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lNSPECTlON NOTICE
City of Tigard Buieinn Departmer
P.O. Pox 23;1;7
Tigard, Oregon 91223
Phone: 639-4175
Type of Inspection _ 4�
Date Requested 2 �' '" +� y Time –Y—A.M.—_P.M.
Address �/ 4e — permit •# ) Z 7
Owner _ _ Lot
Builder ���C 47 ___--
The following Building Code deficiencies are regiiired to be corrected:
Presented to — � Approved
Inspector -- � r= /=� - L 'i-aP;roved
Date --
�CALL FOR REINSPECTION
YES LA NO
INSPECTION NOTICE
City of Tigard 80ding Department
P.O. Sox 23391
Tigard, Oregon 91223
Phono: 639-4175
1
Type of Inspection
Date Requested �O < Time A.M.
Address !1"I _ F____--------- Permit 41E
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to AP►pproved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
O YES LI ND
CITY OF TWA D � sUI1...07:Nt PERMIT
� IyL:RM:I:'T' NCJ. E3U(.IE319e�..'7
CITY OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 0110cm
13125 S.W.Hall Blvd.,P O Box 23397,Tigard,Oregon 97223,(503)639-4175— I DAI L ISSUED: 1-0/ 6/88
N'AIM PM T
,.JOB ADDfiESS : 1.4395 SW 79'rH AVE
T'AX MAP/I..O'I' 'r?S1. 1?ks0 3H00 SUES : McaRA WOODS 1. 'T :9 U
I...ANia USE : R7
I._O*T' sIzr-: : VAL.UAIION: $ '71. ,565 SETBACKS
t=RON r : 20 PEAP:
W(:)RK CLASS : NEW DWEI...L. . UNITS : I LEFT: :1..5 Ig].GHT : y
(.151-' I'YPE:: : SINGLE:: F-AMILY NO. f1EDROOMS : 3 EXT .WALL COKII�T :
C:ON51' . T'YI''E VN NO.BAT'HS : 3 N: S : E : W
OCCI.IP.C,RP . : R3 PROT .OPENINGS:
OC'(:UP. L(:lAra N: S : E : W
I'OT'AL. AREA: 157"1
NO. YT'OPTE'j : S'T': 860 ROOF CONST : C F114H. I4E:T7
HE]'CHI': £20 2ND: 715 AREA SE'PAn? RA'T'ED:
RA`:iE:MEi:NT'? 3RD : OCCUP. SE:PAR? RAI'E-D:
ME:7:TANT1i BA!'5L--:M' T
FL.00R LOAD: 40 GOAPAGE:.: lei Z40 F"IPU--' SPRK1. P ALARM
1"I...Ow 1(:•;Pit) mn--'C:'T'7 YES
PLAN CHECK BY: r•I t. --i-
1-11:::MARKS
REISSUE: OF NO.
LAST" Rk ISSUF_
O FEES :
W PAHI._I!3CH HOMES INC PERMIT $349. 00
9'7EI0 !,W SHADYI..ANE' PLAN REVIEW tpe,$f, BS
R t.i.Rairci FIRE-- DEPI'
54 A'T'E: TAX 1 7 45
OTHER
CDE:VELOPMEN'T CHARGES :
OPAHL I SCH HOME! I N("
N 51x1:1 S'T'ORM) 'Nc!;'i0 <i0
T PAHL.ISCH HOMES INC. SDC:ISTRE:E'T'> 3h00 . 00
R '77E10 !1W !:iHAIJY I_.ANE:
PD(::( B 11C 9,P50 00
T t i. etrci tdr 97223 PREPAID < +4to() . 00)
T
O PHONE". (50.3) 6(34—6453
R PEU I:Ci'T'RA1'1DN NO 4:!067 TOT'Al- $1
This permit is issued subject to the regulations contained in Title 14 RE.CEIPI' No. /6/00c/
of the TMC. State of Oregon Specialty Codes zoning regulationsand all other applicable codes and ordinances. and it is hereby RE:(a1J7'7ED INSPECT'
agreed that the work will be done in accordance with the plans and FCJC)T I NG coEWEP
specifications and in compliance with all applicable codes and FOUNDAT'.T.ON WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PO!,I K BEAM WA'rER I.1NE
business tax permits This permit will expire and become null and PLO.UNDE.RSLAB C'I'T'Y A'-)PRC;H/SW
void if work is not started within 180 days,or if work is suspended or SLAB FINAL
abandoned for a period of 180 days any time after work has PLO. TOPOUT
commenced It shall be the responsibility of the permittee to assure r-RAMI NG
all required inspections are requested and approved
FIREPLACE
GAS LINE
A 'c INSULAI'ION
�..!'!•_.�:(�[•r�,i���r_ ---....-..---
Permittee Signature GYP - BOARD
i
Issued BY
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWI�44 F-PMI'T
CITY OF T'FA RD PE;'14MIT' NO . : SE8011I.968 V",
CITYOFTWA
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 3.0/ 6/86
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 T—, PPIM. PMT .NO. 0811.927
JOB ADDPES(5 : 141-595 SW '19TH (-)Vl;:'. USA NUMBER: 036460
'1 AX M6P/1..OT PSI I.PBD 3900 SIJU : MAPA WOODS I-A' :9 MK
L.AN11'.) F"7
1-OT 5 1 Z F
5ECTION: 12 TWP: tam QNG: 1w
WORK CL..ASS : NEW
USE TYPE: FAMII-y
lhw ',c) cuinply with utll I'l.11.cati. ittricl th". 1.1111J.-Fie-Cl
150wer-la.ge, At4erlr.?y . T*1.1(,." pel"Init O±Xlj-)Jkl-evl 1)20 daym ti-VC:? CIMACP iti;IOLICOCI .
ittincictrit will L)e) if the Per'M:j.t, (:IC)e% I'l(JI, 511PILl'-
il.k1*1t0o 010 R1.0f'ZUr,0a,(--y cif the:± Icicati13i1 0+ tho wide tBewer If 1,he i.vs
ricit 1I:)(.-.!8twC1 lat 't'h1v ti-likli J.I'MIAILI.Ler tai,at.l'l. 3 fc?fot :1.11
fr,am rJici- givell , If 11(3.t, S(3 : toe-'ated , thv 110-11-01
Ajj*)ric.�y wi'11.
INSTAL.I... . TYPE : Still DIM.*. 5L'Wl::'.P IMPEPVIOUS AREA:
1;;*:[X'11.)Pl;;. UNITS : TENANT IMPRVVEMENT
DWr--.L L.,TNG U14171-5 : 1.
NO. OF BI-DOS
FEL.-`
0
W PAHL. 11 SGH HOMES, INC V RM IT %13 15 . 0
IN 9780 SW SHADY L..MNE C.ONNECTION CHAM'..F. , 'LO0
E
R d ctr I i.. :rN'-. TAP I.NSTAI-I
C
0 r)AI-11 1.sm-1 HOMES INC'
N
T PAII-111-15CH HOMES INC.
R 9,790 sw sw)r)y I-ANE
A
C I. 97P-23
T PHONC ( '50-3) M01-6-153
F;iE:(;TqTF4AT1ON NO. $12067 T01 All... . 01. 1135. 00
RECEIPT NO .
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 REQUI-PEL) INSPECTIONS
agreed that the work will be done In accordance with the plans and n0UGl+--I N
specifications and in compliance with all applicable cod-39 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 it work Is not started within 180 days,or If work is suspended o,
abandoned for a period of 180 days any tima after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and arproved.
.4 ' )-f t
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
NNW W W W
CITY'OFT11FARD c, 6 PEPM]: ) PIL- 6
T* N( . : 61966
IID
COMMUNITY DEVELOPMENT DEPARTMENT 0"00N
13125 S.W.Halo Blvd,P.O Box I3397.Tigard.Oregon 97223,(503)639-4175 DATE 15SUED: 10/ 6/86
JW--i ADURESS : 3.41,59,5 citioll 79TI-1, AVE
TAX MAP/L.113T PS:11. 1213D 3800 SUB . MARA W(:)(:)D--) L.T : 9
LAND LISE: P7
I rk::m: NO; N(J :
WORK CI AS45 : NEW WATER CLOSET
crr�—
USE TYPE: !.")T.NGI-.E 1::AMTI.-'i' t.JR:LNAI- TPAP
CC)NST , 'TYP[.i : 131<F:*I-.()W PPVNTp
VN I AVOWAI OWY TPAP 17441MErl
(3(:,CLJP . GPP. TUB 9111-110WER R rRAP!5
u1sli-IWASHEP 3.
GAR'BAGE DTSPUSAL.. 1.
NO. S101PIE5 : V WASHIN(.', MALI-I:I:NE 1.
1:)Wlji':1A-, I[JINXTS : I LAUNDRY 'TRAY Bl.-D(:.DRAIN (DIA
I::*I-00P DWATN
fj]:Nl< 1. 5 1-*WEP (1::''T
WATER FIFKATEP 1.
L
PE'MAPK5
0
W PAHI 3:SCH HOMES J.N(' PERMIT
N 9, $1410 . 00
;r130 SW51-11ADY I A N I—:-
E
FIXTURES
STATE TAY $7 00
01 HEP
C
0
N RON
T
R
A 628-;' FTRW0011 DR.tVI;-
C wamt 11 rein tar 9*10A8
T
0 PHONE: (503)
PEC.,1STIRATION NLI . dilsqP3
— . — I 'TOTAL.: $147 .00
This Permit is issued subject to the regulations contained in Title 14 REcexwr NO .
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all uther applicable codes and ordinances. and it Is hereby PRGIJIME0 INSPECT-DONS
agreed that the work will be done in accordance with the plans and PLAR-UNDEP51 AR
specifications and in compliance with all applicable codes and PO!i F & BEAM
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current I.
city WAIF-P JNF:
business tax permits This permit will expire and become null and - TOPUUT
void if work Is not started within 180 days.or if work is suspended or AATN DRAINS
abandoned for a period of 180 days any time after work has F:':r.NAL.
commenced. It shall be the responsibility of the permittee to anqwro
all required inspectiors are requested and approved
Permittee Signature
Issued By CAIT FMTF—T.R9PEC-TT(-
SEPARATE PERMITS REQUIRED FOR WORK OTHER "I'HAN DESCRIBED ABOVE
I
� � t
C17Y OF TIGA RD ME
'T NCA!_ PERMIT
E.I'dMI'T' NO . MEf30].967
CITY OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hal!Blvd..P.O.Box 23397•Tigard,Oregon 97223.(503)639-4175 DATE ISSUED : 10/ 6/88
..1(718 ADDPE.S S : 14593 Std 79-T'H AVE:
'T"A`. MATS;L O T 2S:1 128D 311300 SUR: 1'I6l lr"t WOODS* 1..'T : 9 8K
LAND USE:: : W7
I- OT 51 zlz,: :
I TEM: NO: NO:
WORK GLASS: NEW FURNACE (100K 1 AIR HANDLP 0.0
1.15E: 'TYPE:: SiIN(.3I...E I::AMILY FURNACE T.OUK+ AIR WANDI...G2 '101 �
CONST . "TYPE: : VN FLOOR F URNACIe: E"VAP. COOLE:R
OCCUI-).UPP . R:3 HI-.A'TE:R VENT FAN A
VENT VE:N'T . SYS'T'EM
k3L..R/(COMP (:31.1P HOOD 1
NO . STORIES : 2 BL..R/COMP 3-••1,RWIP INCINE:RAI'OR(DOM
DWELL .UNI•T5, ' ]. ULR/COMP :I.5--�30HP INCINEPATUR(COM
r-:U I_. 'T'YPE GAS BI.-P/COMP 30.-•501-II' Rk_PA:LR UNI TS
i
MAX . INPUT 1:31_.R/C OMP 5U•k•HP O'T'Mlwlq r
r"]:Pe: DMPFT!:i'{ GAS PIPIN(:•, OU'T'L..f•'A'S l
HI(:;F- F'RE:5S7
RI:::MAPKS :
O
W PAHLISC:H HUMEi� INC: PERM.'[T $10 . 00
E 9-180 SW SHADY LANE: PLAN REVIEW $1.0 .88
R tiga r-d rar FIX'T'UPFS $:33.30
STA'TE:: 1'AX *P . 1R
__--�
OTHER
C
u MAl'1'50114-••HUGHE:S,
N
T MAI'7'SON•-•HUGHES H'T'NG; .
R
A P 13 BOX
C eta0].r,:a c^meek ter• 9702P
r
6 PHONk: (503) 637-35P.P
R REGIS I'RA'TION 140. -Ih99c^
_ TOTAL_: *"•.ti/,h/!9"i"i/
This permit Is Issued subject to the regulations contained in Title 14 RE.CE I Pl NO. V V V I
of the TMC, State of Oregon Specialty Codes, toninq regulations """ "" ""— -~- _~-~ -~•_~�
and all other applicable codes and ordinances. and it is hereby P'EQUIREb INSPFC1 IONS
agreed that the work will be done in accordance with the plans and GAS LINE,
specifications and in compliance with all applicable codes and POST Ti, BEAM
ordinances The Issuance of this permit does not waive restrictive ROUGH IN
covenants Contractor and subcontractors shall have current city
b.i9iness tax permits This permit will expire and become rull and E ]•NAL
void if work is not starter'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 th-responsibility of the permittee to assure
all required inspections are requested and approved
r
Permittee Signature
Issued By' ._..Y_.____ L!�L__------_-..._
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C17YOFTIFARDPLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT CfTll�.aan PLAN CHECK
19125 SW WW191vd. P.O.Ba 23397, OON PERMIT N
� ��9rzza�so3l�t7s GATE ISSUED
-
JOr ADDRESS: / �j j^,/ �g7#
SUB: /) S LOT: c TAX MAP/LOT L Z)
VALUATION: LAND USE: _
OWNER
NAME: L. f Z SPECIAL NOTES
ADDRESS: REISSUE OF:
�_L/tel LAST REISSUE: _
FLOOD PLAIN/
1
PHONE: SENSITIVE: LAND:
CONTRACTOAPPROVALS REQUIRED
NAME- �C,/�/I� �7 5 PLANNING:
ADDRESI: Lam' ENGINEERING:
�� FIRE DEPT
PHONE: -
ITE_MS_ REQUIRED
ARCH/ENGINEER LIST/SUBCONTRACTORS:
NAME: BUS TAX:
ADDRESS: __ CALCULATIONS:
TRUSS DETAILS: _
PARKING PLAN: j
PHONE: ___ LANDSCAPE PLAN:
_
01T4E R: --~
COMMENTS;
PERMIT * ACCT N DESCRIPTION
klt 10-432 00 Building Permit Fees AMOUNT AMOUNT PD. BAL. DUE
lilzo10-A31 00 Plumbing Permit Fees
az4o- 10-431 01 Mechanical Permit- Fees3 -3
1 ``' v• av
10-230 01 State Building Tax (5x) Sp -- Cl
�
Building _21-4-22--
Plumbing
4I2-Plumbing _ ,: 0
Mech
10-433 00 Plans Check Fee 02-37 73 Lt� 1 37 ,3
Building c,2a —
Plumbing
Mech -
d � 7�'rio 30-202 00 Sewer Connection
30-444 00 Sewer In:tpection -�
51-449 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PDC) ,Zsy
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) v - --
10-230 09 TRFD
10-230 06 Washington County Fire N1 (95x)
10-220 00 Amart/Wedgewood —
TOTAL 27777
77
APPLICANTS
P.eceived By: ( � Date Received: _
ht/3597P/18P