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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box )3397
Tigard, Oregon 97223
Phone: 639-4175
` /
Type of Inspection Y
Date Requested — Time A.M. (� P.M.
Address Z (. S U- uRS� Permit # y
Owner . _ Lot #
390
ITSBuilder � _. _
The ;ollowing Building Code deficiancie;fireyreggire_ rrected:
Gc:c L./("qt/
C
- -��'LULT
rte( L' y- C, 1zz"�
Presented to
_— _ — { rpt►ad
Inspector isapproved
Date t7 `1 _
CALL FOR REINSPECTION
❑ YES ❑ NO
I
BUILD.M.'-, PEAMIT
CITY OF TIFA RD PEPM:r*T. NO. . HUBW231133
CITY011'"SAW
COMMUNITY DEVELOPMENT DEPARTMENT DATE :M51.11ED: 12/141/81E3
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 PRIM. PMT ,NO . (3191P383
JOB AUUM!"O, Vi�.-2213 SW TI-R.J145TON I N
---
TAX MAP/1-01 2S:l. 6300 GLID : LT: 17 DV
I ANI) UIA.: : 1:47
11,01 SIZE:,
V A- LIATICIN
F14UNT : 20 REA14 : 6
LEFT : 6 PT GHT :
FAM.T.L.Y NO. '3 KXT .WALL. CXINST :
VN
NO. BATHS : 3 N S 'All
P11:401 .OPENIM.',ti :
I.-DAL) N W
TOTAL APE:(); 1.'735
!A(: PTES . 2 IST : 1-030 P(:)0Fr FIPE NET"?
(114 T i?0 RNIJ 7()15 A 41--'A- SLPAA WATEU:
P A 1ii I-M K:N J"? 3PD OCCUP . SE:I AP7 PATE D
AV:Z"'ONTNE"t DASEM I
FA (Mil- L.OAD: 10 A 14 A V',E: TU F-TPE. S P 1:1 K L.1.1 0L APM?
(('.IPM)
FKAT Tyf::111:: : (.,;A S (:`0P1:17
PEA:K'itiLJl::: (.)I,: W.).
I A!:i T PL.- I !i':il If:**
J
0 11:L1..11.LL() W) , 11113,10 . 00
W
N P - PDX VILAN Nr-.::V11:::W
E TTGAIII.) 1:Pl'-. DEPT
R
!:0*Al FI: TAX
OTHEF"
C VEL OPMENI L
0 111:1 JAY !:ID(:,( 1i VORM) tH2 as
N
T 'iD(::(91 RED.:1 ) 4141"100 . 00
R P 13(')X '23291. $r25 0 00
A I Li"I 110) OP 9'0'.!*r*'3 P 11 E'P A 11") < 411.00 . 001/
C
T I 'llONL (5031 601
R NO 301 0 01.. 1. 6 219 00
11-111ELIKU:11 NO .
This permit is issued subject to the regulations contained in Title 14 ....................
of the TMC. Slate of Oregon Specialty Codes. zoning regulations
an, all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and I"CI ITT T N G, !:JEWE.-:N
specifications and In compliance with all applicable codes and )IINDATION WAI-1- DAIN L)0AtNS
ordinances The issuance of this perms,doe,,,not waive restrictive I ! WA TTA LANIE
covenants Contractor and subcontractors shall have current city I I I)NDE134131-A11--k PJJ(AA/sw
business tax permits This permit will expire and become null and 0 1-*-' INAL
void if work is not started within 180 days.or if work issuspended or
abandoned for a period of 180 days any time after work has - TOPOUT
he permittee to assure
t
c,)mmenced It shall be the responsibility of I
all required inspections are requested and approved
L.TNE,
'NSULATICIN
Z) I'2 V.:YP. 17)OAPL)
Permitt gnatur
Issued By 0AA I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
15F-'W PF'PIMIT
CITYOFTIGARD Cdi��Iltl) i*-,i*-':nmv15F-WF-'WF
NO . : GL-",'F)e2,t40J.
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397 Tigerd.Oregon 417223,(503)639-4175 DATE 1 A/88
I.-IR J.M . I'M I Null. E302303
)OR ADDRIESS : 15r. .13 SIAI 'THURSTON L.N
'TAX MANS/I.,.TT' PS1. 1.2(:A 6300 SUD: ASHFORD OAK$ 1.7 W :
VAND LIGE: 1.47
1.Ur S I Z E: :
GE(:']':EOt4 1.2 TWP: Ew RN(:; : 1.w
WORK CL.ArP, : NEW
LME: TYPE: SINGLE FAMILY
I F1 mj:);)3.iuurit. ingi,eerm tJ:J C1C)MP1.y Wj.'t,h 81.11. I'L0.041 atricl I) V the Urii-11i.ecl
!i�werlr la Agency The per-Init 1.20 (fin.Y111 -171^ciln the (iiatent :051al.le(J . The t,(:)tm.l
1;)a:i (:l WJAA. brar J.-r the exj:):I.r,eL , The ocluric:y Elciev; r4ut gi.lar--
antem the c)-l' thfia a4l the %J.tie sewei- If the sewer, J.%
melt 'I.c)unktwcl mi. the inem%ui,emerit 9:1,ven , the iiiintallwr pr-umpec:t 3 llwet :Ln
atl 3. d J.I.,rec,t':1. 1-1 Ili -F I--(.)M t h e di'stmi-It.ne (Jiverl . I-F 1.14.1 t VA(.1 A.0 C.m t 41,(1 , t1'10 1.1-1 S t fit I J.ki I" IN I-I ilk 1.1
P ti r,C'h At 0;*1 M T lit F) atrlrl S141or Fi owe 1 1.)0 1--in:1. L lFt 1-1 d t h e A q w n c.y wi.1.:11. -1.I'l M Y,;N 3.J. RL lat1,G1Plit,i.
T.Nli rALI. - TYPE: BUTI-XIING GEWFEP :EMPE'.PV10US AnEA:
F'XXTURF: UNVI'S : TENANT IMPROVEMI~:NT :
DWEti-I I NG UNI'T'S 1.
Pl-UGS .
O
!'-EEG :
W
N till L.U.".F2 PEPMTT 00
E p . u 8(')X EKS 2i 9 1. GONNECTION (:'lAAPGE $ 1 10t) 00
1. A P L) OP LINE TAP :MTALI. .
OTHER
C
0
N MlI'_.j..'Fn dAY
.lAY
C A P . 1:1 SLIX 8,329:1.
T 1314 97f.223
0 1:4-ICINE. (30-3) 60-1-75-13
roTAL : 411
This permit is issued subject to the regulations contained In Title 14 PE(.,EIP*I' NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby '-*.:Q(llV)F0 INSPETTIONS
agreed that the work will be done in accordnnce with the plans and
specifications and In compliance with all applicable codes and MUCH TN
ordinances, 'rhe Issusice of this permit does not waive restrict(ve
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 he the responsibility of the permittee to assure
all required inspections are requested and approved
Permi 1;079 nature,
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
12!jA MP I -W A MW w0i
CEdITYOFTIGARDMEECHANICAL. PE'.1-IMIT
CITYOFTWAND 1-'E:'PM:I' T NO . : MESW:1399
COMMUNITY DEVELOPMENT' DEPARTMENT
1 a12',S N Hall Blvd s'O.Box P3397.Tigard,Oregon 97223.(503)639-4175 DA'TE IS1:1LIFA) Je/JAI/RF3
PIA I.M PM I . NIIJ 138H.51[33
15i..'e..!3 SW 11-41.31STON L.N
TAX MAF)/I OT P51. 1P(:',A 6300 SUB: 11- 1 : 17 BK :
L AND USE: P7
L0,11 SIZE. .
NO: NO
WOPK CLASS : NEI.J FURNAGE <100K I AIW HONDL.P <10
USEIK 1!:'tA:4NACE 100K+ 01P HANUI 1:1 1.01<
. 'Y'YPF-.' : UN 14'1_0011 ITURNACIEF F.-:VOP,GOOLEV,
IA:"'CIt.)P, P'3 VEN*r FAN I.
VI: N1' . G Y STE i'l
81 II/ClOMP, <31-11P 11-1001) I.
NO. 5'T0PIF!:
DI .R/C.0mv, 31151-11P INCT NE RA T 0 I (1XIM
DWEI.L. .UN Vrs : 1. 1 t".11 301-4.1 1'.NCI NE.PA 1'0 N(COM
1%LIE.L. TYPE GAS 01 H/COMP 30 WHP Al::'PAIR UNITS
MAX . T.NPLIT E31..G2 30+11.411 OTHE114 R
PIPIN(.*4 UUT'11_115
I Ulu] 10.11MA
0
1A
1,4 M-11:1_1. lv.:n jAy $10 . 00
E 1.) HOX 4?r 3f.,.!9J. 1:31 AN ni.:'v:m:w $0. 63
R -T'T(.141-111111.) 0P TURES III i?-1.;y0
I-". TAX $1 . 7;6
OTI-IE"N
T I-IF.::D.I:N f2C11 h;12'1'
FIE"D IN' Si 111:i 0 1 I.NG
CA Fit/15 NW
T
1,11:1.:1.Ili b CI 1*1 U c)r' I. .,
(50'311 6110-- 1.1!5Y
N11 113TAII 113.15
This permit Is issued subject to the regulations contained in Title 14 nr_-:CE1P'T ND.
of the TMC. State of Oregon Specialty Codes, Toning regulations „••..._....._.•._,•
and all other applicable codes and ordinar-c-ds, and It Is hereby
agreed that the work will be done in accordance with the plans and P'F:QtJTPI;.:I' INSPE'CTIONS
specifications and in compliance with all applicable codes and CIM"i
ordinances The issuance of this permit dries not waive restrictive P 0 S1 F OrEAM
covenants Contractor and subcontractors shall have current city N 0 1,1(.-,11-1 1N
business tax permits. This permit will expire and become null and 1:: .1.NMI.,
void it work is not started within 180 days.or if work is suspended or
abandoned for a period of 100 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Pi it, na�tureC�(
Issued By
1',I'(.)N 639 11 7!5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
'5A PMBI
LANC; PC-::PMX'7'
CITY OF TI6A RD -�A�
Cm rY OF TrW'A 11140) -FAIVITY, NO. : 1400
. 2398
COMMUNITY DEVELOPMENT' DEPARTMENT ORIGON
13125 S W Hall Blvd.P O.Box 23397.1 i9ord.Oregon 97223 (503)E:14-4175
:I:Sii St.)Ll 1'.)
P 14 Kff7rTFrr7-nn7.----T7ff,.7-T
r.r
10H
5 . SW Y'l-ILIPSTON L N
,"1X I'Vil PS1 J.P.C1161 6300 SI.M.I : A5I--IF'0I4D OAKS LIK
I AND US11:' P7
ST ZE:
T (EM: NO: 01"
W0114K CLASS : NF:W W(WFA74 ('111-C)SEA, 3 TNAV
11,11-11NAL. rAKFL-UW F."WNTP
USE 'ryl'�k:: . $:mc
- 'TYPI": VN L AVOAA*1'OPY 3 TPAP PRTMEA
OCCA.)PI. TUIR $1.40WEA P GPFASE" TPAPS
W SIAWASIAE-p :1.
CAAPAC�X:'
WASI'VEN('-, 1`10C.11-41 WE
CIWE.j...j_ UNT 1-5 : 1. 1-00NI)PY T'PAY UL.W- DPAIA (DAA
DPATIN!
STNIK t si:KWEA (F:,y
WATEA 1ARWI E-P 1. S'1OK'N/PA*rN IFT
OTHEA4
0
W
N JoY PEPIVIA.-T tH
E 1:0-W 1'3p.50
R C)"
'VAX 1116 63
C
0
N Wr1T T'!5T,
T KE,N
R I IJ I WA*J T!;I I;*11
A 1,i,, 1-'QX 140 (.25
(11
T -1 97PRZ
R 6 6 t?6
W11 IM)ClIf$1 , A
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations I P T' NO. AIJ F0
and all other applicable codes and ordinances, and it is hereby ..........
agreed that the work will be done in accordance with the plans and I-41EQUIPLA) INSPEC"Y'YONS
specifications and in compliance with all applicable codes and PI-F.4. ol"lur-'P51 A 8
ordinances The Issuance of this permit does not waive restrictive 1:1151,
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
,,,old If work is not started within 180 days,or if work is suspended or I"'1...13 . TOPOUT
abandoned for a period of 180 days any time after work has I-'4(-):I'N 1:)I:A-
commenced It shall be the responsibility of the permittee to assure Ne-0-
all required inspections are requested and approved
F2 '-(Of'0
Issued By
-J
1,ON
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
+1
PLAN CHECK APPL?^_^TION
CITYOF TIGARD. PLAN CHECK M
CQMMUNRY DEVELOPMENT , G+ i1GARD
PERMIT M
MENT DEPARTMENT OREGON DATE ISSUED
zs sw KW1 BMd. P.o.Bcxrxr,,: >igwd.U.Qon gt'm(6W)63a N 75 -
JOB ADDRESS: '/ h,,.y_,�� L L3 TAX MAP/LOT
SUB: _ f ��F�d _pQl�� LOT: / 7 LAND USE:
VALUATION:
OWNER SPECIAL NOTES_
NAME: _ REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
-- SENSITIVE LAND:
PHONE:CONT — —
APPROhALS_RE UIRED
NAME:
RACTOR � I PLANNING:
—� �\ I O- e I(d `� ENGINEERING _
ADDRESS: p ig p �� �c( 1 _ FIRE DEPT
T �J _. _ — OTHER.
PHONE: �(=7S_��___- ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX:
NAME: _ _ CALCULATIONS:
ADDRESS: _ TRUSS DETAILS:
--- -- — PARKING PLAN:
_ __ L;�rjDSCAPE PLAN:
PHO�!c: — r OTHER:
COMMENTS:
�. PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees _379 Lf:: lU,
&jT2 ,1 H 10-431 00 Plumbing Permit fees / 32 ,5J S�
10--431 01 Mechanical Permit Fees ,; .50
10-•230 01 State Building Tax (5%) A(0A' &
BUildin 50 -�- hG
Plumbing _ (,j
Mech . )j
10-433 00 Plans Checl Fee s ,� AA)
Building -
Plumbing _
Mech
30-443 00 Sewer Connect Lori (20X)
30--202 00 Sewer Cor.nect!on (80%).J
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks 11 System Dev Charge (PDC)
31-450 00 Storm -irainaq_e Syst Dev Chr•g (SSDC)
10-230 09 1RFD (95X)
10--435 00 TRFD (5%) --
10-2110 06 Washington County Fire M1 (95X)
10--435 00 Washington County Fire NI (5%) —
10-220 00 ;',Art/ edgowood
TOTAL.
RFC a
APPI_ICfiNT S _ --
C '
Received By: �� ) ( Date Received: /y r�