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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 l
Tigard, Oregon 97223 /1
Phone: 639-4175
e
Type of inspection '
Date Requested.rime A.M. P.M.
Address lL-� 7- _�-_ Permit #
Owner_-- – .__-.- — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to i��---fT proved
Inspector __ — DDisapproved
Date --E�—
CALL FOR REINSPECTION
❑ YES 0 NO
BUILDING PliERMI-1,
PEWMIT NO. : BUS807-410
Cny
AILD
C17YOFTIGrARD
C
COMMUNITY DEVELOPMENT DEPARTMENT 06'11:: 1 SS UE D *I/27/13(3
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigaro,Omgon 97223.(503)6394175 PI:*1 T M- PM r -NO . 800-7410
J00 ADDPE15S : 1-6204 SW 104TH AVE
r----
'TAX HnP/I 0-1, F25:1. 1.-ID9 9A00 SUR: SWANSON ci LN L T : :3:3 8K
LAND I.ISF*:: : 1:412
VAI UATTON: 1; 5 7 t1iP17 SIETBACKS
F'RONT: 20 PEAR .
WORK CI ASS : NEW 0WELL , UNTTS : IL 1'.-'1:r*1, 8 P.T611-fF
USE. NGLE: F-AMIL.,y- NO D1-'DA00M5 : 3 EXT - WAI L. CONS
CONST' . 'rYPi'--": VN NO. F3A*Y'I-IS : 3 N: S :
00CUP . GPP . : P.3 PROT . OPENINGS :
(aCCUP"'. I-OAD rclliwl.- AnEA: j.aZ5B N: S : E
NO. STOGIES : 2 IST ' 6.55 R POOF CONG-r: C FIRE PET?
2ND: 386 SEPAw? PATED
11-ASE-i:MEN'T"? 3PD:: OCCUP- SE PAP PATE D:
MEZZANIN11-i'.7 BASEM 1 11
P11-00A I OAD 40 0 A 14 A CA.': .4400 vine, spnKI P..? Al A P M'7
HEAT -yl:)E : C-LEC , F I OW(GIFIM) DE:-T-EC1.7 YES
copp'?
1:*4r-.J5SUP',' or txv e,6,-5,5
LAST RE),.sstjE FI(905!5e.,
o MOPGAN P1.*-::PMTT
W p LI OUX 6835
N 9.700'f P1 AN r;!EVTI.J.j III 19 9 . 5!3
E F;*lr4t-.:: DEF:1,11,
PHONE (,503)
51,ATr.:,* TAX
01*11r.-P
141 1--*:A K MORGAN DE:VV:I.-OI---lMF.-:N-T- CHARGES :
0 SUCIISTORM)
N TAI'TAN PPOPEP-TIEs INC' L" *e50 . 00
T pa BOX 611333 1 DC1 T nr.-,.:E *A00 00
R Pucllop I *P50 . 00
A 01" 91007
PHONE (503) 684--6606 PlIE:'PAID < 1110 00>
C
PE.C.',I"ITPATI(IN NO. :7105551
R TOTAI. 1 (9 0
PECF.'T F"T NO.
This permit Is issued subject to the regulations contained in Title 14 ......
of the TMC, State of Oregon Specialty Codes,zoning regulations r*`.QILJTPFAJ J:NSPECTIONS
and all other applicable codes and ordinances, and it is hereby F001 ING S E W r-::P
agreed that the work will be done in accordance with the plans and FOUNDATION WALL PAIN DRAINS
specifications and in compliance with all applicable codes and POST it Br--*AM
ordinances The issuance of this permit does not waive restrictive 11JAI'LP 1. TNI-.
covenants Contractor and subccntractors shall have current city PLH . LINDEASLAS CI TY APPIPU11.4 sw
business tax permits. This permit will expire and become null and Fit.AH 1:INAL
void If work Is not started within 180 days,or if work Is suspended or PL 14 FOPOUT
Abandoned for a period of 180 days any time offer work has F P AM IN(.v'
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved ACE
C-AS I TNF
TNSLIL,A FT011.'
IY
P�rmittee Signature C, P
l9sued By ('AL.L. Vf3P INSPEC-TTON 6.59
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1:11ERMIT, NO. : GE880743
CITY OF T117A RD
GCITY167ARD
COMMUNITY DEVELOWENT DEPARTMENT F'PTM . MI'.Nn . 800,7110
.....S.W.
b" P.O.I Sov 23397,Tigard,Oregon 97223.15031639-4175
i-.-T 1A.1 1 0-.1 1 1-1 A U ki 1
--
1 AX MAP/L('XI 25:1 -1.4181! 9'r- .)0 SUB : SWAN5014 GLEN L-T :35 H-K :
I ANU USE:
LOT I;i:l:zl-. .
!i"jECTION: 14 as I-ING : 1.w
MAW CAACi5 : NUM
USE TYPE : 151MINLEE.
The a&j)jj:j:I.-I.c4ttnt atCli-eetu 1,11 wi.th '11.11 1111-Id I"Q9143at-lAciii6i of
Fiewerntge Aqenctj . *rt-ich pei-mit expires J.P0 drLys +r,oin the dinte immi.iod . The tot.00.
atmolifil, f:)mJC1 will. la as J.T the r.)*)r-in:I -L 1he Ageilc-,y
alxltiv�e The aix�curiwcy (if the loruttion of the ifiiclle ioewer- IaLterm.lto . If thio ff;ewer, isi
t41e IJiven , the i riislsijj:J.leir %hm.11. pr,ompec.,t, S fv•et irl
-1111-om the (ftiotaninfe given . If Ilat so loomted , the %hall
';.�Tcbm Por'lnit mrid the Agenr,,y will :I.r1i%tmj1.:I. w
P,pg.- 01111,11,11.WA W( i 1-1.16-14 Al'*FA
I- 'I X I I JQr-,*. UNIT5 71KINIAN'T 1PIP1=OVEMEN'T
DWEI [.--.I:N(; UNITS I
NO ('31%
V L to Ij
00
p a BOX 6835 (:'(INNr-:('.T':I:C)N 1. 1Ut7 —I
OT I-)L E AK M 0 1:4 G'A N 1:1E 11M.11.1, 1113!) 0()
W br,.,,m\,wi)I-,t.m i i ui 1 :1 NI::: 'I AF' :1.N TAL.1.
0 I'VIEN
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0
N pia I:)0X 6833
T bwravertnn or- Y100 / 611-M",
R
A PHONE. (30,A)
C ill.EGIS""PATTON NU3015.58 TOTAL.
T
0
R NO .
This permit Is issued subject to the regulations contained In Title 14
10-c(Al.f3:r4F.9a T'NSPECITON5
of the TMC. State of Oregon Specialty Codes,zoning regulations P('313GH-114
find all other applicable codes and ordinances, and it Is he.eby
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 permit does not waive restrictive
t:ovenants 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
1042-
Permittee�--rslgnaftire rnr; TNI!PF:CT10N e)-39—ell-In
Issued By
SEP'ARA'TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PERMIT NO.
CITY OF T'��
(CLITY-60FT16AND
.70 TI
COMMUNITY DEVELOPMENT DEPARTMENT ORIG*N ) [)(-) ":'
13125 S.W.Hall 31vd.,P.O Box 2:1397,Tigard,Oregon 97223,(503)639.4175 PI-11M PMT.NO .
.1(30 7AJO
JOB ADDPESS : J-620A SW 10411-1-1 AVI::'
TAX MAP/l..(:)'T P ,:l I./IF.
I AND 0%'I' : SUB SWAN!:)('.)N G1J.i:N 'T .,3,5 P I
1.101, SIZE .
WC)WK CI A S S : NEW Y.TEM: NO: NO
F'1;1-4NA(,'I-.: CLOOK I A134 VIANDI-P (10
Ut-R TYPE: SINGI..F- FAMIL.Y FL:PNACE 100K+ AIR HANDL-P ILOK
CONST . TYPIE : VIN FL.00R FUIPINACr.i. EVAP . COOL-EP
OCCUID.GRP. : AS HEATE17 VENT FAN " ;R
I
VENT VENT . SYSTr-i'M
(31.JP
NO. STORIES : 2 8%.P/C10MP INCINEPA s ON(DOM
DWEI L. ,UNITS : I lil-JI/COMP 1.3-30HP INCINEPATOWCOM
V LAO- TYPE: GAS r,?I.,.P/CC)MP 30-50111r) NEP"AIP UNITS
MAX . INPUT DI-P/cOMP, 150-1-11-41PbT 2
runi. C�,AS"PTPYNC OUTIL.F.J5 1.
1-11C.11-11 PPESSI?
1 014
R;i-::M A P K S
I.,L tij
0 BL-EAK M0111GAN PERMIT
W P 1:1 BOX 691�1115
N PI AN REVIEW 1111110 . 1 Z.�
E 1:.I in fK V 0.1-,t 1.11,1 Or, 97007 F1X'runc-:S 11111130 .150
R
SJAIR TAX
C
TTNG TNC .
N
T 155-509111-: 1,--'IAZZA AVII:l
R
A 970:11.3
C PHONE. (503) 2,q3---JJee4
T
0 r*:GT5TRiVT-r.CIN NEI, -141
RI TOT Al S 5 E,
PECA-.':-rF)'f NO.
This permit Is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon SPeclalty Codes,zoning regulations DEQUIRED INSPIEcrIONS
and all other applicable c,)d?s and ordinances, end it is hereby CAS 1. :rNF,
agreed that the work will b,:done in accordance with the piens and P115 I' & SEAM
specifications and in rimpliance with all applicable codes and ROUGH—TN
ordinances The Issi,dnce of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city 1-:JNAI
business tax permlis. This permit will expire and b9come 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 responsibVIty of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Isqued By (:x11.1. I-OP TNIRI*',l
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
---------- --__---- --- ----------------��_ _ r�s_,UME�1:Nca PERMITCI7Y OF TI
FARD PE:pMx'r No. : PI_F1Cj0,T q1.
cmornr;ARD
COMMUNITY DEVELOPMENT DEPARTMENT O4EooN DATE: ISSUED : *d/i37/88
13125 S.W.Hall Blvd..P.O.E ox 23397,Tigard.Oregon 97223.(503)639-4175 Pp x M . PMT.No. aE:10'7*IU
JOF4 ADORE:'SS : 16204 SW 104TH AVE — —
1AX MAP/LOT ;y%1 :I./IBF.4 9/I00 5UH : SWANSON (:.I...Ez:N 1. r : 3 5 (t,K
LAND USE:
I T'I'M: NO: rlt:)
WOPK CLASS : NriW WA'T'I::R CLOSET
T .x r12AF:r
USE TYPE: SINGI...E F AM:I:I...Y URINAL. EBKF'L..OW F+I1\.NTP
GONST . 1 YPEi: : VN I..Au(aFd/•1'rOrw ;s T11.11F) PRIMIT"
OCOUP. CRP. : R3 'rue sij-IOWE n R GREASE 'rPAFIS
0:1:9%HWASHE:P 1.
CARNA(;r.: OI S'5POSAI.. 1.
NO. !:TORIL::S ii'. WAS14I:NG hFf1CHINE: I.
OWEL..L.. ,UNIT y : 1. I...AUNI)PY 'T'RAY Eft„,17(; . DRA.T.I`'i ( DTA
FF'L..O(:)P UPA:I:N
SINK :I E5EWE:R (F*T)
WATE::le F11:►1Tl:R 1 STORM/FAIN (F”r
OTHER
fare MAFTKS .
o Ef1...E:A'( M(:1RfvAN IoM:NM:f.'T W:L..'Sc' :Sci
W pn Pox 6835
N I:,immowrrt,clrt 60*3"5 FIXr(.IREi:S
E
R PHONE: 1503) 684--6606 STA'T'E;' 'rAX $6 . 61::
C WATTS KEi:N
N KEN WA'T T'S M.OMOTNG
N
A1.J.I;T 18 r rl t:11 9!`r,.!P3
T E::PHON (30.5) 611/1....66V6 I
p fTIr.:G;:f.!a'1'FTA'T"friN NO . 5013'78 TrJTAI... : 1A'1.34 . 1.:3
R
PE C,E 11c"T' NO
This permit is itisued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations FTE:Q(11:PEi.0 TNFIPE:O'T'IONS
and all other applicable codes and ordinances, and It is hereby PLA-) . UNDERF-.A.AF:I
agreed that the work will be done in accordance with the plans and Po S r B 8VAM
specifications and In compliance with all applicable codes anu
ordinances The issuance of this permit does not waive restrictive WA'r E F7 L. 'INC::
covenants Contractor and subcontractors shall have current city PI-IR . 11Or''OUT
business tax permits This permit will expire and become null and PAIN OFTA:I:NS
void if work is not started within 180 days.or If work Is suspended or FJ NAI.,
abandoled for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to agsum
all required Inspections are requeslFd and approved
PPrmi eR a SignaTune
Issued By
r'/11.I IFF f.)r1 T NkiF::r:T ION 639-1111.7)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W W w
�
C17Y®F TIFA PLAN CRECR' APPLICATION .
CIi9f C+F U16ARD
COMIAUNITYDEVELOPMENT DEPARTMENT o� PLAN CHE%X 0��,' l�
gl2sGtiY14E8NdPXQBit=W.T*A0-QMF OW)CO41M PF214IT f 3'yo Jyv
—' -- DATE ISSUED
J'OR ADDRESS: _ TAX MAP/LOT 2 3 /-i q dr 3 - '7V o
SUB: acv L �� . LUT: - _ LAND 'ISE: r
VALUATION: r' SETBACKS: FRONT: REAR: �_' LEFT: y RIGHT;_
WORK CLASS: w' HEIGHT: J" _ TOTAL AREA: I.2 3-
USE TYPE: S F FLOOR LOAD: p _ 1ST: 5 Z-
CONSTR TYPE: N HEAT TYPE: �� 2ND:
OCCUP GROUP: DWF.L UUNITS: . _ 3RD:
O:CUP LOAD: NO BEDROOMS: .3_ BASEMENT:
N) STORIES: � — NO BATHS: GARAGE: - Zoo
IAP SURFACR:
APPROVALS RE,Q'D SPECIAL NOTES ITEMS RRQIIIRBD
PLANNINGs _ SSSUSs LIST SUBOOMTbtACTORSs
ENGINEERING: _ LAST dEI�6SIB: r BUS TAX: —
FIRE DEPT.: _ FLOOD FLAI?I'1 CAI.CULATTOKS:
OTHER: SEN IND.: TRUSS DETAILS:
PARKING PLAN:
LANDSC.AL'E PLAN:
PLAN CHECK BY: OTHERS
COHNENTS: � J v Ac_ i�3t' .� —�—._
oUNT
OWNEtL �—
10-432 00 Building Peri it Free
10-631 00 Plumtt x, Permit Feea = v
ADDBRSSs 10-431- 01 Mectv.•.tcal Permit Fees v 77-
10-23001 Stat.! Building Tax (5%) l -
5%) ' �+
• 10-433 00 Plans Check Fee , # o /
PHOh'Es _ 30-443 00 Sewer Connection (20x)
30-202 00 Sewer Connection (80x) - 3 d
(CONTRACTOR 30-444 00 SevAr Inspection t ,5
od
N&` R_ .51-44L 00 St"eet System Der. Charge (SDC) ¢ cd
ADDRESS s• "52--449 01 Parks I Systen Dev. Charge (PDC) >t
52-449 02 Parks II System Dev. Charge (PDC) J7 ASc1 —
31-450 0 0 Sturm Drainage flyet Dev Chrg(SSDC) = So . �-
P►40NE:__ 10-230 09 lVin) (95x) _
10-43500 TRFD 15%) t—
ARMANGINEER 10-230 06 Washington County Fire 01 (95x)
RAWER s _ _ 10-4j5 00 Washington County Fire /1 (5x) �
ADDI,'BSS:� 10-220 00 Amart/Wedgewood :—
TOTAL x
JYc/ 7 y/ PREPAID
7 "O/ L Y° 7 `!3 RSC I _ ..
BALANCE DQE
APPLICANT SLG RE-
-"Received By: Date Received: -x//yh�