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INSPECTION NOTICE
City of Tigard Building Departmem
P.O. Bc,� 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspections �'Z'1"` C__c ,
Date Requeseed �/ Time A.M. P.M.
Address I C-J. f2-
� � Permit
Owner Lot #
Builder __
The fullowing Building Code deficiencies are required to he corrected:
-71
7
- T
(,
f'--7
lOuy f cf�>.a
Presented to ❑ Approved
Inspector _ _
- - - — 21Diapprored
Date --- -- �—!
CALL FOR REINSPECTION
BYES [i] NO
f
INSPECTION NOTICE
City of Tigard Buildinq Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
f
Tvpe of Inspection
Date Requested Time- A.M. P.M.
Address - Permit
Owner Lot #
Builder ,_______
The follow�in"uildinq Code deficiencies are required to be corrected:
_777-
c:o e
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
iPJ YES Ll NO
4
INSPECTION NOTICE
City of Tigard Building Department
F.O. Box 23397
Tigard, Orego•i 972?3
Phone- 63r,.417ir /
Type of Inspection
Date Requested
Time A.M. P.M.
Address _ Permit #`
Owner -- - - fYlay —
L Lot # _
Builder _ �".•v
The
folllowwing-Building Code deficiencies are required to be corrected:
c
Sty
01
9�e
Presented to
`—" ❑ Approved
Impactor
0 Di:approves+
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
APPLICATION -- STREET IMPROVEMENT/EXCAVATION COPY TO:
El (WRITE)•FILE
ORDINANCE NO. 74-14 ❑ (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)• LAGENCY
p (BLUE)-APPICANT
APPROVED APPLICATION NO.:
NOT APPROVED p CI 11' 0I I IGARD, OREGON FEL: AMT. s
CITY HALL RECEIPT Nfi.:
PENDING FEE. PMT. ❑ -
PENDING SECURITY ❑ PUBLICWORKS DEPARTMENT BY —_--- DATE_1—L—I
PENDING AGENCY "OK" C3 .%pplICalion and Progrc55 Record
MAINTENANCE BOND F —
_
PENDING INFORMATION L7 FOR STREET IMPROVEMENT/EXCAVATION A; REQUIRED 0a
ANNUAL t]
PENDING VARIANCE ❑ EXPIRATION DATE: _I '
PERMIT NO.: c ,, DATE ISSUED _ _L- -1 BY:
1) APPLICATION IS HEREBY MADE 1-0 EXCAVATE FOR AND INSTALL
AS DESCRIBED HEREIN, IN FALL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT
NAME --- ADDRESS CITY PHONE
CONTRACTOR
NAME ApDRFB�- CITU -HON
PLANS BY _
NAME ADDRESS - CITY rMONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $
OOLLARS
. . .._..�_._. FOR Of FICE USE /, MIN.
(2) EXCAVATION DATA: _ 0.04 X s s
STREET ___ DESCRIPTION _ PROGRESS & INSPECTION STATUS
SURFACE CUT CUT CUT MATERIAL INSTALLED
NAME ITEM DATE REMARKS/TY'PE BY
_TYPE 1_FIvCITH WIDTH DEPTH ITEM 6 QUANTITY _
_ STREET
_ PINED
�J
INSPEC-
TION
Q
U --
E
ESTIMATED STREET OPEN114G DATE: S
ESTIMATED STREET CLOSING DATE: !—
_ D _
^STREET
(3) SECURITY NO. SECURITY AMT.: S CLOSED _
SURETY CO.: FINAi-
CERTIFIED CHFCK�� CASH ❑ BOND—
(4)
OND INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL > SPECIAL PROVISIONS !CONDITIONS:
FEATURES, EXCAVATION LOCATION AND EXTENT.
), f I' c S p ---- —
( 1 I I
Ar
uptl
I I I 1
(J) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANTPERMISSION '10 APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES. TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS TI-'E CITY AIJD
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLIC\NTS ACTIONS.
APPLICANTS SIGNATURE 1
DATE � /
H ■ w wAmxlq
INS E fTP r UN_ NOTICE
City of 'Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested—__—�
Time
A.M.Address � .
M.
Owner Permit �
�
2–
Builder -- — Lot #
The following Building Code deficiencies are required to be corrected:
1-- -
------------
f u
-
------------
Prevented to
Inspector —---- 44rplproved
Date r� � � �-- ❑ Disapproved
CALL FOR REINSpECT16N
0 YES C] No
W 9w
No. PLe70256
CITY OF T'FA RD AC ITYOF TWA rd)
'21
COMMUNITY DEVELOPMENT DEPARTMENT PRIM. 1.-.,M'T .NO. 870255
131 Blvd..P.O.Box 23397,Ti rd,,97yp 22�(5031639-4175
: 1.0,387 li:iv 11 97A
,JOB A
'(Ax MAP/L(Tf 1.5.1 _35AA 3700 SLJF-.i :
LAND USE:
L.0'r SIZE :
:VTEM: Nn: NO:
WORK C'I...ASS ; NEW WATLE14 C,L 1)S ET 2 TRAP
USE TYPE: SINGLE FAMILY URINAL UKI::'L..UW PRVN'rR
CONST .'T'Yr)i'-*: VN LAILOOPA T OPY P I RAP PrAIM1:::n
OCCUP.GRIZ-1. 1143 'rt.jB SHOWER R GPEASE TRAPS
I)TCiI-IWASHF.KP 1.
GARBAGE DISPOSAL 1.
NO. STDRIE!F : 1. WASHING MACHINE 1.
DWr-.11. .LIN IT S I LAUNDRY TRAY BLDG.DRAIN (DIA
F1,00A 0PAIN
SINK I SEWER (FT1
WATER I-4I-.:A1T.:P :1. STORM/RAIN (F T
OTHER
MOP I SSEl"TF AND PAT 1j)r-J:7 M 3:'T 1; 1..1. 1 0
0 7470 SW 76TI-4 AVE
W p n I"t'I Mt 1.1 cI mr. 19722*3 FIXTURES
N 1.1-40NIF (503) 2-16 8801 STATE TAX 11115 .00
F
R OTHER
C !.iAME AS (.)R(*.)Vl:;'
0 1.10 BOX 872
N
T imir 97030
R
A PH()NF:: (303) 667-t'781.
C 0"G.TSYNAITON NO. 2304'7 1 OTAL : 111111123 .3H
T
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..
. r
No.
._
7
Th9 permit is issued subject to the regulations contained in Title 14 1:11EQURE
"D IN'SPEC'T
IONS
of Ae TMC, State of Oregon Specialty Codes,zoning regulations PI-8 , UNDERSLAR
and all other applicable codes and ordinances, and it Is hereby Pus'r a BEAM
agreed that the work will be done In accordance with the plans and WAIE11:4 LTNE-..
specifications and in compliance with all applicable codes and PLB. TOPOUT
ordinances The issuance of this permit does not waive restrictive 14AIN DRAINS
covenants Contractor and Subcontractors shall 1ie current city
business tax permits. This permit will expire and become null and FINAL
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 pe mittee to Fissure
all required inspections are requested and approved
Permittee Signature CALL POP INSPECTION 6�49-41175
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PERMIT NO. : ME870257
Ci7YOF TIGi4
DATE ISSUED . 1.
CIrfOIFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT131 5 ORIGON PRIM. PMT .No. 8 7 0 2 5!5
H
P.J OBO,.U
23397,Tigard.O 97223. 503)639-4175
I S t -1 .7
1AX MAP/I.A)'T I.S1. 3151,110) SUB: LA, K
LAND USE:
I OT S:EIE: :
ITEM: NO: NO:
WORK CLASS . NFW FURNACE <11.00K .1. AIR IIANDI 14 (10
USi-_': 'TYPE: SJ:NG'Lr-*.. FAMILY FUPNACE 1001(+ AIR HANDL-P 1.0K
CONST . l'YPi::. VN r.:I DON FU14NA(AK 1;.:VoP . C,0011 r-.:14
143 HEATER VENT FAN P.
VEN'T Vri'KN'T . SYSTEM
SLR/COMP (314P 1_4000 I
NO- STODIES : 1. BI WCOMP 3-43HI-1
DWELL. UNI'TS : I BL_A/C',0MP 1.5--30HP INCINE34ATUR(COM
lm; I YfJE L;A!-') BLCOMP 30 5()1-11: r4EPAIP UNITS)
MAX. INPUT 19ILP/COMP 50.4 HP 0 THI-_*R
FIRE DIIPPS7 CJA!iiPIPING OUIL.ETS
HIGH PRE.SS?
I Ow 1:144ESt. ,
?
PEMAPK9 :
MOR ISSETTE HE AND PAT $1.0 . 00
SW 76TH AVE PLAN REVIEW 1117 , J.'3
W pt3rtland (:jr 9*72e.23 I'-,IxTuRES 1O .15 0
N PHONE (503) 246---6803 STATKE TAX 4 J. . /1"3
F
OTHER
C FOUCI SRASONS HEATIN(*.v'AIP C'OND .
0
N r)a ROX 664109
T 1a)oi-t:land mr, 97P.66
R
A PHUNE (503) 715--5919
C PEGISTPATION NO 49PE13 TOTAL: $37 , 05
T
0
R REc.EiPT NO.
This permit is issued subject to the regulations contained in Title 14 REQUIRED INSPECTIONS
of the TNIC. State of Oregon Specialty Codes,zoning regulations GAS L I NF
and all other applicable codes and ordinances, and it is hereby POST & BEAM
agreed that the work will be done in accordance with the plans and POUGH-I N
specifications and In compliance with all applicable cedes and F1 NAL.
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expite and become null and
void it 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. 1%shall bethe respont,Ibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature CALL. r-OP TW.iPFCTT0N 6-A19-117r)
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
W1 W-M
CITY OF TIGA RD ;I:
7
C1Y OF'11MIM
COMMUNITY DEVELOPMENT DEPARTMENT C, PERMI'r NO. SE870P'5B
L13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175
PRIM NO. 8,702153
JOB ADDRESS : 10387 SW (371+4 AVE USA NUMI3FA-1 : 3-4190 7
10X MAP/LO1' JSJ. 3.8AAA 3700 Ljfil: 1. 1 Ii K
LAND USE:
L..n'r c;TzE :
SEC,1*10N: 35 *TWI*) : Ili; IING: 1w
WOPK (:;LAS -i : NEW
USE 'TYPE: SIN(.*�,LFK FAM11-Y
fili;11'10100111, tc) C^C)Mj:)ly With I'l.11ein iarid ir,egmliatimriir r)f the. Unifivtd
Seweer-agir1 Agericy . 'Tho? rml-lnit 1.P0 dRY01 fF'113M th0? dUtR' 1.111114LIed . 1'he tOtAl
P110C11,111i, plikid will be, Tcll'fc.'A.tvsd JAI then cic)ci,:i ricit cloor,.-
iaritee the mc-cur"tcy c)f this 1cliczaticin cif the mide inewer- 1.otter,al.1iii . If tl-ivs 13owel" Iffi,
I-lat JI1CII1tiii :1 i"t the givo?rl ' thos irivitill" All-, 3 ill
ai directionti; -Ilr-(3m the dimtaric^e giveii . if iiat j IaLiated , thct ii-iiRtialler 110-IML11
jilL m.ricl Side. S*iwvtr-" Per-Inii, mild t.I1as1 Agerwy wi*ll iiiiiitiis].J, o 3.1iLtel-lal .
INS'TAL.L . 'TYPE: BUT I DINGo IMPERVIOUS AREA:
PJXTURE LJN:r.TS : 'T'E:NAN*I* IMPROVIn-KMENT :
DWEIJ ING' UNITS :1.
POE). Ol F)11-98�i , i.
W F'EES :
N mc)n i: s F.:*t r E ANU IJA*11 PUMT, 1111,31111 . 00
E
R 7470 SW 76TI-I AVE CONNECTION GHARGE- $1 , 100 . 00
p ri r,t1 a I'l d cw 97P.P3 LJINF: 'TAP INSTALL .
(YTHFi:P
01
N
T ma R 15 s[:.*.r*Y*r-. HERB AND PAT
R HEAD MOPTSSETTE HUMS . INC;.
A
C 7470 SW 76TH AVF:
T
0 pc►r t..I pr.) 11L 1-1 d rtr 97223
PHONF:. 11,503) e446-880-3
TTUN RD. 621YE3 1 OYAL $1 lid. Go
This permit Is issued Subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations 14ECE I P't NO. Z.
andall other applicable codes and ordinances, and It Is hereby -------- -� -~
agreed
-------
agreed that the work will be done In accordance with the plans and REQUIRED INSPECT TONS
specifications and in compliance with all applicable codes and POLK..H-IN
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 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.
Permittee Signature
Issued By
SEPARATE PERMiTS, REQUIRED F60 iividik df'40"YARM 6e§c*&" D ABOVE
CITY OF T16A RDTilt!Li L)IiF'1..9i
tV."EVIMIT NO. : SU170235
CITYOFTMI110
COMMUNITY DEVELOPMENT DEPARTMEN1 01111140101 DATE: ISSUED: I/Iplee
13125 S W Hall Blvd.,P O.Box 23397.Tigard Oregon 97221,(503)639-4175 PPXM.PMT.NO.
JOW ADD14ESS : 1038*7 SW 87TH AVE
1 A MAVI/LOT 1S1. 3 5A 3700 SUR : LT. PK �
LAND USE: PA.5
1...(:)1 SIZE, UALUATION: 0 5'3 , 11.79 SETBACKS
FPoNT: 25 REAP : 196
WORK CLASS : NEW DWI 1.I._ - UNITS : I LEF*r: 10 RIGHT : 37
USE T(PE : 5iINGLE F;AMTLY NO . Fit; DPOOM!,ii P tj (*,ONFJ*T*
C.ONST . TYPE : VIN NO. BATHS : R N: S : E: W:
UPP . : A3 C-4401' . OPENINGS :
UCCUP .LOAD N: S. E W:
NO . STORIES : 1 1120 ROOF C(INST : C r;IWC PC I"?
: 1.6 PNO . AWEA 5 1.'-P A P7 PA I I.)
BASEMENT7 3PD: OCCUP L SEPAR7 PATEU :
Mf-*77AN I NE'"? HASk-.M'1*
FLOOR LOAD: 40 GARAGE . 110 1JPL SPRKLA? ALARM7
HEAT TYPE: GAS HDCP ACCESS7 YES
Fl..0W(GPM) DETECT'? YES
CORA?
PLAN CHECK BY : r1t.
REMARKS :
-17cir IliLndir.'appeci VA"JSSUE OF: NU.
pwroon . Choilick for attri-ect LAS,r rwzssm, p,.1 at, i.
0 MORISSETTE HEAR AND PA r PE AM 1,11,
W *29n. 0o
N 74*70 SW 7611+1 AVI% PLAN PI."VIE'W
E
partIand or 972as FIRE DEPT
PHCINF.:. (503) S I A*1 F 7 AX *11.41
OTI-IE14
C DEVELOPMENT CHARGES
0 MORISSIEZ.t*TF. HERB AND PAT SDC(STORM)
N *2150 . 00
T Hh'PF.4 MOPISSFEE'r"TE HLORS . INC:. SOC(STNEFt "'e"00 Oo
R 7470 SW 76TH AVP-.
A $250 . 00
C pt I-1.1 lit 1 14J or 9712023 P Pi!-,.PA I D <
T PHONE (303) e46-0803
0
A1;J'�IC.%TRAT:r0N NCI . 61298 'TOT AI $1 ,601 . 5o
RECEIPT 1i
This permit is issued subject to the regulations contained In Title 14
of the, TMC, State of Oregoi,Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It Is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and F.*nury IN(,; SEWEP
specifications and in corricillance with all applicable codes and FOUNDATION WALL PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive P171141, & F3E.Am WAIF---W I.- INF..
covenants Contractor and subcontractors shall have current city PLO.UNDERSLAS CITY APPPCH/SW
business tax permits this permit will expire and become null and
void if work is not started within 180 days.or if work Issuspended ot SLAB F TNAI.
abandoned to. a period of 180 days any time after work has PLO.TOPOUr
commenced It shall be the responsibility of the permittee to assure FRAMING
all required Inspections are requested and approved FIREPLACE
GAS Ii. INE
INSULATION
GYP - BOARD
Peri-nittPe. Signature
Isstwd Hy
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
I
r
RLr 7 o�C
C el �
PLAN CHECK APPLICATION
PLAN CHECK #
PERMIT 4l_�j7p
I DATE ISSUED
JOB ADDRESS: /� `� � /� TAX MAP/LOT /
SUB: LOT: _ LAND USE:
VALUATION: / SETBACKS: FRONT: - REAR: LEFT: /�— RIGHT-T% —
WORK CLASS* HEIGHT: _ TOTAL AREA:
USE TYPE: FLOOR LOAD: __ _ 1ST: I/ 3TJ
CONSTR TYPE: HEAT T1'PE: 2ND:
OCCUP GROUP: DWELL/UNITS: 3RD:
OCCUP LOAD: -- NO BEDROOMS: _ BASEMENT:
NO STORIES: r NO BATHS: - GARAGE:
IMP SURFACE:
APPROVALS REO'D SPECIAL. NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE.: _ BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS: _
OTHER: SEN LND.: TRUSS DFTAILS: _
PARKING PLAN: —
LANDSCAPE PLAN: _
PLAN CHECK BY: OTHER:
CCMMENTS �.�r� . ����� 5' �. OIL, i
ACCT # DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees $
NAME.: 10-431-600 Plumbing Permit Fees $
ADDRE 9: G .10-431-601 Mechanical Permit Fees $�
_ 1.0-230-501 State Building Tax (5X) $
�7 75 _ 10-433 Plans Check Fee $
PHONE: tea, .:5 30-443 Sewer Connection (20X) $
30-202 Sewer Connection (807) $ —�
CONT! C_T5 f 30-444 Sewer Inspection
51-448 Street System Dev. Charge (SDC) ^- t
ADDRESS: y
52-449-610 Parka I System Dev. Charge (PDC) $� '
52--449-620 Parks II System Dev. Charge (PDC) $
31-450 Storm nrainage Syst Dev Chrg(SSDC) $
PHONE: J - 10-230-505 TRFD (95X) $
10-435 TRFD (5X) $
ARCH/ENGINEER 10-230-506 Washington County Fire #1 (!15%) $
NAME: 10-435 Washington County Fire #1 (.5%)
ADDRESS: T 1.0-'220 Amart/Wedgewood
TOTAL $
PHONE:
PREPAID
( `191 —
'.� l RFC #
,JI BALANCE DUE
APPLICANT SIGNATURE
Received BY: �. L." Date Received: /1 - 8' 7