15443 SW 81ST AVENUE 1
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15443 SW 91st Ave. --
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INSPECTION NOTICE ,i.
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 /
Phone: 639-4175
Type of Inspection
Date Requested T Time M.._,
Address Permit
Owner— _ _ Lot # z
Builder / �2
The foll ng Building Code deficiencies are required to be corrected:
f 7� K ,.L J2,"--
Presented
2 Presented to � ,
- -
Inspector i _ — _ Disepprowd
Date G Z /
CALL FOR REINSPECTION
rj O No
INSPECTION NOTICE
Ciiy of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
t��JL.
Type of Inspection --f/ ��es''
Date Requested 3U —� r,ri e — A.
Address l-:z, Permit #
Owner _ Lot #
BuilderThe following inode deficiencies are required to be corrected:
—rc �'cc ice' T'?'r ✓�oE tcS.Ti v,� �t -�y:
Presented to fC�pproved
Inspector _ u Disapproved
Date __�` E,!�
CALL FOR REINSPEMON
❑ YE= C] NO
� t1,r �f 91A' F# NA 1111
FIUILAINOPERMIT
CIWOFTIFARD PERMIT IO.t DUA9243?
COMMUNITY DEVELOPMENT DEPARTMENT one"
TF I4911F.Ds 11!871119
13125 S W Hall Blvd..P.O Box 25397,Tigard,Oregon 97223.(503)639-4175 T N. PM 1.F►O. 69P43e
JOB ADDRESSr 15443 Sts 8I+31 AVE
TAX W/101 261 12 SlIbe ASFO'URD C1tC►F(S I T tA? FM'e
LAND 118Et R4.9
LOT SI ZE t VAI Uii'C ION t Z 98"760 RF T DiWKS
F"P014Y 2i R.ARIt
WORK LL.ASSt ITEM ML L.IJI41T;;r I I.ErTr 5 PIM11a an
USE TYPE if 5114OLE F AM I1. t' 140.HE 10011Mh a 3 E X I.W4.1 CONST e
CONST.TYPEa VN Ilfl.PATF1.3s 3 No 1;1 Ft Wit
00.1UP.ORP. t R.3 I ROI.Ifff-"1466 l
OCCUP.LOAD N: St F'a We
TOTAL AREAL ?01:8
NI I.SIWIESIf 2 1STt Iwa RIK* CL'MISTS C F'IPf. REI '
NEIoNrr 28 cNI►r 141`59 ARTA SEPAR's' RATEDs
BASEMENT? 3RDt OCCIIP.RfiPAP? RAl'FDt
MF 'Z AN I NE 7 PASS M'T
f l_111JF L(IADt 40 GAPAOF'a (P]A F IPE 3PF►YI P7 AI-ARM?
I"L011((W")i 11wrtci7 I'E
1I1 it I rlr!"t GAS NDCP.ACCESS" Cf1RP'
Pl A10 1-1IIrCK PY t III.
P1.11tfRp 8 e
reg t-'Stre of 892.1983 OFISf311,I1: OF Nfi, 400643
LAtaT Rri'39I1F. 811"Wli
F"EFti 9
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w "11.1411? JAY PERM? r 14it1.t 1
N F'0 BOX P3291 M.AN RIEVIFO E4A.lA
E
R t1DARD OP 97PP! riRE DEPT
!STATE TAX tli'I.'iiJ
OTHER
DEVFL(W. "E.NT CW*0F.5e
o MILLER lA) SOC (STORM) ��'ag.NOa
N
T .SAY MILLER DLf1LPER SOc(siREFT) $680.40
RP.a. HUK 23291 PDC(Ne )
425A.0.40 nc1►wn Ok 97e2.4 PREPAID t $40.1*)c
LRT I'FIOlIff t!563) G84-7543
— PF G I STRAT I ON 140. 38109
I
NFf'F IPT MQ.
This permit is issued subject to the regulations contained in Title 14 _ . _.... .. _..
of the TMC. State of Oregon Specialty Codes,zoning regulations RFlri1IPFD 1NSPECI I"
and all other applicable codes and ordinances, and it is hereby 1(1L1r1Fltl BE MF P
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and rOLINDAT1O11 NM I PAIN fiRAIllr�
ordinances. The issuance of this permit does not waire restrictive POST 8 IRE AM NA I E N I r►iF
covenants Contractor and subcontractors shall have current city {r{A.I*IFWPvA AR city APPRt`l l H
business tax permits This permit will expire and become null and $LA0 r 1"tvoid if work Is not started within 180 days or If work is suspended or
abandoned for a period of 180 days any time after work has PI.B.10410111
commenced. It shall be the responsibility of the permittee to assure F•RAM1 Nfi
all required inspections are requested and approved rIRfPL,ACF
0" L.THE
I NSWAT 10H
Permltt e'Signe(ure
Issued By _._ EIIF tlil+F!1c[1r1�639 ilT'3_-
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
EUER
MIT
CITY F TIFA S"0. 6 VielgE4
RD �,�� PERMIT MI►, r �IQ9,E49!5
Cm or TIGARD ✓
COMMUNITY CEVELOPMENT DEPARTMENT MOON i s I58l1£btr llir77l69
13125 S.W.Hall Blvd,.P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 F'F IM.VMI.NO. a9e43E
TOO ADWS61 15443 SM 91St WE. — IISA HOMtlEP3 19414
1AX W41,10T 231 lk SUBS W-400RO (i!? IS 1118P Itt'•
LAND IJN.''c R4.S
L07 SIZE#
StCTIQNs 12 TMPv Be RHO$ iN
ARK CLASSa NEW
USE TYPEe SINGLE FAMILY
rhe &PP111r741"t agr-rwa to r.f»rply With all rules and regul*tions of tlie. linified
5prowr age Agr<nc.:y. fht, permit expires 120 days from t,hp date tfalit)Pd. Thur total
AWAMnt Itairi 0011.. he forfrzited if the permit expires. fhR Ageru:v does nc*i: guar
ante* the OCCuracy of the location of the side Seillier lateral,%. if kho sourer is
not located at the measurement given, the installer 0aI1 I1roalliort .3 feet- in
all directions from the distance liven. If not so located. the inst;allwr shall
Purchase, a "Tap and Side Semr" Permit and the Agency will install a lateral.
INBTOWL. 1YPEr 011111-flINti SEMER I"PFPVI(IU': APFA
FIVIARE UNITSt TEMAN! IMT'Rtlt>EME'Ntsr
DWELLING UNITSt 1
Mfl. o k:cosi. t l
o FE:Etis
W MILLER tier PFRM1'1 tl�t�,AN
N Pd Pf1.K 23P91 CUf,INEf:I ION CNARf1E.
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R TI(Wb I-IW, TAP IN43TALt..
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T 1"(W 1"31 664-n43
R REGISTRATION NO. .40109
NFf f
This permit is issued subject to the regulations contained in Title 14 111"1 tiro
of the TMC. State of Jregon Specialty Codes zoning regulations 1 I 1 U 1 PE 1► IM13f►f C T IUNS
and all other applicable codes and ordinances, and it is hereby
,,greed that the work will be done in accordance with the plans and PIKION IN
specification» and in compliance with all applicable codes and
rrdinances. The Issuance of this permit does not waive restrictive
,.ovenants Contractor and subcontractors shall have current city
tiusinr!ss 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
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.
i
Permittee%griature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
w tli Imo' t1lt
CiTY
OF TIFA RD
ER"I t; O. # FERMI T
S�ERMI f NU. t Mt:ftl9e 494
Ctnr 'ARD
COMMUNITY DEVELOPMENT DEPARTMENT MOM
13125 S W.Hall Blvd,P.O.Box 23397,Tigard,Oregon 97223.(503)F)394175
10I1 APDRE:SS I 15443 SW 8151 AVE
Iii?( W/LOT 281 12 S WR I ASHFORD OWN 111182 131(e
I AND I)fitt P4.5
IOT SIZES
ITEMS NOt HOs
WIPY F 1.ASS it Nf:1i t'I1RNpt:t + i Dov. AIN 1101Ift k (til
115E TrPF.# SINIOLF FAMILY FtJR1t1t tw4v+ 1 AIP HANOLP IW.
C 014ST.T YPE o VH FLOOR FUIRNACE F"J(W.(x10LFP
0CC11P.GPP. r R3 HEATED OFNI FAN 4
VENT rllf-HT.3Y9TEM
YLP./Comp (:3tt1' HOOD i
t1O.tiIORi[Slt r? OLR/COMP 3 15HP ItH:INEPATOR(DOM
DWELL.1.1"116# 1 E(1.R/C M, 15 :31114HP INCINERATOPWOM
r1WL TYPE GAS XR/COMP 39-!SW w REPAID Will's
Mi:x. IHPI)1 01-R-CUMP 1500111 OTt1FP
F'IF'E 1IMPR9? OAS PH11"1 0111111.1711; 1
HI(Hi 1IRFS17
1.I1N PRESS?
1?f MAph.5/
r+�-iweuw ui Ay:?NO3
! FE'So
W MIl1-F'R .101 PEPMIT itrt.t
N Pn Box 23041 PLAN PEVIFV Ill t.
1tCw1RD Up, 972;1 ! 1 i+(Tr)t�F9 i3'S.AiN
4TAIL 1Ax
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T 1 1-1.1 HE A T I NO 1K.
R 15550SE PIAllA AVE
A CLACKAMAS OR 97815
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T PNONE (;5A T) P43-1164
q REGISTRAT l(M h4). 447 Tllifd r i`rR.`rN
RFCF IPI Nr).
This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes. zoning regulations kEl1UINFq IN&Pf1' 1 If11tr
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and 0A9 1.INF.
specifications and in compliance with all applicable codes and P11119 IMAM
ordinances The Issuance of this permit does not waive restrictive P011,101-1 iN
covenants Contractor and subcontractors shall have current city F INN
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
J
Permittee$Mature
Issued By —1—,ii1Zi_
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Lto"BING PERMIT
CITY OF T167A RD *�, t'1'RMFT NO. a PL9924g3
C".,OF"GAO
COMMUNITY DEVELOPMENT .)EPARTMENT 1'E I43SUEPi 11 '�7/l14r
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,O:ego.t 97223,(503)639.4175 � V tM.PMI.NO. 8424 3:'
— v
111t, APDRE'SSt t5443 EW 619T AVE
1AX MAP/1-01 261 12" 511912 1491f oRD MKS I I OKI WA
1 AND (;SE r 114.5
t.0r SSIZE$
• 1 TFA I Not Np 1
W)RX CLA`;iSs 14LU WATER CLOSET 3 rRAP
U'I TY1+1 SINOL.E FAM11.1i URI1*il, #WFLOW PF(VNTR
CUH&I.T'aPEv Vhf LAVORATORY 4 tRNP PRIMER
OCC11P.ORP. It R:I 1'11JEl S1N1WtiR 3 f.1Rt:P,SF. 1RAPS
01 9HW ISHER 1.
OARPAUF. D I SPOSiIAI i
N0.I1TORIEtiSr 8 WA15141146 MACHINE. 1
IfM�LL.L1MIi8r i LAt1NI►F.Y TRAY at DfI.0RAIN !tr13f
1100P DRAIN
SINK (F1)
WATER HCAIER t STORMiPiAtH tri t
OTHER
RE NI*;^:'3 r
To-1+'•UO of 89e963
O
IN MILLER JAY PERMIT 5+14.'.!!4
N PO BOX 23291
R FP
TTUARU OR 1"II F IxtURES
STATE TAX 07. 34
_ 0TW.R
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o WA11S YF►
T YEN WArTSi PL.U1961W.
q po BOK 234921
4
C HI&I'd or 97PP3
T PN,IW (103) 664 6686
Ct
R PFf0ti1Pi4r1(lN Net.. 430878 101A1.t $154.AM
This permit Is issued sub)9ct to the regulations contained in Title 14 Kr.lrrlPl NO.
of the TMC. State of Oreg,)n Specialty Codes,toning regulations
and all )cher applicable codes and ordinances, and it is hereby Rkt")INE'fl I4SPFt7TIONS
aptued thRt the work will be done In accordance with the plans and PLP.tJH14RS1 A8
Specifications and in compliance with all applicable codes and P041 8 BF'AM
ordinances The Issuance of this permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city C+l 11. tfK`Thll
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 RA iIN DMA I N4:
abandoned for a period of 180 days any time after work has FINAL
commenced It shell be the responsibility of the permittee to assure
all required Inspections are requested and approved
7
Issued By I i Ilk I N3:pil 11 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF TIFARD
PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENTilc
" PLAN CHECK N
13125 S-W.H«II Blvd..P.O.floT 21397,Tq. 4n�9a+lr1223,(so3)63g..�j+s PERMTE N
DATE ISSUED _
JOB ADDRESS: -�--�-S yy S,W }r a l/P TAX MAP/LOT
SUB: q 3 LOT: LAND USE:
VALUAETON: A :•'y O
OWNER SPECIAL NOTF3
NAME: _— REISSUE OF: ��n '� '
ADDRESS: _ LAST REISSUE:
FLOOD PLAIN/
.______—`_ _ SENSIZ IVv- LAND:
PHONE -
- APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME : Ta_ Z-y l7 1 er fluilder , Inc- ENGINEF_RING: __^ADDRESS: P.O,_Box x291 _ _ s IRE DEPT
Tig.rd, 01 97223 OTHER: _— —
PHONE . __ 684_7543 ^-_ ITEMS REQUIRED
BUILDERS BOARD N: 30109 EXP DATE: t _1N-R3 LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME : TRUSS DETAILS:
ADDRESS: _ _— OTHER:
PHONE :
COMMENTS: -i.P 1j,4
SUBCONTRACTORS: PLUMB: -Yen Watt s Plmb. 50878 MECH: Bell—Heating 00447 11-2,41 °tc>
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
- 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10--431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5x)
Building
Plumbinq
Mech 7•Z
10 433 00 Plans Check Fee
Building _
Plumbing
Mech _
30-202 00 Sewer Connection 5,
30--444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 06 Fire
TOTAL
R E C N
APPL.1CAML R1=
Received By: _ Date Received:
cn/3587P/18P _ =