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1.1321 SW 95th Ave.
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 J
Phone: 639-4175
Type of Inspection
Date Requested ' 15L Time A.M. P.M.
Address �� 5�1 Permit # .)
Owner ) _� __ Lot #
Builder
The foilowing Building Code deficiencies are required to be corrected:
X FS i 74.1
Presented to __ Approved
Inspector C_1 Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Sox 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection .e�Z- &te
c
Date Requested _._ =r _ �+ Timc A.M. P.M.
Address 41_�� �,LCJ y " _-------- Permit #-- _-
Owner._L ��.�2 !l�?Li' _ --- — Lot --------
Builder _ — _ - ---- ----- _ ---The following Building Code deficiencies are required to be corrected:
Presented to _-
__ M Approved
Inspector ❑ Dippwoved
Date
CALL FOR REINSPECTION
1-1 YES F1 No
W W W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 rt V
Tigard, Oregon 97223
P-h�onne: 639-4175
Type of Inspec+ion __ ' l.im z
Date Requested Tlme A.M. P.M.
Addresa�1�J�„�f b, _ Permit # i
Owner Lot �Ilt
Buildere
The following Building Code deficiencies are required to be corrected:
44 A
deA a2
v
Presented to
❑ Approved
Inspector �� DiapMoved
Date
CALL FOR REINSPECTION
E�'VE3 O NO
i
pa jj 1 "� INS�ON NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 63�9-4175
Type of Inspection
Date Requested
rime A.M. L/-P.M, —
?
Address Permit #
Owner
_ Lot
Buildery
The following Building Code deficiencies are required to be corrected:
-_ -'1-- -_-.__IL- - _-
ti.-.
Presented to _-- �J Approved
Inspector -!'►=� --.. _� Diapp►oved
Date L �'► :7 - — --^11✓//STT
CAA_G-_L_POP. REINSPECTION
�k�YE• O NO
FWFI
INSPECTION NOTICE
City of Tigard Building Department -n
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of 'nspection ____� � j 41&�= .1 ----
Date Requested `�r�3 _ Time A.M. P.M.
Address 113 � ����-- ____�_ Permit #_ 4c/'S(/
Owner. Lot #
Builder �' �<<f )l� — --
The following Building Code deficiencies are required to be corrected:
i
Presented to __ �_ _ Approved
Inspector __ ❑ Disapproved
Date
J _ r
CALL FOR REINSPECTION
❑ YEs ❑ NO
�! W
INSPECTION NOTICE
City of 1 igard Building Department
P O. Box 23397
T igard, Oregon 97223
Phone 539-4175
Type of Inspection _�Ya--n 1 L, v
Date Requested 1 — c7 Time A.M. y P.M.
Address "T Permit
Owner Lot *—/0
Builder Ct CnA) by a U►L ,
The following Build ng Code deficiencies are required to be corrected:
/-4 4 e el) f "0c:�_ ,z,�•w�
-" "V141h v u
._C1A,t,4 Cfl)/
Presented to
�"� _ ❑ Approved
Inspector �LLl�! / _ F_q"6isapproved
Date
CALL F4 REINSPECTION
❑ YE! ❑ No
tae Li19o.Tivartl U-
INSPECTION NOTICE
City of Tigard Building Department
P Box 23397 Ci
Tigaro, uregon 97223
Phon4: 639-4175
Type of Inspection
Date Requested 0 `nn�C Time A.M. P.M.
Z S G
Address ___ Permit # R a 17 S 3
Owner __ Lot #_
Builder �� --1---
The following Building Code deficiencies are required to be corrected:
i
Presented to _
^ Approved
Inspector '�,/�Disapproved
Date _
CALL FOR REINSPECTION
YEt n NO
INSPECTION NOTICE (�
City of Tigard Building Department /, P
P.O. Box 23397
Tigard, Oregon 5/291
Phone: 639-4175
l
Type of inspection L/111�
Date. Requested
z_�� Time_ A.M._ _P.M. C/
Address ) Z CSS — Pori-pit
Owner Lot #
Builder �� l G I L,:L
The follow ig Building Code deficiencies are
�required
to be corrected:
v�
Presented to ❑ Approved
Inspector _,, -y [�rbisapprova
Date
CALL FORREINSPECTION
vEa d No
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ! 3� - me AM P M.
Address 7 ;Z��` Permit #
Owner �v7 _ Lot
Builder I nom,,: 222kThe following Building Code deficiencies are required to be corrected:
Presented to _ ___.__._-- Approved
Inspector Disapproved
Date ?U
CALL FOR REINSPECTION
0 YEi 0 NO
� I■Ir � � � �r� 4! a �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
Type of Inspection —&- — --
Date Requested2 Time .- A.M.---P.M.
Address �-3 2 .S -� 9 _._ Permit # g
Owner _ Lot #
Builder
The following Building Code deficiencies are rz-quired to be corrected:
YtJ
may(-�----------- -
Presented to ,_. J _ _- �_I Approved
Inspector Disapproved
Date /�-'2 jr-
CALL FOR REINSPECTION
O YE$ ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ ---- - M
Date Requested_ Time P.M.
Address i / /y�� "` _. Permit #_.�._ r
Owner _ _._ ------ Lot
Builder
The following Building Code deficiencies are required to he corre.ted:
r
Presented to _ ❑�yAAp'�p�roved
Inspector -- l� v-igpp►dved
Date —
CALL FOR REINSPECTION
YES ❑ NO
IE � !� � � il•
6C) INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639.4175 X�
Type of Inspection
Date Requested
r� ' �� 7S T me_ =�XM. P.M.
Address _L__�L�� f — Permit # Q
Owner _ — ___T_ Lot
Builder ---
The following Buile:ng Code deficiencies are required to be corrected:
Presented to __ _ Approved
Inspector _ J Disepproved
Date --
CALL FOR REINSPECTION
❑ YEi C7 NO
0111( OF T'17A RD PEPMIT NO. :
CITY01"YWARDRD
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON 14"ATE ISSUED: 11/ 'T/88
13125 S W Hall Blvd.,P.O.Box 23397,Tigard,Orpgon 97223,(503)639AI75 lv-*,AIM. PMT.NO. 001,707
,.JOB AI*')DP1--.'SF5 : 1.13el. 541 AVI;.. USA NUMDER: 036421
TAX MAP ILO"I 153. 33CA 3800 !M.)B: CKAPHAP'T AGM.-i:S I-T : 10 BK
I-AND USE: PI 2
1-01 51ZE:
51FUT-1 ON : 33 T'WP 1.w
WORK CLASS : NEW
G1N(A.A-:*. FOMV Y
1,C) 121131101p0-y Wit-111 U11. I"Ll.l.oviin acricl
154-wer,at(jeAqc?ric)y . Y'hca r)(i.,)I-Mit, expil'e?w 1.20 dlayti fr-ciln the? clattivit i'lillul.ked . Th*V
NNIIJA:l W:I.:I.'I. t)e Thea Acerlc-,y cicieln ricit gI.In.ki......
i"I'Item? lf'ho� of tl-ic? c)•r thla) lbide ffic-!Wer bativi-r-atIts . If- the wewer, :L 3i
I-ll:)t 1clicaki'v"d qiveii , the;) iriiate0-1er, H;hati]. :irl
iall. dir*-,o.Lioiiui fr,um the di-utacic:e giveri . 141 I-IcIt III(:) 1ocz1ativid , thea i.11sta.I.J.el-
ilkl'IC
:1 5:1.clte 5vi.,ww.)r" ParmiL nti-lcl the) 0qMI-Icy wil.'I
INSTALL , T'YPE: BUTI-DING SEWIHM
I- T.XTURE UNITS : TENANT IMPPOVEME*NT :
DWELLIN( UNITS : 1.
NO . OF
F L!LS
U ANDF.11450N 1)AN E. l-**,'.PM:l.A 1111.1;.1111 0
W ,j'363 SW BF.-Avl: LE::P'I*(:)N 11ILSDALCONNECTION CHARGE $1. 1 00 . 0()
N
F bsoavwrtciii ver I- INE TAP
R
0 T'HE P
0 ANDERSON AWLLN
N 1-1 A ANDEPSON C0
T
R GSC) r-A)X 67:11.1c.?
A pmr-tlaod or 97P.F-18
C
T r'H(')NF.:.' (303)
0 PEGISTPATTON NO. An(lo.;iii,at
R TOTAL : 00
L I
PIRCEIPT NO.
This permit is Issued subject to the regiflations contained In Title 14
of the TIVIC. State of Oregon Specialty Codes.zoning regulations HEQUIPED INSPECIAONS
and all other applicable codes and ordinances, and it is hereby MUCH 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
ousiness 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. It shall be the responsibility of the permittee to assure
all required Inspections are requ ted end approved
Permittee Signature
Issued By U"
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA UMF.--):N('.-, Pl:.PM:I:'T'
RD
CITYOFTWARD
COMMUNITY DEVELOPMENTDEPARTMENT 001
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)839-4175 OATE ltiSUEJ) 1:1 / I OR
1*11-41M. PM I .NU WHT 0 1
1.1312I. SW 95TI-1 AVE
1A MAIP-1/1-.01' IS1. 33CA 3800 SUB: (,FARHAP'T
I-AND tJGI:-'.' : R142
T TEM: NO:
W014K CA.WiLi : NEW WA11.J4 2 'TRAP
USE TYPE� : STN(*.RJ'.-.* F'wr.L.Y UPINAL. RIO:LOW FTIVIS!'UP
'I YPI1:.-*:: VN LAVOPATORY a 'Y'RAF, PPIM:'M
(:)(:"Ct.j)b. A3 TUS 2 GPI:::AGL TPAPS
U151-41AIN51-11EA 1.
GvA11486(Air. U.Tt-MUSAL 1.
WASI-13'W', MACHINE.
L)WEL-L .UN]"'T'S : t LALINDIly TPAY BLDG. INWEN 1101A
DRATIN
5:119K 1. 5EWI'.-'N4 (1::**T')
W(11134
W
N ANl)rFP!H')N DAN ti. PEPMIT
E '9363 SW REAV14-.I:1'1'(:)N -+411 1-51I)AI I!.
R 5 :.
F:I:X 1'I'll PF.G
C
0
N woo-c(71"T' im. umn: TNO
T
R WOLA,f)'11 T 1:4.31114"ING
C A pm I:*J(JX (3,12
T 9141NIIIIIIIIIII Cli- 9,1030
R 66,' ..:I. 71'11.
Illtj--kfil ".121:14117 --- I TOTAL. : P3. 314
This permit is issued subject to the regulations contained in Title 14 PF.-XE1 P'T' 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
specifications and in compliance with all applicable codes and Pl-L) LJNr.**..'R5LAH
ordinances The issuance of this permit does not waive restrictive & HFAM
covenants Contractor and subcontractors shall have current city WA' F:14 L.TNE
business tax permits This permit will expire and become null and 1:11-8 . TOPOUT
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 PAIN DRAlWi
commenced It shall be the responsibility of the permittee to assure, NAL,
all required Inspections are requested and pproved
040
Permittee94190171t ire
Issued By
.61 1
SEPARATE PERMITS REWIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA RD
Pk*PM1*TNO. : MVF381754
CIrA 7�FM
COMMUNITY DEVELOPMENT DEPARTMENT �E
7/88
13125 S.W Hall Blvd..P.O.Box 23397.Tigam! Oegon 97223,(503)639-0175 i)PUM , PMT .NO. eel.'707
,JOF.' AIA)Pli*.'SG : 3.1.3F-q !:',W A. vr..:.
(*(-)X Mr,)I:I/I-.O*Y* J-5:1. '33CA 3800 )OH : 6AKA141-01.41' : :I.0 B K
RIP.
NO: N('.)
WOWK CLAS4.5 : NEW F'I.JPNACE <1.00K 1. AIP 1--IANI3I..P <10
USE VYPE : SINGLE FAMILY 1--*I.IPNA(*,F.-.: 100K+ ATR HANDI 1-4 1.0K
CONST . 'TYPE: VN I.L.00P l"UPINIAGE EVAP . MOLEP
(N."C'UP. GPP. : 113 HFA111-1 VF.:N'T' FAN
VENT VEN'T . SYS*I*L-::M
8L.N/ClOmp <311P HOOD 1.
NO . STOPIES : 1. r.A.M/COMP 3-45HP 1NC',XNEPA*T0P(1:)C)M
D W E.I L . UNITS : I 15-301-11• 1:M I NE I:IA'T 0 P(COM
1AIII'L TYPE* GAS r:;I1. P/1.0mr) '30.....501-ir" PEFIAU1 t.)N:I:'T*S
MIPIX . ININYT Pi I."MAMIL" .1504-1-1p (:)'TWE II
DMP PS? GAS 1::'3*.V)'.[N(*-,
HIGH PrIESS?
L'(..W PRESS?
0 ANDEFISON DAN E nm 1 $10 . 00
W63 r1W L 5 DAL.K. r-:'I...AN 14r-.:V:LE:W
N 00 1. 13
E b e.at v v I-- t,1111 I. I X YUPE S $30 .50
SI A'T'lz-' I'A X 11111P. 02
OTHER
C
0
N
T
R
A
C
T
0
PECEIFAT NO .
This permit is ISSLIed sub, ct to the regulations contained In Title 14 ........
of the TMC. State of Oregon Specialty Codes, zoning icvuiatt�ns INSPECtIONS
and all other applicable codes and ordinances, and it Is hereby GAS L INE;
agreed that the work will be done in accordance with the plans anL
specifications and in compliance with all applicable codes and F"015 I' a NI-F)M
ordinances The issuance of this permit does not waive restrictive FtC)L1C;11 3.N
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 100 days any time after work has
commenced It shall be the responsibility of permittee to assure
all required inspections are requested anap roved
Permittee Signature
Issued By --- — ----I--- ...—-- .-- --I l i-,-L"1 4 U-1 -C4 i j
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I IJT:1.1)LLIG: 1'Iii:1:3P,.i:,
CITY®F TIGA RD � FY NO. : DJI881*707
CIT� V"
orleoow
COMMUNITY DEVELOPMENT DEPARTMENT 1)0'1*E ISSUED; 1.1/ 7/88
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175 PRIM. PMT . NO . 881.707
.JOB ADDAESS ; 11.321 SW
i AX MAP/I. OT 1.51. 33CA 31:30O SIM: GEARHAP'T A(:;14F*5 1".'r : :I.0 WK .
I ,AND USE 11:11.2
VALUATICIN : 33, 179 SETUOL,KS
F'PON'1' : 20 AE A14 6
WORK CLASS . NEW DWILL.I.—UNITS : 1 I EI*-'T : 1.0 PIGI+T : A '5
USE TYPE: FAMILY NO. 13ii-MOOOMS : 3 EXT .WALA UJNST :
1::ON5'T . "T'YPI!-- : VN NO . DA'THS : IfR N: S : E W
M"CUP .GPP . : P"s PPOT , OPENiNGE-5 :
-
IJAIP . L.OAD N S E W
TOTAI AAAA 1.1.%20
NO. STORIES : I IST : 1.120 POOF CONST : C. FJPE PE"T"I
11-11.4:3: : :LET 2ND: AREA SEPAP'?
F.ASIEME-N'T"? MID:
tll:'ZZANI:NL-'.:'?
1 1,11017.1 LOAD . "40 GA P A G E 41410 S-PP11<1 1:.?,7 ALAIRM7
FLOW( PM)
X"i 13
IALA 1, 1,Y F,L. G 6 1-40CIL ACCA..... 0 IQ A
I'I.AN UY : P] I.
AL-:15GUE M- NO
I .AST REISSUE
O ON17E11111AM IRAN I."- PEPM1,11, MR95. 00
W
N 1 91. 75
514 r:�l:-*AVF.!r�*I'C)14---I-IIL..I SUAI..r--' PLAN PI*----V1EW
E 1.) t 4.111 all F:,:Lnr. uEpr
0 Al*I-". TAX 1.
OPMEN'T UHARGES .
C
ONIA.'ASON 06N E. SIN ( I'Opm) $2150 . 00
N mi.;Ar.)c)wAOUK Dl'...vk:A-.nl,,mr.-,:Ni' $600 . 00
T
25 0 .0 0
R g.j6,i tm P.
A 97006 PIPIEVAID < $1.00 . 00>
C
T rl-40NE (503) 291 -10566
R NO /I 41+3.11/1 1011 At-. : 161 '301 ' 50
NO .
This permit is issued subject to the regulations contained in Title 14 ...... .......
of the TMC. Slate of Oregon Specialty Codes. zoning regulations FILQUIr-41IFT7 1145PEC-TIONS
and all other applicable codes and ordinances. and it is hereby F1.)(71111.NC; S V W F.-F 4
agreed that the work will be done In accordance with the plains and POUNDA'TION W01 L. PAIN DIIIAMi
specifications ano In compliance with all applicable codes and
ordinances The issuance of this permit does nuf waive restrictive WAI'EP I. INE:
covenants Contractor and subcontractors shall have current c;Iy PLO IJNUt--J44A-0k (.-J 1'y APPRU"105W
businesi;tax permits This permit will expire and become null and SLAW F 'I.NAL
voiu if work Is not started within 180 days,or it work is suspended or p1..8 . rclIP(ju'r
abandoned for a period of 180 days any time after Work has F AAMT NG
commenced It shall be the responsibility of the permittee to assure
all tecl jited inspoSNons are requests and approved F IRM:.PL A(X
7 GAS LANE
T.N91JLA't1ON
GYP HCA940
Permitter? Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ClioYOF TGArRDITOOFTW
PLAN CHECK APPLICATION
COM[AUNi Y DEVELOPMENT DEPARTMENT PLAN CHECK # " y k
13125 Syy W 1)),d_ P.O.Boer23397.Tipd.0,.0."97223(503)& X175ON PERMIT #
DATE ISSUED
JOB AD ESS: 11.32-/ i�
SUB: �� TAX MAP/LOT
-a`- -� _ b �
VALUATION: LOT: / LAND USE: I'._ /z
OWNER —
NAME: SPECIAL NOTES
ADDRESS: J2 REISSUE OF: _
LAST REISSUE:
Ell ?C-)0 _ FLOOD PLAIN/
PHONE: q 7—7� SENSITIVE LAUD:
CONTRACTOR APPROVALS RE WIRED
NAME: �� PLANNING:
ADDRESS: ENGINEERING:
FIRE DEPT OTHER.-
PHONE:
THER:PHONE:
ITEMS REQUIRED
ARCH/ENGINEER LlsT/SUBCONTRACTORS:
NAME: ��s-+1BUS TAX:
ADDRESS: CALCULATIONS:
TRUSS DETAILS:
PARKING PLAN: _
PHONE: LANDSCAPE PLAN:
-- OTHER:
COMMENTS: ¢ >
PERMIT # ACCT M DESCRIPTION ---
10-432 00 Building Permit Fees AMOUNT AMOUNT PD. BAL. DUE
11L--5l 10-431 00 Plumbing Permit FeesJ UJ J---1.::_°U
10-431 01 Mechanical Permit Fees / �o
10-2.30 01 State Building Tax (5%)
,v uS u
Bu i Id i ng _1��76- —1 4'S
Plumbing F-A,
Mech _ :�.C• Z
10-433 00 Plans Check Fee .2 U i
Building
Plumbing
Mech
30202 00 Sewer Connection
30-•444 00 Sewer Inspection 6 O v
51-448 00 Street System Dov Charge (SDc) -
52-449 01 Parks I System Dev Charge (PDC) —z`-
52-449 02 Parks I1 System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chry (SSDC) .:• � J —`
10--230 09 TRFD
10-230 06 Washington County Fire #1 (95X) `
10-220 00 Amart/Wedgewood
TOTAL _ y 7-S 3
APPLTE—AN I SIGNATUR
RocoiVi'd fly
ht/350/P/1BP - 1__ _ _-- Date Received: r-