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INSPECTION NOTICE
City of Tigard Building Department 1 .
F.O. Box 23397 �J
Tigard, Oregon 97223
Phone: 639-4175
j P
Type of Insp,:ction
Date Requested �–�–�2 �7 'Time_ A.M._I<_P.M.
Address /(–//,3S _ / r Permit # –�
Owner Lot #—
Builder-AM)-)
The following Building Code deficiencies are required to be co ectad:
7
s-�y
r
/ ('resented to F-1 Approved
Inspector ❑ oitepproved
Date,
CALL FOR REINSPECTION
❑ YETI ❑ NO
Ct
BUILDIM'..,
CITY OF TI6A RD : NO.
(C!T�7T
COMMUNITY DEVELOPMENT DEPARTMENT '�ARD
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 I IjA'T'E ISSUED: 12/ 9/68
lilt')
-)(:)H ADIA-4ES5 : 1.4111.3,5 5W 971*11 PI
IAX MAP/I OT 251 1.1.13A t-5900 SUE-3: I-T : JA. IM :
1 AND LJ':il::! R,-q .5
LATI, SIZE VAI.A.)(1)I TON: Ai 76,951 G I-:I D A G,W:
1::-141ON'T : Z*20 PIEAP :
WU14K CLASiG : N I-*W DWELL... UNITS : i
USE W.) DKI)POOMS : /.I E:XF . WAL L (:,ONS1
('.'VNST . 'TYPI:7 : VN NO. IRA TFIG : 1*3 N: G : W
PZ4 PW0T . OPEENINGS :
LOAD N S :
W
T01 All Ar4l!.:A : :1.6£:36
N(:) o i:n P. G 1, 900 (:"(7NST : C, AE'V?
P PND: 7'7£) APIE0 SEPAR7 RAI 1::,D:
F)ASEM11KIN'T"? MID : O(:A.11L)P. !5E'I-'1AR1? PA'T'ED :
M E.Z Z A N IN r-.:'? BA GEM I I
F*I..(3Or4 L-OAD �:I() C.APAGE,. ; 1::':EPI::.* 5PIUL.A? ALAW17
FLOW(CPM) DE'TEX11"? yi.:
1.11 AN GHECK DY .
PEICiSUE OF NO.
I-AGI, 14-:1550EK --A
0
W M,1.1 .L.E".P TOM !1$36,el.00
N i '(110 N !:iHF.PWC)OD FILVI) 1:1-AN Pr-.:V.IA::W
E IIIP36 . 60
R ch,c)r,w ci(3 d DET"T'
I ATV: TAX $1.8 . 20
0 TI-41-111
C I "I.A.-OPMELISIT (HAAGE.Gv :
0
N l4wc;I s,rcmm *P50 00
T 10M M3*1.1..r-.p 0L.DW soc, r)
R
A 11eUR 14 !*41U.11411C)OD BLVD. 1"ll"W, ( ;NIP 111,1230 . 00
C I r.)1,W 1:1 r)d cir, 97:1.10
T P PK*PA 1:D < $100 . 00)
0 1-1-1 )NE" (.1503) 625....61.67
R NL). ".37,3H5 I 61H .00
This permit is issued subject to the regulations contained in Title 14 I.-MCIEIP T' NO It9l 7d
of the TMC, State of Oregon Spcclatty Codes.zoning regulations .....................—
and all other applicable codes and ordinances, and it is hereby I u 11:7 UN) I W;PFUT ION S
agreed that the work will be done in accordance with the plans and )(TIA W., S;r..:-,W I.::P
specifications and in compliance with all applicable codes and F'OUNDATION WALI PAIN DPAtNI-3
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city P105 I A M-KAM W Al E:1:1 1 INK
business tax permits. This permit will expire and become null and I'll. F) . UNDC-11:1151—A1-11 (",T Fy APPI:K11-4 GlAll
void If work is not started within 180 days.or If work is suspended or I I AI.) V T NAI..
abandoned for a period of 180 days any time after work has 1:1-8 T*OPUtI*1*
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved, 1:14 0 M IN I'v
1:4 RE.PLACIF
119AS LINE.
IN911l.h.-AT ION
Permittee Signa{ re Gyp 80API)
Issued By
1 F"(:)A IN40'I I LION 63'9-411.7%
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WEA PE.,PIM11-11
CITY'OF TIVA RD !iL PEAMIT NO.
CITY OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT OR(GOM
13125 SM Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)6394175 9 9a
.1 5 jjw 9'7'1+4 1. S(.1 NUMBF11 0,37 1.Pe4
TAX MAI-' 1_,(:)'T 7-2i01ABA '5900 SUR 0K .
LAND IPA AI
I (JIT SIZE :
ti TW 1:*, : 2% Al N 1.1,
WOPK C.LASS : NEW
SINGLE F-AM 1:L.Y
With in.11, r-LY-1f,111; ArIcl
h Q! P(-Vb 1-In 1. t C)X P 1.1"(±R1 I P 0 c)in.y if; f r-(J in t I I r-0 (J a t.e J.in sli 1.1 (J T 1- t. t a
ift in c)1.1111. f)avi.(I W:l.:1.:1. 1;)o? -0(:1 P-F IF:?:I. L 40 CI 'I.•F "..1)e 1:)*4 1-in J.1, ci x r):i.I-, ill . J-hr., cloqp.w c
.J In.I
ipal'it IrZe t 1*1 e ffif"0 ILI I" U F t 1-1(o 1.(:)Cn t 1.c)1-1 1]'1? t 1-1(.7., in:I.Cl V.1 III e W iv�1" 1,in 1.e r-wk 1.in If ti-le ibawfol- J.!I;
iii.A. 1.1464! T tit(r'?t :1.11
in:L:I. Li J.I-ec.t.J.a rl!ii f I•cl III l.I,c d J.III tV(.-�1.) . t in(3 :1.(J c'a t C.,(J , tllcp irlintallel" li;hia.11.
w-1 r`C: a tww in. "I In r) ak I I CI Fii cl(-'a riuww I., Plor`in:[ L iltricl thr-, At..jrairicy in.
IN!"VIALL . TYPE : BUILDING SF::WE:I:l IMPE-A"NIOUS AFIV*A:
F!J X TAJ PE:: LIN IT S Tl:-:'NAN'I' :1MPP()k*.MI;;:N'T
DWEL.L.TNOP UNI rS
NO OF' J.
W MILLER! TOM PEPM1,11
N
E 1.418 N SHEPWOOD 91 VD CONNEUrION C1--IAPG1:'*
R 01, L.I N F. 'T'AP INS TA I L.
0 T'1-1 E.:P
C
0
N MI.L-L EP TOM
T rum ei-op
R
A 1-170 N SHEPWOOD 1811-VE) .
C uih*irwc)i3d cli r 9.71 *10
T
0 1:410NEK (50'3)
R I i4r-:(;V5TF-4A'T'T.('.1N NO 3.7'385 TOTAL. 00
This permit Is issued subject to the regulations contained in Title 14 P E:T PT N 2
of the TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby AR'QUIPED INSPIECTIUNS
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 It shall be the resRonsibility of the permittee to assure
,(1ll rebuirea inspo..tions re r jested and proved,
Per Itpe Sigtialt
Issued By
C.Al L HIP INSF)ECTILIN 639-41.73
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I.
PLUME::INC; PF.P 1`1 J. T
CI�OFTIGARD Ai�- NO. : Pl.--HW.*�3W46
C I T YL40�F7�WA 10
COMMUNITY DEVELOPMENT DEPARTMENT 0910ow
13125 S.W.Hall Blvd-P.O.Box 23397,Tigard,Oregon 97223,(503)639A175 I C.,SUED: 12/ 9 OF:)
.17LLILM i"'MI, MCI sa J:)@-3.1
JOU Sr
1.dl IJ'5 SEW 9 11*1-1 j:)l
TAX MOP/L.01' PSI 1.1 HA 5900 5L)D: SOLAPCREST
LAND USE : 144.5
1 -01 SIZE :
ITEM: NO , NO
WOPK C3 ASS : NEM WATE 1:4 CILOSE1, «i I'WAP
IJS17: 01'Y1:*'1*-.' : SINGL.E.: FAM11-Y [A.-UNAL HI(P'll-.061 fnwrp
C.ONST .*I'YPr.: : VN I AVOPATOPY Al *1 PAP P11:411111EP
OU71UP . CIPIP . : 1:13 T*(.Jl-'.3 SHOWED 2 GF&ASI-H.: MAP$
01514WASHE
NO. !5IT)PIEiii : 2) WASHXNI['•, MACHINE: 1.
DWELL— UNITS : 1. L.AUNOPY 1*11AY (C)IO
F LOOP 11PAIM
':i INK
WATER HEATER I STORM/PAIN (F"7*
1:11K.MARKS :
0
W HILI I I'll TOM v,F n m 3:r $1.410 . 00
N '11470
E N SHE"AW0(711)
R !ohrol-wrlad (31" F-1 XTUPEI:-
'i TWT E.: 'TAX 'I'
OTHEA
C
0
N PFAAGON '11-101"llAti
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R
Ad y in vi
PN:) 5 X 1.40A-A
vi i,1)11 ur 91:1.1.9
T
0
F1 1:11: L, I ':) I P(i I I(IN NO , 411395 r) TOI AI. : fill 1 ,el
This permit is issued subject to the regulations contained in Title 14 NO . 0- 1/ 7� 7
of the TMC, State of Oregon Specialty Codes.zoning regulations ...............
and all other applicable codes and ordinances, and It is hereby PEA411J.1.11:111i'M INSPECTIONS
agreed that the work will be done n accordance with the plans and P-11-8 .LINUE-1451 AD
specifications and in compliance with all applicable codes and
POCJ T' 8 BEAM
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city 14A. ThiM 1-IN11
business tax permits. Thic permit will expire and become null and 1-1.11 , TOPLAY11,
void If work is not started within 180 days.or if work Is suspended or 14AT114 DRAINS
abandoned for a period of 180 days any time after work has 'T N A 1.
commenced It shall be the responsibility of the permittee to assure
all req ilred Inspections are requested an approved
PNM, Signature
Issued By
(41 INSPEr-TION
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C17Y OF T'GA FlEAMIT NO .
RD MI: (:F•IF1Na:(::fll_. NIii:Fi�1:1: T
(C I TY&OF TWA RD
COMMUNITY DEVELOPMENT DEPARTMENT 00112014
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard Oregon 97223.15031639-4175 .)ATE 1.2/ 9/88
,)OR AUI)PESS : :1AI-15151411 97TH FII_
I Ax MAP/1...(:)T 251. 5900 5UB: 50LAP(:,Pk.:5T
I-AND 13GE: 1:11/4 -5
1...011, 5TZE:
ITI.'-:M: NO: NO
WORK Cl...ASS : NITW V1J14NA(:,L-. <100K 3. AIR 1-11ANDLI4 (1.0
USir.'. l'YV-1E: GINGI E: 17 A M:I:I y 1.00K+ ATP HANDL-14 10K
CON5T .TYPE* ; VN FLOUP 1!;'UV4?46C[:.' Ev A- P . COOI I I
G11:11P . : P3 HE"ATEP VENT FAN 2
V tLK'N'T' V F::NT . Si Y 5 T E M
BU-1/011IMP <31-IP HOOD .1
NO , SiTUPTE'.S : fl-! E.11 Pt/COMP 3--:Uv-5HV) INC I NI:::r4AI 014(DUM
I)WE":LL. .t IN ITS t 81-nMOMP INCINEPATOP I COM
TYPE,. GAS OLP/COMP 501-11--J FIr-"PA:IJ'4 UN115
BA-1-1/l[AIMP) "50+HV:'
ci6x . i:ls u'r 0 T HE V,
1:'XPE.: I7MPF45"? OUTLET
1-41EMA0105 :
0
W MIL.L.E.A 'T 0M VILPM11, 16:1.0 . 00
N
E 1418 N GI-41.134WOOD 1131-VD . PI AN lll;..V':E:W $9.38
R ':41er-wc)(341 tar F IX T'Li F11 E"-!5 ill R'1 ..30
$TATEK TAX $1. 88
0,11-4E.14
C
0
N
T
R
A 5 E. HAI I
C 1-1 itt in 91,7030
T
O PI-It')Nl-: ( '50,3) 667-5969
PAT)t-RI NO . -el1039 TOTAL..: $,e.18
This permit Is issued subject to the regulations contained in Title 14 I--'T NO.
of the TMC. State of Oregon Specialty Codes.zoning regulations ............ """"""'"""'""""`.""""""""'•"'
and all other applicable codes and ordinances, and it is hereby DE(;1UIWEA) INSPIEXTION5
agreed that the work will be done In accordance with the plans and GAS
specifications and in compliance with all applicable codes and
P054 & HEi.AN
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city 1:1101,11,A-f-IN
business tax permits This permit will expire and become null and F 1:NOL
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 requ ed inspections e request n pprov
mi tee Ign
Issued By
rALI.. F'01:4 T!'41:04'-LITION 639--'11.7!'.')
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIOARD PLAN CHECK APPLICA110
ry OF TfA Rl)) PLAN CHECK N
COMMUN" DEVELOPMENT DEPARTMENT 00100" PERMIT N
(6W)&W4175
131255 HIM Blvd P-0.PAW 23397.TiWd-CM90n 0r27j DATE ISSUED
JOB ADDRES : ���_� S - _ �`C_ __- - - TAX MAP/LOT
-4
SUES: /I A Lvl --- LOT LAND USE:
cA If
OWNER SPECIAL NOTES
NAME: REISqUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: (f,
APPROVALS
REQUIRED
CONTRACTOR PLANNING:
NAME: 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:
COMMFN!_S:
PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL . DUE
f 2_?JA3_ 10-432 00 Building Permit Fees 12k 10 p— .0.Gt-_
A.3 10-431 00 Plumbing Permit Fees -0
10-431 01 Mechanical Permit Fees Mic; 3 7- s
10-230 01 State Building Tax (5%)
Building j_
Pt�mbing
Mech
10-433 00 Plans Ci�e`ckT( o
Building _AikA10
Plumbing _.......
Moch
30-202 00 Sewer Connection
30--444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC)
52--449 00 Parks System Dev Charge (PDC) 3 v.
31-450 00 Storm Drainage syst Dev Chrg (GSDC)
10-230 09 TRFD
10..230 06 Washingf:on County Fire N1 (95%)
10-220 UO Amart/WildgPwood
101 At
REC #
P
Received By: Date Received:
cn/3587P/18P