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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection / 'JZ i lC�
Date Requested X2 'Z�7 Time A.M. P.M.
Address . f �� f ^"�L'—Q Permit #Y�. ( _
Owner Lot #
Builder r
The following Building Code deficiencies are required tc be corrected.
I?
Presented to _ [Approved
Inspector `-7 U Dimpproved
Date i 'L., l/��` el
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 ( f
'
Phone: 639.4175
Type of Inspection
Date Requested �` '� 7 imec� r�' A.M.__T P.M.
Address _Z/309 Permit # 7
Owner 1 Lot #
Builder (
The following Building Code deficiencies are required to be corrected:
\ + G/9.4'h"Ca F
.Fa-_81.4._Ls2��_ E n1 T L
�E f�T Z-5. 3�/
_-- ,,'-".t- Tiopt i� _�•��tiv.�I.c`f
t
_�..__ �r�Nit eJ 4/�? /� 'Ifo a,.✓"� /CiEt V M !� L -r_ ._--�,
Presented to _ ❑ Approved
Inspector "'•.1� ':/ Disapproved
Date
CALL FOR REINSPECTION
YES [J 1yo
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3397
Tigard. Oregon 97223
Phone: 6,19-4175
Type of Inspection :/�___—
Date Requested ` Time A.M.--P.M.
rL-
Address / J3nl_ — Permit #_n�
Ownerh ` _ Lot #
/ r n
Builder �a C3L") ka r0r)
The following Building Code deficiencies are required to be corrected: ,
t Lam,_:tit
T
Presented to _ L7 Approved
Inspector - f r� C—.... �_ -- ❑ Disapproved
Date
CALL FOR REINSPECTION
O rss L7 No
INSPECTION NOTICEr�J
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 '
Phon
e; 639-4175
Type of Inspection 1
Date Requestod Q 3 _ Time_ A.M. � P.M.
Address J ! 1 d� ___ Permit tY+_, 7
�
Owner L.�� x/,30 C Lot �
LZ- -Q � ._ ---
The following Building Code deficiencies are required to be corrected:
1A
l ` ! J
i°res.inted to A roved
Inspector - U Disapproved
Date
CALF, FOR REINSPECTION
YES I ', NO
INSPECTION NOTICE
City of Tigard Building Department (\
P.U. Box 23397 \\\
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection I� __l `n
Date Requested Time A.M. P.M.
Address / __ ? ----..-- -- Permit #
32
Owner_ '�,�_, p Lot #
Builder - �r��, Y"- Q a'nona, _..�.
The following Building Code deficiencies are required to be corrected:
Presented to _. V"Approvpd
Inspector Disapproved
Date
CALL FOR REIMPECTION
0 YE• F] NO
INSPECTION NOTICE
City of Tigard Building Department (1
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection � �
Date Requested Time r Time . A.M. P.M.
Address 1fz"1C-' L � — Permit # � L
Owner
Lot #-----_-ThBuilder
e following Building Code deficiencies are required to be corrected:
lam'),1 �.. d..��e..ti•,r•.n�' ___--_ .�.-_ ---
civ C
Presented to r] Approved
Inspector — jif isapproved
Date
CALL FOR REINSPECTION
LEGES ONO
INSPECTION`NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97993
Phone: 639-41-
'Type
39-41"pn-,A�
Type of Inspection ��11
w
Requested
Date Re _ � _
U Time /:rvt.
Address !�3d� V4-,— Permit # / ?()S
I
Owner / L _ Loc
Builder C44 razy
The following Buildin Code deficiencies are required to be aorrected:
r 1W I [Ail I I
51-94 rA 611f A-—
Presented to .— F1 Approved
Inspector �i
�.Df'froved
Date 0 app
CALL FORR ' ECTION
YES C_l NO
C17Y OF TIGA RD OUILDIM3 PEPM1 I
PEPMI1* NO . : BUS01708
(CITY OF iA RD
COMMUNITY DEVELOPMENT DEPARTMENT 01100"
13125 S.W.Hall Blvd.P.O.Box 23397,Tigard,Oilpgon97223.(503)639-4175 UA,11. ISSUIZ-M 68
..)OR ADDPE,55 : J1309 SW 951+4 AVE
1 A MAP/LO`T 1.51 33CA SIJU: 1C,EARHAl-2'T AL',PE5 1-1 : 9 BK :
I AND USE : PJ.2
VALA.JA1'1ON: t6 67 ,006 SETBACKS
FRON'T : 20
WORK (".)...ASS : NEW 0 OWELL .UNI'TG : LEVI, : '5 PIGH J' : 15
USE TYPE : S1N(,'-',I_E I-*oMILY NO. BEDROOMS : 3 EXT .WALL (:;DNS']
('.'ON5*T . 'TYI:A: : VN 1, NO . 3 N S W
UCC.It.lp (*.,At1 . P3
C.,RI' PPO'T .UPENINGS :
:
UCC,UP .I...OAD N: 5 : E : W:
I O"TAL AWl:'.:A: I.A00
NO. S'11*0WIES : R. I.S*T : HAO POUF CON;if - ( FIF41-: wr?
HEA,('1101-1 T : f.?0 it 2ND 6/10 AREA SEPA147 WATED:
BASEN' N'T"? 3111): OCCUP. SEPAPI? PAI'ED:
MEZZANINE:-*'? 0ASEM'1'
OOA L.(:Al) A:l GAPAGE : 400 FIRE SP1410 Alf At APH?
FLOW(Gr-,M) ULTLGI YES
I i'vilott . Ov 11S)C'P . At "UR 7
1':'E..AN CHl-':CK BY : r,J.A.
PEMAlIKS :
Pr-.:1S5UE OF N(1 .
l,.A5'T PliKISSUE'
0 EES :
W ANDERSON DAN I.-. PERHrr $337 . 00
N
936.3 SW F4E'AVE:�P1*C)N----HI.L,.I..Sl.)AL.F:. PLAN PEVIEW $219 . 03
11 1:n.,aver-tan 1:711:41:7 DEPT,
GI A TF TAX
C DEVLLOPMEN'T
0
N ANDE"A"iON DAN E .3"o(7,( sTuPM) $250 00
R T Ml,;:AI)0WF'.APO(.)K SOC( S TPEEI ) $600 . 00
A 9'36'3 13W r?,LAVl`l4*TOl`4 HII L9113ALE $250 . 00
C b 1w P.l.V e I��t,t)1.1 at, 97006 PREPAID < 111111100 . 00)
T
0 1.4,10NE ("503) F_'97-7666
R Pl:A'.A:STPA*lA,(')N NO. 4b344TC)TAL. : $1 157P 90
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 PE QUIPC"D INSPEC*T IONS
agreed that the work will be done in accordance with the plans and FOU'll'ING SIEWER
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive rRstrictive FOUNDATION WALL PAIN L4AINS
covenants Contractor and subcontractors shall have current city P051 & REAM WATER LINE
business tax permits This permit will expire and become null and Pt B .UNDERSLAB GITY APPPCH/5141
void if work is not started within 180 days nr if work is suspended or SLAS F 1,NAI...
abandoned for a period of 180 days any titie after work has pi 9 , ,rupou r
commenced It shall be the responsibility of the ptirmittee to assure I PAMING
all required inspections are requested and apl,.oved FtPEPLACOH'.
("AS LINK
INSUI ATION
GYP BOARD
Permittee Signature
Issued By CALL. FOR INSr.)FCTIUN 6:55-•4t
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
S
A PE174MI'T NO. : SAA461-7,59
�4
CIIYOFTIFARD C"YOFTWARD ISATE ISSIL)EU : 1.0/ 7/80
COMMUNITY DEVELOPMENT DEPARTMENT 04100H P141M . PM*r .NO . 80V708
13125 S.W.Hall Blvd,P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175
P-
I'AX MAP/L..01' IS3. 33C6 GEARIFIAP'T ACPF5 L'T :9 L:i
LAND USII:: : P1.2
L.01' SIZE!
SE(""TION: '133 'T'WP: 1."1 ANG; 1.w
WOPK CLA55 : NEW
USE 'T*YP"I::.* : raINGLE F*AMILY
ilkr.)P:lA.(--nsl-lt agl-(�Iels I,(:) C.'l:)lnp:ly witl-1 ;10.1. akrid (:)-f Uifi-, Lfiii-Vied
15 L....W V,�I-a g ce A cA e 11 c.y 1'1*1(.?? Per'lrlit 0?Xpir-e4l; 1.2-10 dalim fl.-L)ln -the cllwtca istiit.led . 'T*Vie t(:)t mi
lainmLlri'l, PULJ.0 will. I:)4P i-F the pt-�r•rlait wxpir,em . Ttie ')ul, cj t.t at r,—
atrlttoNl the 4.1f ttlkr.'� (3f t'he Side strwer, lato?i�iwlta . If thre tuviwer- iin
jwc)l. Imc.,alted aki, t.hki Irititatiler, tollim-1.1 3 fem.i-i, in
m 3.1. cl J.r-ec. ti.canto -F r, m t h e cl i%L a i-i c.e (J i v rft ri . 142 ri(3 t, %ci :1.(3 cat.t,e d , t h*i i ro%I.at 1.1 ci v, Hiha I I
M llirld Sick? 5eewer" VlAol"inJ,t ioricl the� AClt.-Pnay w:l.:I..l iri!iita:1.1 m. Iaitei,60. .
-1 N'I I FAL I I y Pit P411 I L I I r F31-- 17.rT1r1rJ--- X 011.1'-'n A 1'4i-";A
i- 1'X1't.1PE:. UNI'll'S : 11%,W)NIIMF-'f40VE-*MI;.:N'1
DWIliA.A.ING (JN:I**TS : 1.
NO. OF BLUGS . 1.
ANDEP!5ON DAN 1111*33 . 00
O 9363 SW DEAVEwrON 1-1111-1.b1)ALE C'ONNECTION CHARGE st ' I'00 . 0o
W c)r* 1-INE I'AP INSSTALL .
N
E
firm DE,09 ON ARI-FN
C
0 1-1 A ANDI;-�PSDN CO
N p(-.1 ROX 6*71 P
T
R r.)(3 1-t.1.at i-i d c.)r 9'722 :)
A Pl-411'.)NEi. (503)
C
T PrE.G.1451'PATION NO. Andriti-!% *TurAL; $1 , 135 . 00
0
NO.
This permit Is issued subject to the regulations contained In Title 14 PEQUIPED 3'.N5PEC1'IONF-.i
of the TMC. State of Oregon Specialty Codes, zoning regulations POUGH IN
and all other applicable codes and ordinances, and it is hereoy
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
novenar,ts Contractor and subcorr;rRctors shall have current city
business tax permits. This permit will expire and become null and
Vold if work is n9t 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 permittee to assure
all required Inspections are requested and approved
Per,e'aq lure
TION
Issued gy' GAIJ FOP INSPEC"
SE13ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
til:-_(�,'l-IAN I.CAI PE.14IM-1-1-
CITY OF T'FA RD F'F IM11' NO . ME88.17,"57
C I I EY(j_f TWWA P0
COMMUNITY DEVELOPMENT DEPARTMENT MOON
Hall Blvd.P_0.Box 23397,Tigard.Oregon 97223,(503)639-4175 PM'T . NO . 88J.70til
,.JOB AUDF4F_45G ' 1.1309 SW 9,51.14 AVE
'TAX MAP/LOT ISJ. 33CA SIM: (..A-.'Ar4l-IAP'I' ACRES 1...1, 9 BK :
I..AND USF.:' : P1.2
I-ATT, SIZE :
NO:
WORK CLASS : NEW FURNACE (100K 3. AYA HANDLP <10
USE TYPE: SINGLE FAMILY FURNACE 1.001<+ ATN HANOLP 10k
C.QNS'T' .l'Yr)r::*: : VN 171 OOR FURNACE E'VAP .C:(:)O1 EP
OCCUP GPP. : 1:13 Hl*--*ATI---:P Vl:::N*r FAN
V E.N T VEN'T' . SYS1*EM
RLP/COMP C,3111P HOOD
NO . S1 ORIES : P RLP/COMP Z5--:L!5+-IP INCINERA'TOW(DOM
DWELL .11141 T G I BI.-R/Comp 1.5-30HP I NC:LNI:-:PA*T'UP(MM
1':'I.JE:I-. TYPE GAS 8LR/COMP 30-501-1p PF- I"
KPAPUNI'T'S
MAX . INPUT' ul P/COMP 1504.1-4) O'FHEII P.
FTPE: IMPRS.? GAS PIPING
HIGI-4 PPESS7
L OW PRE SS7
PFMAPKS :
FEES :
0 ANDEPSON DAN Iii: PEPM I r +I+1.0 . 00
WSW p
N LAN PF.Vlr-.:W $10 . 13
E b C'it V 0?1" t,1111 tar F,I X'T'1i PE S
R $30 .50
STATE *TAX $P . 02
UTHV.P
C
0
N I':1111JA SEA4ii0145 041P CONO.
T
R
A P I-)i`t].It n cl Or 97266
C 1:."HONE (503) 1'73--.591.9
T
0 PE::(31:5l'r4A11ON NO AB263
R TOTAL : 11111113P. ein
PECEMr NO.
This permit Is issued subject to the regulations contained in Title 14
of the TMC. State of Orogon Specialty Codes zoning regulations WE_qUI PEI NS-p IS
and all other applicatle codes arid ordinances, and It Is hereby GAS LXNL
agreed that the work will be dome in accordance with the plans and
specifications and In compliance with all applicable codes and POST HFAM
ordinances Tho issuance of this permit does not waive restrictive A0IR.,H IN
covenants Contractor and subcontractors shall have current city IF:'.1 NAL
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 slier work has
commenced It shall be the responsibility of the permittee to assure
all aquired Inspections are requested and approved
Permittee Signa
Issued By ("At L F(in IN
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING 14:44M]''T
PEPMT-T' NO PL-80.1756
CITY OF T1�� (CITY__4 T ,AIM
C- W
COMMUNITY DEVELOPMENT DEPARTMENT 011100" ISSUEM: :10/ '7188
13125 S.W.Hall Blvd.P 0 Box 23397.Tigard.Oregon 97223.(503)t �9-4175 PP I M. PM'T'.NO. Be 1'708
JOW ADDRE::SS : 1111-309 SW 9571-1 AVE::
FAX MAP/L.OT 151. 33CIA (:FARHAPT ACPES 1••.•T• :9 8K
I-AN13 USE: P1.2
LOT SIZE: :
1:TEM: NO : Nf) :
WOPK NEV W0 11M CLOSET 3 'I'PAP
1151:7 I'YPE-' : SINGI I--- FAMIL.Y "jPINAL. HIK!"LOW PPVNIA
(:.(:)NSI* . TYPE.: VN L AVORA'TUPY 3 'TPAP F'RIME-A
SHOWEP 2 Gr*,E.ASE: 'TPIAPS
1)15 1-1 W A 5 H ki::A I.
GAPBAGIX DISPOSAL 1.
NO . STOWXE:S : V WASIATING MACHINE-*
DWELL .UNIA'S : 1 1 AUNDRY 8L.DG. I)PAIN (01A
F1 ODW DPAIN
SINK SEWE'A (F'r)
WAIVP HEATER 1 STOPM/PAIN (F'*T 1.
(31 I-IF.r.p
DAN E. PFAMIT $132 .50
VV 91363 SW Bl;::AVE*FIl'(:)N—HII..,L-IiDAI. E'
N
I till F IXTUPF:S
i TWFE TAX 06. 63
C W01-A701 T' PI—IJMHT.N(;
O
N WOL-GOIJ PLUMPING
T pn BOX 872
R
A gresham or 1970,50
C
T PHONE. (503)
0 PE.'G,TS1 PA'T'ION NO. P-3847 1 OT3
AL . *19 . J.3
R
PFC,ELPT NO .
This permit is Issued subject to the tFg;jlallons contained In Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations REQUIRED INSPEUTIONS
and all other applicable codes wid ordinances, and It Is hereby PLB UNDEWAAB
agreed that the work will be done in atcordance with the plans and
specifications and in compliance with all applicable codes and HIVAM
ordinances The issuance cf this permit does not waive restrictive WAFP LINE.
covenants Contractor and subcontractors shall have current city PI-E! . 'TOPOUT
business tax permits This permit will expire and become null and PAIN DRAIN45
void it work Is not started within 180 days,or if work is suspended or FINAL.
abandoned for a period of 180 days any time after Work hol
commenced It shall be the responsibility Of the permittee to ASSUrP
all required inspections are requested and approved.
Permittee S nature
Issued B r
By CALL I JJR IHSpE;LjAnN 6--4
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
-- - --- i
CITYOFTIGARD PLAN CHECK APPLICATION ,�
CC AMUNITY DEVELOPMENT DEPAWMENT C�YUOf IIGARD PLAN CHECK A `.),�o(�
13125 SW Hyl Blvd. P.O.BOX 23397.r oREoc/N PERMIT # ;
•O�97223(5af1W9-4175 DATE ISSUED
JOB ADDRESS: � �f S ¢l/- TAX MAP/LOT
SUR: C� -f11'c s=fjgyL (x LOT: LAND USE: - Z
OWNER
VALUATION:
_
NAME: SPECIPL NOTES
n. %- ,.1/ ,cJ .vG _ REISSUE OF:
ADDRESS: LAST REISSUE: _
FLOOD PLAIN/
--
�Ty'J � SENSITIVE LAND:
PHONE: <� ^
-�
CONTRACTOR APPROVALSREQUIRED
_
NAME: PLANNING__-- — - �ri� _ ENGINFERING:
ADDRESS: - FIRE DEPT --�—
OTHER: -
PHONE ITEMS Y.LqkLjRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX: i
NAME: _ CALCULATIONS: _
ADDRESS: TRUSS DETAILS: -
- W PARKING PLAN: ^�
LANDSCAPE PLAN:
PHONE-, - -
OTHER:
COMMENTS:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees 7 u
10-4- 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building T x (5%)
Building
Plumbing
Mech
10--433 00 Flans Check Fee
Building .2/,/,o ;
Plumbing _
Mech _ 11
30-202 00 Sewer Connection �plJ //v �
30-444 00 Sewer Inspection _
51-448 00 Street System Dev Charge (SDC) 7" ---
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 - -�-
10-230 06 Washington County Fire #1 (95%)
MM 10-220 00 Amart/Wedgewood
✓C. TOTAL
REC #
APPLICANT SIGNATURE _ '—
Received By : Date Received:
ht/3587P/18P - --