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INSPECTION NOTICE ^
of Tigard Building Department \J 1
j +,0. Box 23397
'TTgard, Oregon 97223
1 Phone: 639-4175
Type of Ins
Date Fequested - Time A.M._ P.M//.''-7
Addry js � �I �) ---- // -- Purmit #__n� L) V / 7/o
Own-r Lot #
BuilderlLl�'�-' - --- --- --
The following Building Code deficienc'as are required tr Le corrected:
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'(pox L- 6 3 C, _
k a 51,\0 —_- --
Presented to _--.-.-_ -_-- Approved
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Inspector —__. — AdDisapproved
Date _ --
CALL FOR REINSPECTION
YES 0 NO
-------— 1311I.111—ULINIL PERMIT
PE11MIT NO. : OU880776
CITY OF TIIFA RD CITYOFTIGA DATEISSUED: 51 5/88
(1-y-�N RDZ
COMMUNITY DEVELOPMENT DEPARTMENT WIGO PRIM. PMT .NO. (380*776
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oreq3n 97223,(503)639-4175
'TAX MAP/LOT 251, 1.413F.? SUB: SWAN50N GLEN L I Zi or) DK
LAND USE: P1.2
1...01 5117E : VAI I.JA*T':I:(:)N: 65 ,07.5
1; JAIIN*T 20 PEAP
WOPl< U.-ASS : NEW DWELL..UNI P5 : 1. I EF'T: 5
LIF-iF *TYPE : SINCA E: FAM11-Y NO, DEMMAIJIM(9 : 3 LEM' .WALl (:'-0N%'T :
(:'ON!*2T . TYPE'.' : VN W.). BATHS : 3 N 91 E W
CUXUP.OPP . : 1:113 PRIC11 OPEKNINGS :
0CX.tJI*-) I OAD N �i E:
'TOO AL. AREA: 1.134
NO. STMIXES : 1. V51' : :L-'134 ROOF (:'ONS 1' : (:11 F-1 PE: PET
1--ir.".A.( arr : 16 2ND : APEA SEP
r,PAP7 WA'TE 1.)
UA!iEMI;`:N'r'? *3 14 D: (:K"Mil.D. SEEPAR? FIA"I'ED:
MEZZANINE::? BASEM 11,
FLOOP I OAD: -10 GAPAGE. : 3496 FIAIL 5PPKLP? Al-ARM7
FLAW(GPM) DEETEEr.—ii ?
HU-Wr TYPE. : (RIP 01!
E.-I Am rj-lP,QK Ry -
WSSUL M-;' NO . BIE1103:1.2
LAST AEUSSUE 880'1.6 pj
t:,All< MOPGAN nL:nm,T,r 41331. . 00
0 WOX 61335 PL.AN REVTEW 1610 , 00
W
N i-.1 1.c)h a c)r 97001 MiV,,r'l I.—TrIE!, DEEPT
E PIADNE ('503) 6,00-66')6 $1*A TE: 'I AX $16 . ;:iii
R UTHEP
GJAARGIEi .
C E.A.APLAK MOPMN SIXII 11 S FOAM 1111e.21.150 . 00
0 J I TAN INC— MR, *600 . 00
N r)c, FJOX 611,13.15 1::,D(*" 11 $2 50 . 00
T
R R3.rhm cl 1, 9700'7 69.3' P PF 1::'A:I.1.) < 111 d10 . 0 0
C A #:4-IONIE (503) eM41 6606
T NU :30 TOIAL, 1. '(1417 . W'.$
0
R
PF-H.C.E-13-IT NO
........ ................................................. 121
This permit is issued subject to the regulations contained in Title 14 PE.QUIPF"D INSPEUVIONG
of the TMC. State of Oregon Specialty Codes,zoning regulations 1: LK1•TIN11A, LiEWEP
and all other applicable codes and ordinances, and It is hereby IL-IJUNDA IJON WALA NAT.N DPATNri
agreed that the work will be done it accordance with the plans and
specificatlon3 and In compliance with all applicable -odes and P11IS'l N WAM WATF-P I I NE.
ordinances The issuance of this permit does not waive restrictive ('111ty AIDPACIA/riw
covenants Contractor And subcontractors shall have current city cal AE) FT NAL.
business tax permits This permit will expire and become null and Pl.-11 1 OP001,
void it work Is not started within 180 days,or if work Is suspended or VIIAM I NG
abandoned for a period of 180 days any time afte, work has
commenced It shall be the responsibility of the permittee to Assure F 1141.-PL.At'At
All required inspections are requested and approved GAS 1. IN
I N15"LILAIJ ON
GYP BOARD
"T T(I N hag J1.71)
Issued By
SEPARATE PERMITS REQUIRED F )R WORK OTHER T! IAN DESCRIBED ABOVE
MIEL I
- ..--IAN1(.AL PEWM'.I.J'
PERMIT' NO . : MEFJ(307'18
CITY OF YIGARWo1*4' ���.
CIMAW-AFM UATE-K :I*,SSiUL1J : 5/ 5/8a
COMMUNITY DEVELOPMENT DEPARTMENT onkooN PM'T' .NO . 113wo 776
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175
1+31ii'l 1011091HHF�S5 teatlft' 51:4 1.0.11ttl Molt
IAX MAP/L.01' V51. :�/IOD SUP : GWANS.-X)N LJ:A6 81<
I AND USE: 1:41P
L.OT SIZE : ITEM: NO: NO.
WONK U A5S : NEW FURNACk: <1.001< 1. A.111 HANOLP <10
USE- TYPE : SINGL.E FAMILY FURNACE 100K+ AIR HANDLA 10K
(:'ON5'T , 1'yPE' : VN F-LOOP FLIPMACE 1:-:.Vf)P .COOI ER
Orllt:,Up . GAP . : P3 HEATFIEP VENT FAN
VENT' V F.*:NT . S Y C,TEEM
181LP/COMP <:311r'i FIOOD .1
NO. STDPIE.Ii : I. Ull A/GlOMP ---A.5 1P I NC,:E NE RATOR(DOM
DWEL.L. - IJNI:,rt.; : 1 :i3I A/G'OMP 1-5--Z01-11P I Nltl NEPATOR 11 COM
F'UEL. TyPI:_:' GA5 131 1:4/C-'OM I:) 3050HP PEPATI.4 UNIT `.;
MAX TISIPUT Ii11.A1/U3MP 5 +I•-IP
P.'I'P1N(.'V OUTLET-i t.
PlIESS?
(')W PRE'S517
.......... -------------------
rJL.LAK M01:4 SAN PL-:141MIT !II10 00
0 1:)r) r3I0X 683.5 PL.AN 1;*.*:V:E'W
W t3 1-1 a 11,1.0 1.3
N 1:11" (PY007 60'3!�', r: r.X'T'LJPEG 11430 50
F Pl-l(:)Nl" (,,".1U:3) 684 f.lF.iOh
1-.1 11 ATIME TAX $2. 03
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0 11EI.-I CI
ML NC .
NZ OIAZ !A
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C A (503) 2413 :1.1.1:14
T 1:41-KG) !:;'rPA'IJON NO el 47
0 1 OTAI 1111'15 P. 6
R
OL".(wE I PT NO
.............
This permit is issued subject to the regulations contained in Title 14 0EQUI.I-A!1.) :11 NVsPEU I .1.('.)N':i
of the TMC. State of Oregon Specialty Codes.zoning regulations (3A5 I I Nk,
And all other applicable codes and ordinances, and it Is litti,eby
agreed that the work will be done in accordance with the plarm and POST a li4k_:'AM
specifications and in comoliance with all applicable codes and WOUGH -1.14
ordinances The issuance of this'oermit does not waive restrictive I-A:NAL
covenants Contractor and subcontractors shall have current rity
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 asiciiirr,
all required inspections Are requested and Approved.
eimittee Signature
Issued By CALL FOP 'rN%_PF'-:C;*1 ION 639-.41.
SEPAAATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
P1 r2Ml
F, CITY OF T167A RD PE-AMIT NO. SE113807TY
a7ycrinGAW
COMMUNITY DEVELOPMENT DEPARTMENT DATE TSNUEL): 5/ 5/E.49
(CI
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 ;:)Pim. Pm'r.NO . (380'776
JOU ADUPEESS : 1.6138 SW 114111 AVE: USA NUMBEA: :3:!11.X17
VAX MAP/11_01' 251. I.,IDU 51.)F) : SWANSON -16 cllT
LANE) USFF : 1:11 1.P
L.01, SIZEE :
SEMI 1C)N: 1.1 11,114P : 21"1 PNG - J.w
Wt: PK CLOSSNEW
USE T;rk" : STNUL.E. FAMILY
I he qlpp] ic-'al lit UrnIreem to t.:minply with si.11. rlil1.c4fll 111,11d r"09tilutJ-01-111i Of 1,114P (.1rlified
Seweragiva Agetic-y . I'likiii per-mit Ir-.XPJ.I"eRi IF20 day% -11r-cam the date isimi.ted . 'T1,.0 t 0 t al
I"'McItillt plisid wil.). t.)P) -h-il—Vaitemd 1-f them perinit expirc.iiji thim iiitjerir:•y duies, ricit gtisti
antpe the tall' the 1tv-fat':1.011 f3F the iiij.de mq.:Wel laiieralst 1A., the. mc:wa,i LSI
I I 1.)1. :1.ric.'a Lc,l d %.t• t I I*b III"Al is%.I I'irip In e i If. Q:1.VC,?I I , thri., J 11%tilt] 1 er il;h.411 r)I'CjI9pqjCt 3 41(,.tr,)t -ii-I
all dire(zLiaiits fi-am the giveri If rii:)t. *i(:i 113c•,nted , x-he installer 19hat'l.11
P1,11-chatme ut '' I'ap asid Side Siv.,wior-" Permit amd the Agellt':Y Will
XNs rALL . TYPE RUIL-01M.', qk"MEM IMPIEW10015 A14EA
r:'3.X*1 U PF: U N I Tts I ENAN'T IMPPOVEMEN't'
DWE.L.LANG I JN I FS 1.
tq(:) Or. F%L 065 1.
0 OLIRAK MOPGAN PE 1:01:11,T ►15 5 0
W P13 U(:)X 6835 C-ONNEXIITION CIIARGE $1. too 00
N
E 1"11:1 h al tir 97007 66135 LTNE: IAI:'j INSTALL .
PHONE (11303) 6114,14-6606
T M IE rt
C
0 BLEAK MUPGAN
N I I TAN PPOPERIAX-i'S TN(:, .
T
R P ri BOX 6811!5
C A 110.cd 97007 ,5 693
T VIFIONE: (,503) 688.-A606
0 NO 30558 1. :1.:3;'.1 00
R
PEM,E I PT NO
This permit is Issued subject to the regulations contained In Title 14 �Cl Z/
of the TMC. State of Oregon Specialty Codes,i.oning regulations MQUIRED T'NSPIEC.TTTNS
and all other applicable codes and ordinances. and It Is hereby nOLIUM—IN
agreed that the work will be lone 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 pernilts This permit will expire and become null and
void it work Is not started within 180 days,or if work Is suspended or
abandoned for n period of 180 days any tine after work has
I ommenced It shall be the responsibility of the permittee to 8551.1re
,ill required inspections are requested and approved
Permittee Signature
l9'3t;-,' By 19 WN 111111
SEPAJF PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
J
UUUU rUUUU LL. J, U �
A
PH-PMIT
PE14MI I' NC PL.980777
CITY OF T'GAlw1r4%
WYOFTWARD lssillEu: 5/
COMMUNITY DEVELOPMENT DEPARTMENT ORFG�N P ,TM PKV , NO . 880776
13125 S W Hal:Blvd.. 0 P Box 23397.Tigard,0moon 97XI3,(503)6394175
U.K.; 110111-1117:V1 .1.1-1.1 %)w -1.01-1-M. AVI::.
TAX MA-121/1-01, :?Cit. 1-18B SUCi: SWANSON GI-EN LJ : 46 1:11K :
L-AN13 USE: PJ.2
1-(:111' !:;I:ZE :
I: rk,m: NO Nit):
WOPK U.ASS : NI--'W WA1'1:*:P CLOSvr 13 I'PAP
USE VYPE : 1311SIGL.F. FAMILY UPINAI BKFLOW PPVNf*P
CION51* . 1*YPI::-' : VN LAVOPATOPY 3 1 PAP PPIMEP
OC'Clip .GAP. : P.-S Tl.lE3 SHOWEP 2 'I'PAPS
DI-511WASHER :1
DISPOSAL 1.
NO 5i1(.)PIES : i WASKING MAC,1,41NI;-:' 1.
UNI I'S : 1. L.AUNDRY 'T'I AY ULDL; . DPAIN (DIA
1:71 OOR DPAIN
S1.N K 1 S FK.W L n I T,
WA11-A HI:A I KP
L -J
131, U.AK MOP(.',AN PE-PM11
0 1-11-) ROX 6835
W Aft) U11111 r1r, 97007 F1 X1 U P1;::5
N
E PHONF 1503) 61131-6606 "i VA 1'1:. 'TAX $6 6.3
R
01 Fll;W
W r I I I :J1 K L.N
CO
Kr-'.N WA'T'TS PLUMPING'
N Pei ROX P.309215
T
R t,i.1,1 lit r,(11 A.ir 97P23
A PHONE (303) 613A""66240
C
T N(:V
0
R
Fi11F'.C'E1PT' NO,
................. �3/6/ 2 )
This permit is issued subject to the regulations contained in Title 14
of the TMC. Stato of Oregon Specialty Codes.zoning regUintinns PI-.d UNDL.145LAU
and all other applicable codes and ordinances, and It IS hereby POG V 9 REAM
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes aid WA*TPJ1 LINE
ordinances The issuance of this permit does not waive restrictive PL3
.1 , .TOP1131.1,11
covenants Contractor avid subcontractors shall have current city PATN DrWrNti
business tax permits This permit will expire and become null and VJ NAL
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
commented It shall be the responsibilitv of the permittee to assure
all required Inspections are requested aid approved
5e
mi
Perry ttee gnat-ire
CALL FIJA :11 NSPECIJON
Issued By
SEPATtATIt PERMITS REQUIRED FOR WORK OTHER THAI] DESCRIBED ABOVE
PLAN CHICK APPLICA[ION
CiTY 0 T 1tv'244"I W PLAN CHECK H
CITYOF116A- RD PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT OREGON 7 DATE ISSUED ---
13125 SW K Blvd. P.O.B7 OREGON
OreVn 9722-j (503) 4 g 5
.,8v
0416h- t,
1,61 60MVII& — ";-, 0
J0 Z�Mp-"-V - , MNRNWW--- TAX MAP/1-OT
SUB: X
L..0 r LAND USE:
OWNER ' SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS:
4::�c LAST REISSUL:
5? ig FLOOD PLA1N/
ISLN!,TTIVE LAND:
PHONE:
CONTRACTOR APPROVALS' REQUIRED
PLANNING:
NAME:
ENGINEERING:
ADDRESS: I-TRE DEPT
PHONE: ITEMS REQUIRED
A.'�CIVENGINEER LIST/SUBCONTRACTORS:
NAME: BL", TAX:
CALCULATIONS:
ADDRESS: — TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
(,OMMEN1
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD, BAL. DUE
ZLLLL 10-432 00 Building Permit Fees ,331 3
7;77 10-431 00 Plumbing Permit 1--ees
10-431 01 Mechanical Perm,t Fees
10-230 01 State Building Tax (5%)
ZL ;1 . 2.
Building -5
I
Plumbing .1
Mach a1. o .3
10-433 00 Plans Check Fee0 /0- / 3
Bu i I d i rig _Y-UL
Plumbing ANNURNWI.—
Mech /0 r__/3_
30-443 00 Sewer Connection (20%) 2-01 .2 1-d
30-202 00 Sewer Connection (80%)
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SOC) (L
52-449 01 [larks I System Dev Charge (PDC)
52-449 02 Parks 11 System Dov Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (S SDC) �SZT
10-230 09 TRFD (95%)
10-435 00 TRFD (5%)
10-230 06 Washington County Fire #1 (95%)
10-435 00 Washington County Fire 111 (5%)
10-220 00 Amart/Wodgewood
TOTAL
REC #
AP1TLTCANr%1GNATURE 7q 3 Y
Received By: Onto Received:
ht/3587P