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INSPECTION NOTICE
City of Tigard Building Depariment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection(_
Date Requested_ Z C� / d Time u�
..._ A.M. P.M.
AddressPermit #_-------—
Owner
—' ----- __ Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to til�"
a
------- pproved
Inspector [,� Disapproved
PProved
Duto L (p
CALL FOR REINSPF,'('1'lON
YES (--.1 NO
r OF
KAMM a
F)U'1LDJ'N(.-; PE-PM:L1
PEP110117, 140.
CI7Y OF 7167A FM �j
CITY01FI16.4RD DATE ISSUED:
COMMUNITY DEVELOPMENT DEPARTMENT OPIGON PP1M. PMT .NC). ee()913
13126 S.W.Hall Bivd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175
H88 161191DRESS , Alft--
TAX MAP/I.,Iif* P-S! 51.18: 5WONSON L.T f3 8K :
1. ANn 1 Mir-" - P 1.R
I—OT ST"'W' . VAI UATTON $ 57 227 SETRAU'.KSi
FRONT : P.0 P1:.AP 15
WORK CX.A9S : NEW tJNJ'.']'!:) : :1. L.EFT:
USE TYPE : SING4.1i. FAMJ'I-.Y NO. BEDROOMS 3 EX17 .WALL. CONST :
CONST . TYPE : VN NO. BATHS : I'S N' S : E : W .
1XCt-JI:-*' (.*-jPl--'. * A3 PROT - OPENINGS :
("UP. LX)AD
OC- TOTAL. AREA: 11.238
NO. STORIES : 12
LST; 652 POOF (:,(:)NST C' FJWE 9)FT-?
HEIGHT: 20 PND: AREA SEPAPI? r4ATF:-,U :
BA-iEME-NT7 3AD: (XIN."Up. PkrED:
MEZZANXNE? HAST:Al
F*11-00" L.(:)A[): /110 GAPAGF.: 'qO() SPRKI-11417 Al APM?
VIE-AT TYPE' : (3AS HIX. P,AC(*,I:-.-S5? FI-40W(GPM) DETECT7 YES
ca on
6
PIH�MAPKS :
.............. PE 15SLIE O:' NO . 6655
I.-AST PE15SUE 880909
Pi .
131-11--KAK MORGAN rn-u-mi. r $307 . 00
0 1:)E) DDX 6E335 PLAN PEV3J--W
W as
N J. Or Y7007 3-'
60 3'i F`114EDEPT
E P I-4 C)N r-." (503) 684-6606 1
5 1 AT E 'TAX 13 . 35
OTI-11EP
UE VFJ-.('.)PMF--':Nl' t"HARGUS :
C, 1,31 ' SDC,( STORM)
0 TAN PPOPEPTrn'S 31250 . 00
S r
N P0 HOX 6835 X,11 S T PE:LT ► 41011100 . 00
T PIXI(02 $�.R,50 .00
R ni- 97007 683.5
A PHONE (503) 6841-6606 < 00>
C
r N(*), 30,5,5(:3 T01 AL. :
0
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Rki-CE1 PT NO .
5/
This permit is Issued subject to the regulations contained in Title 14 Rr.14LITPED ),NSPr-.*1.'C.T10hIS
of the TMC. State of Oregon Specialty Codes, zoning regulations FOOTT N(.', 5[-''WE P
and all other applicable codes and o-dinances, and it is hereby
agreed that the work will be dome in accordance with the plans andN DRAINS
F-11)JIN DAT 7.UN WAI, I.. RAI
specifications and in compliance with all applicable codes andPtJ!, HEAM WATER L.TNE
ordinances The issuance of this permit does not waive restrictive PL8. UNDEFISIL-AB CXTY APPP(7H/SW
covenants Contractor and subcontractors shall have current city SI A13 F T.NAI-
business tax permits This Permit will expire and become null and PL r3 . 111POUT
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 F;PAM 1.NG,
commenced It shall be the responsibility of the permittee to assurr, FJ REPI—ACE
all required inspections are requested and approved GAS LJNF
]:Ntil.)1 ATION
BOARD
Wrmitt,,�Signature
GALL. FUJI INSPECTION 639-417t1
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHAN11DAL PERMIT
CITY OF TINA RD PERMIT NO. : ME88091.-.N
CITIOMMM
COMMUNITY DEVELOPMENT DEPARTMENT DA-TE 5/23/88
13125 SM Hall Blvd.P O.Box 2"1397."rigird.Oregon 97223,(503)639-4175 PIP I.M. IDIVIT ,N") , 880913
JOB ADDPLGS � t6139 AVE
I'AX MAP/I OT 253. 1411-0) 6700 EiUB.: 5WANSON (*..,I I N LT:8 BK :
I.-AND USE: 1:412
OT
ITEM: NO : NO :
WORK CL.AS% : NEW FURNACE (1.00K :1. ATP HANDLR (3.0
IPW TYPNE: SINGLE FAMI'LY 1::tJnNACE 1.00K+ ATR I-IANDLn 1(%K
(:INST . TYPIE' : VN FLOOW FURNACE EVAP'COOLER
HEATER VENT FAN 13
V I.H.N'T SYSTEM
F,'1-P/(',*OMP (3HP HOOD 1.
NO . STORIES : 2 HILIVII/COMP -3-15HP TNC1NF.-*.RATOR(DOM
DWELL . UNITS : I 81._A/COMP 1.5-30HP INCINEPATop(cOm
FLIE'L. Typli-'-'. GAS HI R/COMP 31.)-bollp PEPAIH UNITS
MAX. INPUT BI R/U'UMP 50+HP OTHER
FIRE:' DMPR57 (.,A5 P'IIPJ:N(.;
HI(A-1
L.OW
-_J
PI':'.MAPK!-)
FEES :
0 E)L..E:,:AK MOP('.,AN PERMIT
W pill BOX 6835 PI..AN REVIEW
N lit 1.(..11-1 a or 97007 6035 FIXTUPE.'s
$
E 30 .30
R PHONE (303) 6144-6606 Sill ATE TAX 11112. 03
OTHE.R
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0 BELL :WA'TING :rNC:.
N
r 155505F. PIAZZA 1,',)E
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A C-1 ftc-k a M ALM ci r 97015
C PHONP- (,503) 2Z13-41.84
T
n PrXIISTRATION NO 44*7 TO TAL. 111115e. 65
This permit 19 Issued subject to the regulations curtained in Title 14
of the TIVIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby (7,A S L.r.N C.
agreed that the work will be done in accordance with the plans and PUS 1 & 0 .AM
specifications and in compliance with all applicable cocici and POUL-44—:1 N
ordinances The issuance of tWs 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 responsibility of the permittee to assure
all required inspections are requested and approved
UAL I I UP INSPECTION 639-41115
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
PLUMBING PERMI'T
CITY0FT1GrAW.* PEI4M3:'F NO. : PL-88091A
CITRP
COMMUNITY DEQ -LOPMENT DEPARTMENT DATE 1-5SUED: 5/113/88
13121S.W Hall Blvd.P O.Box 73397,TIgArd.Oregon 97223.(503)6394175 PPIM, PM'T'.NO. 8801-P13
IlOR ADDRESS � 1.61.39 SW 100TH AVE
TAX MAP/L.OT 2SI. 1.41D8 6700 SUP : SWAN45ON C:#LF.:'.N
LAND LISE : pl..".2
SIZE:
ITEM: NO NO
WORK CLASti : NEW WATEP CLOSET Z.4 'TPAP
USE TYPE : SINGLE FAMII Y UPINA;- BIKFLOW I:-"PVNJ*R
CONS'T .'TYPE: VN L-11iiVORAI OPY 3 TRAP PWIMEP
OCCUP .GRP . : R3 'TUB SHOWER 2 GAIII-ASE 'TRAPS
DISHWASHEP I
DISPOSAL 1.
NO. 51*10RIES : P WASHING MACHINE 1.
DWELL.UNITS i L..AUNUAY TRAY 61 DGJMIIN (01A
11`1_000 [)RAT.N
SINK I SEWER (1*--,I,)
WATER Hr-'.A'TEP I S111IPM/PAIN (FT'
H L f.;.A K M 0 R G A N I PERMI'T' *I 30. 50
Pa SOX 613:35N
E 1;ticlhek (ir. 97007 F. FIX111HE S
it PHONF.. (503) S'TAT'E: 'TAX 11111116 . 6.{
OTHEW
C
0 WATI'S I<F-_':N
N KEN W Al I S I-)I LIMNI NG
T
R I-ilcl DOX ;.23090.15
A t A.clut,%1 ctr 19 7 P 2'.3
C
T 1*_'1HL)N1:i: (503) 60416626
0 NO . 50878 *11.39 . 13
RECEIPT NU
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes.zoning regulations 14EQUIRED INSPE.CTIONS
and all other applicable codes and ordinances. and it is hereby PL.S.UNDEPSI.-AH
agreed that the work will be dome In accordance with the plans and
specifirrilions And in corT,Dliance with all applicable codes and PUS'T & 6EAM
ord nwic,-,s The Issuance of this permit does not waive restrictive WAIIA4 L. ME.
co,,ian.s Contractor and subcontractors shall have current city PL-13. 'T*(:)P(3L)*t
biiot ess tax permits. This permit will expire And become null and PAIN E)PAINS
vnirl 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
c)mmenced It shall be the rasponsibility of the permittee to assure
all required inspections are requested and approved
Ff.-r m,t�te,Signature
Issued By —1-ALL E-1114 Y LI'tLN h_R'a..ni"t!t _ l
SPOARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SKIAlkKIR PEMITT
CITY OF TIGA1:aI 1tM:f.'1' NO . : IiE68091.6
CITY01FTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 011100M (•:0
13125 S.W.Hall Blvd.,P.O.Bax 23397,Tigard.Oregon 97223.(503)639A175 PRIM 1:"M*f .NO 880913
JOB ADDPE:55: 1.6139 SW 10XVII-4 AVI:;. LICA NLJMBFP: 351.775
I'AX MAP/LOT ri.!51 1ABB 6700 SUH. 5WAN5ON LA, :8 BK
I AND USE:
LOT 9)TZE :
SEC,'TION: 1-1 "rwp: L)II; RNG: 1w
WOPK (:L.A55 : NEW
USI::. 'T*YPE: GINGI-E FAMII Y
'L(:) c�l*)Inpl.y w:I.tI1 iikl.). 1'1.114:A91 ai'llcl raw lia.xtt.:1.(:irlt11 ri-F the
in:l.t e x p .I-,e Ill 12 0 (1 at q in f,-a in t 1.1 kw (:I ia t e ca(I , 'I"Ile tcItA&I
likinal.tIlL piatcl W1.11. lt.)p JAI tf-le rel.-In:Lt el.-Pirelil . Yflet lcletl.; I-lot
ca lcatr
miltee tile atiacalli^isr y (:)+ 1.1-1e of tile mJ daw Itiewc."l- l.flL7,t.iNI,*flL1ir. . f tl-le 9.111
ricit yLt t[iiii, J.1-1fil , '.*
'13 -F 0.
HL 1.1 (J i r 0(.!t:1.a n ta train t I-i iv# d i m t a ri r.v W:1.v a il . n a z. in(1 .1.j3:�a-C,�r(.1 , t Il i I-I%t is.11.I e I
pLi r0liituic! at "'Tillip etvirl :Cele 'newv:?r• Par In:1 t ntricl t I*ilp ` geric,4j w i J.'I J.11 J. it, :1.atte r,Nil
'TENAN'TIMPPOVEMEN'T
DWEI I ING UNITS i.
N('.). OF
0 BLEAK 1`10114GAN PEPM11'
W 1:)(3 B'JX 6835 CONNECTION
N illA 1:)1-1 ti (:)1., 97007 68Z35 1 INE TAP INSIAl I.. .
$1. 10() . 00
E
R PHONE:' (503) 6(a4-6606
(:)1'HF'.:P
C BILA"AK MORGAN
0 TITAN PP(:)PEA7'IE:5 INC:.
N
T 1313 BOX 6833
R al.ri 1.1 lit cir, 97007 6H",
A
C ;)H()Nl;:' (503) 6134---4t
,6()6
T PE C» NO. 305.68
0 1,07'Al 13'.5 . oo
R
PK"CEIP*r NO .
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulalions PEWWRED INSPF:CrTON5
and all other soplicable codes and ordinances, and it is hereby 640LJGH--IN
agreed that the work will be done In accordance with the plans and
specifications and In compliance with ail 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 expired 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
commet,,ed It shall be the responsibility of the permittee to assure
all mquired inspections are requested,ind approved
Issued fly ('�'AILA.. F(IF1 INSPECTION 639—AI73
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY F TIFA RD PLAN CHECK AE'PLI CA E lON
PLAN CHECK N c�► �� �f Q
ChYAf TIGARD PERMIT N
COMMUNITY DEVELOPMENT DEPARTMENT opEooN CATE ISSUED
W25 SW IW B I P.O.Box 2330,Tipud,Oregon 97223(;AJ)69D-4176 \
JOB ADDRf' S: 4,7 TAX MAP/LOT 67Ud
SUB: �. .1�'N 50 S �/o i�_ LOT: �_- - - LAND USE:
OWNER SPECIAL NOTES_
NAME: r/TiSZ�� ��7 l !�_ REISSUE OF:
ADDRESS: LAST REISSUE: 9942 7 y,P
B//"-fL;ey Q, kag! )z-a FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED_
CONTRACTOR 2 �� j-� PLANNING: -
NAME: _ _ ENGINEERING:
ADDRESS: FIRE DEPT
—._ OTHER: --
PHONE: _ _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BIAS TAX:
NAME: —v_ - _ - CALCULATIONS:
ADDRESS: TRUSS DETAILS: _
PARKING PLAN:
- _ LANnSCAPE PLAN
PHONE: -- _ OTHER:
COMMENTS: �IZR� l� QfG e 1 ►�,f.� GcrP C-.►� S „.N 66, .
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL , DUE
10-432 00 Building Permit Foea . 0 , Lc)
U / 10-431 00 Plumbing Permit Fates �J'?, 5l� /.S�l 1&
JLfLo JI. 10. 431 01 Mechanical Permit Fees .Sp _
1C230 O1 Stal-e Building Tax �
-
Building __Zy, 35 _
Plumbing0's `
. �
Mech
10-433 00 Plans Check Fee i.
Building LfV__�
Plumbing _
Mach /G/)
30-443 00 Sewer Connection (20%) �_ v
30-202 00 Sewer Connection (00%) "-y
30-444 00 Sewer Inspection _�> _ -"-
32
51-448 00 Street System Dev Charge (SDC)- —, _ e 0
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 Chr•g (SEDC) ,;Ls
10-230 09 1-RFD (95%) -`-
10435 00 TRFD (5%)
10-230 06 Washington County Fire N1 (95%)
10. 435 00 Washington County Fire N1 (5%)
10•-220 00 Amart/Wedgewood
REC N
APPLICANT STt,NA RF�
Rvcw ivad By : Data Rec e i vvd: ., �
- - --