 31:40: 0CCUP. SEPAR- 7 nA rE:r,):
MEZZANINE:7 BASEM' 'I
Fi UOP LVAD: 110 440 r Im spl-11<1 P'? All ARM7
V L.(3W(GPM) Dllnxr? yas
HE"AT TYPE (;SAS HDCp-' ACCE-15S'7
PLAN GHUCK BY : r,lt,
AE:ISSUE 0F NO. (380PI.3
LAST PLISsiliE:
0 110 RI S5 E'.r I E., D(31sl PEPM1 r
P m F30X 195 -el
. 72 $313. 00
NPI AN PEV*.rt::W
E p)ci r*t I m.r7(11 9721.9 F:,Ipl::., I*)1:_"PT 11111140 . 00
11.503) PAIR "x;31.4 S)TATF r AX 1111113.5. 65
C MURISSEA"I'FE DLIN 0EVE1-(:)PMU.N1 CHAPGFES :
0 SD( (ST(3 nM 00
N 00N M0A75iSE-7TF' 9I_JTl...D5:;;;fj:j :rN(, C
U
T (5,TPEET) $600 . 00
R I-w SUX 19510A
A POV1,1 RL111cl a I" 97P:I 9 $250 . 00
C 1:)H(.)Nl;:. ('5101.3) PWF.'PAT0 $110 . 00>
T
0 PIt.:G:I*!VIPATT0N ND Z-45533
nITAL Aes 165
Rc.clilp-r hill. _5 40,
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations j1*LG1k.J,I:PE'D TISISPECTI(INS
and all other applicable codes and ordinances. and it Is her,:Iy I 1`"'UIIXTING SE WE:P
agreed that the work will be done in accordance with the plans and 5,-
specifications and in compliance with all applicable codes and F**O(.JNE)A'TT(3N WAI L RArN 011AX.Nis
ordinances The issuance of this permit does not waive restrictive POST & F*__AM WAT*E::n
covenanib. Contractor and subcontractors shall have current city pl..R UNDERSLAB C,'11Y AFI' V?CI-4/r3W
business tax permits. Thl%permit will expire and become null and SI A B FT NAL.
void if work Is it c t started within 180 days,or if work is suspended or pt B. T(]P(ju*r
abandoned wr a period of 180 days tiny time after work has
curnmericed It shall be the respa.sibility of the permittee to assure
all recd npections are requeste at *approve(i
GAS L.INE
INSULATION
GY P [310AFID
7
PV"111111� -rr,
I!Sued 1�� CAL.L. FOR TNSPEGTjcLtj 639•-417:5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN IIESCRIBED ,' 90VE
V
C17Y OF TIGARDCID PLIJIMB11SIG PERMIT
%C!�TWAI
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 0397,Tigard.Oregon 97223,(503)6394175
BOL24OF38
PR3:M. PMT .N('). 801i2Z1
JOS ADI)Pl:---!iS : 1.3t 18 SW *T'AMI'-:-*PA I.J4
*TAX MAP/LOT :Lr..*):L 33DC 1,7800 u')(.)B: VILLACIE AT 511.11MMEALAKE PARK I-.r 0K
I_AND USE :
LOT slzl.-:. �
NO NO
WOAK CLASS : N04 WA TEP CLOSET P "I PAP
USE TYPE : STINIGI-Ei 1'-*'#,-,Mlt-.Y 1.11:11NAL. BkF*L.OW PAVN'TP
CONST . TYPr-;.:: VN LAVOPATOPY 2 'TRAP PPIME'R
QG('.UP . GRP. : P3 TUB SHOWER Fi Gl:H.Ei- 1-: *11-PAPS
('.,',AP9AC,E DISPOSAL. 1.
NO. STOWIFES : 1. WASH1114C MACI-4TNF-'-: 1,
DWEL.I.— UNITS : 1. 1 AUNOPY 'I"PAY SLUG . DRAIN (DIA
r'L.00P DPAIN
IiINK 5EWEP 11 F-V*I
I,,F.MAPKt; :
0
W F r.:C*Vi
N
E HUP 1:S S)K' TTF-:: DON
R Pa RUX :1952,41
1:)ci v 1.1.at ri cl F*I X tt JPE 5
PHEI1114FE (504) S VATIF.: TAX
C
0 UTHEP
N
T SI-*)lFMAKr,-*.*.P HAPUL 1.)
R
A SHOEMAKEP' S PL..LJMF4TN(.-,
C
tau 5
C BOX 20
0 ell 1,M V.,acliq car, 910F!3
R 1:110NE (503) 630-77E-16
PE:'(*.,':[S*rrW4`T0N NO -3W?2 TOTAL: 011.P-4 ".9m
This permit is Issoed Subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations AF".('E 1.P'T NO 2 7t
and
7t,-
and all other applicable codes and ordinances and If is hereby
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and REQUIRED TINISPE.UTTOW3
oidinAnces The issuance of this permit does not waive restrictive PL8.LINDE:.RSL.AO
covenants Contractor and subcontractors shall have Current city
business tax permits This permit will expire and become null and WATE:P 1. INE:
void if work is riot started within 180 d-.ya,or if work is suspended or I'll 0 . TOPIDU T
abandoned for a period of 180 days any time after work has RASN 0PA'INS
commencer. he"be the responsibility q~,rmittee to assure
p�
all
re 4: , F:
,quire .tions are requested
,std an D d
Permittee )n ,re
Issued By
SEPARATE PERMITS 1EQUIRED tW W16W �"f4WfH10tbtS1 W- 1 I�ED ABOVE
CITY OF TI A ('.;1-qAN1CAL. PPPMI"l'
(CITYOFTWARD PE.RMT. T NO
COMMUNITY DEVELOPMENT DEPARTMENT
13V5 SW Hall Blvd P.O.Box 23397.Tigard.Oregon 97223,(503),,394175 DATE:'
.:Ml Iqo a 13 T 21327
JUE! ADDPE:SG � 13170 IZW TAMI'--1:40 J...N
I'')X MAP/1.OT :151 3'3DC, 1. 7f:100 L)UB 01 1:0.1MME441.AKE: PARK LA* 33 1.31K
I.ANDUSi::, .
I OT 5 1 Z U, -
I TEM NO: NO :
W01114 (A..AS5 : NEW 1---'UPNA0E <100K 1. AIR HANDLA <10
UliiF TYPC : 5:'NGI E. FAM:ri y F'URNACE tOOK+ A:1A HANDL P 10K
CONST TYPE : VN FLO011-1 FUPNACE: CKVAP . COOL.ER
OCCUP . GPP P.3 HEKATER VENT FAN i.
VE"NT VENT - SYSTEM
81 P/COMP <31-11P HOOD
NO. STORIES : 1. r.-:ILP/COMP .3-13HP INCINIkEPATOR(DOM
DWELL .UNIT!5 . 1. ElL.P/ClIOM11", 15-3014) 1 NCINE"PATOR(C"OM
I'LIEL TYPE (:,AS PLP/COMP REPASP UNITS
MAX. TNP(.)*T50.14-1113 OTHEP
DMPPS? GAS Plr)INC; OUTLETS
REMARKS
0
W
N MOP t SSETTE DON PKAMI T $1.0 . 00
E pci BOX :1.95p-1 P1 AN RIS V:E[;W
R $8 . 63
pc,r t 1.A 11 d nr yrmri.lipEs *eAi.t5 o
1-4-11ONE: (50-3) P141-931.,el STATE: TAX
C OTHE.p
0
N
T
R BEL.L. HE'A'TING IINC—
A
C 1.:'.1"190 SE: PIAZ7A AVE:
T GI AC KAMAS (11P 49701 I'S
0 PHONE 11503 'r.' Z4
I UE6. 0 A 441 TOTAL.: >rnA a!1
This permit is issued subject to the regulations contained In Title 14 RE'CE'IPT Na . --3,: -7(,,
of the TMC. State of Oregon Specialty Codes, zoning regulations . .W.._... .__.„„..,,,_,_,.„.„._••._•_•
and all other applicable codes and ordinances, and It is hereby PE-QUIPLID INSPECTIUNS
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and GAS LINK
ordinances. The issuance of this permit does not waive restrictive PU(5T fi NFAM
covenants. Contractor and subcontractors shall have current city P(:)Ll(:.i-1 IN
business tax permits. This permit,will expire and become null and V*T NAL.
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 permittee to assure
required required I spa ons are requested and oved.
Ff�rnuttOn
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I.-RKWEP PEAMI'T
!-,rnmT.'T NO . : 45EC.118.12,35
CirlOFTIGARD CITY�0-�F�WARVD
COMMUNITY DEVELOPMENT DEPARTMENT 02190" 1.)A'I*E TS51LIED: a/2el/W)
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 PAI
JUB ADDREWS : 1:31'18 SW YAMPA I. N (JUA N(1ME*.'l-4 : 0:359'0
TAX MAPIL01, IS1 1-43DCI 1. 7000 !i111S: A*T IRAJMMERL.AKF.:: PARK LT : SK :
L-AND USE :
1. 01 SUE.:
SECT IION: 33 'T'WP : I% RNG: I w
WORK 03-ASS : NEW
(.1Sk'-.: TYPE : SINGLAE" FAMII Y
I I I t..:! 14,P r.)J :1.C at I I t go w 1"0 r.,m t,1:1 1--,1:1 M p W:i.1.11 t&T 1. 1-,%.t 3.cii ii; uk i i tj r, i i I iii%:1.o i-i in C)T- > h0 (.J n i+1.a d
Sewer-age Agency . I'lle i:)nti-mit exr):Lr,eta 11.1.0 dmym fi-oin the clnlovk The totukj.
imincil.int pall.cl wi.13. br--') -Fnl--Pr--):IAed Jl.+ the? I:)'MI--M:1.t exp:[:'aw . 1110 Arlelit-y Ooom not gl.lwr----
utntee the wommincy o-P Ole "I'aclati.oll 1342 the nij'cie mewer1.xeLrui a.1 sa C I° tile inewel,
not 1ociated rIt the gi:i.ven , tw 161-14..1.11 pr'cliur)ect 3 Tteet :Ln
&11 di.r,ec!ti.onis fr^ciln the 411-iiitallo-ora 1-17 not is 1.43catet:1 , t'i-le i.1-191tal.10.1" oil-I&I.1
w1r-01mille .11 "llop W.11cl SJ.de Sewer," Permit. aLrlcl 0-10 Agency W11.3.1. :[rivita:1.1. in. 1ilk
TYPE-. BLJII-D:I:N(o SEWED 1HPr--",PV1OLJS AREA:
FIXTURE (.)NI'1'5; 11-".11SIAN'll' IMPPOVEMEN1
DWRLLING UNXTS ; 1.
Nati. OF 01 D C10 S .
3
7—
F"EES :
0 MOPISSI-T-TF DON PER .5
MT.1, 41 1 . 00
W
N p 0 t'10X 19-i2A CONNECT)AM CHAPICE: $1. ' 100 . 00
E
R
R F)U I"1A.R n d LINE IAP INS .1 L
PHOW.K (503) 24 A^931 Ai
OTHER 00
C
0
N MOM r*T*: WIN
T DLIN M0PV'-j5l:;A 11" HUILMEIIS INC'
A1713 BOX 3,95241
C po 1,t'l.m nd or 97P.19
T
0 PH(.'Nr-. (503) ;J.414-93141
R I r-**J.,_',i:S1'r4A'T XON 140, "533 TOTAL lilt 419n as
This permit is issued subject to the regulations contained in Title 14 PEC.EIP'T NO. 3 z 7
of the TMC, S ate of Oregon Specialty Codes,zoning regulations ......
and all other appil:able codes and ordinances. and It Is hereby 1-+F'.'Q1I'tr4r.:A) INGPEC'TIONS
agreed that the wor,will be done In accordance with the plans and TN
sperificacions an,, in compliance with all applicable codes and
ordinances. The visuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become nuil and
void if work is not O"d within 180 days,or It work is susper cled or
abandoned for per d of 180 days any time after work has
commenced It all b the responsibility of the permittee to assure
all required ins ctio a requested";"proved.
Permittee Signature
lsqljpd By: rACT ran —TRr5PF-(7TT(:)N 6,39 4111.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r +�
C11YOFTIOARD PLAN CHECK APP .ICATlON
(.:IiYOF`��GARn PLAN CHECK // �'=�,��...►.
COMMUNITY DEVELOP'AENT DEPARTMENT oREcuN PERMIT # _
1Y12sswruriBwd. P.O.1km=07,TgW,Onponp7M(:W)6304176 /j DATE ISSUED
JOB ADDRESS: 12_> 176 S w Tomvv✓l �� - ` TAX MAP/LOT L5.1 33
SUB: Alksmaoi, _ L(IT: _� 1 LANA USE
JALUATION: /19.
OWNER � _ SPECIAL NOTES
NAME: "� fv0 'l . (p REISSUE OF:
ADDRESS: 'Ise x 7 LAST REISSUE._ --
,�_r 21 FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRE[)
CONTRACTOR PLANNING:
E
NOM : _ �j�EL-� ENGINEERING: � —
ADDRESS: _ FIRE DEPT
OTHER:
PHONE:: _ _ J — -_ - ITEMS_REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGI EER BUS TAX:
NAME: CALCULATIONS:
ADDRESS_ TRUSTS DETAILS,
PARKING PLAN:
_ LANDSCAPE PLAN:
PHONE: _ - - OTHER:
COMMENTS: _ I oe ;21, - —-
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
- 10-432 00 Building Permit Foes !j_Zj- o 3i-3t.(�0
10-431 00 Plumbing Permit Foes // 7,50 -- _11 ,723r
10-431 01 Mechanical Permit Fees 3
10-230 01 State Building Tax ,(5%)
Building
Plumbing
Mech _ /. 73
10-433 00 Plans Check Fee
Building
Plumbing
Mech _ 3 _
30-443 00 Sewer Connection (20X)
—__ 30-202 00 Sewer Connection (80%) b 7l
30-444 00 Sewer Inspection
51-44F 00 Street System Dev Charge (SDC) p 0 __ _ p 0
52-444 01 Parks I System Dev Charge (PDC) 1,�U _ -� _� 1)
52--449 02 Parks II System Dev Charge (FDC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) Q -cam 3 d
10--230 09 TRFD (95X)
10--451 00 TRFD (5X)
10-230 06 Washington County Fire N1 (95X) _
10-•451 00 Washington County Fire k1 (5X) —
10-220 00 Amart./Wedgewood 7 6p O -G
IOTnL
APPLITCKINT SIGNATURE
Received By: --- - Date Rceiutd