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INSPECTION NOTICE
City of Tigard 91.19dinn �)ti artment 7'
P,O. Box 23397 (�
Tigard, Oregon 97223 U
Phone: 639-4175
Typo of Inspection O
o,
Date Requested /y Time A.M. P.M.
Address 1r J �� �� -� l Permit # R ?
Owner Lot #_
Builder
The kJowing Building Code deficiencies are required to be corrected:
LJ 16y-Cc C+ —
k .3 i Z- SN
Presented to ---- +� Approved
Inspector — _
� Disapproved
Date
CALL FOR REINSPECTION
D YEi C NO
CITY OF TI17A RD 4, BUILDING PEPM11'
MYOFTWAID No T3153
1
COMMUNITY DEVELOPMENT DEPARTMENT OREGON IJl
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 L.DOJE TLjSLJIED . 9 29 1 DO
1 3
JOB ADDIAHSS : 1595A 5W 83.51' CT
'TAX MAP/[.()'I' 251. 12CIL, 5900 SLA.3 : BOND PAPIK /I L'r : 67 BK :
LAND tJSF.:* . P 1.
LD'r SIZE : VAL11AIJON . s SE TRACKS
F'RIONT - 20 PEAW: 6
WORK CLASS : NEW DWEL 1. -LJNI'I*5 : I L..EF*T* : 15 AIGI-11' : 20
USE 'TYPE: STN(3L.1--: FAMIL.Y NO DEDP')(:)MS : 3 EX*T ..JALL C,014ST :
(:ONST . TYPE : VN NO. BA*T'HS : 3 N; 5 : E W
0(*.X,UP , Gpp. : 11,3 P1401' . L)PENINGS :
0000P-LOAU N 5 E W:
'TOTAL AREA . 1.1575
NO. S'T'ORIE$ : 1.S : 79A POUF CONS'r: C F'IPE 14LI'7
HKIGH'V , V0 2ND: '781. AREA S1--:PAA? pit I ED:
HASF.:Ml::'N-rl? 311-41). OCCUP - SEPAR? PA'I'EU:
MEZZANINE? BASF;:M 1 1, eIA0
FLOOP I UAD: 140 GAPAGE Z11410 I .[ISE SPAKLA? ALAPM?
FLOW(('.-;PM) YES
1::'l AN LA-Ki lK BY : rlt
PEMAPKS :
PEISSLIE OF* NO .
LAST" PEUSSUE
0
W WAY1111M ME1 VIN J11 Pl--:PMVT' 11111*3419 . 00
N
E I 011-1A15 !..iW DUVE"R CA PLAN REVIEW 0226.85
R e,-1.g ak v d 1-144C. DEPT'
5'TA1'L* 'T'AX 1915
(:1'1.1-11.:R
C DEVELDF)MEN1 CHAPUL'Ai .
0
N W A Y M I F-4 L.*. MI�'..11-VTIN! J1."! sin,lis-ropm) $R50 . 00
T ML:L WAYMI PE SDG( 51,1:1EE-1,) $600 . 00
R 11
A .00415SW 1XIVER 1:)DILA44? 1 41230 . 00
C t.i.ym 1,cI PREPAID < 101.00 . 00)
T
O PI. ONL'. ( 303) 63li--6742
L R I PL-G141WAIAON NO . 359-76 1(XTAL. : $1 ,593. 30
This permit is issued siftilect to the regulations contained in Title 14 PENIE I Pl*r NO
of the TMC, State of Oregon Specialty Codes, toning regulations
and all other applicable codes and ordinances, and It Is hereby 11EQUIPED TNSl-,AF(:-T IONS
agreed that the work will be done in accordance with the plans and SEWER
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit doe-> not waive restrictive FOUNDAI TON WAL.L RAIN DPAINS
covenants Contractor and subcontractors shall have current city POS T & ULAM WATEP LINE
business tax permits This permit will expirr,and become null and PL8 . UNDLASL.AH (.;I'T'Y APPP(:H/SW
void If Work Is not started within 180 days,or if work is suspended or SL AR F I NAL
abandoned for a period of 180 days any time, after work has
PI B - 1,C)POUT,
commenced It shall be the responsibility of theflirmittee to assure
all required inspections are questerl And a Zed F-PAM I NG
F I Pt PL
GAS LINK
T NSUL.ATI ON
GYP . BOAPD
Permittee S gnature 9C
Issued By
CAL L. F('1111 INSPEUI ION 639-41 7!'.1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBIFU ABOVE
CITY OF T'17A PERMIT
T N() . : SE6918,q:1.
RD
COMMUNITY DEVELOPMENT DEPARTMENT MGM DATEi: ISSUEE) : 9/eg/ee
V 125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 PRIM. PMT .NO . (301(33:.3
..)(:)rel
0B AUDPEPI SS : 1595A SW GIST CT LISA NUMBER: 0364439
1')X MAP/1"OT SIRCC S
3900 UU: 1:1,0ND PAPIK el LJ :87 UK :
l..."OND USR: A I P.
SIZE -
!;ECTT(Xj 12 Twp: 2ill RING: 1W
WORK CLASS : 11911W
USE IYPE : SINGI FA M I L.Y
Ther ar'p,eelo tEl uninply W:!,th all. ai'icl re gLilaticiniii af thiii)
--Ie P -In J.t
!:ivnwcei--irtqa Agwiic-y .. I'l eXp:i.I-fP,.II1 dor,01 fr'clln thea date i.illstaetti .
fitinvil
1 JI'll, IA!k:I-cI WJ.11 loca J.-P thea pel-111:1-t v3xpli-I-01i . 'The? Aqr.,ricy chiew licl-L
Kiltee thG' MUCI-11111,C4 (:)-F thv. IM-Natioi-I of the 4111-cio 19k1well If the iniiinwel- :1.%
Ilat lacaolwrl at thea CIJ.i/ari , the, j.ii%taller, rill-iijo.1]. ,j -roma-i, :I ,,
all. di.i-Aectiai-om fi-am the cli91t.noric!4l, 41:1.ven . .1f 11C)t 111111 lacated , th*71 .1.i-iistallel- Inhilli.13,
inlor-chatie at "Tar.) and Siicle Gowiiol,`" 6-1QI-,Il4j.t ill.11C.1 them A5,pRitricy wl].]. J.iiiqtall. a
L
.iA,4s,rAL.I.... TYPE : BUILMING l'Aii-WEP IMPERVI(3tis APF:A:
VIXTURI-i: UNITS : TL".14ANT '.1.MPP0VE.MF:NT :
I.)WF*.:LL.ING UNITS : I
0L.DGS
F,EES : vJ
0 11AYM:1 RE Mr.--*Ii.V r,N PERMIT 111135 . 00
N 108,qn, 5W rouvrim CT CONNECTION CHAPGE Ip 1. , :1.0() . 00
E t J.9 ak I--cI too, I INE TAP INSIAL.L. .
R
OTHER
C
0 WAY11 I.r4F-: MEI-VIN JP
N MEL. WAyMj:pE:*
T
R 10[m,55114 DOVER C1
C A t I giliol-`(j 01-- 9*722A
T PHONC.'.' (503) 639-67412
0 ni-i'LaSTRAT10IN NO, 33976 TOTAL: $1 , 135. 00
R
"E'CEIPT NO.
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations PE111(1 J 'D TN.JPECTI()NS
and all other Applicable codes and ordinances. and It ii hereby
agreed thall the work will be done In accordance with the p'ins and PL)t.)(',,H--IN
specifications and in compliance with all applicable code, and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have cuiremt city
business tax permits This permit will expire and become null and
void if work isnot 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 ar req asted and approved
re
er AI q natu
M,tt.,--�o-
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHI-':'A THAN DESCRIBED ABOVE
MF.::C:I•;r1Nl'C:AI_. Ph'NMT T'
CITfCI F' ■ UFAA PEiPKI''T NO. : MI:-f:eI13A0
cm of nr�am
COr-AMI;viTY DEVELOPMENT DE:PARTNIIENT O410ow DATE ISSUED: 9/29/88
- - 13126 s.w.Has Blvd..P.O.Box 23397,Tigard.or"on 97223 (.W3)939-4175
---- ' I I I::'n x M. PM'T'.NO. (3113 a 63 3
J(:1E3 ADDPESS . 1.995A SW 11315T (:.l — ---
..__
TAX MAP/l..rYI- 2S1. 1.2CC: 9900 SUES . 60NI.) PARK (I I...T . 11:3'7 IaK
I.-AND USE: R1.i
I.(7T S I ZF,: :
ITEM: NO: NO:
WOPK CI .ASS : NEW F=UPNAC:E. <1.00K 1. A:I:P HANDLP <11.0
USE TYPE : SINGLE E F"AMII...Y FURNACE 100K+ All' HANUL.14 101(
CON!:ST . T YI•:,k:: : VN F1 DOP r.7URNACE F.CVAP .C:tJ0L P
000.".1P . OPI:). : P3 HE.A'T`EP VIr:N'T W'AN (I
'JI•.::N'1' VE:N T' . SYSTEM
E311_R/(�OPiI <:3Ht' HOOT) 1.
NO . STORIE:S : c' FILL/COM1=' :3 1.:51-IP T.NCJNE RATUP(DOM
DWELL .UNT.T!ii : 1. BLA/COMP 1.15• 30HP INCI:NE PATC14(COM
N'l.)EL. TY!»L CTAS I3L..P/C;OMP 30 :50HP FTI PAIR UNITS
MAX. TNPU T 1:3L P/C:OMIy ;9011 IF' (:)'THI-N
r: :Ewr.: I.)Mpris.-t GAS; PIPING OU'TLE::TS l
H I:G"H PPESS?
L-C)W PWF*.'SS7
L
NtE::MAGTI<!a
I=:ECS : —
O WAYMIPE:: MELVIN JFI I I�)F 1MI T 1111.0 . 00
W 1.00A.5 SW DOVEW C111 I I-.AN P V:I E-1:W 11:1.0 .88N t
E i.laarr �i r�r I I XTURES 11133 .90
R ':;TATE: TAX l?. 1.113
0 T'HF:A
C MAII-ISIS ;�OF�MrtN
O
N SPFIAL.TY F'AFIPV;ATTON
T 939/1 SW 11 1C A14D ST
R
t1Srs.t^d ar• 97ap..:3
T PI•IONS ("303) 6,R0.-5(,A.'J
O PEGNATPATt:;.1N NO . (111.331.3 TOTAL..: 11111w56.53
R
K7F_-xF:1 PT No.
This uermit Is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRE:) 1N":SPE'LTIONS
and all other applicable codes and ordinances, and it is hereby GAS I...INE
agreed that the work will be done in accordance with the plans and ()C)ST gr ,REAM
specifications and In compliance with all applicable codes and F3t.1r)(alt-1N
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city F TNAL.
business tax permits. This permit will expire and become null and
void if work is not started within 190 days.or if work is suspended or
abandoned for a period of 190 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspectruns at request d and approved
ermittee Sig!eture ,� �/�! -
Issued By _ J6Z4J t'nL.l_ F'OR INSPE. T':EON 6:39-4179
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
NG l:+-PM*l.1*
CITY OF T'SA PEIQMI:*r NC) . : Pl_t:3e.1.(-3,-jq
RD
C17YOFTWAIM
COMMUNITY DEVELOPME N'TDEPARTMENT 011100H DA*TE,. 15SUED: 9/29/80
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 P 1 t 1.M . PKV .NO. 881833
J(38 ADOPESS : 15933 SW L-'JJ!5'T CT
TAX MAP/1-01' 251 1AKC 5900 SOL' - 13MI41) P,niPl< (I L'T' A I I::-I<
LAND USE : P 1.2
I 11'r SIZE:
I'T'EM: NO: NO :
WORK CLASS : NE.W WAII-EW C1.05E.-T 3 1 14AP
USE: 'TYPE: SINGI-E FAM11 Y UPINAL UKIFI-OW PPVN'rP
C',0 N ST . T YP F VN I AVORA'FORY '111AP PRIME H
0 C C U P. G P i.*) P3 I'M SHOWER 2 rPAP.i
131!.-MWASHE:P :1.
GAQHA(;*.' DISPOSAL I
NO . 51*0PILS : V WASHI�NG MACHINE 1.
DWEI L .UNI T*S : 1. LAUNUPY 'T'Ret r 1 BLDG. DRAIN (01A
V1.00P DIPAIN
SINK 1 SEWER I F-11
STORM/PAIN (F:'T'
REMARKS :
WAYMIRFr. VEE5
0 PE,Jmll, $1417 '50
W 1.0845 !1W DOVER 1:11' .
NI
E t.:1 il;1 61r:1 X
rill FAII)RES
M-11
5
C WA I'T'S KM N
0
N 1(l:::N WAI I!; PLUMBING
R T I:713 ROX 2301925
A t:11.1:1 W.I"Cl tar 1972e3
C- 1:110NE (30.`. ) 684-61426
T
0 PE(v:rS1PA'TJ0N NO. 30678 4.1. 54. FJ0
R
WME'I P N0 . /00
This permit Is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes. toning regulations REQUIPED INSPIECIJONS
and all othei applicable codes and ordinances. and It is hereliy PLO -UNUEPSLAS
agreed that the work will be done in accordance with the plans a-,d POS T & REAM
specifications and In compliance with rill applicable codes and WAIL P L INE:.
ordinances The issuance of this permit does not waive restrictlile
covenants Contractor and subcontrFCtors shall have current ci,y
business tax permits This permh*il expire and become null and PAIN ORA.' -,IS
void it work is not storied within 180 days or If work issuspended ur F*INAI
—
abandoned for a period of 180 days any time after work ties
commenced It shall be the resuInsibility at the permittee to assure
all required inspection)are req sled and approve
Per w..(tee Signature
OR
ls%jed By� UN 639--.4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
41
�. h' PLAN CHECK APPLICATION
CITY OF T117A RDI PLAN CHECK
h��
� CIIYOFTIG.4RD PERMIT N
COMMUNITY DEVELOPMENT DEPARTMENT oQEaoN DATE ISSUED 4
13125 SW Hell Blvd. P.O.Box 23397,Tigeid,Oregon 07723(6(13)830-4176
JOB ADDRESS: 1 'i5'�' y �c✓' j/�j� L TAX MAP/LOT :2 SL/ 12 CCS S�'ll�
SUB: 1��., ,.� J .r� ; l LOT: -_ LAND USE: 2-
7-71 ,56
OWNER 1 SPECIAL NOTES
NAME: RE�S' JE OF:
ADDRESS: _ YS_ =/�% ��� ' c LAST REISSUE
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: (';. lJ C��i% 2_
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: �iI/f� _ ENGINEERING:
ADDRESS: FIRE DEPT
-- OTHEP:
PHONE ITEMS REQUIRED
LIS1/SUBCONTRACTORS: _
ARCH/ENGINEER ! BUS TAX:
NAME: iC- J-111"'t—d'I CALCULATIONS: _
ADDRESS: c' 1 ;! '- ,� TRUSS DETAILS: _
---- '� 1- PARKING PLAN:
_ I_ANDGCAPE PLAN:
PHONE: C 1 / l J 2 M OTHER:
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD, BAL. DUE
?�1ejj 10-43? 00 Building Permit Fees �9 _
,S'Y Ik'39 10-431 00 Plumbing Permit Fees j q /, y 7 Sv
10-431 01 Mechanical Permit Fees j• 3c• u-3 .5v
10-230 Ot State Building Tax (54)
Building /;.-
Plumbing
Mech
10-433 00 Plans Check Fee 13
1. 73 0-i D O�� /�3 7. 13
Building
Plumbing
Mach ! �
30-443 00 Sewer Connection (20X)
30-202 00 Sewer Connection (80X;
30-444 00 Sewer Inspection -
51-448 00 Street System Dev Charge (SDC) 7c? Cc
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC) Z-- L)
31-450 00 Storm Drainage Syst- Dev Chrg (SSDC) 2 50
10-230 09 TRFD (95X)
10-435 00 TRFD (5%) -
10-230 06 Washington County Fire NI (95X)
10-435 00 Washington County Fire N1 (5%)
10-220 00 Amart/Wedgewood �- -
TOTAL
REC N A i 7
zz
y *�
A LICANT SIGNATURE _
Received By: i Date Received:
ht/338;P —'