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16207 SW 104TH AVENUE --�-
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregor, 97223
Phone: 63t • 175
Type of Inspection O -""'
Date Requested _ S — Time A.M. P.M.
/�� -- Permit >t
Owner
Lot
Builder
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The follouvmg Building Code deficiencies are required to be corrected:
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Presented to -- CKApproved
Inspector __— [� Disapproved
Date
CALL FOR REINSPECTION
❑ YEa 0 NO
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C17YOFTIIFARDPERMIT NO. : EiUf�70326
(MMYOLFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Had Blvd-P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 DATE. ISSUED: 1./ 41/09
P�Illlwll PN* MG.- 94,9;3e6
JOB ADDRESS : 16207 'SW 104TH AVE--
'1 AX MAKS/1.t:)T ;,'?S:) .1 Al f,.3R 'I':I.OU �i(.IET: SWANKif.iv1.P f.-tPC
LAND USE. : 1112pl)
LOT SIZE'. : VALUA"TION : ! 50 ,400 SCTBAC* ;*%
FRONT : 26 REAP : n
WORK CLASS: NEW DWELL.,UNITS : i LEFT : 9 RT GHT• : c21. �
USE: 'T'YPE: : SINC:l...F FAMILY NO. RIF DRO(7MS : :3 F.XT" Wall. I_ CONST :
CONST . TYPE: VN NO.BATHS: R N: S : ii:. : W.
OCC;UP .I:1L4P. : Kia [441111T .OPF N I NGIC :
OCCUP.LOAD N: S : E.: W .
T'OT At. MVA: 1.000
NO.STORIE:S : I IST: 1080 r10OF CONST : FIRE RET7
HE::I(:;F•I'T : 1.8 2ND: AREA S&.PAN't KaATED
BASEMENT7 3RD: OCCUP. SF_"PART RATED :
MF:-l.ZANINI-ri:7 BAEiE:M'T'
LOAD: 4() GARAGE: 7.374 FIRE S'aPRKLP? AL.ARM7
-- —_ F i_ClW(GPM) _.— faE fes—
P1 A14 [:FiFi:C:K BY: r`I t j
RFMAAKS :
PFI SSUEE OF N(7. 8100416
LAST REISSUE:. 110537 �J
C)
HLE AK MORGAN PERMIT $286.00
E eta ROX 687.411 PLAN PEV IEW µ•1.85 . 90
R beavertan ear 97.00'7 68315 FIRE; DEPT
PHONE.-— "103) 61Hi4--•6606 TAX 11111 111 ;S0
-- —— — — _ OTHER
0 OEME:;I-OPMENT C;HAPG S :
N ISlL.E„AK MOPUPAN SDC(STORM) $P50 . 00
T 'T'T•TAN Pr4OPEPT1L,w INC . SDc 4 ST PEE T i sesoo 00
A Pa BOX 6635 POC 109 1 $21150 . 00
Ct1"IlkV*"II-I.firl car 5%007 d►FJ;?5t� !�nk:i'A1D < N�IU . O(1>
T
R PHONE l 503) 6134--6606
RE:C,:I S TRAT ION NO , ;.S0T1;.58 _ TOTAL. b 1 ,;'146 .%!()
This permit is issued subject!o the regulations contained h1 Title 14 RFCEI PT NO. ir?H J.I i
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby REQUIRE:l) INISPECTIONS
agreed that the work will be done In accordance with the plans and F 001 :1:N(: 51 WE,R
specifications and -n compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have,current city P0%1 M K9EAM WAT FP L..INF.
business tax permits This permit will expire and become null and PLB.UNDE ASLAD CITY APPRC'r4/'3W
void if work is not started within 180 days,or it work Is suspended or 4;L A
abandoned for a period of 180 days any time after work hhs PLOTOP(JUT
commenced. It shell be the responsibility of the permittee to assure
all required inspections are requested and approved V FIAM1 NG,
F IPEE Pi-ACE
.s r- GA Ls t INF..
I NSUL.AT I ON
Permitteetgnature !.Y!'' tft'IF11TL)
Issued By
CALL_ POD INSPECTION cS3'a--�a17'1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
,CITY OF T167A RD �.�� MECHANICAL raFWRMI"('
CITYOFTIGARD PERMIT NO . : ME970328
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13.25 S.W Hall Hlvd.,P.O.Bux 23397.Tigard.Oregun 97223,(503)639-4175 I)A'T F- ]:S S Ll�'.[) : I./ -11/He
- ----- — — PRIM . PMT .NO. 670:326 --�
.JOB ADpRESS : :I.6e0'7 SW 104TH AVE
TP1X MAP/L.OT PSI. 14BE1 7106 SUB: SWANSON GLEN L..1 : 12 14K :
LAND USE. :
LOT SIZE :
ITEM: NO: NO:
WORK CLASS : NFW W FURNACE <:I.U O K :I A I:P 1-10NDL..IC: <10
UBE TYPE: SINGI...E: 1=AM:I:LY FURNACE ;.00K F AYP HANOL_R 10K
Ct:INS'T' . 1 YPE: VN FLOOR F L)PN/NCE E:VAr).C;(:l()LE A
OCCUP. GRP. : A3 HEATER VENT FAN
VE:.NI VENT . SYSTEM
BLR/COMP (311P HOOD 1
NO. STOPTES : :I. BLR/COMP .MS_ 15HP INCINERATOR(DOM
OWELL..UNITS : 1 BLR/COMP 1.5—•30HP INCINERATOR(COM
FUEL 'T'YPE: GAS Edl._R/COMP :. G -5OHP REPAIR UNITS
MAX . INPUT SLA/COMP 504-HP OTHER
FE'Tr7Ei: DMPRS7 GAS PIPING OUTL K'T'S I.
HIGH PRESS'? _ —
ji,nu.i,T rc --
PEMARKS
t O FEES :
:
N St..EAK MOOG7AN I PERMIT' +1,:I.0 , 00
E I,n BOX 6835 P'_AN PE::VIEW Ek 7 13
R
I eavwrt*n nr 97007 .:,ri:3;9 FIXTURES 1141.0 ."10
PHONE: ( 901) 6614--6606 STAII-H" 1 AX
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---- - - OTF' R
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H SYSTEM Al RE.
A
C 14444SW FERN ST .
7 t.i cIlgrta t1r 97r c'::,
H
PHONE:. (503) 626---9790
TOTAL : 1111137 0'i
This permit is issued subject to the regulations cootalned In Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and it Is hereby
agreed that the work will be done In accordance with the plans and 11EQUI RE:D INSWECT I ONS
specifications and in compliance with all applicable codes and (.,AS LINE
ordinances the issuance of this permit does not waive rislrictive POST a BEAM
covenants Contractor ano subcontractors shall have current city ROl.1l:H—IN
business tax permits This permit will expire and become null and FINAL
void if work 1s 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 rvowrrA inspections are requested and approved.
F rfni t qnEire c ,(
Issued By '1✓'
CALL F111" TNSPE:C:TTnN 639--411-7`5
JPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
� t i A � �
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MECHANIC',AL. PEMMIT
11-11-AMIT NO. MESS0720
CITYOFTIIFARD CIr 0YARD
urreoaN
fOFT1
COMMUNITY DEVELOPMENT' DEPARTMENT I)ATE d4/19/88
13125 S.W.Hail Blvd.,P.O Box 23397,Tigard.Oregon 97223.(503)639-4175 PRIM. PHT .NO . e70326
JOH ADDPE iS : 1620"1 SW 1014IT'l A
'TAX M A P/I OT 5
P1 3.41F30 E',W : !-)WAWif.)N EN LT : It
BK :
LAND 1.155E: P12prj
I 0T 51ZE: :
ITEM: NO: N('.J
WUPK CI ASS : ALTE-PATION VIJI-INACE: <1001K AIP HANDL P <10
LME TYPE : ISING1 E F:'AMILY F1.JPNo(*.,E 1. �01<+ AIR I-W'DL.141 10K
CONSi 1' .*I'YPF-: : VN F:I-00A F:'L;VINACE F.::VAP- COOL..E:F4
OCCIA'.) , GAP . : P3 HE A T E iR VI ENT F A N
VENT VI-:N'T' .
SYSTEM
1811-1-1/COMP <31-11:> HOOD
N0 . 5TOR11c;'G Fill P/(:1(7MI*'1 3-1.1.1151-111) INCINE. 4ATOR(DOM
DWELL UNITS) : 1. HLP MOMP 1N(:,1NEPAT9n(COM
F'UE'L.. TYPE WOOD 91 I:4/('.1OMP 110 1501.1p. REPAIP UNITS
MAX . T14PUT BL.P/C10MP "'.')04-01:1 OTHEP
IMPAS7 (*...ACi
HIGH PPEFiS'?
LOW-PI-W557
R1-:MARKS
F:*x fI-Ve";tllkrl(JJ.r1('I 91tLive
FEES :
0cl c�(J brimn PEPIVITT $10 . 00
N 16'P07 raw 10,1th iave PLAN FIEV-'EW
tJ.9 PI.r,cl o 1. 97c 2.1 I"IXTURE.5 $11. 050
I:*'H('.)Nr.-: 684-3377 F-.1TOTE TAX fli . 73
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0 TOTAL : III
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NO. 31.31.3
This p(irmit is issued subject to the regulations contained In Title 14
of the TMC, Slate of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and It is hereby
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
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 19 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.
-T-
Permittee Signature '
.
Issued By:
SEPARATI! PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBFD ABOVE
PIL-.l-JMH3:NG PEtiMl*T
CITY OF 716A RD
C17YCf GARD 1-*:PMJ*T NO. '170,327
COMMU!"ITY DEVELOPMENT DEPARTMENT ORV�.
13125 S.W.Hall Blvd..P O.Box 23397,Tigard,Omgon 97223.(503)639.4175 DATE XSSUED: I/ "I/08
PRIM.PMT.NO. 870326
,JOB AOUPESS : 16207 SW 1041 AVF
1 AX MAP/1-(:lT 2S 1. 1 /110D 7100 51 5WANCiON GLEN LT : 12 I;3V, :
LAND USE :
1-01, SIZE&-:
:1 TEM: NO : NO:
WOVW CI ASS : NE-.*W WATER CLOSET TPA.)
USE TYPE : SINGLE FAMILY 1-3111 NAL BKFI.OW PWNTI4
CONST . TYVIE : VN I AVOPATOny P "T PAI
OCCUP. GRP . : R3 TUB SHOWE:P 2 (.',PEASE *1 PAPS
1)1 Si HW A S 1-1 L.'R 1.
GAPBAGE DISPOSAL
NO . STORIES : J. W A S 1--I*I'N(.; MA(`,HTNF-- .1
DWELL .UNITs : I LAUNDRY 'T'RAY B I DO . DPATN
1`1-00P IRAN N
SINK 3. SEW.1141 1--T)
114ATEP IAF:'A*I'F :1. 51,0114M/PAIN (VT 1.
OTHER
II- EMARKS
0
FEES EES :
N 1*101:4.vAN R M I T tW
E P0 BOX 6835
R
h t n vi mr- V/007 6835 F 1 X1 U n r--':S
PHONE (503) 6e4--6606 STATE TAX
C (:11 HE W
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R -� �6�v/6
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HE:WE N TIN
C F443 NW
T h III f.) (J 97IR3
0 0,�,
R PHO0 (2503 648-1.159
AN' �4 Iii,41,1114114N No. 1111FA-1 41. '10 1 Al I P.A .38
This permit is issued subject to he regulations contained in Title 14 RECEIPT NO.
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done In accordance with the plans and REQUIPt .0 INSPECTIONS
specifications and in compliance with all applicable code bnd PI-8 . UNDFPSLAR
ordinances. The issuance of this permit does not waive restrictive POST & BEAM
covenants. Contractor and subcontractors shall have current city WATII-.P LINE
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 PI-8. TOPOUT
abandoned for a period of 180 days any time after work has 14AIN DPAINS
commenced It shall be the responsibility of the permittee to assure F I NAL
all required Inspections are requested and approved
000;
Per Ile gnature ll
Issued By
(W.A.. P014 INISPECTTON
'//SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A90VE
C 22L
0
C1'Y OF T167A RD , n
RD4
C"YOMMIM
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COMMUNITY DEVELOPMENT DEPARTMENT 01" PEPM!T NO. : SE 870329
13125 S.W.Hall Blvd.P O.Box 23397,Tigard,0reqtnn97223.(503)639-4175
Pl:)'(M . PMT .NO . "'70326
JOB ADDRESS : 16207 SW 10ATH AWK U50 NUM-Wil :
TAX MAP/LUT 2SI. 1-108 7100 101ID : G,WANSON GLEN
LAND USE:
1 01, 5 1 ZE -
SECTION: 14 TWIG: 2w PING : I W
WORK CLASS . NEW
USE TYV-,r..:-* : SIN.,LE FAMT.L'Y
Tho WV)P3A.r-.!iIkr.t w.greem to COMP1.1,
.1 With U11 MA-11('11 1'CafjLI1ffLtJAII')N rti' the Un:1.4 .—....
SoWerage Agency . The pe-rmit expirem I.PO claLyin froin the date imignt.te(J . Thio total.
$11,111171t.1111, 1:"iaicl will 1:)el Tclrfo�itccl if the. I.)t-trinit Thv.- ACIrvncy ciciev-. lint
,%n%ee the acciirmey of teie location rj+ the ii;3.de fsewer luLterals . If the mewer its
not, aki, the••, ine;a%t..rc,,mPnt cliven , th,-..i instv0.1eir, inhall. F)rotrtj:)ect 3 -Freet in
all diroctionm from the cliffitnnee given . If not mo loclpkteiij , the insteAllar mhall
L PUPCI-11111.1141111 FIL "Tifl!) 111,11CI 5:1.(Jeq Sewer" Permit ancl the Agenc.,tj w:i.*I.'I. inviti!&T.I. III, ItiLterm.A .
F
INSTALL . TYPE: BUILDING SEWEP IIIPEQVIOUS AREA:
FIXTUPE: TkNANT IMPROVEMENT :
L DWEI-LING UNITS : I
0
W
N F 1"--'E G
L BL.EAK MOPGAN PE RM11 to'131.15 . 00
R P a BOX 683"'t CONNECTION CHARGE tit 1. 100 . 00
1:)e,•III V ct I"t n 11 or 9*7007 6835 I-INE TAP INSTALL .
Ic 6W-41-6606
0 0 T'HE 1:1
N
T
R BLEAK MO11GAN
A '11-TAN PP0r*-'F-'I:"T-1ES INC .
C
r P13 BOX 6835
0 hooirivc?rton cir 97007 6FI35
_R _0_1 LINE 150:11 684—AAnA - --
RE61STAPAION NO. 30558 TOTAL : $1 . 1.35 . 00
This permit is issued suolect to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby RECETPT NO.
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and REQUIRED INSPECTIONS
ordinances The issuance of this permit does not waive restrictive 41OL1CA-4 -TN
covenants Contractor and subcontractors shall have current 0y
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
rommenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
,e- 49,el, ,t"'r
1950ed By
SEPARATE PERMI (S REQUIRED FOR,WORK!(0 HFIR(711,4AN 13139CRI86D ABOVE
PLAN CHECK APPLICATION
PLAN CHECK # / ?�
PERMIT # zo 332 Q
DATE ISSUED
JOB ADDRESS: TAX MAP/LOT
SUB: ✓=fes�✓�v�v.S JV LOT: LAND USE:
VALUATION: 0-jU _ _ SETBACKS: FRONT: _ REAR:;� '..EFT:_ �_ RIGHT: _
WORK CLASS: tll•• HEIGHT: TOTAL AREA: Z-)
Yrj
USE TYPE: 5F n FT,OOR LOAD: 1ST. --a
CONSTR TYPE: .5 iY nEAT TYPE: s 2NID:
OCCUP GROUP: 3` DWELL/UNITS: 3RD:
OCCUP LOAD: NO BEDROOMS: 3 BASEMENT:
NO STORIES: �— NO BATHS: .i` GARAGE:
IMP SURFACE:
APPROVALS REO'D SPECIAL NUNS ITEMS REQUIRED
PLkNNING: _ REISSUE OF! LIST SUBCONTRACTORS:_
ENGINEERING: LAST R1,"iSSUE: " "evG BUS TAX:
' IRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SE1 LND.: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN: _
PLAN CHECK BY: OTHER:
COMMENTS: —
ACCT DESCRIPTION AMOUNT
OWNER 10-4.32 Building Permit Fees $
NAME: ,>,gz,, / Q, 10-431-600 Pl-umbing Permit Fees
ADDRESS: 10-431-601_ Mechanical Permit Fepa
10-230-501 State Building Tax (5S) + $5'Y aw.)o
10-433 Plans Check Fee 110
PHONE:_ G� q c* G G,a G- _ 30-443 Sewer Connection (20X)
30-202 Sewer Connection (80X) ��L
CONTRACTOR 30-444 Sewer Inap,action $ -33
NAME: —_ �i r , y 51-448 Street System Dev. Charge (SDC) $
ADDRESS: 52-449-61.0 narks I Sy :em Dev. Charge (P')C) t�
52-449-620 Parka II System Dev. Charge (PDC) $
_ 31-450 Storm Drainage Syst Dev Chrg(SSDC) $ ;,i_S p
PHONE: _— 10-230-505 TRFD (95X) �
I 10-435 TRFD (5X)
ARCH/ENGINEER 10-230-506 Washington County Fire #1 (95X) s
NAME: 1.0-435 Washington County Fire #1 (5X)
ADDRESS:_ _ 1.0-220 Amart/Wedgewood
PHONE: TOTAL
*t--
���.� 3.2 7 PREPAID
/I7o(1 6 70 3;2 y REC / -
7v .�
BALANCE DUE S y
APPLICANT SIGNATURE
Received By: ",A) Date Received: I ' ? 2 . � /