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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
x
Dat- Requested_ Time _ A.M. P.M.
Address - -/ t, �/ f �' L �1 _—_ Permit # (4 -
Owner-- -- - - Lot #---- ---
BuilderThe following following Building Code deficiencies are required to be corrected:
✓ / L,�--_-
lel ' C-I
Presented to _ n Approved
Inspector —_T _ V4 isapproved
Date �-—_��
CALL FOR REINSPECTION
0 YE$ ❑ NO
IN10?EC i ION NOTICE
City of Tigard ling Department
P O Box 23397
Tigerd, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _!17 —__ Tim4 •M P.M.
Address _1__.',�Z ? ��"` t ��` �_ ^ Permit
Owner — � �(f7.z�'9 C..cS�:.r•_ Lot 0
BuilderThe following Building Code deficiencies ere required to be corroded-
.
------------
va .l
Presented to _..__-- - ----— �� Apfiro.,a
Inspectors __ -------__....__ Disapproved
.�
Date
CALL FOR REINSPECTION / q
U rFs El NO
i
FNISPECTIO_M NOTICE
City of Tigard Bi6lding Department �-
P.O. Box 23397
Tigard, O econ 97223
Phone: 639-4175
Type of inspection -----_ �
Date Hequeste ~ 17 Time. A.M.��P.M.
Address ..l._�Lz+�� �, Y�1.� y4 � Permit sX5.2
Owner __ Lot
Build
Uo cc c f:>ti
The following Building "of3 ndas are required to Fi come ed:
_ r •
.'9, ai ar
4 Alit ase
Presented to ❑ Approved
Inspector ;;P.L._. [�,pNepplAld
Date
CALL FOR REINSPECTION
-R'�P-E-C-i 10 N N 0 T I C E
City of Tigard building Department
P.0 Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection _447 .'tz
Date Requested Time A.M. P.M.
Address / 322 7 \-2et Permit
Owiier ---—-- Lot
Builder
The following Building Code deficiencie are required to be corrected:
Preseniod io Approved
Inspector 1�-VI-sa,pprovioid
Date 15�7
CALL.P"EINSPECTION
YIES C1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone. 639-4175
Type of Inspection �a
Date Requested Time A.M.__ Lf"fP.M. ,J
AddressQ/72,az Permit #4 &
Owner _ — Lot # G t 2 _
Builder
The following Building Codr a-ficiencies are required to be corrected:
04 1A 40
J Presented to to _ _ Approved
Inspector
Date __-4�
CALL, FOR REINSPECTION
❑ YES ❑ NO
�?�i S�uirir�=�►
CITY OF TIFA RDLWYjrTIOND
raA'T"IEi: 1:c;�;l.l :ra: : i rsir3(�
r�I�rM . 4yM r NO taT:l()t�1 E1
COMMUNITY DEVELOPMENT DEPART, I TENT Aaf(A1vd..P.�.�A�t;t'Jti97.$IiiArd.biM666971{23.05031635-41751.1GA NUMISM:G: :
f AiE r Intl-`,'Hi:+{ --
t ONS:)
1 .01, SIZE .-
E.:C
:rZEi: :E:C T I UN Z13 T'WP: 1 if; PN(';": 1w
115F: T'yPF : SIN(A-E: M'AM:r1...Y
Tltn wlala:ISC(nrlt' ar511--tnvam i.t:r 14:(3mialy w:htht M1 :1 ruaeanr wr'►r! rsayltt:Lttrt,:h(3rt5( (ap theat 1. tii.fi.eacl
r.5aawnr(s.gea Ageo-irny . The peai-mi.t ej?xlailr•er:m :I.i3() tinge; 4rr•rrm the date
u4inattrtt pled ::I will I:rxt Tcrr ho 1. t.ar.(:I Lf t.hich Nr+r•mi t. r,xl1:( r :ta . 1'he! Fl Rartr.:�.l titre,ni n(:rt, ,::at.r
e(.ntete than a►r.ct.tracr. y of tl•taa :Ltar..,at 6:l.arr (a f ti-se m:lriea Sewer, 1.m.tvr. inlc If ther !ec.•w�r :i.ts
111:11, :1 crew t•,elt:l at 111w ms::m!6r.rra:me=:rrt. rla.va n , thin+ :i.rtmtell 1.lor• e(hin:l 1 pl-' eipfi•ac't '.3 •Ps ei' A.r;
^I).). ti i.i-v ir-t i.(:t rt m Airmen t,I.1 w (:i i.m t.w.ty r, trt T�i.v�7,t T f ({rat et cr 1.(a c-at,t re.cl , t h as
r11.1r•r hie file as "I'alp 10.11(:1 E:i:i.cica Siarw*a W' thin F gvor(c:y w:i l l :1.n!:il it 7 1 ;;r
:LNlii BUTI...L):LNG i_rEVE P TWIEF111.1101.115 OVAFA
1-1.N(3, UN"• P:) : 9.
NO (A'* 111 r)(::Sii I
Mr .� X44,4-
$66;-.- .. - Imo,.1!J -------111 A'11 H 0 I
I1ta h+l:)X 1.•i'.".i i.�l 1".r1NNIi:C'T':C(]N (.".I-IAFK.:, ' +b1 , '1.00 tlr�
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A t!N?'G;:r!5 T'f7A'T:Lf.)N NU. .1.5:.3 TOTAL : $1 , ZIY!' UQ
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1:41-:Qt.,1:rTr::r) 1NSPF:(:—T:rr.)N";
This permit is issued subject to the regulations contained in Title 14 1:10UG H--:I:N
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable cotes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
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 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..4%the permittee to assure
all require n ectlon are requested n"t pproved
Permittee Signature • it I. 1:10V4 1•NSPE::C'T TON d1:�Sv •�I L'!"}
Issued By
.J
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T167A
61.)3: DING B :f280
I�'F::w,MI"T' N(.1, F31Jf:)H0th:16
C RD
COMMUNITY DEVELOPMENT DEPARTMENT of"M DATE:: ISSl EU: 1;/ 61 He
13125 SM Hell Blvd..P.O.Box 23397,Tigard,Oregon 1;223.15031639-0175 I'I :C M . I�M'r .N(7 . EIfi10(,J.b
.JOS AL)I: PFi:S!S : :1.:32 '/ !SW 'T'AMFi:RA I-A
Tr1X MAP/L.01* 1.5:1. 3311 1/loco SLID : V:i:l.l_AG; ' A'T :i1.1f1ME::Nl.f11<tr: PAI' K L1 ::3 14K :
! 114D LISE : Il l.i?PD
! ( Si:C IIS. : VAI._UA'T:I ON: 4; 61l ,!J00 5 E:111:3AC'KS
FAUN'T' : 20 RE::AW (P
WOW< CLASS : NE:W I)WEi.'1 11- LIN):TS :
USE: 'T YwyE: : SINE I-rE F AM:I:L..Y N(:) . U4L-'*IJNU1:)M5 : ;3 C:X 1' .WAI...I•.. C:(aNSiT
CONST 'rYPE:: UN NO . BA 1'F•I(.S : N: S : E W
O t"Up.GPP. 14;3 PRO T' , (]IAF.:NTNGS
(:CCUP .L.OAD N: ! h W
TU'T'AI_ ADE A : 1.elEIE-1
NEI . STURTE:S : 1. IST : 1100 1:40OF" UONS'T' : (11 M'IPF: F2fiiA
1.8 2ND: APEA %1'�'PAA{ 116*1E:).
PASIEMF-1:N11"? ZAD : C)(::CUP . !A.PAA'7 RATED :
Ml:ZZAN1NFi:'7 HASE:M''T
11:1,0014 L..GAD 40 GAPAC-A:: : 240 F'll4lw SPAKI-1:11? AI_Anw?
F•'L.OW((;PH) I:)Ell i(.:'T'r lllii:!,
EAS
F'1.AN C:1••IFAIK Uy : r'1.E
FtIr.MAF2K5i ; �
PE•:J:553l.lF: CIH" NCI 650/1
LAST' PE I:S!SUIE 080 Y4:3 T
O MC)I'•T7:'wtnl'r.:'T"T'E:: DON in :nm: r A1;3PE4. 00
W t:! BOX
.1915e 111N IS . N fF AVaTl:W
!6/10 00
rtd 13r 97e.1 DED.
$16 . I t7
t!1'I••IEi:l�t
C " LI.VF.L' JIMLINI1 CHAiKh.5 :
O MOP 1ITE: I30N SD ( S1'011M)
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T ata F30X 1.(ir'w5HI s )
A F�t:11 1.Ti:1rt<:I tar 5'7r"?.L">, PPr--r•A:L1'.) < tRle10 . (YD)
C I:q 1(11JF:: (::50:5 ) r,'.!/1�d
T
O ON NO. 3553:3 1'01 AL.. : �1. ��I/IAI /IU
R
PEICLIP"! NEI .
This permit Is i••sued subject to the regulatlons contained In Title 14 ........•••-• -•• � l 3
of the TMC, State of Oregon Specialty Codes.zoning regulations hTFa;Il.1TLC7FD 1:N!iiF%F::C T':I:ON!ii
and all other applicable codes and ordinances. and it Is hereby 1 l:)OT :CNC, ' I:WFR
agreed that the work will be done in accordance with the plans and I: l:)l1NDA'T':5:()N WAL.1. IJA I N I:)KZA:C N5+
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive FyC)!S'T hl DL:AM WA T'Li:F3 I-A'NF.i:
covenants Contractor and subcontractors shall have current city 4`1...13 UNC-11M'R!iiL.AS t :I:TY Af)I-')P(. i/SW
business tax permits This permit will expire and become null and 'it A5;9 F'C NAI
void If work is not started within 180 days.or if work is suspended or 1,1..1:3. T'(i4�t:)l.1 T
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility M the permittee to assure I 14AM:C NC:
all requirginns ctions are requested d approved. F�':CRE:PI._ACF:I:N!aI.11...AT]:(:)N
GYP. HOAR::)Permit rP. --
Issued By i - F 'M 7Nc:0-f:'.t"r .1N x.39.-A1'M
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PI UM13:1.NG PEI*-Myl,
1:"`EPM:l:*T` NO : IN 860618
CITY OF TI MA RD RD 11: S L)ED 45/ 6 86
CITYOFTWA
COMMUNITY D EVELOPM ENT' DEPARTMENT
13125 S.W.Hall Blwd,.P.O.Box 23397.Tigard,Omgon 97223.(503)F'9-4175
AN4 AWE44:41S ! &Aph�sl` 5W FAMEHRA 1. 04
[AX MAP/1 OT IS1 '330C 1AH00 SUH . V I L L.A G E' AT SUMMEPLAKE' Pi*-)-AK LT : 3 SK :
I...AND ILISL :
ITEM: NO: NO :
WOPK (:'LASS : NEW WA1 E 1:4 P T11AP
USE 1*Yl*-)E - SlISICA-l"'. F'AM11-Y L)IrUN6L. BKI::'L-()W F14VISITR
F:00`1' TYPC: VN 1.AVORATOPY 2 *1 PAP P114111t:F4
t -Ur." GAP 141"'1 11JIF, iii-11OWLIP4 a GFIVAGE"' 'T'PAPS
01$I 4WA- 14
111SPOSAL 1.
NO SIA:Jkl 1:.:!:i WASIAING MALJ41.Ni;::
DWC.L.L. . LINT"TI-5 : J. L AUNDPY TWAY I'll DG . D11:16'IN (DIA
FLOOP UPA:I:N
biNk I GIEWEVI (F V)
WATER VIE'AITA 1:11'ORM/NAIN 4F'T'
MC)VC1.15!:i E*T T*I:.: L)ON $11. 1 30
BOX 1.9!5PA
W pal�tlllllld tir. 9,7219 10; :1,X TLJI PP5
N
L I*-`I-l0NIi-. (-`503) Y'3 1A 5TA 11;:: TAX OR
(31 I--II.:J-,!
11110-Imb! M
C
P1 LIME)TINI(3,
N 1:)ti SOX P50
T
R C!,11.11.lit C,a cI m 9'7()P,7;
A 1-111:11NI-" (10503) 61*50
T NU . 392'c� 11111-23 38
0
PT NO
This permit is Issued subject to the regulations contained in Title 14
of the TIVIC, State ol Oregon Specialty Codes.zoning regLI131ions Pl-li-1.UNOERSI A13
and all other applicable codes and ordinances, and it is hereby I'N.Pi T & MEAM
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and WA'1'1::'I:l L J:NK
ordinnnces The Issuance of this permit does not waive restrictIve 1:)lj-n . rapnu r
covenants Contractor and subcontractors shall have current city PAIN DPATN!:1
business tax permits This permit will expire and become null and F I NAL,
void if work is not started within 180 days,or if work is suspendedor
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permitlee to assure
all requi imipections are requested and approved
Permitte lar ature
('01 L FOP TON 6*39-11 05
Issued By, - .. . )O�-- --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCPIBED ABOVE
PESIMYT NO . : MF(3(306:1. 1
C1 IYOF T167ARD
CI7y0F TWARD 5/ 6/8113
COMMUNITY DEVELOPMENT DEPARTMENT PRIM . 13MT.N0. 880616
13125 S.W.Hall Blvd..P.0 Box 23397,Tigard.Oregon 97223.(503)639-4175
A46 AI;N�1'41jj�jjj � 4.4ir.34.44 �iW FAMI.HRA 1. 04
FAX HAP/I.A.)IT IS1. 33DC :11,41000 SUB: V11-LAIIAL Al SUMMEMILAKE I'-"APK 1-T :3 EW :
I AND USE :
1 01' 50:ZE :
ITEM: NO : NO .
WOl:4K CLASS ; NEW F'1Jr4NA(:'J.:' (100K .1 AIR 11-11ANULP <10
U91K. TYPE . SYNGLE F'AM1.1 Y 1.001<4- A114 HANDI 141 10K
("ONS'T TYPE: VN FLOOP FURNACE. EVAP- COOLEP
UPP . : P3 VENT FAN P.
VEINT VLN1 . SYSTEM
BA.1-1/0"Mr' <31-11:*, HOOD
NO . !.O*UPIF�S : :1. .3-1511r) T N(:,I NE.PA1 OP(DOM
D W EA L .UNT T'��i 'I. E.11L.WCOMIL" 1.5-3011-11P IN(',XNI-*-".PAT014(('.;()M
UE-:1. 1 YPE: ("AS 1:31 WCOMP 30-5011-11:1
MAX . TNPUT L)THEEP
F114F. 1*.)Ml!)P!11;1 GAS
11AZ 1-.114ESSI?
M:::MAPKS :
MOPISSETTE.'. DON PEAM1 f
0 1:14.1 BOX 1.9!!11R4I PLAN 1:'41.':V]'E:W $9. 30
W p C)r t 1.in.n d 97P1.9 F-T.X I'tj PIZ S
N 1 5 0
E PHONE..' (503) P-4-1 933.Al GTAT�:*.' 1AX 1. 11:18
R
"LA L HKATING TAG .
N PTAZZA AVC:
T
R C.A'a C�k of M at!.; CI r 9 7 0.1.3
A PHONE: (503) 214'5-11.84
C
T NO -1/17 TOTAL:
PFX.E"I P'r NO.
This permit I! issued subject to the regulations contained i I itle 14 1INISPEC-11-1:0W5
of the TIVIC. State of Oregon Specialty Codes.zoning regulations L. TNL
and all other applicable codes and ordinances, and it is hereby POST & P-111-i'Am
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and IP401I.K.A-1 JN
ordinances, The issuance of this permit does not waive restrictive F T N A I
covenants Contractor and subcontractom shall have current city
business tax permits This permit will expire and become n ill and
voia if work Is not started within 180 days,or if work IS SLisprnded or
abandoned for a period of 180 days any time after wurk has
commenced It shall be the responsibility of the permittee to assure
all ter u nspections are requested and approved
Pfermilti ignature
INSPE-11-11*113N 639-11 7n
Issupri By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
--- - I
CIIYOFTIFARD PLAN CHBCEC. APPLICATION
CMOFIWARD
COM MUNITY DEVELOPPAENT DEPARTMENT MOO" PLAN CHECK
131266%VNOBlvd PABo¢=W.Ykpd.0m9onW=(6D0)M4176 PEEWIT
DATE ISSUED
JOB ADDRE%S: St_, Wi C2/.t l rV , _ TAX MAP/LOT S ; -73 PD U
SUB: (-07 Ice "K LOT: LAND USE:
VALUkTION: SETBACKS: FRONT: c,� C REAR: LEFT: RIGHT:_
WORK CLASS: lye V1 HEIGHT: �_ TOxAL AREA:
USE TYPE: FLOOR LOAD: ,c,/U 1ST:
CONSTR TYPE: 5 HEAT TYPE: 2ND:
OUP GROUP: DWELL/UNITS: • 3RD:
OCCUP LOAD: NO BEDROOMS BASEMENT:
N) STORIES: _�_ NO BATHS: GARAGE: . 7
14P SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS MIRED
PLANNING: — � REISSUE OF: LIST SUDOONTRACTORS:�
ENGINF.E RING: LAST REISSUE: BUS TAX:
FIRE DEPT.: _ eLOOD PLAIN/ CAU61ATIONS:
OTHER: _ SEN IND.: TRUSS DETAILS:
PARKING PLAN: ._
IANDSCAPE PLAN:
PIAN CHECK BY: OTM R:
COMMENTS: 2f'/S S lr c �� r9..� c_>(' I U U 1 �'✓"�-
Ct.'T DES PTION AMOUNT
OWNER 10-432 00 BuildiL Permit Fees
NAME! �' , (� L.f 10-431 00 Plumbiiv• Permit Fees
MD x88! �' ( t'�` _ 10--h31 O 1 Mechan�e el Permit Less $ rG
t- � C3 7 1�1— 1.9-23001 State Building Tax (52)
• 10-433 00 Plans Check Fee t. PPO- I
PHONE:_ ? i�`r _ 30-443 00 Sewer Connection (701)
30-202. 00 Sewer. Connection (80%) -
CONTRACTOR
80x) -CONTRACTOR 30-444 00 Sewer Inspection
NAME: 4 .51--448 00 Street System Dev. Charge (SDC) —
ADDRESS:_ %52-•449 01 Parks I System Dev. Charge (PDC) �_ 5
52-449 02 Pr.rks II rysteo Dev. Charge (PDC) $
_ 31-450 00 Storm Drainage Syst Dev Chrg(SSDC)
PHONE:---,--. 10-•230 09 TRFD (95X)
1.0-435 00 TRFD (5X) 3
ARCH/':NGINEF.R 10-230 06 Washington County Fire 11 (95x) S
NAS: - 10-435 00 Washington County Fire it (52) t
ADDRESS:! ___ 10-2.20 00 Apart/Weftft000d � u
TOTAL
PHGNE:
f /�,,� )•�v(o/� PREPAID
REC
BALANCE DUE _ C,
AFFbIVANT SIGNATURE P
Received By: Date Received: