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INSPECTION NOTICE
Citv of Tiga'd Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — / Lln-6 - - ----
Date Requested— �! Time_ A.M._ P.M.
Address�T � �� �j- ----- Permit
Owner. — Lot #
130!der A zt The following Building Code deficiencies are required to be corrected:
1
---- Cyi C.u/'.D Ci,y l Lk-., --
- Ddu 3 UJ a kL6= S
Presented to _ —' _ _ +'--I-Approved
Inspector __ U Diapproved
pe —
Date C -
CALL FOR REINSPECTION
O YES ONO
s
UkJ.Ll-.UJ.NU PERMIT
��� 1--'F-.WMIINU. :* HIJBB1059OFTIFARD
0OF Ti
6/2011,88WY (WAlt))
COMMUNITY DEVELOPMENT DEPARTMENT 1I0ON
1-)1-4(.M NU. (38:11.0159
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(1)03)629-4175
ri, 3.-140)6 .1.:1.::10o ::)Uh. I%',- LT : 132 BK :
VAI UA 1 1.R'll-4 Lit d4.1.k.j 1L,I L.r-'-I G K S
I. I-lul'i 1 20 WEAR:
t,1N 1M W 1.)W I.---I I.- I..L.I.- 1 5 RIGHT P
NU 15 I::-AI WALL Gii1-4bi I
VN 14 4a E W
F' : W
GUNS I
it III
WATE-
Ut—k.,II.A.) . taf—'PAR? PA VEL):
it It)(
k) -"`4bU F I kin— '.iiPPK1.J17 ALARM?
I.AKI'LCTI? YES
LA it L, 1 1 1
i-d:A, 13UL UF NO.
PLASSUE-
$307. 00
W
N
E
115
R
1. 1 It 11 1 1
C :.11 44250 . 00
0 $600 . 00
N
T 11ai'-130 00
R '4-10 00)
A
C
I I I , I I LJIJ AL : $ "A4 1 9 11,
0
NO
This permit is Issued subject to the regulauris Contained In I tile 14 4 1,1 1 14 L.U I r 4 UP L It.
of the TMC, State of Oregon Specialty Codes,zoning regulations 11 I I t r4k,
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and 1 N UNAING
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive x1111»' KA.-I III GW
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and becorne null and
void if work Is not started w1hin 180 days.or If work is suspended or
abandoned for a per o(of 180 days any time after work has
commenced Its h e responsibility of the Per!"I'llittlFie to 11115SUre
all required I act are r 9 d and approved
IMI
I
P Signature
P tile 7 1
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1 43. : P1-881060
C'TYOFTIGrARD 4
CITY01FTIGARD ATE, .1551JE.U: 6/20/11:03
COMMUNITY DEVELOPMENT DEPARTMENT 4-1:41M- INIT .NU. 9113:1.Wr5y
13125 S W.Hall Blvd.P.O.Buz 23397,Tigard.Oregon 97223.(503)639-4075
7— —---
U,i L.T ; 132 UK :
NO:
(.:i ASS ; (,)f:.w
1. k.1w PPVNTA
GUN�)I . IYPE VN
i'A
11, 11.1.144:.. Ir.
1./4N a:;.i.,.L.. (.Yl�i.1. I�y :I,
4-
Jk 1.)- i I DRAIN (01
wf:41 Ll, i-11 1 1 LIA
W
N
TAX li
14'!Ji .80
0
N I i�LVU
T
R W1 Ul.4 Yi,
A
C I i I - l�11fJAJN NU .
T AL : $1.23.38
0
R
WF:.'C',E1PT NO.
'52121-1
This permit Is issued subject to the regulations contained in Title 14 4i,-l.I41I::.0 I'WiPILL I IUNS
of the TIVIC, State of Oregon Specialty Codes. zoning regulations I.A.6 UNUE114151-AU
and all other applicable codes and ordinances, and It Is hereby BEAM
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes find W01L.1-i LJ.NL
ordinances. The issuance of this permit does not waive restrictive 10 P 0 U I
covenants Contractor and subcontractors shall have current city DWAINS
business tax permits This permit will expire and become null And
I NAL
void if work Is not started*ithin 190 days,or if work Is suspended or
I di
abandoned for a period It shall he of
days any time after work has
11
commenced U-W--sibill t
i of the permittee to assure
,d I
Fill require r1spec s req(jrisle nd approved
P uttee Signal e
Issued B
SEP4RATE PEr-,MIT'; REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C1y�
DATE JI:SSUIED: 6/20/88
PERM11' NO. : ME881 0 6 1.
CIT'�OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT Otte" PRIM l::'MT .NO. BIBI059
13125 S W Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
--
i:i S.1 1.el A E.4 1:1.4'.)0 0
LT : 13� BIK
A N 0 11,,
L..(7T
NO:
<100K 1. A114 VIANDI-A <10
[WNA('.,E' 1001<+ A141 I.IANDI-14 10K
C"(1W. - lyl,ki' (IN Ii*_`VAV` .CX)OLEM
WENT FAN 3
VE:N]' . !-) 5TEEM
'(11AV, <31AI-) FlU01)
XNC*":I:NI;.:AA TOP(U(')M
1.11,JL.I..I. LINT I'2/(:DMI") 15'-3011V' 1:N(.'1:1:NF:PATOP(CUM
".11, L I 'l I'l:. 30 1'.1 0 1.-11:.1 NI;:1"PA.I.N UNTTS
vlf"�. . I'l 'i"i !'.')0 HAVI OTIAk'A
VJP'ENC" OUTLETS A
1.
1111110 .00
0
W 30 .1
N 11111111 150
E 1:' '1 Ax 1111142 . 013
R
C 1 .
0
N
T
R
A
C
r '11.11TAL : $52. 65
14FICEA:GST' NO .
This permit is issued subject to the regulations contained in Title 14 1 TIVIISVA"'T 10W:i
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes an-1 ordinances, and It is hereby 1 f, t:l (u'l
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 hrive current city
but;Oess tax perrn hi perm) will expire and become null and
voi i if work is n within 1110 days,ri�"ork is suspended or
abandoned r d of 180 y?
ds:Y3 44ne after- work has
comment I P the respon I y 'D-Offm1wee to assure.
all rectul d sp c ons are requ e approved
Permittee.
ermittep rS
nature
Issiied Sy
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIFA RD PERMIT NO , SEB(31.06.
CrTYOFTWARD E)AT r--: I!:i!:U E D 6/20/08
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON T PM .No 881039
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 9722.3,(503)639-4175 C—"�
%1-3 FIL)DI-iEb5 : 16U.56 SW 173RD AVE TTr,7.V-NUMT3r=-r4--. 03 5 9 U r
'TAX MAP/LC)T 2S1. 14AB 11300 SUB : ESTATP.J.1' PH 3 LT : 132 BK
LAN13 USE.: P-1.5
LOT* SIZE:
SECTION: 144 TWP: as 141146, : 1w
WORK rLASS : NEW
USE. *TYPE: SINGLE FAMILY
Ther appli.c-'ant tt:) cz(1roj:):I.y with atIl r'1110% 011,11CI
!:i(*WVfl`ag0 Agency . Y'h(ca r)(-�r-rrlit expi.r-sia; V?0 claym -h-orn ti-jo. (jaktiva J.1lituLled . Thea 'L a t a I
ilk M C)ki n t p a Ji It. w JA.I bcA 41 ci r,-F e.J.t e)(1 :1.4' t tice p a r,in J,t e.x p 1.1•re m - Th 1,? q e)n c.-y (I o%-2 lit n*t fj i.t ilk i
a n t e*r t h®r KC.C LI I"U C y U T t h c,t 1.(:)r.,ilk t Ji.4.11-1 u•1' t h(.-I It'i CI 0- fli V!w4A 1- latter a I ai - T-P t.het ilk 0?w e?r i m
nat at 1jive!ii , thr. invitalle!r' wl---atll 1.)r-ciiaptaict 3 -Fc4vt in
all ilftrtnn.�ti.urioi. fir,rim thci gj.von . :1:4? ll(:)t taij jacatti,(:I tj :t stU11fail %hat] I
. -I( :I.n
at "Taj.-) ancl 5:1.clv Sawer," an(i the P)qeric!y w:i,11. JI.riot tal T at late?r,u]. .
TNEITALL- Type .
AREA!
---
F IXTURE UNITS: lli;.NANT IMPROVEMH:N'T :
01411-1-1-ING UNITS : 1.
NO, OF EA.DGS . 1.
I"
SE: VL-
i -:8ASTIAN RANDY PERMIT $3n . 00
P-043 WAL DE N S 1'. CONNECTION CHARGE $1. loo ,
VV
N Willits t I i n 1-1 9*7 0 68 LINE TAP INSTALI—
PI--1ONI::-' (303) 6V57 $7319
li
OTHER
SEBASTIAN RANDY
PENA):5SAN('k-.'. DEVELOPME'N't
2043 WAI DEN sT .
T
R wspiat 'lirin c)1-, 97066
(A PHONE (303) 6.037-3739
I REGISTRATION NO. 4199.5.5 TOTAL: 35 . Oq
0
RECEIPT NO,
This permit is issued subject to the rpgi liations contained in Title 14 1:1--KQUIREE) INSPECTIONS
viz y
of the TMC, State of Oregon Specialty Codes.zoning regulations ROUGH--IN
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 compliance with all applicable codes and
ordininces The issuance of this permit does not waive restrictive
covenants Contractor and Subcontractors shall have current city
business tax permits this !Pit will expire and become null and
void it work is not starts i n 180 days,or if work Is suspended of
abandoned for (A 18% day,, an, lime after work has
'IbIllt
commenced It 9 1 h 1P.5 .9 ly of It",parmittee to assure.
all r6quired in ecti I sted and approved
Per tee Si atur
void
0
d
Lab
commenced
Per
FOR INSPECTION 6.39-41173
Issued By
SEPAR E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
T' � PLAN CHECK APPLICATION
CITYOFFARD PLAN CHECK # _ 's - _-`2
CITY0FTIGARD OREGPERMIT N
COMMUNITY DEVELOPMENT DEPARTMENT ON DATE ISSUED
13125 SW Hall Blvd P.O.Box 23397,rVaid,07egon 97223(50j3)6394175 t S J
JOB ADDRESS: �oy 3 G - �j l L l! "� _ TAX MAP/LOT
SUB: ___ - LOT: j 2 hq 3 LAND USE: _
VALUATION: —
) SPECIAL NOTES
CwJIVER
NAME: �/ ��IJ..JI�/I�( C -�� '.,� - _____ REISSUE OF: �� v y�'
LAST REISSUE:
1V r_
ADDRESS: FLOOD PLAIN/
SENSITIVE LAND:
APPROVALS REQUIRED
CONTRACTOR �} / PLANNING:
NAME: / C __. ENGINEERING:
ADDRESS: — _ _ FIRE DEPT
OTHER: _
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _
NAME: _ CALCULATIONS:
ADDRESS: E 5�1.��z C- T_ �5" g TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN: _
PHONE: > - '� OTHER:
COMMENTS:
PEYMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. UUE
10--432 00 Building Permit Fees 3o It, O7uc
gV/A(-n 10-431 00 Plumbing Permit Fees // 1-50 7, SO
!i� G 10--431 01 Mechanical Permit Fees 1/G,SU o
10-,230 01 State Building Tax ,(5%) ,f-
Building /15,13 -
Plumbing
5...3 -Plumbing S. b'
Mech X O 3 Q /
10-433 UO Plans Check Fee
Building /9�. SS
Plumbing
30-443 00 Sewer Connection (20x) cc7Jyfl
30-202 00 Sewer Connection (80%) _ C) _ _
30--444 OO Sewer Inspection _3-5 _ _
15
51--448 00 Street System Dev Charge (SDC) Lj�0 4 �_�
52-449 01 Parks I System Dev Charge (PUC) __ M
52-449 02 Parks II System Dev Charge (PDC) O
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _,mj,5 CL- _ cl->V_.__.
10--230 09 TRFD (95X) -
10-435 00 TRFU (5%)
10-230 0 r Washington County Fire #1 (95%) _
10-435 Washington County Fire #1 (5%)
1 { Amar•t/Wedgewood
TOTAL
REC # _
At�Tfl-tCA T SIGNATURE
Received BY:
��'C. Date Received:
--
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