11085 SW 95TH AVENUE-1 {
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--.11085 SW 95th AVE _..
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9 INSPECTION NOTICE
J _1z City of Tigard Buildirol Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businean Phones 639-4171
Inapection: --
Footing Plbg. Undernlab Mach. Rough-in Appr/Sdw1k
Pound. Plbg. Top Out Gas line FINALs
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Data Requ9st.edl L4 -,74 - l/ _ Time: AM PM
Address: ) r.. Permit tt
Ri j 1der:
Tiff: FOLLOWING OOPRECTIONS ARE REQUIRF.DI
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Ine,peatort/ � Dates
k APPRMD DISIIPPROVRD APPROM SCUM? TO ANM
Cell For Rainsp.
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INSPECTION NOTICE i
L'
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ATime � A.M._.�_P.MJ.Q
Address J Permit # Z`
Owner __— Lot
Builder
The following Building Code deficiencies are required to be corrected:
r
Presented to Approved
Inspector/ Disa{.proved
--
Date _ 2
CALL FOR RF;INSPF;C770N
YES 11 NO
� ! �' ffifT � till tii i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 l
Type of Inspection
Date Requested Tim A.M. P.M.
�., `
Address _� Permit
Owner-__ _____ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector Disapproved
Date --
CALL FOR REINSPECTION
[7'1 YES 0 NO
WKWEW
r
INSPECTION NOTICE
City of Tigard Building Deparlt,ient
P.O. Box 23397
Tigard, Oregon 97223
,Q Phone: 639-4175
Type of Inspection"" -- --"- — - —
Date Requested Z Z`+ Time_.____ A.M.__^P.M.
Address � �S_ Q`S -- -a------_--- Permit #-,0-�_L-.-.-
Owner ---...____
_ Lot #
Builder _ --- - - - - ---_—The following Building Code deficiencies are required to be L-3rrected:
r
ti r
Presented to ❑ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
/YES EJ NO
ME(*.,HAN3.CAI.. PERMTT
CITY OF T'GrA R CITY01FTWARD NO. . ME.891541�.?
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175
T--") DATE:: 0/ 7/(31)
.1.M 1-7M I . NU-T---T-jVT-A9T-.T-
,.JOB ADDRIESS : 11.005 SW 95TH AVE:
TAX MAP/LATT 151 35GA 1.03 SUB: L T Li K
I AND USE: :
LATT SJ:ZE :
1TEM: NO: NO:
WORK Cl-ASS : ADDITTON FURNACE <100K 1. A:I'P HANDLA 0.0
USE TYPE: 5:[N(;l E !'AMTI-Y FLI14NACE 10()K+ A:I:P HANDLP 10K
CONST . TYPE : VN Fl.-OOP FURNACE 1::.VAP .COOLER
OCCUP. ("PAP . HEWrEP VENT FAN J.
VENT' VENT. 5 Y 5
BI-AWCOMP <3HP HOOD
NO . STORIES : 1. INC I NERATOP(DOM
OWEA-1- .UN I T s Ell 114/COMP 1.5-301-11P 11AC11SIEKTIATOR(COM
F:I-JEL. TYPE GAS DI WCOMP 30 501-1p PEPATR LJN:I:TS
MAX . INPUT 11)1 ll/COMP 50+HP OTHER ry
F� TRE: 0MPRS11 GAS P:I'.P1N(*., ULITI-E.-TS
PPE:S97
141 MA11KS ;
0
W DAVJ0 PIL"AM1,11, q
N , 1.1.0. 00
E 1-1-085 !!IW WITH AVE:: PL.AN WEV11EW vi.50
R .1'.1.1'AND OR 97P23 111120 . 00
PI-IONE (50,'4) 620 04175 STATE: TAX $1 .50
C CITHER
0
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TOTAL.: $39 . 00
This permit 15 ISSUed subject to the regulations contained In Title 14 PECEIPT NO.
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby W-".:QLJTRE0 INSPECTTONS
agreed that the work will be done in accordance with the plans and
specifications Pind in compliance with all applicable codes and GAS I—l'.Nl--"
ordinances The Is&uance of this permit does not waive restrictivp POST & BF.:AM
covenants. Contractor and subcontractors shall have current citv AUILKA-4-1N
business tax permits This permit will expire and become null and 1-:1:NAL..
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 h I be thewsponsitility of the permittee to assure
fired
l �d Z It
all 'rao insj� Icl to 1'eques ad and approved
P5ttee Signatu,p
Issued By
1,N 1i P 1'-:'f I N 639--11 In
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA RD �� PLUMBIM', PEPMJA
CITYOFTWAND I-'1E---WMIT NO. : PI-8915/41,
COMMUNITY DEVELOPMENT DEPARTMENT OR1160H
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175 DATF-- ISSUED : a/ 019
JON ADDPI:::5G : .1.1.085 SW 9311-1 AVE
'TAX MAP/11-01' IS1. 35CA 103 SUB: LA' . HK :
LANE) USE: P1.2
LLYT SIZE'.:
T*TFh: N0 NO :
WO14K CIL.AS5 : ADDI,rTON WATEP CI-OSE1' 1 1 WAP
tJLjr.--. TYPE . SINGL.E FAMILY URINAL BKI::*I.-(3W 1:-"PVN'I'P
CONS'T .'TYPE: VN LAVOPA'FOPY :1 'T'RAP PRIMER
()(U1UP.CAP . 'TUB SHOWEP GPEASE I'll"'APS
DISHWASHEP
GAPBAGE IY!:5POSAL
NO - STOPIE.S: I WASHING MACHINE I
DWEI L .UN I I'S LAUNDl*4Y 'T'RAY I BLDG . DPAJ*.N MIA
FLOC,P DRAIN
SINK SEWER 4 FT)
WATE A H[.:A'TFiJ4 3. 5'r('1PM/PAIN (FT
rioiipcl c�Lintrpactar m11nber-
0 1 L:E S
W
N E`:ICHI EP DAVIE) PEPI'll"T $15 P 5
E 1.1,018-411 SW 951+4 AVE'
R T']:(.,API:) UA 9,7223
PHONE (503) 6:W-0-47.5 111111P. 63
C O'THER
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I'LITAI 11111.11'15 . 1.3
This permit Is issued subject to the regulations contained in Title 14 RE(.'.E1P'1' NO.
of the TMC. State of Oregon Specialty Codes zoning regulations
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and REQUIRED INSPECTIONS
specifications and In compliance with all applicable codes and PLB .UNUERSLAB
ordinances The Issuance of this permit does not waive restrictive .-"US'T & BEAM
covenants. Contractor and subcontractors shall have current city WA'TEO LINE
business tax permits This permit will expire and become null and P111.8, TOPOU"I
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 DRAINS
commenced. It shall be the responsibility of the permittee to assure FINAI
all required lnspectioare re a d and approved
Peri,.Signature
Issued Ry
I ()P I NS 1 1(IN 631v /11 1!)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'GA BILIG
UDNPEAMIT
RD CITY01FT610 Pl---PMI:*T NO. : BUR91,4198
COMMUNITY DEVELOPMENT DEPARTMENT MOON E I
DATSS799
UED: El/ /
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639AI75 1�
PwLM. i3mT.NC) . eqtdwa
J(313 ADDWk_;:SS : 11.085 SW 931*11 AVE,
IAX MAP/LOT :1.51. "'.55CA :1.03 SUB: LT : HK
I..-ANO USE: 1:412
I-OT 51ZE : VAI UAIJON . $ 3 19()13 SETBACKS
11�-"PONT : RF Ai:(
WORK CLASS : ADDITMIN DWELL.UNIT!'.i : LEFT: P 1'.Gl--I I
USE TYV)E:.: : SING1 E FAM1L.Y NO. BEOPOOMS : I EXT .WALL. CONST :
G0N5T . 'T*Yl-*1r.-'.: : VN NO. BATHS : 1. N: 5 : E : W:
OCCUP C.PP. PPOT . OPENINGS :
OCCUP.LOAD N: 5 : E : W:
TOTAL AREA: 59,q
NO. STOW:ES : 1. 151 594 ROOF CONST : c i=ipp:. PET,?
Hl'--JOH'T : :I.6 PND: AREA SEPAI17 RATED:
BASEMENT? 3AD: OCCUP. SEIDAR'? PATED :
Ml::-*ZZAN):Nl:::'? I3A5F*.M'T
Fl OCR LOAD: -el() GARAGE: 550 FIRE SP11KI-147 Pol-ARM?
FLOW(GPM) DETECT7
I L 1-11-EAT TYPE : GAS HIJCP.ACCESS? CIORRI?
I-"LAN OY : i-It
IA'-':MAl1KS
I1k-4.0cl ti.-LISS WPOC REISSUE OF NO.
I AST PEISSUF
FEES :
O 11 J.GHi E R I)AVID PEAM17' $i:!1.1 . 00
V' 1-10185 SW 9.5-11+11 AVE PLAN REVIEW1.3 7 1�5
N
E UP 97223 FIRE DEPT
R V)1-1(.')NE: (503) 620-0-1475 STATE TAX
OTHER
DEVELOPMENT CHARGES :
C
0 SDC(S'TOPM)
N SOC*11 STPE-r--T*
T
R POC lict
A I-IPEPAID
T
0 TOTAL : $358.70
I PT NO
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations REQUIRED 1W.-PECT-JAIN5
and all other applicable codes and ordinances, and It Is hereby FOOT T.Nt.,
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and PAIN DRAIW.o
ordinances The issuance of this permit does not waive restrictive POST a OE.Am
covenants. Contractor and subcontractors shall have current city PI—F3 . UNDErIS1 AS C1'1Y APM4CI-4/5W
business tax permits This permit will expire and become null and SLAB F1 NAL
voi,4 I work Is not started within 180 days,or if work Is suspended or PLO . TOPOUT
abandoned for a period of 180 days any time after work has
commenced It shall be the y
responsibipof the permittee to assure FNAM I NG
all re inspectio are re ste ?bnd7proved F I Pr-'..PL-A(,E
GAS LINE
I NSUL.A'T ION
Gyp . SOAPD
Per ee Signatur
Issued By "— I , tj
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
J�
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CITY OF TI6Aw
� PLAN CIVECK. APPLICATION
rnr��A� � PLAN atECK M
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT P.
12125 S.W.W(t(Rhd_PA.(tax m9l."9-11-Omgq gr2".f503)G"Al s + DATE_ ISSUED
Joe AooREss: - j.2,65 5� °�` A-�� ___ -i Ax MAP/LOT /s/- ��c /0 3
SUES: LOT: _ LAND USE:
VALUATION: _ _
SPLCIAL NOTES
OWNER REISSUE OF:
NAME:
ADDRESS: C vtJ LAST REISSUE:
r �� 3 FLOOD PLAIN/
scNsn•ivE LAND:
PHONE' �p' y S APPROVALS - UYREO
PLANNING: _.
CONTRACTOR ENGINEERING: _
Nom: FIRE DEPT _
AOO~ESS: OTI IER:
ITEMS RE9UIRE0
PHONE: — LIST/St1BCONTRACTORS: -.
ARCII/ENGINEER GUS TAX:
N AME: _ ti I ,�---- CALCULATIONS:
:
TRUSS DETAILS:-k-
AOORESS: - — PARKING PLAN: __-
- LANDSCAPE PLAN:
PHONE: — OTHER: --
T5• 6 -
_ -1,% An t
PERMIT H ` ACCT N - DESCRIPTION Ac
AMOUNT AMOUNT P0. r'IL. DUE
n iiv
10
-432 00 Building Permit Fees
✓, S •3�_ � .5tl
� - 10-431 00 Plumbing Per Fees
10-431 01 Mechanical Permit Fees ✓ . e�C�'`� -3y'
-r` 10-230 01 state Building Tax (5x) • --� �. �
Building /OSS
Plumbing
Mech
10--433 00 Plans Check Fee .LLX -
0uilding
Plumbing
Mech
_ 30--202 OU Sewer Connection _ - -
- 30-444 OC Sewer Inspection - —
51-448 00 Street System Dev Charge (SOC) o-
52-449 00 Parks System Oev Charge (POC) li
31-450 00 Storm Drainage Syst Oev Chrg (SSOC) — -
t0-230 09 TRFO -
10-230 06 Washington County Fire 01 (95X)
10-22.0 00 smart./Wedgewood
RFC 0
APP CANT SIGNATURE
Received By: - _ Uate Received:
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