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� � l INSPECTION NOTICE ti
City of Tigard Building Department
�,� P.O. Box 23397
� Tigard, Oregon 97223
Phone: 039-4175
i
Type of Inspection
Date Requ/ested _�' �-�_�_ Time A.M.� P.M.
Address cri/ice � 4 Permit # , / :Z. .
Owner Lot #
The following Building Cods defieienclui are required to be corrected:
h' "�0� _lllissIA112 0 C r 6WIZ&Z41 Z2?les-
-- t "2
IWANPI-
12 L-Z
Presented to _ it T.Approved
Inspector _ pp �_� Disapproved
Date
CALL FOR REINSPECTION
Cl YEs O No
C11Y OF T'VA RDiLJ.I'.I DING PEPMIT
l.-+'PMT*T' NO.
WYOFTWAPID J09 1.63 3
COMMUNITY DEVELOPMENT DEPARTMENT OlgaON
13125 SAY.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 5'S L)1---.D
JOB ADDRESS : 1618°.1 sm 1.0-111-4 AVE
TAX MAPVLOT P.51. J.Z10B SUH: SWANSONII; CA.EN LT . 1:1 F','K .
LAND USE : PIPPI)
LOT SIZE : VALUATION: 1: 157 1227 SETBACKS
F PONT 20 PEAR :
WORK CLASS : NEW DWELL.UNITS : :1. LEI=T: 3 PIGHT : 33
USE TYPE: SINGLE FAMILY NO. OEDPOOMS : EXT .WALL GONST' :
CONST' . T'YPE: VN NO . BATHS : 3 N: S: 'E: W:
(XICUP.OPP. : P3 P09" . OPENINGS :
OCCUID ,L.OAU N: E:
TOTAL AREA: I.P38
NO. STORIES : a IST. 652 ROOF CONST : C FIRE NET?
H 1!_-:I G,H,r - 20 2ND: 586 AREA SEPAF47 RATED:
BASEMENT ? 3A17: OCCUP. SEPAP? PATE117:
Mr-EZZANINK'? BASEM IT
F1.90P L,OAr, . 140 GAPAGE* . 400 FIRE SPAKi P? Al APM7
14 WD FLOW(GPM) DE V .
V fl,n rl
ISI..AN Cl-4F.*:CK BY: r-:Lt
Rl:.::M()PKS :
REISSUE OF' NO, 6655
I AST Pr--*]:SstjF 881.632
FEES :
vv IA_.IZ:AK PERMIT
NE $307 . 00 BOX NsZi5 PLAN P4F'V:I.P::W
$4U . 00
R 0 I'll at r)El:)*T*
STATE TAX
OTHEI:11
C DI:..VELUPMENT CHAPCEES :
0 e I..r-'.:A K MORGAN
N SDC 4 STOPM) $250 . 00
T 111 AN PP0PEr.;fT:I,.rz'.S :I NC:. 5
R P0 F30X 6"35 . DC( STPELPLT ) $600 . 00
A PI)c(*P.. $250 .00
C Al, DFIA UP 97007 60',C.,
T PPE.PA10 < *A0 . 00)
I'
0 :,H0NV: ( 3 0 3 11 613 14 6606
R I NO 3053F.3 TUTAL : #1. 1/422 155
This permit Is issued sublert to the regulations contpinpd In Title 14 RECEIPT NO.
of the TMC, State of Oregon Specialty Codes,zo iing regulations
and all other applicable codes and ordinances, and it is hereby INSPECTI(NiS
agreed that the work will be done In accordance with the plans and FDOI INC.,
specifications and in compliance with all applicable codes and FOUNDATION WALL PAIN UPAT14S
ordinances The I nuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city WATER 1_114E,
business tax permits This permit will expire and become null nod 8 -UNOEP.iLAS C17Y APPRCH/15W
void If work Is not started within 180 days,or it work Issuspended or S L A H F1 Ni)L.
abandoned for a period of 180 dnys any time after work Nas I...)
commenced 11 shall be the responsibility of the permittee to assure i...B 'i opour
t:REINING
all required Inspections Firp rPqtjrr,d and approved
I:r I AF-1:1L ACE
GAS L I NE
t.N!i U1 AT ION
Permittee signnture. Y P- BOARD
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W WIF !XWA
C17Y OF TIGA RD SEWER PEPMIT
I-"EPMI'Y* NO . : FilEfall:31bbd
CITY 0i'TISARD
COMMUNITY DEVELOPMENT DEPARTMENT
i3125SW Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 ISSUED: .1. 7/tie
r'M.T. U1.1 GG 2 16 3 3
JOS AUDAESS : 15W 10ATH AVE USA NUIliffKPI: 006413
TAX MAP/1-01' ?51 IABC.t SUB: SWANSONG
LAND USE : P11 F.P D
1-01, SIZIE:
SECTION: 14 Twp: 216 MG. 1.tk
WOM CI-AS5 : NEW
USE TYPE: SINGLE FAMII Y
Thlw appj.ioarit lagr•eizlllll to comp).y With 4,11 1"I.11tosi atrid r,ogulatir.11,1% t-j+ ti-le Ul-Ij..iii,ecl
Golawor-age. Agericy . 'T"-)e Pel"Mit eXP"-"L'la 't"!0 (:l4lLYVJ 'i"I"01" the dw-te-b imut.ted . ":-14- tatal
x►mt1t.tr1 t. puid w:1 :1.1. bili? -1'. f tho, 1.)Val'Iflit foxpirciti . '11-16) AgeMCY Lkletl IlUt 1jLI#tr---
Iftoczl.lr'iar,Y 011 the 1-ac!m-tion of tht-2 t6i.C10? 'Rewo)"- If tvie %(-WC-?r- ita
Itic.'at"wd at, tllh) momflimr,omth?rit givo)ri , tho. j:)I .-C)'nj.)0C 3 foort. Iri
t
I-o In t
tic distfltrlce givol't . 1-17 1-lut, foo l.I*)c.7at#.bc1 ' tile i r-tin tial.Ierl-- %hall.
PlAr-Ch"Me a "Jap i9rid !.5itle Shower"' alld tf-lk1 will lit
INSTAL-L. 'TYPE : WILDING 5EWFEA, IMPERVIOUS A11EA:
FIXIL)WE UNITS . TENANT IMPROVEMENT:
016111:11.1ANG UNITS : 1.
NO . OF' 8L,U('.V'5s ,
0 FEES :
W 81.-E:AK MOAGAN PEPMIT
N Ila BOX 6830� lli�35 . 00
E CUNNI:-"-(."TION CHARGE: 7.0 U 00
till LINE* TAP 'ENSTAI L.
OTHEP
C
0
N
T DELL HE"ATINt., INCI .
R v5.5 "305C., PIAZZA AVE:
A '1..
C CL.ACKAMAS Ok 97015
T
Q 1:*'HONE: (503) 21 1
.1 :1.11133
AEG:rLiTPATION NO. dIA17 T FTI AL. : $1. 1135 - 00
This permit is issued subject to the regulations contained in Title 14 Pi-:cE:rPr NO.
of the TMC. State of Oregon Specialty Codes,zuning regulations
and all other applicable codes and ordinances and it is hereby PE:QUIPED INSPECTIDNS
agreed that the work will be done In accordance with the plans and ROUGH.-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 days.or If work is suspended or
abandoned fnr a period of 180 days any time after work has
commenced It shalt be the responsibility of the permittee to assure
all required Inspections are requested and approved
--
Pet mittee Slqnsturp
14sued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W
CIIYOFTIFARD ,4' 1 NO . PL8(31.662
CITYOFTWARD
(� 11
COMMUNITY ')EVELOPMENT DEPAR I-MENT MOON— DAIE, ISSUED : 1.0/ 7/08
13125 S W Hall Blvd,P O.Box 23397,Tigard,Uregon 97223,(503)639-4175
PHIL 1JM*T*.N*Q- 211 1.633
JOB ADOPESS ; 11.6185 SW 1.01-11'H AVE
I'A X 1*1-1 P/L.O'T P S 1 1.4k U SUB : SWANSOW1 1.1 EAK :
LAND W;E: PI-'-IPD
LOT STZE:
17'EM: NO : NO:
WOF414 C.L.ASS ; r1!E-'W WA*1*EA CLOSE.T 13 I'PAP
USE T'YPE: SINGLE FAWLY URINAL BKFLOW PPVNTP
COWiT . l'YPF:: VN LAVICIPAI()AY 3 144AP PRIMER
101MUIP. GPIP . - 143 TUB SHOWER 2.
DISHWASHER 1.
CAPHAGE. DISPosAl-, 1.
NO. S'TOATES : 2 WASHING, MACHINE:' J.
DWELL .Uhlrrs : I I-AUNDAY TRAY 1-11 M; 101:01N ( DIA
FLOOW DRAIN
SINK 1. SEMEP (F,r)
WA1*EA I-AEAl'EM I STOPM/RAIN (F-t
OTHER
REMARKS' :
0
FEFi
:
EI
HI-EAK MCJW(.IVAN PERMI'T tp 1 15
N p(3 BOX 6035
E
R gi.1 m h a F IXTURES
STATE TAX
- ------ UTHER
C
0 WATTS KEN
N
T KEN WATTS PLUMBING
P pa SOX P-309L,03
A
C t i g it).r,d clir 97PP.3
T PHONE (t"'iO3) 61014-6626
0
1131 PF*.(.-)1*.S'TPA-1-TC)N NO. 50e-18 T O'TAL $139. 13
This permit Is issued subject to the regulations contained in Title 14 RECEIP'T' NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby nEQUIPED INSPEC'('TONS
agreed that the work will be done in accordance with the plans and UNDIEW51-AB
specifications and in compliance with all applicable codes and POST &
ordinances The is-aance of thin permit does not waive restrictive WATER LANE'
covenants Contactor and subr,,)nt rectors shall have current city
business tax permits This permit will expire and become null and PI-6 , TOPOUT
void it work i-%not started within 180 days,or if work is suspended or WAIN r)RAINS
abandone I for a period of 180 days any time after work has F I NAL
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
001,
401tte,*Signat,=q
Issued By EWA F13P IN!�PEXAJOR 639 /1-17-5 '
SEPARATE PERMITS REQUIRED FOR WORK 0 TIHER THAN DESCRIBED ABOVE
MEXHANICAL. PEPM11*
C11YOF TIGARDlro T PERMINO. : MEBE31.663
moFnr�FCOMMUNITY DEVELOPMENT DEPARTMENT (C UATE_ ISSUED: 1.0/ 7/ee
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 PWIM- PM*r NO RR1 6--%3
,108 ADDRESS; : 1.61.85 SW 10ATH AVE:
'TAX MAV/L01* 2SI. 1..e1F)H SUB: SWANSUNS GLF'.N 1...1' : 1.:1 HK:
LAND USE: A1.2PD
1...01 51ZE::
ITEM: NO: NO:
WORK CLASS : NFEW r-;'URNACE <J.00K I AIR HANULP <10
USE TYPE: 53:NGL.1"_* FAMIL.Y 1::*UPNACE_* 100K+ AIR HANDL.R 10K
CONSI'. I'YPE : VN FLOOR 1;-'LJPNAC,[-- EV�,p.(,,nC)L.EP
OCCUt" . GRP. 143 WENT FAN 3
VE:N'T' VENT . SYS1*E:M
EIL.R/COMP <Z1HP HOOD I
NO. STORIES 2 EIL.P/COMP 345HP INCINE:RAI'OR(DOM
DWELL_UNITS : 3. BI-r-4/iCOW", 1.530HP INCINE IWTOR((�OH
1:UE.L.. 'T*YPE'. L,A 5 BL-P/(:',OMP 30---501-IP PE'PAIA LINII'S
MAX . INPUT EI1,_R/CN*1MP 50+1-41--1 OTHF.P 2
FIRE: DMPP511 GAS PIPING QUI'Ls.::I'S 'I
VIIGH PPE'557
Lt.) 1.44LzS7
14E:MARKS:
0 FEES :
W EIL.FAK MO1:K.',AN PEPMtl' 111110 . 00
N BOX 6835 PLAN REVIE'41 $10 . 3.3
E
R FIXTURES $30 .30
STAI*L: TAX $2 . 03
OTHER
0
N
T SE1.1- HEA*Y'I'N(.',' INC .
n 13530SE: PIAZZA AVE'
A
C C.1 ACKAMASP OR 9*701-15
TT PHONE, (503)
OR NO . "1417 1 01'AL. : 41.5p 65
This permit is issued Subject to the regulations contained in Title 14 RECE11.."T NO .
of the TMC. State of Oregon Specialty Codes, zoning regulations
and till other applicable codes and ordinances, and it is hereby PE-QUIPED INSPIECTIONS
agreed that the work will be done in accordance with the plans slid (SAS LAW:
spec.fications and in compliance with all applicable codes and PUS T* Hr-_'*AM
ordinances The issuance of this permit does not waive restrictive ROUGH 3.N
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and FT 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
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and aporoved.
Perms ee . 1 rolurg,
Issued By0P--TW.:j'T3T_M.,—JT-4_AJ9 Al 7 __A
SEPARATE PERMITS REQUIRILD FOR WORK OTHER THAN DESCRIBED ABOVE
17Y OF TIGRD
r PLAN CHECK APPLICATIVN '
CITYOFTIOARD PLAN CHECK N d•�
COMMUNITY DEVELOPMENT OLPARTMENT PERMIT ##
13125 SW Hall Blvd. P.O 9ax 23397,T � �
q.�d, �°"9722 �sos�ras-.4'7s DATE ISSUED _
JOB ADDRESS: TAX MAP/LOT
SUB: c%_50.1�5 _? LOT: :.AN: USE
VALUATION: _
OWNER SPECIAL NOTES
NAME: f%�dy� i����� . REISSUE OF: _
ADDRESS: �' �_� S S— T- _ LAST REISSUE_ / 4~
FLOOD PLAIN/
SENSIT"VE LAND:
PHONE: _�_��,.=._G v'(,�
APPROVALS REQUIRED
CONTRA_C_TOR PLANNING: _
NAME: ��_,� - _ ENGINEERING: —
ADDRESS: FIRE DEPT
OTHER: ^-
PHONE: _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
_AR_CH/ENGINEER BUS TAX: V
NAME: _ CALCULATIONS: —
ADDRf::SS: _ — TRUSS DETAILS:
PNRKING PLAN: _
LANDSCAPE PLAN: —
PHON[
OTHER:
COMMENTS:
PERMIT ## ACCT y DESCRIPTION AMOUNT AMOUNT PD. B,',-. DUE
/w 32 10-432 00 Building Permit Fees _�G J 3u3
�JluLZ. 10-431 00 Plumbing Permit Fees / 3Z . jl� —/ . t
10-4s1 01 t1ochar•ical Permi. Fees Sv_
10--230 01 State• Building Tax (5%) .Zy /
u
Building /S• 3 S' -r
Plumbing _
Moch --Iry 3
10--433 00 Plans Check Fee ,SSU•/ qL0 j0• 13__
Building
Plumbing
Mach ,
30-402 00 Sewer Connection —��� GO
30--444 00 Sewer Inspection _ 3y'' :3S-
51-448 00 Street Systeo Dev Charge (SDC)
52--449 01 Parks I Systr?m Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PUC) 1 v_ _ .2$�
31--450 00 Sturm Drainage Syst Dev Chrg (SSDC) .P-S U .25 —
10--230 09 TRFD `-
10-230 06 Washington County Fire M1
10-220 CO Amar•t/Wedgewood - `—
TOTALANT—.
REC N
APPLICANT SIGNATURE
Receive(:! 11y: Oat( Received:
hL/3587P/18P -- —_----
I