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INSPECTION NOTICE
City of Tigard P,liming Department
P.O. Box 233b
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - /- - —_
Date Requested _ Time A.M.y P.M.
p�
Address _-'�`� `p Permit # Lll._._
Owner- �_r G �`/ Lot #
Builder
The folly ving Building Code det ciencies are required to he corrected:
Presented to Approved
Inspecto �_—�- _ __-.--_-- �J Disapproved
Date
CALL FOR REINSPECTION
❑ YES ONO
BUILDTN(.3, PERMIT
CITY OF TIFA RD PEI-IMT.1 NO . : BU8805-4,18
COMMUNITY DEVELOPMENT DEPARTMENT ORkooN
.
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oragon 97223.(503)639A175
'JOB ADDRESS : 15976 SW 81ST Cl'
TAX MAP/LOT VS1. 12CC 6000 SUB: BOND PARK PFI Z! I-.1' :k-18 BK :
LAND USE: RIP
LOT SIZE : VAL.tJA*T*:r..:)N : 10 66 ,P-00 S 11iii-T*0 A CK 5
F'RON 2,5 REAP: 6
WORK CLASS : NEW UWELL.UNITS : 1. 9 PIGH T : 34
USE TYPE : SINGLIX F'AMIL.Y NO. BEDROOMS : ;:1.1:1.1 EXT . WAL.L. CONST :
CONST . TYPE : VIN NO . BATHS : P N: S : E W
OCCUP.GARP. : R3 PNOT .OPF.-In.NGS :
OCCUP.LOAD N: In E: W:
TOTAL AREA : 1.X160
NO. STORTES : 1. IST : 1.4460 ROOF LONST : C i-"IPE PET7
HEIGHT: 16 2ND : APE-':A SEPAI47 PATE D :
BASk:MENT'? 3RD: OCCLIP. SE:PAR*? RATED:
MEZ'..ANINE.'? BASEM'T
1*7LOUR I OAD: AO (.,APA(.;E : 100 FIPF--: 53PPKI-117 ALARM?
'A-Ow GIPM) YES
My AX 3'Y 12E G" I.-I VXI P--AIGLA;�� GORRI?
PLAN CHECK BY : r1i.
I:H.::MAAKS :
PEISL.*3UE OF' NO .
LAST REISSUE
0 IF E E,S
W W A Y M I P F., M E.I VIN JR PERMIT *:'334. 00
N :1j)Fizi"5 sw L)avF-.:p (:.I* . PLAN r4E.V)'E:.'W $21.7 . 10
E
R t J.UaLrd 01, 9*722-1 1 IRE L)L-:.Pl'
PHONE (n0Z4) 639-67412 STATE TAX *1.6 . 7
OTHER
C DEVELUPMEN'T CHARGF`.'.S
O
N WAYMIAE Mt--,L..VIN JP SDC(STORH) $250 . 00
T ME.L. WAYMIRE 5DC(STREET) $600 . 00
R
A IOFJA35W 1)()Vr--".I7 C'T' . PDC(*E $2.50 . 00
G tigaLrd car, 19,722,01 PRE:PNID < 41:1.00 . 00)
T
0 PHONE (503) 6:39-6'74'..:".
R PF-GISTPOTION NO, 35976 TOTAL : $1 1567 . c,30
This permit is Issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is ticieby MI;_;:QUIRED MiPECTIONS
agreed that the work will be done In accordance with the plains and F*00 1*I N S E W I-'.R
speciflcatiomz and in compliance with all applicable cudes and FOUNDATION WAI L RAIN DRAINS
nrdinarices The issuance of this permit does not waive restrictive POST & E)r--:AM WATEP LINE'
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and PLB.UNDEPSLAB CITY APPRCH/SW
void it work Is not Matted within 180 lays,or it work is suspended or SLAS FINAI
abandoned for a period of 180 days any time after work hat
PI S. TOPOUT
commenced It shall be the responsibility of the permittee t assure F'nAMING
all requited inspections at equest d and approved FIREPLACE
GA 5 1 1 N F:-*
INSULATION
4 UYP . BOARD
P m Attee Signature 1=7
Issued By - I t — -T-*—0 f 4 IN5 Pr--t-I-T ON 3q•-.417`5
SEPARATE PERMITS RE0011RED FOA WORK OTHER THAN DESCRIBED ABOVE
A
CITY OF TIGA D 1:)LUMBING, 'PL N80
PE'14MIT Na. : 8I5'T
,19
CITY OFTWAIM
COMMUNITY DEVELOPMENT DEPARTMENT 041GON DATE ISSILJE.D: 3/301"fi
13125 S.W.Hall Blvd-PA.Box 23397.Tigard.Oregon 97221(503)639-4175
Ily
PPIM PM*11
JOB ADDRL;!;: 1.LWr61 SW 81.57* CT'
TAX MAP/L.OT k !l 12CC 6000 451JIB : 1.'sOND PARK PI-1 A T f?)(:) 1:.3 K
I.-AND L151:-" :
1 (11' SIZE:
ITEM: NO: NO
WORK C'LASS : NEW WAIEP CLOSET (P TPAF"
USE TYPE: F,AM(.1 y URINAL V%4KF*L-(3W PPVNTA
CONST . TYPE : VN L.AVOPATOPY 2 TRAP PRIME-`.R
OCCUP .GPP. : 1-43 TUB SHOWER 2
DISHWASHER 3.
GA11BAGE DISPOSAL I
NO. STOPIES : I. WASHINC3 MACHINE .1.
DWELL..UNITS : 1. L-AtJNDPY TRAY RLDG. DRAIN (DIA
FLO(JI-4 DRAIN
S.TNK I Sl'.-WEP (F:'Lr)
WAT'E'R HFAI F'J-4 1. STOPM/PAIN (FT I
OTHER
C) F IVES
W WAYMInE, MELVIN JH PERMIT 1
N 1.0843 SW DOVER ur .
E
R tigard nr 97P.P3 FIXIL)PES
PHONI-': (503) 639-671R STATE 'TAX 1115 LIS
OTHER
C
0
N WATTS KEN
T KEN WAITts P1 LIMBING
RI
A9
P0 BOX 230e5
C tigaLrirl at, 97ep.3
T
0 13HONE (503) 684-6626
t R I REGISTRATION NO. 5087FJ TOT
This permit 15 issued subject to the regulations contained in Title 14 PECEIPT' NO.
of the TMC, Stale of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it is hereby PEQUIPED INSPECTIONS
agreed that the work will be done in accordance with the plans and PLE).UNDEP51 A FA
specifications and In compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city WATER LINE
business tax permits This pe:mit will expire and become null and PLB. TOPOL)r
void if work is not started within 180 days,or it work is suspended or 14AIN DRAINS
abandoned for a period of 180 days any time after work has F I NAL
commenced It shall be the responsibility of the permittee to assure
all required insp sted end spiro d
tions are req a
_ � ave
r it ee larialwF,
7
Issued By CALL F INSPFCTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
I X I
IZ,11i'1111:1 1* NO, MES80350
C11YOFTIGARD 3/30/88
"YOFTWAM
COMMUNITY DEVELOPMENT DEPARTMENT ORIGIDN 1::'I--41:M FIWI' .NO. IE1180('5410
13125';,W Hall Blvd.,P.O.Box 23397.Ti ars:.Ore VY503)6394175
g
J_igp'i?72
1r
1A M04-1/1-OT 251 12CU 6000 SUH: BOND F)('4PK L-T 88
HK
I AND UilE
1'.(IT 5 3:'.'.E.
T 7.1:M NO : NO:
WDEW CLASS : NE".41 FURNACE <1001< ATR 1-10W.A..1141 <10
U%;: TYPE: SINGi-L'. Ff-4MIl.-Y FURNACE' 100K+ ATIr4 HANDLR 10;'
C:f.1'J't TYPE VN
FL(7On FURNACE F:.VAI' . (A)GLEF4
OCCUI.) . GRP . : IT HEATER VENT FAN 3
VENT VENT' . SYSTEM
8L11/(,'OM1) 131-417) HOOD 1.
NO. c;TOPIES : I E11...11/( OMI:) 3-151-11P INCINEPATUR(DOM
DWELL .UNITS : I 13111-11/cOMF) 115--301-110 INCINEIIATOR((,'OM
F*Ul-':L.. *I'Yr)E GAS 81-11- /COMP 30-50HF) FIEPAIR UNITS
MAX - :1NPUT BI r41(:.'Omp 50+1.1p OTHE'll 2
FIPE r)mPnS7 GAS
HIGH l"RESS7
LCZ P1'4E"5'S'
WAYMIPE ME.LVIN J14 wnmrr iq 00
0 J-08A5 SW DOVES1 Cr . I:)LAN REVIEW $:1.0 . 13
W tigakr,d a 1" 97 2 23 FIXTURES $30 . V$o
EPHONE* (503) 639-67A2
STATE TAX Ipra 3
R OTHEr.1
C IiPECIALTV
0
N 9*39*1 (5141 TIGARD
T tigatrid 13 r 9'7'23X.3
R
A r)HONE' 150*3) 620-56A3
C ,REGIST14ATION NOAF331,1
T TOTAL.
0
R
PIF.CE I P'T' NO.
rhis Permit is Issued subject to the regulations contained in Title 14 Elli-EQUIRED INSI:)ECT TONS
of the TMC, State of Oregon Specialty Codes.zoning regulations GAS LINE
and all other applicable codes and ordinances, and it Is hereby r)OST & E)EAM
agreed that the work will be done In accordance with the plans and POUGI-4—IN
specifications and In compliance with all applicable codes and FINAL.
ordi,ionces 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 if work Is not started within 180 days.or it work Is suspended o•
;abandoned for a period of 180 days any time after work has
rimmenced It shall be the ressibility of the permittee to ASSUre
n
all required ins action re re nested and appro
ermittee Signature
CAL I 11`1111'1 INSPECTION 639-14175
Issued Ely
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N"M WEI
SE'WE-P PERMI'r
V:IERM IT NO. : SE8130551
CITYOFTIVARD
Tcnnol OF IWA 0
comr4UNITY DEVELOPMENT DEPARTMENT OREGON DA'T'E: ISSI.JEL): 3/30/88
13125 S.W.Hall Blvd.,P.O.Rox 23397,Tigard,Oregon 97223.(503)639-4175 P P T M- F-`MT.NO. 880546
JOB ADDRF-55 : 1-5976 SW 81ST CT USA NUOIBEP: 35113
TAX MAP/L.OT 2S:L 12CC 6000 SUB: BOND PAPIK PH *1 LT:88 BK -
LAND USE:
LOT SIZE :
SECTION: P. 'TWP : 2VI PNC : Iw
WOPK CLA$S : t,!I::'W
USE FAMIl...Y
mil;lr•eew tl:j (�nlnjtilly With al'I'l. al-nd of thoi Un:I.T:I.e(J
(-*Sqency . ""F-1 P*-:"-M" (exP:"`ell1 1.20 (JaYffl fl-olai ti-io dai :11111MILled . 'Tl-tic- total
wi-11 h". Tor,feited if thr'..? pel-init eXf)J.l*,e?ffi . 1*11e Aqe�noy clnollii not j)ttar
aLntP)*1 thIE4 it.oc-'I'll"ac�y of tI-lW4 1RIL
0Cti-011 43-1' the lili(!" ta ew(.-?r, .1.a t 4+r,at'll.ju . IT tl-1*-.4
not :h:)c!rat4F.-)(J alit the given , tl-ie
dii"r:-;�cztjonm from thea
.5
CliffitAl-11-0 given , .[+ not sin J.I:JQflLt0(J , thim institalIe?l-
at A(4er1(-.!y wi.11. instat'L'I. as :lmt.!lrara.
F- INSTALL , T*yi:)E.- :-14U:LLDIF,'-U-(.iEWE:p IMPEFIVIOU—SARE—A:
FIXTUPE LINT'rs : 'TENAN'T IMP1770VEMEN*T :
0WI;;:LI-ING UNITS
NO. OF HL.DGS . 1.
FEES :
0 WAYMI RE ME:I-VTN JU PEPMI'T *3°1 . 00
W 108415 SW DOVER Cl' .
N (AINNEC7*10N (',I-IARGE *-L 100 . oo
E LIN11i": I*AP 3:11SISTALL .
R PHONE-" (503) 639-67d'l;.'?
C WAYMIPE. MELVIN OR
0
N MEI WAYMIRE
T 1-08413SW DOVER CT.
R
A tiquLrd or 97P.P4
c PHONE (503) 639--6,1AL2
T
0 PEGIS'TPATION NO. 35976 TOTAL: 0
N
REcEip-r NO.,3
This permit is issued subject to the r-igulations contained in Title 14 ......------------------
of the TMC. State or Oregon Specialty Codes. zoning regulalionti, e1EQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it Is here5y POLJ(.',H--IN
agreed that the work will be done in accordance with the plan,:and
specifications and in compliance with -ill applicabIL codas a1
ordinances The issuance of this permit does not waive rrtstrictive
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 it work is F,uspended or
abandoned for a period of 180 days any timi- after work has
commenced. It shall be the responsibility of the permitkqe to assure
all required inspection are req
sled and approved
,
ermittee Ignature
Issued By L CALL FOR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
R F W T a
CITYOF T16AwRD
COMMUNITY DEVELOPMENT DEPARTMENT (Cff �°n6ARD PLAN CHECK APPLICATION
1ai2sswwuo►+a�.o.eo�zxioT, uaoN PLAN CHECK # 3. 3dr
t�.�d.a�„c�zr�003)M4175 PERMIT #
DATE ISSUED
JOB ADDRESS:
SUB. TAX MAP/LOT o? / /
# 4` __ _ Q'JC�
VALUATE N: hOT: = LAND USE: i L
`�'� HSETBACKS:
IGHT:S: FRON7._ -� Rte; RIGHT.
WORK CLASS: � HEIGHT: - ' � LEF T- _ C�
USE TYPE: FLOOR LOAD: TOTAL AREA: /v .-)
CONSTR TYPE: --4: HEAT TYPE- 2 1ST: -
OCCUP GROUP: 2ND:
DWELL/UNITS:
OCCUP LOAD: 3RD:
NO BEDROOMS: —`
NO STORIES: NO BATHS: BASEMENT:
IMP SURFACE: _ GARAGE: leo
APPROVALS REQ'D SPECIAL NOTES
PLANNING: ITEMS REQUIRED
ENGINEERING: REISSUE OF: LIST SUBCONTRACTORS:
LAST RE'SSUE: BUS TAX:
FIRE DEPT. : FLOCD Fi.AIN/ r--
OTHER: CALCULATIONS:
SEN LND.: TRUSS DETAILS:
PARKING PLAN:
PLAN CHECK BY: LANDSCAPE PLAN: -
COMMENTS: OTHER:
ACCT
OWN11R DESCRIPTIpN AMOUNT
NAME. 10 -432 Building Permit Fees
�- ��Y!»ia 10-431-600 Plumbing Permit Fees
ADDkESS:� ,�_YS �— 10-431-601 Mechanical Permit Fees 5C�
'�� 10-230-501 State BuildinC Tax (5%)/,,
P NOHP NOH Btr10-433 Plans Check Fee
y "L_ 30-44.3 Sewer Connection (20X)
30-202 "ewer Connection (80X) `�1 fJ w
CONTRA:TOR
NAME: 30-444 Sewer Inspection
ADDRESS: 51-448 Street System Dev. Charge (SDC) �
52-449-610 Parks I System Dev. Charge (PDC) �- c�ac"
52-449-620 Parks II System Dev. Charge (PDr)
31-450 Storm Drainnge Syst Dev Chrg(SSDC)
PHONE: 10-230-505 TRFD (951)
ARCH/ENGINEER 10-435 TRFD (5X)
NAME: 10-2.30-506 Washington County Fire O1 (95X) S
ADDRESS: 10-435 Washington Cotinty Fire #1 (52) �
10-?20 Amart/Wedgewood s
PHONE: - TOTAL
l`''J a K? -• �'b U S y y PREPAID
f6 ossa �- / )Z' fk�,
.5(p.0v `� SSS REG ! ..
4A, � BALANCE DUE
APPLICANT SIGNATU
/r
Received By:- �/LC JT- ,C,
Date Received: (c O /-�