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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 12-3 10 rl ...... Time P.M.
Address Permit #--
Owner Lot #
Builder
The following Bu,'ding Code dpficiencif, are required to be corrected.
Alt&ck Cn- q-7o()-7 - 4p%3-5
34
Presented to M-.Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
VES ONO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97 223
Phonf! 639-4175
Type of Inspection
Date Requested r �'� , Time A.M. �.M.
Address
am-
Addreu LLL:.L_��--- — Permit # Ll
Owner Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to — Approved
Inspector ❑ DINpprowd
Date --
CALL FAIR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Departure, '
P O, Box 23397
Tigard, Oregon 97223
Phone: 63�9-411755
Type of Inspection -
Date Requested Time A.M.__ P.M.
Address C� �C✓ Permit #�L
Owner_ —_ Lot
Builder
The following Building Code deficiencies are required to be corrected:
S I. '�-, - e--" CU-S
� -- ---- - -
Presented to � _
❑ Approved
Inspector [] Disapproved
Date '" ..L- L ._
CALL FOR REINSPECTION
0 YES ❑ NO
CITY F TIFARD BUILDING PERMIT
PERM I T NO. : I�u8ei 53�1
aTYO WARD
COMMUNITY DEVELOPMENT DEPARTMENT ORMON DATE ISSUED: 13/31./x1£1
13125 S.W.Hall 9ovd..P.O.Box 23337,Tigard,Oregon 97223,(503)639-4175 PRIM . PMT .NO. (30:1:1.53 4
.J(38 ADDRESS : 16219 SW 1.0d41'I-1 AVE -- -- ---�
(AX MAP/L.OT 251. 1ABB' 7200 SUB: r,WANSON GI...Ei:N I—T : 13 BK ,
LAND USE. : R1.2
I...01' SIZE : V7r!..LIAI ION: $ 50 ,96*7 SETBACKS
F RON'1' : 20 PEAR : 5
WORK CL"ASS : NEW UWE:I...1... .UNITS : 1. LEFT: 5 PIGH'T :
LIGE. TYPE : 5I14CL.E: FAMT.I...Y NO. WEDROOMS : :3 EXT . WAL"I... CONST
(::(:)NST' . f YPE:. : VN NO. BA'T'HS : 2 N: 5 : F: W :
OCGUP .OPP. : R:3 PPOT . OPE:NINGS :
OC:CUP.L.13AD N: S : E W:
1'01'AL., ARE::A: 1092
NO. S 1'Or;IES : 1. 15'r : 1.092 ROOF CONST : (: rw---r7
1„3 t, 2ND: AWEA SE:PAR 1 PA*TED
8A!.rEME:N-1"1 :31:10: CIt�CIJIti . SE;I=�AfZ 1:4A TE0
MEZZANINE'? BASk:M''1'
FL-00A LOAD: .10 GARAGE.': :'SE)0 F:[IZE: SI'-"Ri<L..R7 ALARM;
1:''L.C1W(UPM) DE7'EC:T7 YES
HEAT TYPE: : GAS 1-101013 .ACCESS? COPP7
f>L.AN CHER K BY : 113A
t,
WEMARI(S :
REISSUE: OF NC). 880182
1 AS'r PE:rr.,SUE
F EF!�
o Itl..l_AK MORGAN 17EPM:r'r !MR801) ()U
W f)u BOX 60335 PLAN l4'..::V1E:'W $/10 00
N
E atiall UL at', 97005 683:5 l;- E- DFPT
R f"1(:1Nr:: 11-503) 6E)4 6606 SITATE TAX IT1i.q. 30
O T'HE:R
--- DFVE;I...OPM!-;'NI C1 S
C BLEAK MOPGAN 51)1.1,,t S rG1.111 $250 .00
O
N rJA AN PRDPEP'TT.F S INC . !i DC:( S 1 RE'F'T ) $600 . 00
R P(] BOX 611313115POC(4:P ) $2 50 00
A AL Of 4A Oft 97007 6E13;!5 PREPAID < $AO . 00)
G
PHONE (50;3) 684-..61)06
O F2r::G:SI*RA'rIC1N NO ;303.501 1O'T'AL.: •:I. ,1100 . 30
R
RE CE l nl' NO. leo l 7
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes. zoning regulntiona 17EF.gl,IIREi:b INSPECTIONS
and all other applicable codes and ordinances, +and it is hereby 1:1101'1NG SI?:WER
agreed that the work will be done in accordance with the plans and r OI INDAT:I:(:1N Wr•1L_l.. PAIN DRAINS
specifications and in compliance with all applicable touts and
ordinances The issuance of this permit does not waive restrictive f'OKi i F E3E r1M WATER L.INE£
covenants Contractor and subcontractors shall have current city PL 8.UNr)E Rr3L.AF3 CITY APPP(:H/SW
business tax permits This permit will expire and become null and 51.AR PI NAI_
void if work Is not started within 180 days.or if work is suspended or sol. 01 TOPOU T•
abandoned for a period of 180 days any time after work has I':'Rr1MING
commenced. It shall be the responsibility of the permittee to assure
Fill required Inspections are requested and approved. P 11 KFC Pl..ACE:
C:A!; IL. INE
INSUL.A1 MIN
GYP . BOARD
Permittee Sgna Ore
Issued By C>-Z5 L� I-6611 i I OR INSPECtION_-6;39-.41 7,5
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PEPMII*
CIIY OF TIGA RPEr7M:r,T NO . : 111 8 81.5:35
uTroc rlralm
COMMUNITY DEVELOPMENT DEPARTMENTOYFOON I)A*I'E* ISSUED: 8/31/ as
13 125 S.W Hall Blvd..P.O.B(x 23397,Tigard,Oregon 97223,(503)6394175 PKT.NO. 881.53A
JOH ADDPESS : 16219 SW 104TH AVE
'T'AX MAP/L.O'T 251 I-1F)B 7200 SLID: SWANSON GI-EN I T: 13 Bl< :
I AND USE: Al 2
11-131* SIZE:
ITEM: NO NO :
WORK CLASS : NEW WATER (71L.OSET P-
USE 'T*Yl.)E: SINGLE FAMILY URINAL 8KF'L.OW 1*-)PVNI*P
rONS'T . `TYPE. VN L-AVOPA'TOPY 2 I'PAP PPIMEk
M'CUP .(;PI*" : P3 *T1 18 SHOWER a GREASE TRAPS
DISHWASHER 1.
DISPOGAI
NO . 5TORICKS : I WASHING MACHINE 1.
DWI I... .UNI'T'S : I L AUNDPY 'T'RAY FiLDC.DRAIN (DIA
FL.00P DWAIN
SINK I Sr-.:WER (F T)
WA*TE'R MAI EP 1. STORM/RAIN (FT
OTHER
QF:MAPI<S :
F'EES :
U1 F.ol< MORGAN P F:11 MT'T 0
pLI 6OX 6635
rd
a.1.(.)1-1 at cir, 17700V$ 68*,35 F"I X J,U RE S
Pl--IONF;'. (503) 6811-6606 5 TATE TAX u3 .V0 I
OTHER
CW(.11-TS KEN
0
N 1(1;..N WA'TIS PLUMBING
T
P I rpt] BOX 23092!5
A t J.9 at I,d 4:111 97'2P3
C PI-IONIL.- (503) 6041-66P6
T
0 NO . 50678 T D'VAL : 111111.23.38
R
I P'T NO .
This permit is is sued subject to the regulations contained in Title 14 ......
of the TMC, State of Oregon Specially Codes.zoning regulations IILAUT.RED INSPEZIJONS
and all other applicable codes and ordinances. and It is hereby PLD .UNDEPSL AD
agreed that the work will be done in accordance with the plans and T"01.3 F & HFAM
specifications And in compliance with all applicable codes and WA'IrW LINE'
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city vm—R. ToPour
business tax permits This permit will expire and become null and PAIN DRAINS
void if work is not started within 180 days,or If work Is suspended or FINAL
ribandined for a period of 180 days any time after work has
comrreiced It shall be the responsibility of the permittee to assure
all required ins ections are requested and approved
Ferninfee Signature
�- y�'� J
:ssued by IN5 U)—
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N_twjrwj off
PERMIT NO. : ME881.336
8/ ./eLi
CITY OF` TWA RD CITY'61"I"IdARD DATE I SGUED: 3'.1
COMMUNITY DEVELOPMENT DEPARTMENT PRIM . PMT .140. 8815*11C
11115 S.W.Hall Blvd.,P.O.bi.x 23397,Tigard,Oregon W23,(603)639-4175
HILO 4&.41W 6-44 404411 AIJI;
.1.A X MAP/1O IIRF-A 77--Go �-MJB: SWANSON GLEN T : 13 Ll<
I AND tJSli:*: PU.'�
I...01 S-1 I ZE..
T TEM: 440
WORK CLASS : NEW FURNo-iCE (100K I AIR HANDLR (1.0
IJSE-"- 'TYPE : SINGLE FAMIL.Y FURNAC.F 1.001<4 AIR 14ANDILP 10K
CONS'll TYPE : VN FLOUP 1:1JANACE EVAP.COOLER
('.)CCIJI'-N .CPP . : R3 1-41't"ATEW VENT FAN
VEN*T VEN'T' SYSTEM
BL.P/C'OMP <3HP HOOD 1.
N0. STUPIES : J. E)I-.P/C'OMP 3---15HP INC.'INLRATow(Dom
UWEI-L.UNITS : I 8LP/(X' MP 13--301-4P INGINEPATORICOM
1-:110- 'T'YPF.. OLP/COMP 30-30HP REPAIR UNIT
MAX. TNPUT 1911...8/COME-' 504FIP OTHEW
FIRE 1.')MPPS*7 GAS PIPING 01J*TI-E15 I.
HIGH PlIESS?
LOW PRI;.:SS7
1911-LAK MOWCAN $1.0 .00
0 PC) BOX 6835 PLAN AF-:v'r[-:w $9 .38
W 97005 6r33') F*I XTU IIF-*:S 11112!% .50
N
E 1:31-I(INE. 1,5311 0. 68.1-6606 STA'T'E TAX $11- 9113
C 8 r--:I I HLA-1 ING
0
N 1—".s3.50!jF PIAZZA AVE
T (`L.ACii KAMA� OR 97015
R
A PHONE 11503) P-4''3-1.18A
C I1F'L.iT5iV1A-1 :r.0N NO. 114-7 11111 AL: $49.'75
T
O
RECE.I PT NO. 7
This permit .s issued subject to the regullitions rontained in Title 14 I**'.QIJ1RrD INSPECVTINS
of the TMC. State of Oregon Specialty Codes, toning regulations GAS LINE
and all other applicable codes and ordinances. and It is hereby 11115T a REAM
agreed that the work will be done in accordance with the plans and 1100.11-1---T N
soecil,cations and in compliance with all applicable codes and F: tNAL
ordinances The issuance of this permit does not waive restrictive
covena,its Con rector and subcontractors shall have current city
business tax rermits This permit will expire and become null and
void if work is not started within 180 days.or If work Is suspended or
ab �idoried for a ritiod of 180 days any time after work has
cc-r,menced It shall be the rpoponsibilly of the permittee to assure
all equired inspections are reque9ted and approved
Peimittep. Signature
UAIJ FOR INSPECTION 639 A 175
Issued By
SEPAnATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'��RD �\� PEPMUT NO.
DATC ISSR.)ED 31./as
COMMUNITY LiEVELOPMENT DEPARTMENT PI
PM, MY' .NQ 98133,144
13125 S.W.F all Blvd.,P.O.Box 23397,Tigard,Oregon 97223,1503)63941175 C
,10H .4.6e+9 LYA HSA MIMBER . (311-35988 —7
TAX MAF,11-01* 2431. 11BEI 7F!00 5'LJB: SWANSON GLEN I
I AND USE. :
LOT S:I:Zf.*..: :
SECTION : ;1./I RM'..', : :1w
WORK CLASS : NEW
USE TYPE: 15XISIGLE FAMLY
'T'I"" re.p F):1.:1.c.,U r I-I, R.W 1,e e M 1.t:k C,rf in p j.y w i.t 11 411:1.1 1 1 cO 111 'it I 1(11 1"0.9 L&1l aI.,I i tit L)f t h w L)ri J.f i w cl
Selow'Brie.9to Agellc!y . T'hch 1:)er-mi.t :0-!0 (filly!0 fl.-r-mi the cliiktr"N Ttlfm- tata].
at.in 4:1 IA 1-11, l:)a:L 0 w:1.1.1. b ehi T m r T F,)J,i.to cl :1.f 1,h 1.)ird I"In:1 1, Q X P:I.I-U tit - T I1"- A 9 0A(I c.,y d r.)e in ri to t 9 14 a I,—
Alit-00 the. at-emr-ac--y (:j.F -thm Icirvl (,ifari of thoD iiii.(Iie Inewer In.t.eirill"l.Is I F thii? !newer` :L%;
to?(J at L the onwatrill.1 t UJ.veil , I9hi1il.11. llrgnlFtaar t 3 f(L-ir..?t J.11
from thim cI;l.%tiikrir*.-ct Cil:J.vel-l . :cf 1-10!, so
titlandLhii,) A5,jericy w:1-31 J111"T,"t'l1
F -LXIIJNhii' LIN3.'T5 : (Ii.NANT IMPROUEMEE'N'T
06IF-1-LING) lJNT,r!*.i . I.
NO.
1-11i� ri
0L 1-.'.Al< MnPGAN PMS t 11135 . 00
0 pa MIX 61:3.315 (:*.ONNEC'r10N CHARGE
W at 3.m h a lar 9,700"'ll 1-INE TAP INfiTALL .
N
E I�,I 10 N r-.: (303) 684 6606
MI.-r—_F.-I-I%,
0 ITTAN INC .
N PO IROX 68.35
T
R Al..CJIHA 014 97007 68:.'55
A PHONE 4503) 611341-6606
C
T REL-:Ii'lWAITON NO. 30.15-,10 OTAL : $1 , 135 . 00
0
R
rW(:'E.XPT NO . / 7
This permit is issued subject to the regulations contained In Title 14 PRGICITPE-0
if the TMC. State of Oregon Specialty Codes,zoning regulations POLIGH—1:N
and all other applicable codes Pod 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 is suspended or
abandoned for a period of 180 days any time after work has
corimenced It shall be the responsibility of the permittee to 1118SUrP
all required inspections are requested and approved
Permittee Signature
Pf'11,11 INSF)ECTION 639-41.75
Issued By
SEPARATE PERMITS RLJU19ED FOR WORK OTHER THAN DESCRIBED ABOVE
ff
CITYOFTIGAr- RD PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT'DEPARRAENT ��11G'4RD Pc AN CHECK it
13,25sw� «
8r,d P.0.Bx13W.Tbw,0'"p.>�(SM)M41� �EOON PEF"IT q
DATE ISSUED �
JOB ADDRESS: �/�l� �- C���
SUB: Sc carr >�� Glc - --- TAX MAP/LOT
LOT: / LAND USE:
VALUATION: „
OWNER — - __—
NAME: SPECIAL SPECIAL NOTES
ADDRESS: Q REISSUE OF: _
LAST REISSUE:
,�- FLOOD PLAIN/
PHONE: —� g /� --_--__—____ SENSITIVE
CONTRACTOR APPROVALS REQUIRED
NAME: �`.�>,�- PLANNING:
ADDRESS: _ _ ENGINEERING:
FIRE DEPT
_ e — OTHER: —
PHC°JE
ITEMr S RE9UIRE6
ARCH/ENGINEER LIST/SUBCONITRACTORS:
NAME: BUS TAX:
AD►'MESS: _ --
CALCULATIONS:
-- TRUSS DETAILS: _
PARKING PLAN:
PHONE: _ - LANDSCAPE PLAN__
— ------______._—_—
OTHER: —'
COMMENTS: — -
PERMIT N ACCT # DESCRIPTION
10-432 00 Building Permit Fees AMOUNT AMOUNT PD. BAL. DUE
s3s 0-431 00 PlumbiLiq Permit Fees
10-431 01 Mechanical Permit Foes _
10-230 01 State Building Tax (5X)
Buildincr --
Plumbing
Mech _
10--43: 00 Plans Check
Building O
Plumbing
Mech — -
3(,-?02 00 Sewer Connection —
30-4,14 00 Sewrr Inspection
51--440 00 Strret System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC) _
52-449 02. Parks II System Dev Charge (PDC)
31-450 00 Storm Drainagr Syst Dev Chr-g (SSDC)
10-230 09 TRFD -
10-230 05 Washington County Fire N1
10-220 00 Amart/Wedgewood -- --
- TOTAL
REC a
APPLICANT SIGNATURE --
Receivod fly:
ht/350713/111P Date Received:
-2Z) -
__`