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t
INSPECTION NOTICE �W
City of Tigard Building Department ,1
Q/Y,l P O. Box 23397 Cd U
Tigard, Oregon 97223
Phone: Q9-4175
//
Type of Inspection l�
Date Requested / Q Time..�_._ A.M. P.M.
Address _LU()r:�2 L _ rC� --- Permit #
Ownrr Lot
Balder K t�_,Q _(�7 ''L/)�_� -- — _
Tho following Building Code deficiencies are required to be corrected:
Ct U ,Z
_ / 1,
Presenters tc - Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YEa L7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone: 639-4175
Type of Inspection
Dav, Requested Tim f 4'4t/ A.M. P.M.
Address e / C' Permit # � >`,
Owner__�_ Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �� [-Approved
Inspector , Disapproved
Onto
CALL FOR REINSPECTION
C7 YE8 1.7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
C �Type of Inspection
Date Requested / 'nine A.hi. X _P.M.
Address Permit #` �
Owner Lo: #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �—
� _ __.. - __ _ ____ � Approved
Inspector Disapproved
Date
ALI, FOR REINSPECTION
❑ YU ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ..—_ _
Date Requested
Time_ A.M. P.M.
3 Permit
Address
Lot fF._
l,wner
Builder , `
Ei'T_
The following Building Code deficiencies are requir4d to be corrected:
Presented to _ �' _� Approved
4tir
Insliector approved
Date _ - -- --
CALL F' R REIN EC�I N
Ef ❑ NO
BUILDINONG PF-:r;jmI-T
Pl:::PM'I*T . : BIj8*.q1.,j39
C17YOF Tr��RD CrA
ARD
C i-�
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE ISSUE*[): r/12/Be
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 P III M- PM"T.NO. 68 1339
..)OI] ADDRESS : 16024 SW 9.31411) AVE..".
TAX MAP/LOT 2SI 14A8 11700 SUB: KNEI-"LANI) E:'STATF: PH
LAND USE.: P4.5 LT : 130 81< :
LOT SIZE: Vol.-OATION 63,613 SETEIACKS
WonK CLASS : NEW1'.)W I UNT irs 1. FPONT : PO PEAR
USE TYPE : F-AM-.1,1I-EFT: 5 PIGH'T' : - 8l0o
...y NO . 3 EXT WALL CONST :
CONST , TYPF: : VN N(.') I3ATI-IFJ 3
OCCUP. GP)
R . E W
OCCUP- LOAD F)POT , ('.)PENINGS :
TOTAL APEA: 13818 S : E : W:
NO. ST0I4:[E*G ; 2 1ST:
HI:1 1,: r.,�0
'30;3 P00F C'014S-r: C FIIQE RET7
BASF14FNT7 PND: Al 85 AREA SEPAR7 RATED:
3RD:
MEZZANINE-? BASE:M'T OCCUP. sEPAR.? RATED:
F'I--U(JP I UAD: SIU GAPOGE : 41(3 FIRE S-PRKLP'?
ALARM?
HEAT TYPE' : G,A S HDCP ACCESS'? FL.OW GPM I, UETECT7 YE:!:;
capp-t
TTAN�CHECK V3Y
IIEMARKS ,
NO.
0 KUPIOL P:'LWMJ. I'
W 1:1 13UX W? 00
N PLAN REVIEW
1A in.1 a t:1.n Or 97062 I'-**IPE DEPT
1-1110NE': 684 -66f1:1. ST*ATE: TAX P5
OTHER
DEVELO
C Scurr KUPIul- PMENT CHAM.'�,ES
0 SDC(i�Tapm)
N KINUSWC)01:) INC 111230 00
SDC
T P) 43 BOX 821 111600 . 00
R 6p I FIUC .
A tUilklatilltar $250 .00
CT Pj`40NE 4503) 45 8,el-6 6 E.)1 PREPAID < $100 . 00)
0 AI:.:C-;TSTRATJ0N NO 3:1.2159
I OTAI... : 65!52 . 50
REc-Ex P.T. No . J
This permit Is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations 14F.'QUIRED INSPECTIONS
and all other applicable codP4 and ordinances, and it is hereby
agreed that the work will be done In accorUance with the plains and 1:00T I NG SEWER
specifications and In compliance with all applicable codes and FOUNDATION WAI. I_ PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST & Bt*,:AM WATER LINE
covenants Contractor and subcontractors shall have current city PL..6 -UNDEPSLA4 CITY APPI;;iCH/SW
business tax permits This Permit will expire and become null and 51-As
void if work is not started within 180 days.or if work 13 Suspended or mF'I NAL
..n . TOPOIJIT
abandoned for a period of 180 days any time after work has r
commenced It shall be the responsibility of the permittee to assure I"PAMING
all required Inspections are requested and approvpJ 1::'T I-IF
06!1 I-TNE
11`J1:itJI ATTON
nnA Pn
errnittae�lgnsture
Issued By IT(:)[I IN51"'ECTION 6.39-41-75
SEPARATE PERMITS REQUIRED FOR WORK 01 1 iER THAN DESCRIBED ABOVE
Sk--'WER PEPMET
CITY OF T I GA RDNSI:-"r4MI:T NO. SE:8813AIP
CITY01FTIARM
COMMUNITY DEVELOPMENT DEPARTMENT 7/12/1130
13125 S.W.Hall Blvd-P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175 PPIM. 1.)m'r .NO . 881339
eADl)r*:S5 : 1.602A 9114 AVE UGA NUMBED: 035961
TAX MAP/L.(:I1 25:1. 1.1e)1:4 11*700 SPUF) r4-11 2 1-1* : 130 13K :
I-AND USl;K : 14,1 . 5
I OT ' :
sEurTON: IA T*WP: 25 WNG : 1.w
WORK Cl-ASS ' NEW
1.15E TYPE: SINGLE FAMILY
They mpplix,%Lrit nkgreew t,n coonplLy with a1l. rm'l.elfi land c-It t11e Uni-r-iorl
Fiewe)raLge Agenc-y . 'rvie 1;)erinit expires 120 timy"; froln the date ilawl.le(J . t I:)t a 1.
iit In cl,1.11.11, 1a ati d Wi 1.1. t.)w f c)r f oi t.e d .1.T t h w p in r ini t e x 1:)i r e in . 'Thu: A&I e n c-,y d Cl W 14 unit, g LI iti I'----
untf.--m-A the aLocurar.,.q t.if the Dictation (34' fid.dm ![Iewer IT ti-la* welwel'. i!!i
not Ioc-,mited itit tl-)in;) l;jivelrl ' tl-le il-Imt;10.3.011, Ilil-lia:1.1 3 +rwet :1.11
al.1 directionts frOM Ll-le Cl-iffiWILI-We yivWn . 1-P not. vin Inc.!atted , ti-io inivit.atIJer
P1.117-01`11IM60 is "TUP Wild Side 5*iwer" Perinit and tl-tea Agel-IC'y Wil.] :019iti-10.3. 81, ].;3AieI-'Ak:L .
INSTALL. . 'TYPE BUILA)ING 15EWER IMPERVIOUS APEA;
FX X I'Ll PE UNI I'S TENANT IMPPOVE.MENI
DWrr".LL1N(.*; UNITS I
NO . 01---' 81-DUS . 1.
I':EES
C) SC01"T K(. PIOL PEAM I'T' $35. 00
VV 17 o BOX 82C
1 ONNEX*rTON CHARGE 1111111 100 .00
N
E t u ok 1.#L t 1.n or q7062 L-INE 'YAP INSTAI L.
R PHONF.,. (503) 684-6681
0 SCOTT KUnIOL
N KINGSWOOD PPOPEM'IES INC
T
R P 13 BOX 821.
A t Lt At 3.1111.J.I'll or, 9706R.
C
T PHONE (503) 688.1-6601.
0 REGISTRATION NO ;!11."R.59 11.31TAL 1111. t 3n
R
AI:-.CEIP-r NO .
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations 11EIRL13"1'IED INEWECTIONG
and all other applicable codes and ordinances, and it is hereby PC)LIGIA—IN
agreed that the work will be done in accordance,with the plans and
specifications and In compliance with all applicable codes 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 mull and
void If work is not started within 180 days.or If work Is suspended or
abandoned for a period of 160 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 J '4 L F 1:1 TNC-iP9r'T'T1'J4
SEPARA'rE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA RD , PLUMBING PERMIT
cmoFn�ncEPMTT NO. : PL881340
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 DATE ISSUED: 7/12/88
PP3411444.049.
-0B AODPIESS : 160r2A Saw qZjl:jj:) AVE
!'AX MAP/LOT 251. 1ZIA-B SUB: KNEELAND ESTATE PH R
LAND USE : PA.5 LT: 130 8K :
LOT SIZE :
W014K CLASS : NEW :urEm: NO: NO:
WATE-'P 2 TRAV)
USE TYPE : SYNG11-1:.- F-AM-n-Y UPINAL SKFLOW PRVNTR
CONST. TYPE : VN I AVOPA'T OPY '1114AF, PRj:Mr-:p
0CCUP.GPP. : wi 'ru" sl-jowEp GPIEASE TRAPS
DISHWASH :IR
CAPSAGE DISPOSAL
NO . STOPIrLs : 2 WASI--11N(,'-, MACH)NE
UWI-'.I-.L . UNITS : 1. LoUNDAY TRAY 1:11-1-110- DRAIN (DIA
IF:LOOP DI"4A1N
SINK 1. 151_:':WEP iFT)
WATEP l--IIiATI!;'P • STOPM/RAIN (F'!
I.
WEMOPKS :
0
WSCOTT KUPICK,
N - Pi-':PMj. T'
E 1-) (3 BOX BPI $117 . 150
1.1.1 ial I&t i I-) ar 107062 F*:LXTUF4ES
V'I-IONE (503) 6841 66e . STATE TAX 111115 .88
C (311 1K P
0
N F(JWI ER
T G 173 PI-..L)MriT.NG
R
A 1592 SE "jj!:jT
C
T I I J-11%b tj 9.711-'i
0 1.1.4 )NE (303)
I F*,'I".:0:tSTPAT 1;ON NO. :11.990y7 $.'1.2 3. 3113
This permit is issued subject to the regulations contained in Title 14 PECEIPT NO. 3 -)!5 7
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby 11EQUIPLU INSPECTIONS
agreed that the work will be done in accordance with the plans And
specifications and in compliance with all applicable codes and 1:11-0 . UNDEASI AR
ordinances The issuance of this permit does not waive restrictive POST & HVAM
covenants Contractor and subcontractors shall have current city WATIIi:P 1-,INF.:-
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 PAIN UPATNS
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Signature
Issued By CAI I I OP
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WNUMMI111IF-JURMWE91wilREW�f
MI--'(',HAN1GAL. PI::'A'M1T'
CITY OF TWA RD PEPM17' NO. . ME:'8813A4
COMMUNITY DEVELOPMENT DEPARTMENT MOON DA'T*E' ISSUED: 7/1.2/08
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)639AI75 f:)M'T' .NO. 88 1.339
%JOB AUDF41ESS : 160't.-2,el (:)W 93PL) AVI;-:'
'TAX MAP/LU-11 251 1,11AL: .L J.'700 PH 1.30 BK :
LANU USE; P41.5
SIZE:
1 NO: NO:
WUWK CLASS : NEW FUPNA(:',E <100K i AXP VIANDLP 0.0
USE T�PE: SINGLE FAMILY F'UPINIACE. 1.001<+ AlP HONDLA 10K
CONS'll' .'1*yPF.:*: VN FLOOIQ F'L)r%NA(:,L EV01*11P.COOLER
GAP , W-3 IAEA'T*EIQ VENT FAN
E-')YS'TEM
13L.R/cOMP <31-AP
NO. S'l 0 W 11:6 S P 81 P/COMP ',3-4314P 1.NC1 Nr,::PA'I'OR(DOM
UWE"...L. UN ILrS : A. 1.15-301-1p TNCTNIA0*T'OR(COM
FURL. *Y)'I:)L G(V:ii ULA/cOlosp 30.-Li0HP UN.UY'S
MAX. 1NPUT
P'TRL" DM1445'?
CAS r*"I*P:[N(.-, OI.J*T'I-E'I*S
0 !-A-0*14' KUPIOL.
W 11) cl kl(:)X e;:.!J _
. IL.AN NEV
$10 . 1.3
N
E L U,FLA.tik tl n of, 9,7062 I I " TIAIES $30 .30
'TAX $2. 03
0 UUN
N ICU I I I ZAGHEI:4Y 11EA1*11SIG JAC,
T ,:i $1
1 ' AVL,
R C
A L,4d.I 11.)y 10/013
C
T
() NO. 1,(40011]
R 632 . 6105
L-L-
NO,
This permit Is issued subject to the regulatiom,contained in T itle 11
of the TMC. State of Oregon Specialty Codes zoning regulations FiL.1.11.11 I hl:'i:7
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications and In complionre with all applicable codes and M
ordinances The issuance of Inis perml!does not waive restrictive IAAA*!+-1N
covenants Contractor and !iubconfrwtail, shall have current city F I i 14 0
business tax permits This ptroill wil!expire 8.,,d become null and
void If work Is not started within 180 days,orifwork 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 Fissure
311 required inspections are requested and approved
Permittee. Signature
C_).1111,13
Issued By Q"—) � . - - - , L_ 11.110 it4!iPurlou
SEPAF XfE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFT167ARD PLAN "HICK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT C1TYOFTI�.4RD PIAN vIIECK a
13125SWHy18W. P.O.8M23397,r .�REOON PERMI'f a
q�rd,O�epon 97223(5W)&W4175 --.--.
DATE .ISSl1F::D
JOB ADDRESS: _ c_` ��i 9 /
SUB: ����� LOT: 1 � . LAND TPX MUPE�—�T�_S./
VALUATION: �
OWNER ----
--
o f
NAME: 1Ko0 SPECIAL NOTES
ADDRESS; o x ` _ REISSUE OF:
LAS1 REISSUE_
--___� --
�e 0�°'L FLOOD PLAIN/ --
S I ?_ 71
PHONE: - (Q g _ ` g a SENSITIVE LAND:
CONTRACTOR APPROVALS
AMC_ RE U]RED
NSAw+ PLANNING: _
ADDRESS. ENGINEERING:
FIRE DEPT
- -----
01-HER: �r<T c
PHONE: - -
ITEMS REQUIRED
A_RCHOENGINEER - LIGT/SUBCONTRACTORS:
NAME: -- L .4 *t l i r4 S c k L7 BUS TAX:
ADDRESS: 5 � CALCULATIONS:
TRUSS DETAILS:
--- �'o QTS K1•��C�,.-(T;n..�o -`r-�'_�- � `l � l � —
— PARKING PLAN:
PHONE: 2 z 9 leLANDSCAPE PLAN:l_ _
- _ OTHER:
COMMLNTS: ;- -
l:
PERMIT # ACCT // �-�•
DESCRIPTION ��5� o a �"s"
.33�J 10-432 00 Building'Permit Fees - Af&NT AMOUNT PD. DAL. DUE
10-431 00 Plumbing Permit Fees 43 6 13
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) -----
Building _ /G -
fir
Plumbing --- -
U
Mech _
10-433 00 Plans
Buildinck Fee $ y i
Plumbing
Mech ,�- _
l- c► � )
iv�S�y� 3002Qz4W S0,1010 30-202 00 Sewer Connection ('J )
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC) -
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) _� '�-
10--230 09 TRFD (9E%) _ U
10-451 00 TRFD (5%)
10-230 06 Washington County Fire a1 (95%) ---
10--451 00 Washington County Fire al (5%) _
10-220 00 Am4r•t/Wedgewood
^�� TOTAL �-�-
RFC
APPLICANT SIGNATURE
Received By:
" �_ ---- Date Recoiupd-