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INSPECTION NOTICE
City of Tigard Building Department V 1 1t'V
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
Type of Inspection nc
Date Requested I 3 - Z-3 �`! Time_ — A.M. P.M.
Address > Li/ / Z(-L/�_5 �C1 _ —._ Permit # (0
Owner ' � Lot #
Builder ___S �__ -_�1 '(�}1 L L L—r._
The following Building Gode deficiencies are required to be corrected:
AO
Aden
- --7064 --'�- --
3 z Y1
Presented to —_ _-- _—� �<Approved
Inspector [.I Disapproved
Date -- -- ----
CALL FOR RFINSPF C7'1()N
YES I] NO
BUTL-DING PEPKIA'
C'7YOFT11FARD ( A--.0 1 P117-FIN11T NO. : BU(382i208
CITY OP nM NOD
COMMUNITY DEVELOPMENT DEPARTMENT 04100H
13125 S W.Hall Blvd..P.O.Box 23367,Tigard.Oreqon97123,(503)639-4175 D A I'F: X I J 1:::D :1.:1. 1.q/O(3
-A:H.4 ADI)PESS : 1.3.3411. !iW '11+41.04!5113N I N
TAX MAP11 (311, 253. I.P SUB: A51-IFCIND OAK5 LA .1. E.11-11
I.,AND 11,51I.-E ,
U A 1, LJA'TT ON : 93,5()0 5LTUAC,11<5
FRUNI' : 20 14"AP:
WORk C;1_.A555 : NEW DWEI, L.LJNITi : I L.F* 1 15 PITCHT : 211-1
LISE '1YI:-11;:: : CVEN(31 E FAM11-Y NO . 1`3F.MAL)OM1a : 3 EX 7' . WALI CON51
C';0NS'I* . FYI-NE : VN NO. 1:11A'71-11S : Is N: !ii V: : W
0C(.;IlP 14Z.4 PPOY .OPEWENGS :
0C(NJF-'1 I .1)Ar) N S E- 14
T(YTAI A 1:4 EK(I (P0709
14 1.) . S'T 0 P1.E.,G R 1028 W:)UF' (:,ONST : C F':1PE Pr-.:*T '*V1
PILAXA-ly 0 ?NC) 1.0'"50 ARE O "i1--;:PAA? PA11*1.)
HAGEMEN'T"? OCCUE
P. SPAP?
M I-'*ZZOIN11NI.i.? T
LFI-100111. I. W-11)- X10 GAPALIF'. 638 F"TIALE SPRKLP? ALARM'?
IAF�Wll' I YEW, I.,(A t:; F LOW(GIM) DF:1111:11,7 YLA)
1:414:15SUE 01* NO. 0806/13
L-AST PEVSUE
0 F FI:F.S
W E R, .JAY 1:30C.-Ilml V 11114 R' 1. 00
N L4 0 X R 3 f."2 9 1. 1,1 AN Pr-.:V:I.F..-.W $1,10 00
E
I :.X;APD 011 ( 1:4L, DFTIT
1:11ATL* TAX 111 le.2 1. q`5
C DEVELOPMENT GHA.10,US :
0 1 I)AY ( !:i R)PIVI) $12 5 0 0
N
T JAY M I 1 1-1:44 FAIT I I Ili`.:N 15M,( 5144EIL'.1 ) $600 . 00
1.) . c) . 1-::(*)X Itt'! It.N5 0
A
C OP VIPEEIPA") < 11140 . 00)
T
0
R I 11.111 NI'l TOTAL. 111111 1 5AIR..')0015
This permit is issued subject to the regulations contained In Title 14 NO . 7
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and It Is hereby 1:*W:(J1.J:rPF:I) INSPEX,'TAX)NIS
agreed that the work will be done in accordance with the plans and F'01[3 I T W., St:-WEP
specifications and in compliance with all applicable codes and F(X-JND0t.1A.)N WAI L PAIN 0PATNS
ordinances. The issuance of this permit does not waive restrictive iil & 8EK'Am WA'I E R L T ME
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 F T:NAI
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure F PAM TNG
all required inspections are requested and approved. (f'f f4-AGE:
(;i)!:i L INE
I k.111L)APU
Permittee Si UP
Issued By TN"0114cl-T75P
SEPARATE PERMITS REQUIRED FOR WORK OTHER ,rHAN DESCRIBED ABOVE
SEWER PEPII
CITYOFTIGARD jiPERWET NO. : SEC-382219
C111YOFT100
COMMUNITY DEVELOPMENT DEPARTMENT 0"Im
13125 S.W.Hal!Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 DATE T.SSWED ' I L I
k.10191 AUDII 1.534.1 SW THOPEVrON L.N USA NUMOUP : 0:X'7:1.01.
'TAX MAP/LOT 251. 1.211 511.111 ASFIFTUM OAKS 1. 1 : 10 DK .
I.,ANDUSE:
L01, SXZlI
tIE"CTION : I i2 TWI 2% FIM"' : 1.W
WORK ULAFiSNI:-.:W
0911 TYPE". : !)1:NiI F'AII
t.c) c:tiirpl.y wi.th imll r,m*1I :and
5"Wo1l-agel Agellv.4 . 1*11-1o.- plot-mi. (. mWpii-cima .1410 dwyo; II th(it chILL0 .101i-gmeci Thea t(:)t,a'l.
alnE11.111t pad'd Will 1:)*) Tcll--1`4;1.11.tfacl :I the.? permit. rilxj-.)ir- % . Thev ciciem mit JJ1.11I
aiitm-ew the1f thMow
e er, im
g rat' ttict '1(3nattii3n r)-V tho, isidiii-i !neu)er,
Vert. 1.crr~ts►teae:l oit, l,h!,v ineakiiii.ir-etnApitt S,-Jivel , the? :1,rim;tak:11.]*)r, tfllatl.]. j:)r,c)tAj:)vc!t '13 ftmi!t :1.n
a41. fr-om the dimtaric!e givv.-.ii , 141 rit3t mt:i 1c)f.:,niI t41e? 1.ilia tAJ.1(21-' %hM3.1
at "'lap V1.1-10 Riedel 15)vwroWl Pkpvmit 1wricl tli*i Aqcpric�y wi.11 ak
11SIS"1W.A.. . TYPE: BUIL.IXII SEWr..:P 11*1`1PEERVIOUS AII
'1';'1X1LJPE: UNITS : 'TENAN'T IMPROVEMEEN'T :
OWE"LLING. tJNx'rs : I
NO . OF 01.-UGS ,
0
W M 1.L.L.IT.A V Er4m]. T 15.5 0
N
E P -'3 BOX �'!:SR?cir'L C'ONNE:C,1-10114 CFIAPQ.:.� 411. 1.()0 0()
R TT(.,Al40 UP 1- :1I 'TAP TII 1-
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N MIL-L-II "JAY
T .,JAY H1:1 LE-A BUIL nEn
R
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C 1
T I IGMAII:40 (1P 9)'i.U,!,3
0 PHONE (3110,311 684-75/13
R ! r)c%(-.--asrPA-1--TON W , 301,09
ThA per nit is issued subject to the regulations contained in Title 14 RECIF:111PT NO.
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby ;4�*,"Qj,j1rJF:D 111SISPEE'TIONS
agreed'hot the work will be done in accordance with the plans and POLIGA-F-IN
specitict,tions and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants tAntractor 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 of the permittee to assure
all required inspections are requested and approved.
Permittee natyre
Issued
(.',nL.I I!-OP XNSPE-11'111014 639-11. 7,n
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MEL1I--IANJ:(:,AI.. PEf4M:I'.*T'
CIDP, OF T'GA RD No. : ME:982218
CITY
COMMUNITY DEVELOPMENT DEPARTMENT DAIE." ISY-JEA): 1:1.11'el/C.A.-I
io
13125 S W Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)6394175
1:4 PMX 01113 QQ
I N
1AX MAh'/l CYT E2$1. SUB : A!nIll`()RI.) OAKS I T : 'l 0 PK .
I.AND 051:1. -
!:;1.ZV : NO
111H.M: NO:
WORK ASS : NEM rurmAci-.* <:I.()(),< A114 I-IONOLP <10
lIGE:' TYV-S : FOMELY I-*I.)PNA(:L'-;. 1.00K+ I AIP 118.14NDI-P 10K
VN F'1-001:4 FUMACE EVAP .
)P . 113 1-11EATI:71:4
VENT' FAN
VENT' VIE,N I SYS'TEM
81...P/ClOmp <31-IP HU01) I.
0 111 E.S F.41-91/COMP *3-15FIP IWA:NEPAI'014(EXIM
DWLI L. UN I FS 1. 81-11/CIOMP 1115-301-41P 1141171NEPAI'UP((:()M
I I Jf%I TY I-11: L'.,A5 'W 50HP PEPAIR UN11's;
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8 T 1.C.,A 14 U V,J*X TUPE5
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0 640 11-59 'UYTAL. :
R I4I*.A;T9T'No1J0N NO . 11RIA
This permit is issued subject to the regulations contained In Title 14 P't NO
of the TMC. State of Oregon Specially(,odes,zoning regulations
and all other applicable codes and ordinances. and It is hereby P1F:QLI 1.1:11:A) .1 INGPL-3:111 ONS
agreed that the work will be done in accordance with the plans and GAS I-J.Nc.
specifications and In compliance with all applicable codes and P(:)':),I IAKAM
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and stibcontraclorq shall have current city 11001[*',H TN
business tax permits.This permit will exp.re and become null and
void It work is not started within 180 days,or it 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
0�
Permitte nature
I fture
Issued By I
(it I- FOP YN(A'11 C.F.10N 6-Ac--11 V)
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PEAMI'T'
CITY OF TIGA PE--':PMI*r '40. InII-882P.17
CITY C*TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 0216004 I)A*1'1::: ISSUED: 1:1./to/as
13125 S.W.Hall Rlvd-P.O 9ox 23397.Tigard.Oregon 97223.(503)6394175 PAIM 1:)Ml* .NO . 982208
J( iii ADUPIRA51i 1.w'534:11- SW 11-itil"45TON LN
TAX MAP/1...(:1,11, IRCIA SUF : A- 51-IF'OPI) OAKS 1..,1' : 10 BK :
L ANI) 1,J G E,
I. ()1' SIZE. .
I T I*-*.M NO N(,
WUPK CA.-AM) : N I-i W WATI..':P CI 0 S E T 3
USE: *Y*Yl;'E: : SINU I;:.: y URINAL. 81(1:*1...(:)W F-14VINI'u.,
CUNSI' *1YP6;: : VN L-AVORA1*171PY r-MIMEA
P3 11111.4 SHOWE-A 3 GPEAGE 'T'PAPS
DT5HWA!:;I--II::,i1 1.
(3APFIA(ME Dl:11il---'(:)5AL J.
NO . S111PIAKS : el WASIVI.W.; MACIAINE :1.
DWEA.1 LINT T'l!5 : 1. "LOG - DRAIN 101A
FI. 00P ORAIN
SINK 1. !i;E:' (F:,T,)
WA11:-Al
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417
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T WATTS:; PLIA111:41.1`411",
R PQ 1:,;(:)x P30W15
A t i g III.r'J tar 9*7('-2P3
IT 60/4-661-10,
0
NO . 5- 0870
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby PEW.J.11410) INSPEL."VION'S
agreed that the work will be done in accordance with the plans and P I til UNDER GI AD
specifications and in compliance with all applicable codes and MIST, & HCAM
ordinances The issuance of this permit does not waive restrictive WILP I—INF'
covenants Contractor and subcontractors shall have current city il,l F.4 'rorutyt
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 kAIN 0PAIN5
abandoned for a period of 180 days any time after work has 1, INAI
commenced. It shall be the respunsibility of the permittee to assure
all required inspections tre requested and approved.
P rrittee
Pr;4;tire
Issued By: ---- 4-—1 4- 14414
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
.r wr
I
'� PLAN CHECK APPLICATION
CITYOF TIGARD � ��� PLAN CHECK N_ ��__.�
CiITYOFTIGARD� PERMIT N
COMMUNITY DEVELOPMENT DEPARTMENT r ae DATE ISSUED I
13125 SW NW 9W. P.O.Bow.23797,TiWW,Cregm 9771,)(6W)0,V 4175
JOB ADDRESS: h Nr cam, L- TAX MAP/LOT
SUB: _(�{ ';(� rt�, - +� LOT: / 0 LAND US':
VALUATION
OWNER SPECIAL_NOTES
NAME: _ REISSUE OF: _
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR II PLANNING:
NAME: VN11 i �+ d � ' L ENGINEERING:
ADDRESS J u I� n� �� FIRE DEPT
A r-1 o r OTHER:
PHONE: '7" ITEMS RCQUIRED
LIST/SUBCONTRACTORS:
')OCH/ENGINEER_ BUS TAX: _
LAME: '.ALCULATIONS:
ADDRESS__ _ TRUSS DETAILS:-
_`�-._ _ PARKING PLAN:
LANDSCAPE PLAN
PHONE: :,THER: _
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
S,N ' 10--432 00 Building Permit Fees 42LUd .Z , au
�fV_12 i 10-431 00 Plumbing Permit FEesry(�>_Sy /y7 Su
10-431 01 Mechanical Permit Fees �o 5-,0"
10-230 01 State Building Tax (5%) ,tea. cam'_¢_ _ ._3v-G1'
Building Z/. C' )
Plumbing _ 7,
Mech _ 02 .E >'
10-433 00 Plans Lneck Fee 512 )-
Building
2iBuilding
Plumbing
Mech
30-443 00 Sewer Connection (20X) _
30-202 00 Sewer Connection (90%)
30-444 00 Sewer Inspection
51--449 00 Street System Dev Charge (SDC) '' 0 ��Gy
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks II System Dev Charge (PDC) _-�,5c> .2S U
31-450 00 Storm Drainage Syst Dev Chrg (SEDC) .2 .5U
10-230 09 1RFD (95%) _
10-435 00 TRFD (5%)
10-230 06 Washington County Fire N1 (95%)
10-435 00 Washington County Fire N1 (5%)
10-220 00 Amart/Wedgewood
Z OTAL3_ Z U 3 7Z-
REC N ' 461,„j,;,6,
APPLICANT SIGNATURE---- - - -- - -A+_
_
Received by : - /
-_� t' � Date Received: �/ -i_