10630 SW PARK STREET Y �(
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r
1.0630 SJ Park St_
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INSPECTION-NOTICE
CiLy of Tigard Building Depar-terent �-✓
13125 m Ba-ll Blvd. Tigard, Oregon 97223
Inspection Line (Ric-O-Phone): 639-4175 Buoiness Phone: 639-4171
Inspection:_ ` ----- -- —
Footing Plbq. Underslab Mech. Rough-in Apr/Sdwlk
?ound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam such. Ra1n Drain Insulation -Plumb.
Plbq. Underfloor Water Li Gyp. Bd. r�; QG
1 l „• Jf -
Date Rivqueeteds� Times _PM
Addrarjn:��. Permit 1:j%Er-c �, 'G�
Builder:___ _
THE FOLLOWING CORRECTI03R ARE PEQUIRED:
Inspect r: _!//� Date i
APPROVED DISR^PROVFD --— APPROVEU SUBJECT TO KHOVE
I-``1L _Call For Reinsp.
q-J[
F,
MECHANICAL
PERMIT
CITYOF T'GA RD Rr PERMIT #. . . . . . . .. MEC91-0191--1
OF
COMMUNITY DEVELOPMENT' DEPARTMENT oRmoon
13125 SVI Helf B10 P.O.Box 23397,TigRrd,Oregon 9??YS DATE ISSUED, 09/26/91
S1 FE ADD,RESS. . . : 1IZ1630 SW PARK ST PARCEL: 2S1 3DA-
SUED I V 13 1 ON. . . . : ZONING.
BLOC*K. . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF WORK. - :ADD FLOOR FURN. EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS— ' VENT FANS. . . -
OCCUPANCY GRO. . :R�� VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . : I BOILEP� ICOMPRIISSORS HOOD z:'). . . . . . . :
FUEL 0-_3 HP. . . . : DOMES. TNCIN:
: /WOD' 3--I�, HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . . REPAIR UNITS:
1:7 IRE DAMPER 3 .1. 30-50 F;P. . . . WOODSTOVES— : 1
5Aj PRESSURE. . 50+ HP. . . . CLO DRYERS. . :
'40. OF AIR HANDLING U14ITS OTHER UNITS. : I
tURN < 100K BTU: 10000 cfm: GAS OUTi ETS. -
FURN ) =100K BTU: > 100011 cfm :
Remar-ks : wood stave
Owner- : FEES
DOVID NOLFS type amount by state V-ecpt
10630 SW PARK ST PRMT $ SCR 09/26/91
75PCT $ 1. P5 BCR 09/26/91
TIGARD OR 97223-0000
":Itione #.- 503-620-75'3
Contt,actor,t --------------
OWNER
$ 26. 25 TOTAL
Re'4
-------- REQUIRED INSPECTIONS -------
ihis pet-sit is issued subject to the regulations contained in til-, Final Inspection
Tigard Municipal Code, State of Gre. Specialty Codec and all othey,
applicabl, laws. All work will tit done in accordance with
approved plans. This persit will expire if work is not started
within 184 days of issuance, or if work is suspended for more
than 180 days. --------
Permittee Signatt.tre -1 I ix)—av"
I ssi-ted By
Call to- inspection 639-4175
id.
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. o91-217693 �
CHEC9 AMOUNT 26. 25
NAME' s NOLE!a, DAVID R. CASH AMOUNT s 0.too
ADDRESS s 10630 SW PORK i-,AYMENT DATF s 09/26/4,1
SUBUIVISION s
TIOARD, OR 97223—
,URPOSE. OF PAYMENT AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT PAID
1
1
l
91--or (WO(lOSTOVF PERMIT)
I
101AL AMC:JNT PAID
I
INSPECTION NOTICE
City of Tigard Building Department
P,O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspecdon
Date Requested
Z —L��— Time A.M._
Permit + —
Addressvr-
Lot #
Owner -- -
Builder ----
The following Building Code deficiencies a;a required to be corrected:
Presented to
PApproved
---
Inspector 7 _ ❑ Disapproved
Date — -k�-----
CALL FOR REINSPECTION
0 YIS L-1 NO
INSPECTION NOTICE
City of T igard Building Department
P O. Boy 23.197
T;gard, Oregon 97223
Phone: 639-4175
Type of Inspection ���°�,�' ✓ �e__.��_— _____
Date Requestedl 2�� �d Time A.M. P.M.
Address _- /0 U � � Permit
Owner,-,--_ Lot #
Buildet __�
The following Building Code deficiencies are required to be corrected:
Presented to t
-- CJ Approved
-- . r] Disapproved
Date
CALL FOR REINVECTIOA'
❑ YES ❑ NO
- �I
INSPECTION NOTICE
Ciiy of Tigard Building Department
P.C. Box 23397
-igard, Oregon 97223
Phone: 639-4175
Type of Inspection '- t-- -- - - ------
Da*.- Requested-_---w � � Time—__—_- A.M. P.M.
Address ,L1J Permit *k i
Owner _- __ Lot #--- —
BuilderThe following Building Code defi6encies are required to be corrected:
Presented to __.__-- _.. Approved —�-
Inspector� _ I I Disapproved
Date
CALL . REIN PECTION
G YES CJ NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ----- ------- - --
Date Requested /------4= Time — AM.-_ P.M.
.�
Address _ Z, Sle —� --- Permit
Owner ____ — Lot # _
Builder �S�GThe following Building Code deficiencies are required to be corrected:
Presented to �!_� - - IL Approved
Inspector Disapproied
Date
CALL FOR EINSPECTION
CJ YEs U NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __ —Post & Beam
Date Requested_ 9/14/89 — Time A.M._. XX P.M.
Address —_-
10630 SW Park — Permit #89-1803
Owner Sorrento construction (643-9602) _ Lot # _
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to —.� _— _— proved
Insp-ctor 41
_ ❑ Disapproved
Date
-----------7 ,_
CALL FOR REINSPECTION
DYES ONO
INSPELTION NOTICE
City of Tigard Building Department
F.O Box. 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ / �- __
PIZ
Date Requested T e.- m _P.M.
�
Address Permit # '
. -, !i —7` -�
Owner-- - - __.._-- --.-., -- Lot #
Builder—
The
uilder.-The following Building Code deficiencies are required to he corrected
w �
Presented to __.� _ Approved
Inspector �� — Li Disapproved
�-
Date .�.—.
CALL FOR REINSPECTION
YFS Il NO
Cir(OFT11FARD 631. ILDI:NC, PE: 91.8 v
PERMIT N(1. F3lJHyi.f3p3
CIiY IID
COMMUNITY DEVELOPMENT DEPARTMENT *MOON DAI*Ei: ISSUED: 9/ 5/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639.4175
PPIM. !oM'r..NO. 89180:3 -
..IOR ADDPE:S5 : 106:30 SW PAPIK Sl'
TAX MAP/L.01' 2"51. 3DA SUB: F•'AN'TASY DILL LT :: 3 UK :
LAND USE :
I...O'T SIZE: VAL.LIATION: * 3,4186 SETBACKS
F'RON'T' : REAR:
WOPK CL—ASS: ADDITION DWEI.„L. .UNITS : LEFT:: RIGH'T':
USE: *TYPE: SI:NC.L.E. FAMILY NO. DE:OPOOMS : EXT .WALL_ CONST :
CONST . TYPE”: VN NO. -,A T'HS : N: E : W:
C)CCl.lP.C,PFI. : R3 PR(TT . OPENINGS :
C)CCUI' . L CLAD N: S : E : W !
IIXT'AL AREA : 2i0
NO . ST(: PIE".S : t iS'T': ROOF C:ON51' : (, FIRE AEl"7
HE3:C.4-1'r : 1.A 2ND: AREA SE::PAP? RATE::D:
0ASEME.N-T-7 3RD. OC:CUP. SEPAR7 RAI'E.D:
MRZZANI:NE:7 BASE W T
1=1...0014 LOAD: AO GARAGE: FIRE SPRKL.P7 ALAPM7
—
FLAW(C;PM) DI"::1'E::C:'r7
1-4I:11CIP . FlCCE.'55 7 C:UR1717
PI AN CHECK EKY : r`I t,
Pf-.:MARKS
RE:L'SSUC: OF NE) .
LAST REISSUE:
W rlc:ll.cats c:la►vi.d PEPMI*T' $7-1. 50
N 1.06:30 tiw piar,k t9t. P1 AN REVIEW *4110 . .1:3
E t.:LT,T61r d cir` 97r�c!3 FI14E. DEPT,
R
f�11(:INF' (403) S'TA TE. TAX X13.
_ OTHE P
C DEVE:LOPMEN'r C:HAAGES :
O 1...OVE DAV.T.I:) !iiD(:l STORM)
NSC)RRE:N'T'C) C:C)N!i'i'RL1C1'I:C)N !:iU(::(!iTRwE:I')
T
R 1.'r.:'.5 50514 RND 1:*DC(#t )
A
C bvIa.vEt►ricin Es 1, 9700;'.i PREPAID <
T f-11„IONS (:503) 6�3 9601?
° PaGI:5i'T'RA'rION NO . 68CIA TOTAL..: $126 . 66
R
RE:CEIPI' NO.
m /
This permit is issued subject to the regulati s contained In Title 14
of the TMC. State of Oregon Specialty Ccdes,zoning regulations
and all other applicaLle codes and ordinances, and it is hereby IaEWIIIRF:D IN51oE(�l'I(lN!y
agreed that the work will be done In accordance with the plans and FOOT I NG
specifications and in compliance with all applicable codes and POST 6 EaE:AM
ordinances The issuance of this permit does not waive restrictive FRAMING,
covenants Contractor ano subcontractors shall have current city INSULATION
business tax permits. This permit will expire and become null and
vold if work is not started within 180 days,or if work is suspended or C Y P. B(:)Af'D
Fbandoned for a period of 180 days any time after work has RAIN (:)RAINS
;ommenced. It;hall be the responsibility of the oermittee to assure FI NAI._
111 required in9pections are requested and approved.
enx
ermlttee Signature
Issued By: _ ______ - _--
SEPARATE PERMITS REQUIRED '=OR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TWARDPLAN 01ECK APPLICATION
0WO(traan PLAN C14ECK H - -
CUMM(/fllT�: DT-lI 14JPMENTDEF-Al IIM1 NI PERMi. It 03
»In DATE ISSUED
TAX MAP/LOT
JOO ADDRESS: _.Ln�,3 d S L�' L,� �� /
/'L TC L LOT: l-I�NO USE:
VALUATION: __
SPECIAL NOTES
OWNERREISSUE OF:
N(u1E: 1 U i-AST REISSUE:
ADDRESS: 3 -tv Q') FLO00 PLAIN/
4E:NSITLVE LAND:
PHONE: n_PPROVALS REQUIRED
• PLANNING:
CONTRACTOR -- -
NAME: t�P ►l C�j N� 7PuC 7 3 6 d ENGINEERING:
ADDRESS: FIRE DEPT
OTHER:
PIFONr. ITEMS RE IREO
LT:ST/SUBCONTRACTORS:
A7(I1/-EN—GIN–ECRR BUS TAX:
NIU1E' �U�ff�tM _ CALCULATIONS:ADDRESS- S 3� 1 S k� D?/� TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN: _-
PHONE: A.7)
0T1FER:
PERMIT H ACCT N DESCRIPTION AMOUNT AMr)UNT PO. BAL. DUE
1.0-432 00 Building Permit FeesL,^ - ---
10-431 00 Plumbing Permit Fees -
10--431 01 Mechanical Permit Fees -
10-230 01 State Building Tax (5%)
Building
Plumbing
Mech
10-433 00 Plans Check Fee
Building
Plumbing
Mech _
30--202 00 Sewer Connection
30-444 00 Sewer Inspection _
51-448 00 Street System Dew Charge (,OC) _
52-449 00 Parks System Dew Charge (POC)
31-450 00 Storm Drainage Syst Dev Chr9 (SSDC)
10-230 09 TRFO _.__ ____ —•
10-230 06 Washington County Fire N1 (957.)
10-220 00 nmart/Wedgewood —
TOTnt- _
AP 1_ICANT SIGNATURE
Received By: bate Received: i -
cn/3587P/tOP