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Iss
W '
CITY OF TIC'.ARD
Washington County. Oregon
�J a NOTICE OF INFRACTION
1 Q 'Lj DATE•
CASE
ADDRESS: 1k,/W SA) /�C� �'ryJ
TAX MAP: •�5~/ - /CKAd �� Q
"Pe sox
it has b:cn Aetermined i:hat the following activity(i.es) or condition(s) is/
are an iniraction(s) as defined b the Tigard Municipal Code:_
You may contact me by phone at 639-4171 between 8:00 a.m. and 4:00 p.m.,
Monday through Friday, or by mail at Tigard civic center, 13125 !iW Hall Blvd.,
P.O. Box 23397, Tigard, OR 97223, to discuss your entering into a Voluntary
compliance ASEVement. You would agree to remedy the alleged infraction within a
certain tine period and the City would agree not to file a summons/complaint
against you during this period.
If an agreement is not executed, the following, action to remedy the infraction
must be completed by 7" I at Po") in the following manner.:
DATE TIME
�ZZ-
If this remedial action is not taken or an agreement has not been entered into
by the time and date indicated, a uniform summons and complaint will be issued,
and a penalty of $250.00 per day per violation, plus hearing fees, may be im-
posed upon you, pursuagk to the Tigard Municipal Code.
CITY OF TIGA$8
13y: _ _
kA
Coy R. Humphrey
ODDS RCEMIE1-T OFPICSR (Print Name)
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
I
Phone: 6�3,99--4175
Type of Inspection
� —�
Date Requested—_ .3 U - R-- Time Tifr» " A.M. P.M.
j I
Address Iry /U ��'P Permit
_. .).-
Owner y! - Lot #
BuilderThe following Building Code deficiencies are required to br" corrected:
Presented to _f — L` Approved
Inspector _ _.T__--.- —_ U Dlgpproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
L-DTNG PERM11'
PE-1:1141,11' NO. : BU11301997
���OFT167ARD
CITY OF ZTWAPD
COMMUNITY DEVELOPMENT DEPARTMENT 0*'Oc*' OATE I'SSUED: 1A./ 1/88
13125 S.W.Hall Blvd.,11 0 box 23397,Tigard Oregon 97223,(503)639-4175 V'14 T M PM I' .NO 881.997
1(71:3 ADDI:'411-55 : 16.1 ,,'Il Fit,, 1.0,1j+1 AVE-7
'I 6X MAP/L(T], PS]. 1./11:)1:3 6800 SLID: SWAN5ONS (.A.E.N I...y 9 UK :
I AND USEE: 0 t'..'2 1:*'D
VAI I.IA*I*T ON- J1 57 227 SET BA(:,V,5
F'1;40N'T* : 20 Wol:e: 7
W(JPI< CLACP.5 . NEW 0WF.I I.. .HN1.I'S : 'lie
Llsr:: TYPE-" : 51'NV-AJ'.;. 1:1,413:1 y NO . FIEDPOOMS : -3 U-*X I - WAL.L. CONGT :
(:'lFJN5*T . TYIN;:' VN
Nf7 N : S : W :
0CXJJP . PPO'll' . OPENXISIGS
0C',(:,Up. I OAD N 15 : E W
652 I:IUUF:' CONST' : C 1:::Lr41::. 11IF-J.?
i:'0 r-2 N D ;'106 AREA SIEPAP"? WA11--D:
1"11-:71AN1 NE-:7 8A!iI:;:M' I-
F 1 .00P I (:)At) leW (*.,A-I:*!A(.';E AOO FTIZIE SPPKI—w? ALARM'?
F I.,Ow 01 P M
I-I L:A'I' FYPIL C,A 14)CP G 1:*:G Si C 0 14 1-17
101—AN L't-11"XIK By r•a. L
RE 11.")St III';' 0i" NU
I AS Y* RE1`5501E 8011.6 3 i.-2
0 61-1,Y)k W.)PGAN $307 . 00
Nf'(:1 13OX $)I!)"*."
fIN PE:11.11.1;':W $40 00
E Al.....)HA (:1P Y'T 0 0 1 6 8
R PHONE. (.'50,311 y 6 1*1 1:;*
C I OPMENT CHAFK..'A::!:i
0 $2.15 0 . 0
N I I'll AN P1"!0 I.N
T $A00 . 00
n ,DOX 603`1 (*H
A AI OR 97007 611133 oo
C PREPWI D < $10 . 001
T 684---6606
W.)
NO
This permit is issued subject to the regulations contained in Title 14 ...........
of the TIVIC. State of Oregon Specialty Codes,zon,-jq regulations
and all other applicable codes and ordinances, anG it Is hereby
agreed that the work will be done In accordance with the plans and 1� 01.IN 0 A IJ ON WAI,L. PAT.N DPAJ:NIj
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive WA,T*I:;*1:4 1 UNIF
covenants Contractor and subcontractors shall have current city 1:41. R UND :py.,AH
business tax permits This permit will expire And become null and I" J.NOL
void If work 19 not started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has III R . 1`11111.1AXI"
commenced It shall be the responsibility o!the permittee to assure
all required Inspections are requested And approved F It PP.PL.A(:E".
GAS 1. I.Nr-:
[WoUl. Al 10N
I:Ytl . FAMAl'.)
Permittee Signature
Issued By LL FUR 114SPE("I 1QN 14 i
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
J
IN IN R W
PEPMI'T N
CITYOF TIFA RD
CITYOFT117ARD
COMMUNITY DEVELOPMENT DEPARTMENT 011MON
13125 S.W.Hall B:vd. P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 UAI*E: ISSUED: 1.11 1. /Ws
1'.Hill
M MT 11'T
JOB ADI)PIR"SS : 1.61,411. SW 10AITH AVN. USA NLA'M8F.KP : 036-165
VAX MAP/LOT PSI J.AHB 6800 SUB: SWANSONG GLEN LT : 9 RK :
I-AND
S I Z I::,
SIEOTION: 1.A1 TW) : k?fs r,.NG: 1w
W014K CLASS : NEW
UIGE TYPEE : SINGI-E F`AWIA—Y
14i've ftPI:)3A.C:fikIIt 111grriel" 1.0 f-LIMPly With &.13. I'LlIr-116 Urld I*'eqLI1attJ.ciii%t m4l '.he Unif:krutcl
Geworotge Agenic:y . the r)ermit expirein 120 cinym from tl-ier dim.tv isioued . T h e i,u t a J
1111n0k.111 i, F.)II0 d w:l 13. 1:)Vp furf,--' I.ed J.f 1,1iwa -t. wxj.)iriota . Agericq c1c)em ritit uuarl-
alitevo tl-)V.r 4rrcm.trinr.'y cif 0-io. LmL-aitiori o the %, idc! itiewvAo,* 1m.t.ermi.m . :1:•F 0-ie mower its
ricit :ILI:)C.,flLt(wd oil, lJ)e Inwilkifil.111'eMIM1111, giVIV011 , 11,1W irtsti.).111V-ir laha'11. prtj911;)Ocl, '�i ff.oel, J.1-1
frc)m tl-ve distaLi-me give ri . Xf nut ma 1c)c-ated , thim iriNais.1.1er 100.11
al. "'fiap 1ILl-id ln:lclim Siewer r" Ise rarl.l. ij�iid 1,1-i& Ac,Iroric.y wJ-13, irlmtia].J. Pi
INSTALL BUILDING SEWER IMPIERVIOUS AREF.A:
1::'TX11.JPE- UNI'T'S : TENANT' IMPIZIOVEMEENT;
Mr-i'.-I-1.IN(., LJN:r T'S 1.
N(J. OF 'r)l EMS . 1.
W 1'%4 L.V-.:A K 11OPGAN PEIV11,111, 111'.35. 00
N
E 1')0 BOX 61.335 (N3NNL-".C'TA:(3N GHARGI.: $1. :1.00 . 00
R ALOHA OR 97007 681.5 I'AP INS*TAIL.L. .
1:110M.. (r,03) 684-6606
OV IE 1:4
C
N HL 1:::AK MOPGAN
T
R I I'll AN PROPFA4'1 TES INL'
A 1:110 MIX 683-45
C
T V.01-4A 0P 970C,17 6835
0 PHONE* 1.503) 684----6606
NO . X30,5513 1 TOTAL. 1 00
This permit Is issued subject to the regulations contained in Title 14 PE"CEIPT NO
of the TMC. State of Oregon Specialty Codes, zoning regulations ..........
And all other applicahle codes and ordinances, and it is hereby 1.N cis PF-G T ONS
agreed that the work will bc?done In accordance with the plans and 14 0 11 H 1:N
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 cays.or If work is suspended or
abandoned for a period of 130 days any time after work has
commenced It shall be the responsibility of the permittee to nRsurr,
all required Inspections are reques.A and approved
Permittee Signature
Issued By* -------—
(:AI I. 1; 0 P 1:N S P IFF r I U N 6,4 9 41115
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N' CAL. PEE RMI-11'
CITY OF T I CA RD (Cd�',Le I--jr:--PMXT NO. '. ME999
-881
"""M
COMMUNITY DEVELOPMENT DEPARTMENT OW200"
13125 S.W.Hall Blvd.,'.0 Box 23397,Tigard.Oregon 97223.(503)639-4175 v-P C.M. PM*T .NO 8(:r1.997
JOU ADI)PIki-AiSi : 161-0. SW 10,(1111-4 OVf--
TAX MAP/L.O'Y' 25:1. 1-411HIS 6800 IMB: $WANSON5 GI i �J L.A :9 UK :
I ANIJ IPA-:: : 1:411.21-11:11
NO
WOWK (.A.A5S ; Nk*-.W F-UPINIA(M.. (100K 1. AlIP HANDI.-A <10
TYPE.: FAMIL-Y FU11NACE: 100K+ AJ:A HANDL-4( J.0K
-.4 1: 1,111:41INIAL-7
U,ONSiT . TYPE. 7 VN F1 001
OCIGUP .OPP. . P3 1-11rKATE".141 VF-'N U FAN
Vl::N*T' VE.N*r . sysn:m
8L.P/COMP C.61HP HOOD
NO G*1'OP:IA::ti . R FIL.P/COMP 3-1.51-11P I NCX NE:R A- TOR(DOM
UWCEL.I... . UN JI:P`i : 1. 01 14/11,"'OMP LN(':I:NEPA-'l OR(C 13M
l* (L :L. TypE:. GAS I3L.P/(:;(:)MP '1*50-.5C HP WIX-PA.ER UNTI'S
MAX . I.NPUT Elf WCOMP 504-HP 0 TI-K.-P
1,:,Tr4F:: 11MPRS17 113AS) P:I:PTN(.;
LOW PPktiW?
I FMAR101 :
0 0111. FnK 1401:4.;AN Uy, $1.0 .00
11 (IN PF:V 1EM $10 . 13
N
IM-1 9700T 68'35 1 $30 . 50
1' 'I'OX 11112. 0-3
Ft V-HoNt: eum woe,
C
0
N BEI.I. VIK.A'I 1W.-I :11:NC .
T 5 015 1.". V 1:A Z 7 A A V I.'
A (.;L.ACVAMA!;, 0P 197 1.15
C 171VIONE". (50311 r?/•1;3-•1:1.(:1/1T TUVAL
0 N17.1 , 091Y
R
r&(*.1I:-;JF1T NO .
This permit is issued subject to the regulations contained in Title 14
of the TKIC. State of Oregon Specialty Codes,zoning regulations It *:QLJ*.l:AEU lWiPEICTILINS
and all ether applicable codes and ordinances, and It is hereby GAFs L.:ENr--*
agreed that the work will be done in accordance with the plans and P(Jr,r & 13F.:1AH
specifications and in compliance with all applicable codes and 14101111(3114—1.N
ordinances The 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 if work is suspended or
4bandoned 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 req,jested and approved
-Krm4,tle �Signature
C 1 (11111 1 Nt�s I ILS;I LLIN 6Ye-=qJ—Zi-
Issijed By
SEPARATE PERMITS REQUIRED FOR WORK OTHEP THAN DESCRIBED ABOVE
Pl UMBINC11 P1,714M11
1* NO. : PL81131.990`1
r1TY01' TIFARD
qu# IWOFMARD
COMMUNITY DEVELOPMENT DEPARTMENT uAlli: ISSUED. 11 , 1/80
13125 S W Hall 1310 1.0.Box 23397,Tigavd.Omqon 97223.(503)639A175 PP:r.M. PM'r .NO . (3. , 97
ie11.'4111. St. 101TH AVE
1'()X is J'ADD 6300 SUI-1- SWANSONS 1. E N I...1 :w 8K :
I AND 1.,jSE : 1:11.2 P 1.)
TEM : NO: NO:
WOPIK C.L.A95 - NEW W AT 1:::1:4 CLOSE'T' 3 TPAP
USE TYPE'.'. : i-ol:NGLE FAMXLY 011-41NAl 610--1 OW 1-NIVN11:4
CON51' . T'Yt�'%- VN I.-.0k)OPAI OPY 3 i'PAP Pr.:t:mE::P
P3 11JIGI 51-40WEP P MAPS
01 SHWASI-W'.1A I
cpAI�li3Ac:E:
DISPOSAL. 1,
NO 5,11,01411'.t.1 P WA451-11M.3 MA011-11NE 1.
01WILL L . UNI ll'i:i : 1. L.AUND11Y BLDG. I)PATN (DTA
F'L.0014 I)r AIN
S.TNK 1. Sr.-:.'Wr::*:P (F T')
wA*rE::r4 :1. 9'T'OPM/PATN (1,-J
1,)1 Hl;.:I-"
0 BL El)K M01W.-,AN I:.,F; 1:013:T tk 1.:3ii1. . 50
W I:.'1(J BOX 61:11,135
N
E 014 97007' 68N'b I ' X'T*LJPr-'S
f1-IONE S i'Al I-.: TAX 63
CO K C.:'.N
P4 WA111!ii PLUHF11N.G
T 1:)(3 BOX 8,30925
R
A Liplill"d r.rr 9,72P"*4
C PHONE. (503)
T
0 (4l:.G'I 'iIPA'TTf1N NO .300713 10 Y Al
R
No ,
This permit is issuer subject to Cip regulations contained In Title 14
of the TIVIC. State of Oregon Specialty Codes, zoning regulations I-A.'QU11:411KA) .1"NSPEA.'TIONS
and all other applicable codes And ordinanoin. and it is hereby UNDEPSI AH
agreed that the work will be done in accordance with the plans and
PW't T & h)E.AM
specifications and in compliance with sit applicable codes and
ordinances The issuance of this permit does not waive restrictive WO-1 1:::P 1 3.NE
covenants Contractor and subcontractors shall have, current city I I..R , I(WOU I'
buslimss tax permits This permit will expire and become null and PAlN IX4A1NS
void it work Is not started within 180 days,or if work is suspended or F '11:NAL,
abandoned to, a period of 100 days Any time offer work has
commenced It shall be the responsibility of the permittee to assure
All required inspections are requested and approved
ISSLIF-d By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'FA RD PLAN CHLCK APPLlCA7ION
cff cW i6 Rp ff)-6� 9
COMc
MUNITY DEVELOPMENT DEPARTMENT 0"ac*4
7PLAN CHECK # `
13 1 n SW HW Mod P.O.ea.2WW,Tt pwd.Oregm 9rM(15W)630-4176 PERMIT #
DATE ISSUED
10D A 1)1)R I SS A/-, IAX MAP/1-01'
I W I AND U';E :
VAIAIA I ION:
OWN IN SPECIAL NOTES
NAME
REISSUE OF:
AODRI
LAS'l RE 1.1,NSUE:
FLOOD PLAIN/
SENSI'l IVE LAND: 'W\
1,11ONt
APPROVALS REQUIRED
('.ON I RAC I OR PLANNING:
NAMI ENGINEERING:
FIRE DEPT
OTHER:
ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCIVLNGINFF-R BUS TAX:
NAM[ CALCULATioNs:
ADDRI" S. TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
HOIJI OTHER:
COMIMF.Nll,,:
1711 Rml I ACCJ # DESCRIP'llON AMOUNI AMOUNT PD. BAL DUE
8y,7164 10 -432 00 Building Permit Feesu o
7,
alsri 10 431 ol-1 Plumb'ng Permit Fees
a/ fo 10 -431 Oi Mechanical Permit Fees
10 2.40 Ol State Building -rax (,j%)
Building
Plumbing _.._._.,(e
Moch ov
10 4 1 t 00 Plans Chock Fee
nu I ld i rig
1)1 umb I rig
moch —
.10 207 00 Ciewer- Connect.lon
30 -444 00 S,iwor- Inspection 35-
Oil- 448 00 C4trvot System 0ev Char-glo. (SDC) 7 - '
1)2 -449 00 Parks System Dov Char-ge (PD(,) 250
31. 41-10 (10 1,itum Drainage Syst Oev Chirg (GSOC) -750
10 730 09 TRFD
10 7:10 06 Washington County I iry #1 (911%)
to 7)O 00 nmw-t./Wodqowood
10 1-At D 7 (4
R F t: # U-14 T'S
nmWI W.ANf-,;Ii;Nn lmn
W `
CITYOF T 24 PLAN CHECK APPLICATION
CITYOFT16iARD PLAN CHECK # ') -
7
COMMUNFFY DEVELOPMENT DEPARTMENT OREcoN PERMIT # 4
19125 SW I-W1 Blvd. RO.Box 23397,Tipnd,Oregon 97-M(503)639 4 1/s D qTE ISSUED
JOB ADDRESS: %1 % V1S w /,% r TAX MAP/LOT .2,51 - ) q613 1-yelo
SUB: _LOT: ��' �— _ LAND USE:
VALUATION:
OWNER J SPECIAL. NOTES
NAME: ,�J� GL �s_1`� �cy �� _ REISSUE OF:
ADDRESS: / LAST REISSUE: �—
<� FLOOD PLAIN/
-- `' SENSITIV ' A""':'
PHONE: �—.—
APPROVALS REQUIRED
CONTRACTOR �e�l> PLANNING: _
NAME: Gam ' ENGINEERING:
ADDRESS: FIRE DEPT
OTHER: e-- -----
PHONE: — 1TEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX:
°:.►ME:
CALCULATIONS: _
ADDRESS: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN'. ---------
PHONE: _- _ OTHER: '--------
COMMENTS:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
fLyj 94 10-432 00 Building Permit Fees 307
3 367--
8b, S' 10-431 00 Plumbing Permit Fees ITT Su — _ 7-7
10-431 01 Mechanical Permit Fees a 5.0 0
10-230 01 State Building Tax (5%) o)el.0l V. 0
Building 1 35-
Plumbing
S'Plumbing G.G 3
Mech ,2,0-3
10-433 00 Plans Check Fee ,SU , /3 Wj, iC� ly .,,3
Guilding U -
Plumbing _
Mech �IL /3 _
00 30-202 00 Sewer Connection G u -/Z C, U
30-444 00 Sewer Inspection —�,-3--�5 .3 1-
51-440 00 Street System DL-v Charge (SDC) _ %fl v a
52--449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks I- System Dev Charge (PDC)
31-450 00 Storm Drainagr. Syst Dev Chr•g (SSDC) 2- 50
10--230 09 TRFD
10-230 06 Washi.,gton County Fire #1 (95X)
10-220 00 Amart/Wedgewood
TOTAL
REC #
APPLICANT SIGNATURE
i
Received Fly: 17� Date Received:
ht/3581P/19P