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1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ���
Date Requested ? Time A.M. P.M.
Adr ress %lv/ s�' �r 4 ,_ Permit &W
Owner
Owner --- --------_.— Lot M_ 9 U`*
Builder 7-E-.q n,
�(�•�� �� 5'71:'0 - Cv�63c
The following Bui ding lode de�icienc�ns are r quirsd *a lie corrected:
� � I
(Cn.A/ C Tc`
11.£ /
'tew AWOXV-
Presentod to ❑ Approved
Inspecl- _ ADfeepproved
Datp
CALL FOR SPl;CTL)id
vES ❑ NO
UUILDING PERMIT
CITY OF T167A RD PERMIT NO. : 81L.1801632
COMMUN11-Y DEVELOPMENT DEPARTMENT DATE ISSUED: 9/15/88
13125 S W Hall Blvd.,P.O.Box 23397.Tigard.Oregon t7223,(503)639-4175 PNIM. PMT .NO . Be 1632
JOC.) ADDPESS : 1.63.2*7 15W 10411.-1 AVI::.
'1 AX MAi-)/i_.nT PS 1. 141 H F3 SUB . LiWANSE)NS GLEN L T' : 7 8K :
LAND USE : RIPPI)
1_01 SIZE VAI UAT I ON: 571227
1--'PONT : 20 WEAR:
WORK C1-.ASS : NEW DWELL.. UNITS : I LEFT : 5
LISE TY11:4-:: SINCI E FAMILY NO. BEDROOMS : 3 FXT .WAI I CONST :
OONST . TYPE : VN NO. BATHS : 3 N : S : E : W :
OM:11.1p. GPID : P3 PROT . OPENINGS .
OCCUP .I UAD N: S : F: W:
TOTAL.. APEA : 1238
NO.STOPIEKS : R IS T*: 6 321 POOF CONST : (7 FIRE PET"'
: V0 a PNr): 506 APEA SEPAP? RATED
BASEMIK:N'T"? 3PD: OC X UP . SEPAP7 PATED .
M 1:;..Z 7.A N I N LK 7 13ASr-.*M'T
1-:1-004 I OAD: 410 GARAGE: /100 FIRE SPRIKI P7 AL Alj?i'-?
FLOW(GPM) DFH-AECT? YES
I-**_:AT TYPE : GAS IADCP .A(XESG7
PL..AN CI-II:;,CK BY: r-It
PCH MAI-MG :
REISSUE OF' NO. 6655
LAST REISSUE
o BL+;:AK MOP(7AN FERMI t $30T oO
W C3OX 6e1315 PI A N P E:.V I E-*W 4-10 1)
N
E al.01-11a 131 1:,IPE DEPT
R ':;TATE TAX $1.5 . 311.11
OTHEII
X.;.:VEL.UPM1-_'N*T (:HAP(74.:Si
C
0 BLP*.:Al( MORGAN SDC(STORM) !lIR50 .00
N 11 1 AN PRIC)PEPTIES ING . !.-*s DC'(S T AEF T) 111600 . 00
R PO PDX 6035 PD(.."(1!P *a30 . 00
A AI-01-1A OW 97007 6r-Vkr5 P141EPAJ 1'.) < 1111410 .00)
C
T PHONE (303) 6(34--6606
0 nEcasi'TPATIUN NO. 30550 1 UTAI 11111111. 0412F 35
L R
RECE I PT NO. -7 7
This permit Is issued subject to the regulations contained in Title 14
of the TIVIC. State of Oregon Specialty Codes. zoning egulations 4EQUIPED INSPECTIONS
and al, other applicable codes and ordinances. and It Is hereby F."00TI HIG SEWER
agreed that the work will be d,)ne in accordance with the plans and
specifications and in coral,ince with all applicable codes and FF OUNDekTtON WALL WAIN DPAINS
ordinances The Issuance of this permit does not waive restrictive 1:'101:i I & BEAM WATER LINE
covenants Contractor and subcontractors shall have current city PL B. UNDEP121-AS (:1:TY APPPCI-l/5W
business la x permit: This permit will expire and become null and lit..AH FINAL.
void if work Is not slarted within 180 days.or If work Is suspended or 1:4-B. TUPOUT
abandoned for a period of 180 days any time after work has 1*14AM.I.NG
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested r nd approved F1 Plin.1-11...ACE
G,AS LINE
oe
INSUI ATION
-*YP. KJAP0
PAmittee Signature
��_ IIA
Issued By IA—)(50 ',i)I.-L FOR tN5P0.'TI0t4 639-41-71.,
SEPARATE PERMITS REOUIREID FOR WORK OTHER THAN DESCRIBED ABOVE
PE-PKI'T
CITY OF TIVA i:-"r_:'P3:T O
MN .
RD ITY 0Vn17A
I
COMMUNITY DEVELOPMENT DEPARTMENT CITY ISSUED: 9/15/08
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Om Ion 97223.(503)6394175 r,n:c ri. Pm'r ,NO 801 632
JU8 ADI)PE-:.:S9 : 11.61a7 SW 10,iTH AVE USA NUME*1I-::A : 0364:1.Z2
TAX MAP/L..(:)'l fir, ;I ABB 51.18 : SWANSON5 (.;L.E:-'N L 1 : 7 RK ,
LAND ILISIE : R12PO
i..O*r sxzF_' :
SECIJON: 14 VAVI : Pig PNG : Its
WOPK CL.ASS : NEV
USE. *rypI4.* : SINGLE 1`01"ITLY
.I. Ile t c'umply With fik:1.1 1A.''Iefli airicl ' Lill
%,*'�war-avje Agoney T'hch per-mit r.iixpir,efi; 1.20 clja+jprj fr-ul" tl*)(.-? clattep iisinuchill h so I ital
ionciurit pmoi.(j wj.:jj k.)rj4aEB 3.-F thili? per. is
11 to a In ex P:1-1`0 fll rt ca t t uur
the 1:)f the luc,tatj.arj of jl;j.d(h jfe.W(j)I_ If the !llewe'. J.s
ilut J.".1untsiml lit'l. the 111 lrn'It 11'Ll 1'lr•M*P I 11, 14 1 Vas I'l J.1-11lit'riller, 3
all clireetiur-liti f"'Oln thea Cliffitsm"oe ui%tan . :I:+ ncit tau luc,,mtold , the :I.rjjatjajj.*�j, shiall.
allicl thr_ I'qwrltzy will :1.1.11iital.11 ;it
___TT4rJFrP_VJ:OLJ5 oPEA:
I-X'IUI`*: LINI-TS :
I)WEN. I.-ING UNITS . 1.
1.40. OF 81 UGS .
t 5
�fl FEAK MOPGAN PEAM11'
6035 tU;3;5 00
CONNECTION CHAPCE. 11113. 100 . 00
'TAP TAP IN
N 5 TAI...I_
E
R
CR T'I'AN PROPCITTIZ"; INC.
BOX 6835
0 H A UP 97007 6833
-IONS* 68,8-6606
T ' UISTPATION NO.
0 TOTAL: 11111
Fi
RECEIP'T NO ,
This permit 15 issued subject to the regulations coritalnf,-i io Title F41::.IALJI*RFU INSPECTIONS
of the TMC. State of Oregon Specialty Codes.zoning requiations I VOLIGH IN
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
ordinances. The issuance of this p--rmit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permil, will expire and become null and
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 permlitpe 10 a3sure
all required inspections are requested and approved
Per,r•Itee* nature CAL- FOR 1Nsr1Fc:,jjLIN 639--Aj!.jj
ilt,-?ued By )jb-Lit)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MF:L',I-IANTCAL PE'RMI'T
11"PM1.4' NO. : ME881.660
CITY OF TI0A RD
CITY_0 ZFT TWARD
D
011100H DAIE '14:)SUED: 9/15/80
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.BoK 23397,Tigard,Oregon 97223,(503)6394175 F'R I M . PM'T'.NO. 881632
J(19 ADDIIESS : 16127 SW 10-11 ,1 6VE'.
J'AX MAP/L.c)*r PS:L SLJUSWANSONS GLEN I_1': 7 RK :
LANG USE: R3.21PI)
LOT ":;,Zr-:: :
'"1'EM: NO: NO
1 CAK GLASS: Nl:.:W F10ANACE (100K I AIR FIAN17I-44 <10
U$E TYPE ; SIN(*.;L.+:' F'AMILY F11PINIAL.E 100K+ AIR HANDI R 10K
VN F1.00141 FURNACE EVAP .COOLER
COCCUP. GRI, . : P3 Hl:'--.A*rEI:4 VENT' FAN 3
VL-*N*T' VEN*I* . SYSTEM
BLIPI/cOMP ('151.4p HOOD 1,
NO. STORIES : 14*2 811-.111/c"UMP 3 1"5I.-IP I NC':I:NERA'!*OP(DOM
DWELL.UNITS : I I.4LP/CUMF) 1.5--301-IP T N('J:NEPAIIJA((:,OM
F I IEL I'YPE GAS F.41-n/UUMP 1,505011-11P PEPAIP UNYT5
MAX . INPUT HL-R/COMP 50+HP (Tt'll"IEP
FIRE: DMPRS'l Us'AS PIPING OUTLETS 1.
HIGH FIRES57
LUW PWESS?
0 BLEAK M 0 A Go A N PERMIT' $10 .00
W I-nj BOX 68315 PLAN Pl-.:VIE"W $10 . 1.3
N
E ta.l11 Is. F*I X'r L I P lk-'S 030 .50
R STATE I'AX $2. 03
O'rHEP
C
0
N
R HEI.J.- I-IEA*11TN(.-s TNL
T .553
101512- PIAZZA AVE::
A Cl...ALIKAMAS UR 9701.5
C PHONE 4503) 24.3118,41
T
0 r;lr-_*c NO -1/17 T07'AL: $52 . 6.5
PiF_'c.F_rP_T NU. Z 7 7
This permit is issued subject to the regulations contained In Title'4 ...........
of the TMC, State of Oregon Specialty Codes. zoning regulations 41-_.QLITPI:;:D INSPECIJUNS
and all other applicable codes and ordinanres. and It Is hereby GAS L. INE
agreed that the work will be done in accordance with the plans and PUSS & BrF."AM
specifications and In compliance with all applicable codes and ROUGHI N
ordinances 1 he issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city F**T NAL.
business tax permits This permit will expire and become null and
void if work Is not 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
Permittee Si(rFatuic
Issued By tAl. I I OR INSVIECI*10t-4 4"39 11175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
rW;
7C PLUMPING, PERMIT
CITY OF TIFA RD J�� incRivirr No. : 14-881659
0 ...
COMMUNITY DEVELOPMENT DELVARTMENT ATE ISSUED : 9/15/88
13125 S.W.Hall Blvd..P.C.Box 23397,Tigard,Oregon 97223,(503)6394175 PA I M. PMT .NO. (481632
JUB o')DUPEESS : 1612*7 SjW LOATH AVE.
J'AX I'J()P/I OT 251 1AIE'4
.L-'j SUB: 5WANSONS L.T 7 DK
I AND USE : r.41.VPD
ITEM: NC NO:
WORK CLASS : NF.::61 WATEP C;L.ULjE*T* 3 'rnAs,
USE 'TYPE: SINGLF: FAMILY LjPINAI_ BKF1 OW PPVNTP
CONST . TYPE' : VN L AVOAA1 OPY 3 TnAl' PRIMLP
O(N."UP.GAP. : RZ TOO SHOWER a CPS.`:ASF:.' TRAPS
DSHWASHEP 1.
(;AI:qBA('.,F-*.' DISPOSAL I
MO. STORIES : 2 WASHING MA(:,HINE I
WELL—UNITS : I LAUNDRY TRAY I'll DG . DPAIN ( 1'.)'.I:A
FL.00P DPAIN
INK
I SEWF.'P (vr)
WATEW HEATER I STORM PAIN (F I I
OTHER
RF".MAPI<S :
F F E G
0 BI 1:.:AK MORGAN PERMIT $132 150
W 113 ROX 6835
N
E FIXTUPES
R STATE TAX lillel . 63
C WA,T,I's KEN OTHEP
0
N I<F.N WAV;'S PLA.1M8TN(.,
T
R Pa BOX P30925
A ti 9 PL I'd ur 97223
C PHONE. (503) 6113,41-66PRIS
T
O WEA'.�,JSTRATION NO . 508*78 TOTAL : $1.39.
R
AE(�EIPT NO. 3277 rj
this Permit IS Issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations PEGIUIPED INSPECTIONS
and all other applicable codes and ordinances, and it is nqreby PLIB .UNDEASLAS
agreed that the work will be done in accordance with the plans and POS F & REAM
specilicatiorm and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive WATER LINE
covenants Conti-actor and Subcontractors shall have current city 1:1-13 . *1 OPOUT
business tax permits This permit will expire and become null and PAIN DPAINS
void it work is not started within 180 days.or if work is suspended or FJ NAL.
abandoned fora period of 180 days any time after work has
commenced It shall be the responsibility of the perniltlee to assure
P11 required inspectioos are requested and approved
Per e Sign ore
—�-A e )
�e
Issued By I " ' ::AI...L. FUR INSPiA [ 'I
SEPARATE PERMITS 9EOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
Cirf OF TIFAI RD PLAN CHECK APP CATT)N
CITYOFTIGARIZ PLAN CHECK N
COMMUNE-Y DEVELOPMENT DEPARTMENT OREGON PERMIT # ,B /
19525SWFiall9:v P.O.Scr2j397,Tp8rd,Oroy,n 9727.9(EWI&19-4175 \_ i DATE ISSUED _
JOB ADDRESS: A/I w leg i� f TAX MAIL/LOT V'
SUB: SNS G ;Or LOT: -_ i LAND USE:
VALUATION: -
OWNER SPECIAL NOTES
NAME: _J��'` � gipREISSUE or :
ADDRESS: Qox GA 3 5 - -- LAST REISSUE_ 46 -
FLGOD PLAIN/ - -----�
SENSITIVE LAND:
APPROVALS REQUIRED_
CONTRACTOR PI_.ANNING:
NAME*: _ �LirENGINEERING:
ADDRESS: --_� FIR[ DEPT
- OTHE:R:
PHONE: _ — I:TEMS_REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: --- CALCULATIONS: _ -_�_-_,--
ADDRESS _ —� 1 RUSS DETAILS:
__..-----_-- -_-- PARKING PLAN:
LANDSCAPE PLAN: - ---- -_ --
PHONE: _ - -_ -- OTHER: - i --
COMMI":NT;':
is -- --------- -----
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. UUE
10-432 00 Building Permit Fees o ? _307__
10-431 00 Plumbing Permit Fees �z I �'v _ -Z-i L,52,
_6.cS 10-431 01 Mechanical Permit Fees 4/a• �a'
10-230 01 State Building Tax (5%)
Building / )• 3 _
Plumbing G•(i� _
Mech Are 3
10-433 00 Plans Check Fee 5U. 13 ICU.DU l � •� J
Building 4/0 .
Plumbing
Mech 0•/ '_
30--202 00 Sewer Connection
30---444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC) yar/ s a
52--449 01 Parks I System Dev Charge (NDC)
52-449 02 Parks II System Dev Charcle (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-•230 09 TRFD
1U-230 06 Washington County Fire M1 - -~
10--220 00 Amart/Wedgewood ---
TOTAL
REC k -
APPLICANT SIGNATURE _
Received By : Date Received:
ht/3587P/18P