InitiallyGood (23) 16221 SW 104TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Department ( J
P.O. Box 23397 \ I
Tigard, Oregon 97223
Phone:
639-4175
Type of Inspection -
Date Requested... / / Time A.M.- P.M.
17
Address ( / 1
Permit
Owner �_ __ Lot # _
Builder —JJr l C L1 L ---- _-- -- --------
The following Building Code deficiencies are required to be corrected:
c
C� 0 i r/n
0 r 104 1-
_ S �- --
Presented to ❑ Approved I
Inspector —. a 7"'Olppproved
Date --
CALL FOR REINSPECTION
YES ❑ NO
t t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 'LL-1 _
r
Date Requested -4� Time A.M. _r-.M.
Address i IL-1 L I 1 J � �— Permit # c l . 42
Ownnr —_ Lot
Builde
The fo lowing Building Code deficiencies arc required to be corrected:
CA
Presented to — ,� Approvs.d
Inspector . U Disapproved
Date
CALL FOR REINSPECTION
El YES 0 NO
UL)ILUiNG PE PM11*
PERMIT' NO, : B1,11111-510
CiTYOF T'9ARD DA'Z'E. ISSUED: 0/31/88
COMMUNITY DEVELOPMENT DEPARTMENT PRIM. PMT .NO . 081.510
13125 S.W.Hall Blvd..P.O.Box 2'M7,Tigiird,Orugon97223,(503)639-4175
16ai,.44- SW -t )A4*21 AVEi
'TAX SUB: SWANSON GIA.:.N LA' : J.4 DK
I..AN*) USIE : A
L.01 SIZE: : VAI-.LJATJ:ON: >fi 50 , SETBACKS
FPON*T : P.0 REAR 5
WORK CI-ASS : NEW DWEI-L. .UNITS ; 1. 1 EF'T' : 5 PIG3I-I*T : :1.5
USE: TYPCE : SINGLX F'A11JA..Y NO . BI:--':UPOOM5 : 3 E-X'T . WAIL. [,ONS1* :
S : i2 N: S : E: W:
CON5'Y* . TY1* F* VN NO. BA-TH
OC'E'LIP . P3 PPO'T . OPENINGS :
(X'N:XIP .I-OAD N: S : K : W:
TOTAL.. ARF:A : :1.000
NO . STORIES : 1. ls,r : 1()e() ROOF' cc)Ns,r : (' FJPE
2ND: AREA SUPAP? RATEM:
EIASI.E-MINIT? 3AD: OM'LIP. SE:PAPP PAI'ED:
MEZZANINE:) BASEM I T
FI-0014 I-L)AD: AO G,A A A G F:-* .274 FIRE. SPAKI.-P? AL.APM?
F,I OW((,.;Pm) DEATX111,7 YE-S
TYPE' : CORP7
114A.-Aflif %�,'HRIMK MY 1. 1.
PET-61SUE: OF' NO . 88125,41
I..AST PEISSLJE
MORGANIaI $266 . 00
PMIT
0 1.)4:1 I30X 6835 PI AN PFVYA;W $010 . 00
W 91007 6(335 FIPE DE:PT
N
E P1+'.)NF. (503) 684 6606 S'T*A*l r.-;-* VAX $1.4. '3 0
R UTHE'll
[MVIII..LIPME:N'T' CHAM.*'E'S
SOC 4 STOPM) $250 . 00
0 ITIAN PPOPIE-1-4-ITE"ii TINIL'. . MDC(S1 F*N-.,E,T 1 $600 . 00
0
N PO BOX 41035 I'Mr.(OP— 1 $250 , 00
R T AL.01-10 C)14 S'"100'7'S'"100'7' I'REPA I D < 1111/10 . 00)
A 14 IONE ( 503) 6041----6606
C P1;1.*:I:!; TPA'TTON NO. 30"550 TOTAL.: $1. 8400 . 30
T
0
R PF---CEIPT NO .
This permit is issued subject to the regulations contained in I itle 14 RE-'Q1.ITPE*.D INSPEXI IONS
of the, TMC. State of Oregon Specialty Codes.zoning r,�gulations F111011'NG
and all other applicable codes and ordinances, and It Is hereby 1:11UNDATION WAIJ— PAIN DRAINS
agreed that the work will be done in accordance with the plans and POST & ElfrAm WA*TF..'A L. IN[--
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive 1I-13 . UNDIFPSI—AB (�TTY APPA(A-I/SW
covenants Contractor and subcontractors shall have current city 51 AD F 1:NAL.
business tax permits This permit will expire and become null and VIL-R. 'I'OPOL)*r
void If work is not started within 180 days.or If work is suspended or V P 0 M 1.NG,,
abandoned for a period of 180 days Any time after work has F '.E P E."I'.:I L.A("F".
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved. GAS LANE.*
ENS1,1111-ATION
(..,Y P e(JAPU
'Orermittee Signalire (7AI.-L- F(V TN41P1=:UTMN A*39 Al 7!5
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PLAMI T
PE P11 I I' NO. ; PLWO 15 1.1.
CITY`OF TI6ARD
MYOFTIGARD DA- 'TE IA' E
SUD : a/3 J. (38
"y
COMMUNITY DEVELOPMENT DEPARTMENT PP:1:M - PM*T* .NO .
13125 S.W.Hall Blvd..P.G.Box 23397,Tigard.Oregon 97223.(503)639-4175
'TAX MAVI/l I.A. SWANSON GA Ll K
LAND USE :
I..CYT' SIZE:
I I'EM NO! NO' .
WORK CLASS: NEW 411'EM (3 X.OSE-11' 2 'TRAP
LISK TYPE : SINGLE FAMILY LIP 1:NAL HIM OW PAIVNI'P,
(:'ONS*Y - TYPE : VN LAVOPATORY 7? 111AP PP.'LMI:-*:Ps
MCUPA.,pp. : P3 21 GF4CASE 'T'PAPS
DV-')HWA5l*'::P
C;AI�i AGE DIGI--�OSAI
NO. S'1*OPIr--:5 : t. WASHING V)Ac. -11114r.-:
DWELL . UNI'T'S : I LAUNDRY 'TRAY I)PAIN (L)TA
FAXOR DWAIN
SINK 1. sl:::WE:p
WAI'EP HEA(11EA I.
STORM/RAIN (F'T' 1.
PF:MANKS .
MOPG,011\1 Pk:pml*T
0 Na BOX U"J'55
W 44,1.1:11-1 97007 FIXTURES
N
E PIAONE (303) 604 6606
--WrTr 1 -3
0 KFS J4 WATTS PLUME)TNO'
N BOX 2309P.5
T
R L (jr, 97P23
A PI-IONE (503) 684-6APe
C
T NE(;1S'tRA*T*1.(:1N NO. "508711.4 OTAL :
0
Rr:t(-,Er.P'r NO.
This Permit Is Issued subject to the regulations contained In Title 14 PEQUXPED INbr-ECTIONS
of tiw -i I'VIC. State of Oregon Specialty Codes.zoning regulations PL.P UNUEnSLAS
and all other applicabip codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and POS I' & HEAM
specifications and In compliance with all applicable codes and WA'Tl%**P I..1.NE::
ordinances The issuance of this permit does not waive restrictive PLA - 'rorinu'r
covenants. Contractor and subcontractors shall have current city LWEN DRAINS
business tax permits This permit will expire and become null and f:-I 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 appioved
Permiltep, Signature
, CALL FOP INSPE(;1'10N 6-,49-4115
)2 Issued By lo I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1W W riulw1w
MECHANICAL PE-AMI'T
-' T NO . : 1i.-SE311.51.3
C17Y Off' TIG�4 RD CITY011,111100 ` ED,"mI
DA'T'E, .:1'. 14 5 5 1.J E 0 8/31/8H
COMMUNITY DEVELOPMENT DEPARTMENT PnIm . i:)m-r No ae tv.,I.0
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97221.(5(13)639-4175
! p—
'TALC MAP/I 01 PSI. 1.11 SUB . SWANSON (.A-EN FiK
LAND USE : P1.2
LOT SIZE :
ITEM NO NO
W(:)PK CLASS : NF IA F*I.JWNAGE <1001K I AIA HANUL41 <1.0
USE ryrs: SINGLE FAMI1 Y FUPNA(:',E: 100K+ A114 I-11A.141131—A 10K
CONST .TYPE : VN EVAP - C00L'-:P
OCCUP .GAP . : P3 1-41r::'ATEP VENT FAN P.
VENT VENT . SYSTEM
9LP/C0M1---' <3HP I-100D 1.
NO. STORIES : I. BLP/Comp '3-1.51-lp INCINEPATUR(DOM
DWELL. .UNITS : I EiLP/(:01,111I.-N 15-30HP INCINERA) JA(Com
r,L)EL TYPE: GAS F41 P/COMP 30-504P REHA-1AIP UNIT5
MAX . 114PLIT Bi A/ClOW-1 50-f-HP WHEP 2
D11PPS, (.,AS PIPING OUTLETh
1-Ow
MAWK
EIL EAK M0I:)(:,AN Pj:- MI' *LO 00
--- I
0 1:)U I31)X 693"5 PLAN PEVILM $9.38
W J
4" ahat 9
tar. 700*7 e.)RIU
V) V*IXTPES $e7 .50
N
E P1 10NE. (1503) 684-6606 STATE. TAX $1 .88
R OTHEP
SE.I.J.. HEAVIING INC .
0
N 15530 SE PIAZZA AVE%'
R GI ACKAMAS OR 97015
A Pl-RINK (!IN03) ER43 11.84
C
T RV11,15) [POT TON No 447 TOTAL ; 648 705
0
R wEr.F-iPT NO
This perry It is issued subject to the regulations contained in Title 14 Pr-QUIPIED INriPECIJUNS
of the TMC. State of Oregon Specialty Codes.zon!ng regulations GAS LINE
and all other applicable codes and ordinances, and It is hereby PCIS t & RFAM
agreed that the work will be done in accordance with the plans and P01 MF I T N
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive V INAL
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 it 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 nq%iirr,
all required inspections are requested and approved
Signature
Permittee
CAI I FC6
OP TNSPETION 39-411.-75
Issued By
SEPARATE PFRMITS REWIRED FOR WORK OTHER THAN DESCRIBED ABOVE
F)EPKET NO . : Gum 1.51.1.'2
CITY OF TIGA RD C17Y
T
1.1 WIT: ISSUED: 8/3:1. (*3
T' DC%OfARD
COMMUNITY DEVELOPMENT
EPARTMENT V,RTM . I' MT N0. C381 .,
13125 S.W.Hall Blvd.,RBox 23397,Tigard,0reqoi,97223.(603)6394175
AH1311"tIESS ! A9F
W1P/L-01 1.�i SUH: SWANSON GLEN I Y :1./1 R'K :
LAND (J5E : P1.2
LOT 5121F".:
SECTION: 1.•l TUP : L!!Is I-ING.' w
WOPK LA A-5S : NE-W
USE, 'TYPEK: STISIGLE FAMTLY
1c.) Hipt.)1:11.C.81 1-1-11' aq..)1'4;ifout to C-010p) 4 WJ.t h 414 11 1•1.11 wiH s1.1-1d 1-egt.11 AU t i o rliu 41 1'11*t U I 1:1.T.:1.ed
Sew*
5 -ni-m.gri? W,>Xl:)ir-rwri; U.20 (Jaym fir,rim the cliwtv ituttti.ieci . tl1s V.0t1a'.1.
&MIJ1.11111, 1:)atid wi].'I Ele? forfeit.ctcl :1 -11 they pol-l"i.t et.xpir•wffi . Me (1mew flol, (,1IAMI-'
ant've -0-161 of the 10'-43.ticin of VI C.) Isi(le mewer, 0-11vp jfastojfvilr' i.m
11011. JAICUtftd 1111,11, giv*n ' 01*1 3 Tolot :1.11
fl-laln thL- dilfitin-l-lrae gives-l . J.-F 1-10t. so 3.0c.at-cl , tl-1*7.- inffita.11'01-
at "*I'Rkl:) 411.11cl Sidu Per-mi L 4411d 01V1 P -,I-ic-,kj W1.11 11-liguli.11 at
FIL.1-
I'; '.I.X TA.I R E- LINT*TS #F:i4ANT IMPPOVEMENT :
DWELIANG UN I T'5 1.
Nil). 01"* ULDC.S . 1.
E41 E'A K M 0 A N *35 . 00
0 po ROX 68.35 CONNECT10N CHAFIGE 411 1.()() . 0()
W ol I C)h R or, 97007 6C"35 I INE". TAP 1INISTAL.L.
N
E PHONE. (503) 68,41 6606
R
I COMM
C
0 T*:L'T(.'IN Pr40PFN*tJA*--$ IIAG .
N P0 SOX 6831.1
T
R A ." T
I'll DHA Ol7007
AN 1-440NE (1190 3
) 61134••••6606
C
T Fi
N(3. 30530 1,11.31 At.. : $1, 0135 (K)
0
R
nEC.F.APT NO .
This permit is issued Subject to the reriulations contained In Title 14 V.4L.1:rI,It.I TRE..0 JASPECTIONS
of the TMC. State of Oregon Specialty Codes. zoning regulations WOUGWI-T.N
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 1991.1anCe Of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business lax 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 i, period of 180 days any time after work has
commenced It shall be the responsihility of the permittee to assure
all required inspections are requested and approved
oo�7
Permittee Signature
rAll. 1-011 THS1111 I*T.(IN 6:119 4 1.7 05
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C17YOFTIF-ARD
(01
4 PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT FT6Rti PLAN 04ECK N 7- �,0 ,F13126 SW Han BMd. PO.om 23M.TMd.Oregons7 (coo)6304175EpOf� PE Rf 1IT N
DATE ISSUED
--
JOD ADDRESS:
SUB: ��L��1 � G - TAX MAP/LOT
VALUATION: —6 OT: --- LAND USE: -
OWNER --
NAME: SPECIAL NOTES
ADDRESS: 'y REISSUE OF:
LAST REISSUE: Y
FLOOD PLAIN/
SENSITIVE '.AND:
--
CONTRACTOR APPROVALS RESUIRED
NAME: �-/ - PLANNING
ADDRESS: ENGINEERING:
FIRE DEPT
_ - OTHER: - —
PHONE: -
_ ITEM�RE4l1IRE[)
ARCH/ENGINEER LIST/SUDOONTf'ACTORS:
NAME: BUS 'TAX: __
ADDRESS:--� CALCULATIONS --
TRUSS DETAILS:
PARKING PLAN: —
PHONE: —�� LANDSCAPE PLAN: - -
-
OTHER. - --�
COMMENTS: -----_-__ —_--
T--
PERMIT N ACCT N DESCRIPTION
S U 10-432 00 Building Permit Fees AMOUNT AMOUNT PD. BAL.. DUE
bk/3_II 10-4a1 00 Plumbing Permit Fees
< < 1n 431 01 :lechanical Permit Fees .5.0
10-230 01State Building Tax (5%) ,
Building
Plumbing1_2 .0 , Z U(o
Mech
10--43? 00 Plans Cherk Fee—_-
Building
Plumbing
Mech '
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) u - —
52-449 01 Parks I System Dev Charge (PDC) -----
52-449 02 Parks II System Dev Charge (PDC) -
31-450 00 Storm Drainage SysL- Dev Chrg (SSP.;) r
10-230 09 TRFD
10-230 06 Washington County Fire N1 - —
10-220 00 Amart/Wedgewood
TOTAL
APPLICANT SIGNATURE
Received By:
ht/3587P/18P Date Received: t `r