11275 SW 95TH AVENUE P{
11275 SW 9'-)th Ave.
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INSPECTION NOTICE
City of Tigard Bui;ding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time— _ A.M. P.M.
Address Ll - !7Permit #�I 7D G
C�
Uvmer Lot # --7
Builder
The following Building Code deficiencies are required to be corrected:
I,
Presented to ��� Approved
Inspector —:- d I Disapproved
Date 4—T
CALL FOR REINSPECTION
❑ YES 17 NO
®I► � E ! � lltlf � � ff �'
INSPECTION NOTICE
City of Tigar6 Building Department
P.O. Boz 23397
Tigard, Oregon 97223
Phone: 639-4175
r
Type of Inspection -- -
Date Requested " „' Time __ A.M. P.M.
Address / 7_5 �7 "- Permit
Owner— Lot #
Builder ���+�'ldThe following Building Code deficiencies are required to be corrected:
G��-- 7
Presented to KA proved
Inspector __ -,_- _ ❑ Disapproved
Date
CALL FOR REINSPECTION
[—I YES 0 NO
F
s
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
r1hone: 639-4175
Type of Inspection--• ---��
_ Time A.M.j<_.._P.M.
Date Requested A
_._��_ / /
Address /L,2 •7 � S� J �� --- Permit # 1 -�1�)G'
Owner— -
Lot #
Builder
The following Building Code deficiencies are re-tuired to be corrected:
Presented to _ _ U Approved
Inspector — - - - 4n Disapproved
Dots -- --.
CALL FOR REINSPECTION
E.1 YES I::] NO
INSPECTIr,N NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested Time A.ly, �P.M.
Address --OZ/- Z:Z ,,;f&L4;� _^ __ Permit #S_/ 70
Owner Lot #
Builder 27,1c'^—/4,, ^.C^-�- -
The following Building Code deficiencies are required to be corrected:
I
40
Presented to _ [� Approved
Inspector
Date .... .,,.. er Cf
CALL AR REINSPECTION
ES ONO
INSPLC ,(ON NOTICE
City of "Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection VLI I'L����
J
Date Requested_ Time A.M. x P.M.
Address _U2� � _ Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
T
--
--t
fl L.
Presented to a ❑ Approved
Inspector oz -Disapproved
Date _ o;J _22— r
CALL FOR REINSPECTION
f?TY18 0 NO
E
_ I
INSPECTION NOTICE n
City of Tigard Building Department
P.U. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Typo of Inspection
Date Requested_ __L X'CZ _ Time-A.M. R'P.M.
Address J C Permit
Owner Lot #
/�
Builder . t/2C
The following Building Code deficiencies are required to be corrected:
presented to
Inspector n Dlapprond
Date =1
CALL FOR REINSPECTION
0 YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 l
Tigard ` er on 97223
Phone. 639-4175
Type of Inspection _____ p — Jf� -z �
(
p
Date Requested _ ( / — f Time A.M. � P.M.
Address =- S _ Permit
Owner Lot #
B•iilder Y �
The following Building Code deficiencies are required to be corrected:
UP-
Lt �5 a.
CIL
Presented to ❑ Approved
Inspector L 7 A-vriiiwved
Date
CALL FOR REINSPECTION
YIIIIt ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397 �A'✓
Tigard, Oregon 97223 a1
Phone: 639-4175
Type of Inspection
Date Requested _ /— /7 ! Time—A.M.-P.M.
Address
_;1 J n j Permit
Owner _. lot 1
i
BuilderThe following Building Code deficiencies are required to be corrected:
-�i -� — -
Presented to ____�,,___ - _ t-fi Approved
InspertorDisapprovedwrA/
Date _ - - -- --
CALL FOR REINSPECTION
Pte'YEs El NO
W W W i i. i
!k ''FCTION NOTICE Qom,
City of Tigard Building Department I
P.O. Box 23397 / (�
Tigard, Oregon 97223 ` I
Phone: 639-4175
- �Type of Inspection
Date Requested Time A.M. P.M.
Address Permit *IX
Owner / Lot #
Builder �� ( � t C�2•� '��� r, ��
+ The following Building Code deficiencies are required to be corrected:
------------
Preanted to _--�-�-�— Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES Cl NO
4
i'
INSPECTION NOTICE
City of Tigard Building Department t r
P.O. Box 23397 �I I
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time _ A.M.—P.M,
Address _ ���� — permit # r 7n
Owner _ Lot #
Builder
The following Building Code deficiencies are required A'o be cor"ct`edy
i
Presented to 1
LJ Approved
Inspector
Disapproved
Date,
CALL FOR REINSPECTION
0 YEt ❑ NO
1,
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 CC\
Tigard, Oregon 97223
Phone: 639-4115
1
'Type of Inspection
Date Requested //—'.)B1/2 Time__ _ N.M. V _,P.M.
`_
Address �_� � y �� _____ Permit # S � 170(,
Owner _. Lot #
Builder .0 b rdZ) -------------
The following Building Code deficiencies are required to be corrected:
Presented to Appnived
Inspector H Disapproved
Date
CALL FOR REINSPECTION
17 YEI 1:3 No
INSPE^TION NOTICE
City of Tigard Building Department
P.O. Box 23397 C
Tigard, Oregon 97223
Pho ie: 639-4175
Type of Inspection
Date Requested / �" �, Une_ A.M. P.M.
Address l 7—� / 'J Permit # 7
Owner,-_ _ !_ot #
Builder
i
The following Buildii q Code deficiencies are required to he corrected:
Presented to _ _. ._ Approved
Inspector � U Disapproved
Date
CALL FOR REINSPECTION
❑ YES No
r
CITY OF TIG. RD PEAM-1-1-
CITY&LARD NO .
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 S W.Hall Blvd.,P.O.Box 23397,Tigard,Crayon 97223.(503)6394175 EWTE 1,C)SUEE1:): 1 88
11918+4
JOB ADDIWESS . 11275 SW 9571-1 OVE*
1 A MAP/1.07 1.51. 35CA 3500 SUB: 11-1 :
I. AND I.P11',: : P 1.t?
1.01 IITZH. : V At-t IAI TON: 1, '7 t13 51:::'T*r.?1ACI<5
F-PON'T' : 120 PE'AP :
WORK U OS�7i N 1-::.W DWELL. 1.11417,5 : 1. L.E.F1' : 1.0
FAKIA y NO HEMPOOMS : 3 EXT . WAI I
C,ON!';;T . FYPE: VN NO . N S W
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1.11:.-:I-GHT LE3 '(INU: APIA !';E PAW PAI*EQ :
(;?ASE MV'N T"? 3
PD: 00CILIJ11*1 91E'PAF-1**? PATED:
MliZZONTINIE'? BA!:ir-*.:M"T
FA-00P, /10 GA- PA(*.-,V: 11) FIPEF 9r-*1PI(LA;;I17 ALAPM7
1:1-01A(GPM) EAKUKUTI?
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f'IN
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R 41600 . 00
A 9,A63 ':iW HRAVEWIL)N 1-11:L I-Ai 1)0..1 1 1-10C(#1 1 $250 . 00
CVf:!I-t lb)I I 111, ('-17006
T P W.1 PAI:D < $1.00 . 00)
0 PI-40NE'. ltr-50:5) �.29 1 -7666
R I HE U3 1:'i I F464 I IN NCI "16**h/I"I-- '1,01 AL_ 411. -7 . 6
This permit is issued subject to the regulations cootaimec,in Title 14 PE.CE11:11' NO .
of the TMC. State of Oregon Specialty Codes, zoninc regulations .....................
and all other applicable codes and ordinarces. anc, it is hereby
agreed that the work will be done in accordance with the plans and 1:001•'L NG' I;&,WrzJ4
specifications and In compliance with all applicabio codes and
..(:)(.JNL)A*I .r(:)N WALL.. 1:tA1:N DPAING
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors Shull have current city P 01] & REAM WAIEN LINK
business tax permits This permit will expire and become null and P L..8 . (J N WEA 131 A B CTAY or'Pl[KII-1/1"W
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
171 13 'T'OPOLI*T'
all required inspectigply are requested r d approved I
I UNE:
I Wit if. A'T'J'(:)N
Permitte
"'t"', lyl
Issued By
I I ON )AY -11 11
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r
F-
1::,L..(.JMB:I:NG PEEPM11'
CITY OF TIFA RD PEPM1*1- NO , 171-881.746
rCIASf LA
COMMUNITY DEVELOPMENT DEPARTMENT "'7�
13125 S.W.Hall Blvd.,P.O.Box 23397.TIgard,Oregon 97223 (5031,639-4175 DA*T E 1 S SUE1) 1.11 /138
JUB AUDVIIE;*S'� ; 1-J-275 I.A4 95TI-I AVE. —7
TAX MAP/L.01' 1-5:11, 35CA .3.500 Stle: OF.6.
LAND USI'4': P I i"2 LT : BK
1 ('31, SIZE: :
NO: NO :
WUPK NE'W P '11 AP
!."s1NCvI-.F I::'AH:I:L.Y OKF:I, (3W PPVNIA'
*T*YPE' : VN 1-AVORAI'OPY 2 PIP11"IF0
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NO s'rorni:.'s : :1 WASIA:LNG MACI-11NE 1.
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R T I ON NCI 14?313/17
This permit is issued subject to the regulations contained in Title 14 PI; (:-ETI*)r NO .
of the TMC. State of Oregon Specialty Codes, zoning regulations ....
and all other applicable codes and ordinances, and it is hereby PEQUIA-An-A) 1:141.5PEC11ON15
agreed that the work will be done in accordance with the plans and r-"L 19 . t INDEPSLAB
-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 W01LA LINF.
business tax permits This permit will expire and become null and I:'1...1.3 . R)FOOLFT,
void If Work is not started within 180 days.or If work Is suspended or HM I)r4A:I:Nc;
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 inspect". Are requested jyd Approved
ryr
Permittee Si aloes
Issued By
F.014 LJ41 l IN 639-11 /15
SEPARATE PERMITS REOUI IED FOR WORK OTHER THAN DESCRIBED ABOVE
KAMM
CITY OF TIGA RD ��
:11-1m]: T' 1140 'LiE.8017-eW
C GA
TIIM
COMMUNITY DEVELGRIl DEPARTMENT 041GON DATE: , SUED : JJJ 1/08
1'125 S.W.Hall Rlvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)6394175 r,n'm . r,m'r . NO 06 V/06
JOB ADDRESS : 112*73 SW 9.511-1 AVE: UGA NUMDEP : 036/IZ'!0
'T AX M A P/L.OT 1.51. 35CA 3500 SUH - GEAPI-16PT A('.,Pr.:'!:) L T - 7 01K ,
I AND U5E: RIF
S'SZE:
.3 T*I 0N 35 TWP: 1. PNG : 1.w
WOPK ('11-ASS : NEW
USE TYPE : GTNGI E FAM111–Y
0LrL)P1.:I.QfikIjt JIjjjI•rj?eUi to coml:)144 With at'll
15ewerage Acle nr.,y . 11-10. pol.-Mir. (-nXPj.I--w1W J-PO (Jityla 4'r-oln ti-ico date
111.111MIL111t rlil . Aijoiriczy cicie!i; riot
Antee ti-Ifi-4 4;lx^ol.lr'iili of the.? loc:�Iq.t'iorl (34: ti-1c.-I hi'idoi-'? %lowrij?I., J.-F :hr'
114:)1, M044%U"Fall-411 t wiLvevri , the ii-iiatat.111F,?r 101110''1. 3 -V :1.1-1
all.11 t'l-le, If riot Sc) tl-)(j?
PLIVI.-JIMMe at " Tial:) pil1r.1 5:1.cli.o !iiti#w*i?r-" 1::'ozlI•Iri:lA atricl the Aqeric,y will
INSTALL . TYPE : SO:( 01N(:: J:MPl::*PV10LJS APE A:
FIXT(1PE.' UNITS : TENANT TIMIPPI)VEMENT :
13WEELLTNU UNITS : I
NO. OF
F E.E G
ANUEPSON DAN E VILPHII +1:3`1. 00
w 9363 SW Bv*AvEp'rON---Iil:L..I.-1.506-1...I::' CONNECTION CHAT GE' $1 , 100 . 00
N
E I-)wO 01 v"'?"'t 0 I'll I XNE TAP INSTALL .
R
DTH I;:P
C ANDEIFMON APL..E-:N
0
N 1-1 A AN0l1'.-.:.PVo0N I
T 1:)I-l BOX e"lip
R
A 1.)13 1-t.1.M.1-1 Cj ur 912108
C PRUNE. 1503)
T
0 RECTSTIPArTON NO. Ander,ts TOTAL. : 111. , 1.155 . 00
Pl-:C,'E:LP*T W.),
This permit Is Issued Subject to the regulations contain—I in Title 14
of the TMC, State of Oregon Specialty Codes.tuning reg dations PL.Wk J:1 PE:U INSPIECTIONS
and all other applicable codes and ordinances, and It Is I aireby P1131 J('1-4---1.N
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 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. 11 shall be the responsibility of the permittee to assure
all required inspections are requested and proved
Perrhittee Signature
Issued By ild–L FOR INSPEX.n TnN 639–.4117.15
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF T'67ARD -*"Wit N 1111"..'CHAN I GAI PI:_;:0M3:'T-
TV OF TW'A RD 17-117
Cl 1--I;"PM:1:1* NO . MEH .)
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
.3125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175
-- QW144 el"1'40 1-
JOH SW 931*1,1
AV1,--
3,!KA
LAND tJSI-::' : PIR SUB: GEAPHAPT ACWTI-) LT :7 Elk
NO: NO
WORK CA ASS : NF::W
VOI.-MACE <'I.()()K I AT P FIANDI P <J.0
LISE I
TYPE; SN(A E FAMTLY 1:1-11:1NAUE' 1.00K+ 144P HANDI A 10K
CONST '!'Yr)l-'.: VN FLOCIP 1--'I.JPNA(:,F.: V.VAF:- .
1:43 11-11"ATE.11:4 VENT F"AN
VENT Vr-.:Nl' . SY511:-M
ISILN/COMP < HOOD 1.
NO si,owre:; : J W-P/COMP '.3-15HP
1:WINE.PAI'014(DOM
(.)N]:'T'!5 : >t 81...1.1/COMP 1.5-301-11P, :l:NC:rNE-':PAT(*14(( am
H.A.- TYPE:. 131AS
30 50HP 1:43PAIP UNIT'li)
MAX . INPUT 01-14MOMP 504.1-Ir un-16
I-JAEK DMIPPS11, GA$ PIPING OUTI F:'J'S
HIGH 01:)E:':'I ti?
1.
0
W ANEWASON DAN E.
N PFAIM11,
E SW I AN PEVIEW $10 . 00
d.
b o la V v r t t3 11 1 lix'111PEES 0 . 1,3
STATI.i. 'TA $A0 .50
OTHEII 'Mid. 0.3
C
0
N
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R AAA COND
A 11:111191(JX66109
at n d
T 97266
0 1;A-11ONE: (,50*,.5) /'7.5 ••10.191.9
ON NO ,
I O*FAL.
This permit is issued Subject to the regulations contained In Title 14 NO.
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it Is hereby PkIRUIPEA) INSPEN.-IJONS
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 1:4111 JUIA TN
business tax permits This permit will expire and become null --nd T.NAL.
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 It shall be the responsibility of the permittee to assure
all tequired I ections , requested and appfved
Permittee Signature
Issued By
-1AA ION .A1.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
KNUMUN
OFTIGrA CITYRD ® PLAN CHECK APPLICATIQN
COMMUNITY DEVELOPMENT D rITiFTWARD n PLAN CHECK N13125SW"Melvd. P.O.Box�Q-.r EPARTMENT tEopN J� PERMIT N
'� 1Ia�w��s DATE ISSUED
JOB �DDRESS: ��^ ,j(�[.� S� ,�L/� TAX MAP/LOT S/ j dcC 35C-d
SUB(, �s C7- r ^ LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: �J2C�'�,rs3gy, ,�`�•�___ REISSUE OF:
ADDRESS: �E�il'(J LAST REISSUE:
` Qom_ 97 Oo FLOOD PLAIN/
PHONE: -
SENSITIVE LAND:
CONTRACTOAPPROVALS REQUIRED
R
NAME: PLANNING:
_ � � ENGINEERING:
ADDRESS: FIRE DEPT _
OTHER:
PHONE: _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: — �— TRUSS DETAILS: _
---- PARKING PLAN:
_ LANDSCAPE PLAN:
PHONE: - _— OTHER: - �
COMMENTS:
PERMIT ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
a � 10-431 00 Plumbing Permit Fees
4' 10-431 01 Mechanical Permit Fees �—
10-230 01 State Building lax (5%) q.
.7 ,I
q.
Building /(o, U—I.,
._
Plumbing $, 5 S.
Mech s2 , 0-3
10--433 00 Plans Check Fee ' 2. 3,3 3
Building / ?, ,;L ✓
Plumbing
Moch
91 _ 30--202 00 Sewer Connection p �
30--444 00 Sewer Inspection V
u �
51-448 00 Street System Dev Charge (SDC) - .v v Q v
52-449 01 Parks I System Dev Charge (PDC) _ - 1 o
52-449 07_ Parks TI System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 9-.5 U
10--230 09 TRFD -
10-230 06 Washington County Fire H1 (95%) `-
10-220 00 Amart/W ewood
TOTAL
R1 C N
AP1LLT 'ANT SIGNATURE
Received Hy : _
ht/3587P/18P Dalci Received:
--- -