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INSPECTION NOTICE P r'y'\
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 6399-41175�
Type of Inspection — Kc, - --�+�---
Date Requested __ �_� Time___— A.M. �Q�P.IV
Address1(/`�
Owner_ ---- --- Lot #_____ Z rl
y�_...J
BuilderThe following Building Code deficien ' s are required to be corrected:
i
071-
Presented to F. Approved
Inspector _ ❑ Disapproved
Date — -�
CALL FOR REINSPECTION
/e i YES 0 NO
INSPECTION NOTICE
City of Tigard Building Departm(-rit
P 0 Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection t2
Date Requested Time e'Ltc L A.M. P.M.
T
Address /(,OQ Permit
Owner Lot *
Builder 74-- 1 - 5(c,
The following Building Code deficiencies are required to be corrected:
Pirvonted to 0-ApprWv—*j
Inspector Disapproved
Date
CALL FOR REINSPECTION
Cl YES F-1 No
NUIRM PRLMWJRM
BUILD:I'N(.', PERMIT
C11Y OF TINA RD PERMIT No.
crryoFtwAitri
ORIG
F Old
COMMUNITY DEVELOPMENT DEPARTMENT i.-)A*I*k; iT
13125 S.W Hall Blvd P O.Box 23397 Tigard.Cre(:on 5 7221 1.)1503)639-4175 R 1:M . NO.
JOB ADDPESS , 3.6216 41W JOATI-I *NVE
TAX MAP/1-01, PL.'111. J.AqI49 9-411-10 SUB: 5WAN50N (.*,[...I:.'.N L_T :3A WK :
I AND USE: Je12 PID
LOT !TZE: VALUAI :CON: 71. 1 69/1 5 ET HACK 5
FPONT :
WORK CLASS : NEW UWEI L .UNITS : 1. LEFT' : P 1'.
USE: TYPE : SINGLE: 1:*-*AM:I.'L.Y No. 'ej EXT .WALL ('.;0N5 T :
CONST .TYPE:. : VN NO, BATHS : 3 N: (S : E: lJ
OC"CUP .GAP . : P3 PP(TT .UPENINUS :
OCCUP.LUAD N: S : W .
TOTAL.. AREA: :1..1596
NO. STURIES : 2 1 ST : 809 ROOF LUNG T : ('.1 FIRE'. RM T7
14L 3:GHT r.:'.0 2041): 71B I API-.A 5EPAR7 WATED:
BASEMLENT? 31141): OLXUP. SEPAP7 RATED :
MEZZANINE'? FtASEM'7'
F! 0011 LOAD: 40 GARAGE: AOO '3PRKLR7 ALAPM7
FLOW(GPM) DETE-A.T7 YE E)
HEAT TYPE: GAS HIXP . AliXES57 CORP?
Pll...AN CHECK BY: tr-:I. t,
REISSUE OF NO.
LA"31' 14EISSUE
F E.ES :
P I-'-'W M I'T $31619 . 00
0 BLEAK MUPGAN
W I-m 0OX 683!1 PLAN REVIE-W *R26.
N
E all.I n h itL cir, 97007 e83.`.
R P I-10 N (50*.3) 688----6606 STATE I AX $11 .A!15
UTHE44
o E:V H*LA*IPME.10 LHAPGF-%
B 1. I'--'A K "'D ( JAM) 111111250 . 00
C MOPGAN L, ST11.
0 1 :1.TAN PR0PERTIE:5 :1'.N(.. $600 . 00
N
T 13 BOX 6(9',5!1.11 PDG 4 op_ $230 .00
R
A A11:11-In cir 99100 6EV55 PREPAID < 1111111.00 . 00)
C 1-1-40NE (503) 684-6606
T
0 n1i::I* ISTPATION NO. 30b,*M I OT AL : Mi 1. 1593.30
R
L-1 RECEIPT NO.
This permit is issued subject to the regulations contained ire Title 14
of the TMC, State of Oregon Specialty Codes,zoning rfigulatiot,s 14EQUIPED INSPECTIONS
and all other ippl;.,,able codes and ordinances, and I, Is hereby 1;:4(JC)'I'I N(.'. l!",I.:,WE.A
Agreed that the work will be done In accordance with tho plans And FOUNDAT ION WAL L. PAIN DWAIN!5
specifications and in compliance with all applicable codes and POST' & REAM WAIEP 1. INE
ordinances The issuance of this permit does not waive :estrictive
covenants Contractor and subcontractors shall have current cityF'I_13UNDERSLAB CI'TY APPPCH/SW
business tax permits This permit will expire and become null and NLAB F 1.N At..
vold it work is not storied within 180 days.or if work Is suspended or PI...a .TOPOUT
Abandoned for a period of 180 days any time after work has FPAMINGs
commenced. 14 shall be the responsibility of the permittee to assure F*1 PIF Pll...ACE:
all required Inspections are requested and approved GAS-I is NF.
INSULATTON
rte (:EYP. BOARD
Permittee SlQnaturq
Issued By _Cni I r,c)n_T.N5r*.:C,110N 639-41 1-15
ePAnATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
—EiT PAT.M . PMT ,NO. 8809A2
PLAIMEIING PLAMIA'
PEAMIT NU. : PL13
CITYOFWAPD
CITY OF TIG" RD '"-w
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE 155UED:
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175
JOG ADDPk:GS : 16216 5W 10ATI-4 AVE*
TAX MAWLATT PSI 14HI-3 9300 SUra• IiWANSON LL-E:N L I 3AI HK
I AND USE :
—()1, SIZE:
ITEA: NO: Nt) .
WORK C,'L.WiS : NE'W WAI EA LI.-OLbEA 3 TRAP
USE TYPE; SIN(.,LF*.: FAMILY UPINAL Bl<l:--LOW PAVNTP
TYPE: : VN LAVOPATUPY YPAP PRI*ME*P
OCCUP. GPP. : A3 TUH 5H(:)WF 14 r' (3PE-ASE. IPAPS
01SHWA511-11EA 1.
GARDAGE DISPOSAL I
NO . 5TORIES : Z2 WASHING MA(':HTNI-:: 1.
DWELL .UNIT!i : LAUNDPY TRAY 1A.UG. DRAIN
FLIDOW DRAIN
SINK 1. FT
WAITA HEWIIER 1. !;iT(:)PM/PAJ:N (1-; 1 1.
OTHEW
V-411'EMAPKS :
0 F31 F.;.AK MOPL-AN 1 $:1. 3 P 1)
W DOX 60-35
N
R11
E :11%la tar,r, 19700 603,15 F 3:X T U RIE's
R 1*",--I(:)NE:: 1 30 3) 6841-6606 ,�I TAX
01 HEA
C WATTS KP,:.N
0
N Kl::'.N WATTS PLUMFIIING
T P(3 BOX 230925
R
A ti 1.1 m.r,d or 97223
C PHONE (!--43) 684 6626
T
0 PEA3,15141ATTON NO . 508713 TOTAL: $139 . 13
R
PIEGEIPI NO .
This permit is issued subject to the regulations contained in"Itle 14 ••••_.............._.._....._....._..
of the TMC, State of Oregon Specialty Codes. zoning regulations PE(;IU WEI) INSPECTIONS
and all other applicable codes and ordinances. and 11 is hereby pl—E! .UNDEASLAE!
agreed that the work will be done In accordance with the plans and PDS I & DEKAM
specifications and In compliance with all applicable codes and WA1 F14 L. I NF-
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 14A.'I'.N 1)"AINS
void if work is not started within 180 days.or it work is suspended or F: 1:NAI
abandoned for a period of 180 days any firric after work has
commenced It shall be the responsibility of the permittee to asswe
all required inspections are requested and approved
Permitl e`,,
lsqtjF-d By IUN 639-41175
SEOARAI E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
It
MMUMMI
MECHANIL"Al.. PERMI'T
` NO. : MESE1094w4CITYOF TIGP"`�'RDG,I�:RM:LI'
CITYDATE' 3:55LJEU: 5/24/88
01•TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 09100% PnIM, PMT.NO. 880942
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175
'TAX MAP/L.01' F251 1.4'IBF3 9.50.) !-AJR: SWAN'_ W-RN ILT:34 SK :
LAND LISE :
I (.)I' SIZE :
ITEM: 140: NO ,
WORK CLAW-5 : NEW F71JPNALE 0.00K 1. AIR HAN01-14 (1.0
USE TYPE : SINGLE F*AMILY 1XU14NA(*.11E 100K+ AIR HANDLR IUK
CONST . TYPE : VN FLUOR FL)AN ACF' EVAP .Cl301-1:14
(N."CUP. (;Pp. : 1:43 HEATER VENT' FAN
VENT VEN'T . 5YS*T*VM
BLR/COMP (31-1P HOOD I.
NO . STORIES: 2 F)LP/COMP 3-151-114, INC 3:NERATUR 11 UUM
DWE.l.l.. .UNIP.1 : I UL.R/COMI:," 1NL'.I:NE:PA'TUR(CUM
FUEL. 'TYPE GAS BLA/CUMP 30-501-11:0 RIEPALP UNITS
MAX . I NPU I. BL.R/CUMP 50+1-iP U'T1-.;EP
F11-4E, I)MV-1141:0 GAS PIPIN(., UIL)"I'LETS
1-1.1"131-4 PRESS?
L.Ow
PE.MARKS :
F.il L.I-.A K M(:)14(.,AN $3.0 . 00
0 19J BOX 6831T) 14 AN l4E:+.V1r-.:W $10 .88
W 110.(31'1 ak ov 1.1"007 68.35 V 1.X'T LJ PE., 3
$ 3.50
N
E P�4 L)N 1.:.' (503) 6134-1,606 1 0+111% '11 AX $2 . 1.8
R 0 1 I-lF:*A
C WEI L HF.'ATTNL*, INC.
0
N 1-:'.IAZZA AVE
T (z 3.arc.!kw M iv;i Ov 9101-5
R
A 1:11-IONE, (W3) PA3 1.1 Fill
C PF(.vTS'1P0 'TION NO . A-17 'TUTAL : $56. 153
T
0
R PETE 1plr NO.
5L3This oermit is issued subject to the regulations contained in Title 14 REQUIPIED INSPECUT.ONS
of the TMC. State of Oregon Specialty Codes,zoning regulations GAS LINE..
and all other applicable codes and ordinances. and it Is hereby P(MiT & HEAM
agreed that the work will be done in accordance with the plans and ROU0,14--J.N
specifications and in compliance with all applicable codes and KINAL.
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business lax permits This permit wilt expire and become null and
void If won 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 cf the permittee to assure
all required Inspections are requested and approved
Per asi tgn a urs
f 111.1... 1`1 OR I NSPEJ.l I ON oil W 41.7:`4
Issued 8y J e& — - —
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
,nI_,.WER PERMIT
PFAM11' N11. : SE880945
CITY OF �����
RD /
D A-T� . V,cl OC�XTWARD
COMMUNITY DEVEL OPMENT DEPARTMENT R(GON 171:1111 PMT . NO ('?S09.(1;
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(50)639-4175
008ADDRESS i 1:6F -+-Jw- !k 0 Iq T-,+-*Vf--
'TAX MAP/LOT 253. 1./IRB 9300 SUP: SWANSON GLEN 1.4' : 3/1 HK
I AND USE:
LA'.111, 5IZr-.::
SECTION: 1A Tw P NNG, : 1w
WORK CI ASS : NEW
USE TYPE: SINGLE- F'AMTL.Y
Thcl iiLl:11:11A.c.,M11-t, ii"Ir-eeill to C-1:11q)ly With FRIA. l"LlIRM 11trICI thivilLfilified
Sewerauc± Aqlwl-lcq . 'The ii;)c?r-mit 120 (IRIJ14 from thea, chate ii;%Lled . 'The
iiillliol.irlt 1:)Uicl Will. be +clifeited J.-F the per,mil. expii,ev-i . The Ageiric.-y (1009t 11-10t rJLIINM
aillite". the ilLec.-mr-Ac!y 43-P the laeatic)n mf the mide ine-wei- lintei,mlin . If the inewa:, im
ncit at the inemint.(i-iwment givc.-iri , the 101410.1 pl-tisq:)roct 3 feet In
ai.11 (Jir,victiants from the lii_iatmiic_e ciivon . If nut 9;cj 3. clateiii , the iristialler- othall
r.)LIM-1-11111ill? U "Ti%r.) 10.1-1(i Llicle I::1"_.lMit In.1.1cl "Jidn' Ac , W1.11. itillitlit'Ll. 411 Ivite.r.111 .
mormtt. 0 T
FXX1'IJQk-_ LINITs : i t-..NAN'T 1MPr.4OVF-."M1l:-'.N'Y*
13WE'L.LING UNITS 1.
NO . ('.)F HLA)GS .
BLEAK mOnGAN PERMIT 4135 . 00
0 1:)n INJX 68,35 CONNECTION CHARGE $1. . too . 00
VV 1.ri I Il't cir- 9700*7 6835 L.INE TAP INSTALL .
N
E PHONk 1150,*311 68A 6606
('IT HER
M.tRAK
11t7Yti»A1 --
C TITAN PROPS PTIES INC .
0
N Pc) BOX 6833
T I't 1.4:1 h rjr- 9'70n'l 6835
R
A PHON.' (',*so:',) 684--6606
C
T Ar-M.11STRAT'ION NO. 30.558 '11)TAL. $1 13"') 00
0
L RECEIPT NO.
31 This permit is issued sul,iect to the regulations contained In Title 14 REQUI RE'r) INSPECTIONS
of the TMC. State of Oregon Specialty Codes,zoning regulations ROUM11—IN
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
covenant,3 Contractor and subcontractors shal! have current city
busines3 tax permits This permit will axpire and become null and
void if worl, is nit started within 180 days.or it work is suspended or
abardone,i for a period of 180 days anv time after work has
co,r me, ..ed It shall be the responsibility of the permittee to asstirr,
ail reqL.,-1 inspections are req-jested and approved
Permittee
Sig
't."
CALL F111A INSPECTION 6.39--•/11
Issued By �A - -
SEPARATE PERM111 S REQUIRED FOR WORK OTHER TF!AIN DESCRIBED ABOVE
C11Y OF TWA`RD , PLAN CHECK A('PLICA 11' —�
PLAN CHECK b
CITYOFTIGARD PERMIT p
COMMUNITY DEVELOPMENT DEPARTMENT ( 0111 H DATE ISSUED �-
13125 SW iW1 Blvd. P.O.Box 23397,Tipoid,Oregon 97223 '503)&W 4175
JOB ADDRESS: __._ -- --------- - - TAX MAP/LOT
SUB: �i Scams f.. 'LY L.oT: �f LAND USE: r?- z
OWNER ?� /� SPECIAL NOTES
NAME: L =/�Ly_�'L�7""- ���`�_ _ REISSUE OF:
ADDRESS: LAST�/�Qa� 3� LAST REISSUE: at
Z-G_g FLOOD PLAIN/
SENETTIVE LAND:
PHONE: _ ._ 1/—�GcQ.G - ---- - - _
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: _-- ��� —_ — --`__ ENGINEERING;
ADDRESS: FIRE DEPT
OTHER:
PHONE: -- _ ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX: _'--
NAME: r. CALCULATIONS:
ADDRESS; _ TRUSS DETAILS: _
PARXING PLAN:
k.ANOSCAPE PLAN _ _-
PHONE: OTHER: —
COMMENTS:
PERMIT N A("-;i N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
$ff Cf4Z 10--432 00 Building Permit Fees
4P,3 10-431 00 Plumbing Permit Fees 3z. Sv l 2,: u
keucud 10-•431 01 MechanicaL Permit Fees 3 .50 3,_u
10-230 01 btate Building Tax (5%) i
Building
Plumbing
MNch
10-433 00 Plans Check Fee 23 i 7,3 J � �J��7r J3
Building
Plumbing
Mach
30-443 00 Sewer Connection (20
6 d O �11�j 30-202 00 Sewer Connection (80%)
30-444 00 Sewer Inspection 3s j
51 448 00 Street System Dev Charge (SDC)-
52 ' 49 01 Parks I System Dev Charge (PDC)
52 X49 02 Parks TI System Dev Charge (PDC)
31 0 00 Storm Drainage Syst Dev Chr•g (SSDC)
If•-t. 10 09 TRFD (95%)
lu-435 00 TRFU (5%) — _ __-
10-230 06 Washington County Fire N1 (95%)
10- 435 00 Washington County Fire p1 (5%)
10-120 00 Amar•t/Wedgewood
l OTAL.
APPI I .ANT SIGNATURE
��
Received By : Date Received: