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INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223 I
Phone: 639-4175
Type of Inspection -�ze�
Date Requested� C Time—.l�`-- A.M. _ P.M.
Address �_lo Z 76 ��� 1 D 7 � Permit #tom[ 012A _
Owner -_--A__ _ - - Lot # R.VL PD
Builder �/ C! ic-�_i `'
The following Building Code deficiencies are required to be corrected:`
Presented to _ Approved
Inspector
-- ---- -- I I Disapproved
Date
AV
CALLFOR REINSPECTION
1:1 YES 0 NO
N W1 W
C17Y OF T167A 6UILDI d FUST -T
C:OFnMO PERMIT NO E+UB7017A
COMMUNITY DEVELOPMENT DEPARTMENT O1"O°" L)
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.15031639.4175 DATE I Sf LIA x
.TOE ADDRE 15S s SW 104TH AVE v
TAX MAF'/L.OT 2S1 14FE:t 0800 SUBil swansuns 41un L.T: 29 Hk e
LAND USE s R 12F'D
LOT SIZE: VALUATIONS 0 69,372 SETBACKS
FRONTS 20 REARS h
WORK CLASS& NEW DWELL.UNITSe 1 LEFT& RIGHT: '0
USE TYPE s SINGLE FAM I L`r' NO. DEDROOMS s 3 EXT.WALL CONSTI;
CONST. TYPES VN NO. SATHSe IS Ns Ss E& Ws
OCCUP.GRP. s R3 PROT'.OPENINOSs
OCCUP.L.OAD Ns Ss Et W:
TOTAL AREA: 1580
NO.STOR I E:S s 2 1 ST s 882 ROOF CONST e C FIRE RE:T''r
HEIGHTa 16 2ND: 696 AREA SEPAR? RATEDe
BASEMENT-,' =RDs OCCUP.SEPART RATED&
MEZZANINE? SASEM 'T
FLOOR LOAD# �1n GARASE s :308 FIRE SPRM:L.R+' ALARM?
FLOW(GPM) DETECT? YES
HEAT Typell OAS 1!OFF'. ? -
PI AN CHECk' COY s
PE.MARKS It
r_ontt^ac l cit wi l 1 p ii::k i_tp Flan when all REISSUE OF NO. 870166
plart have bF•t?n imet.1E• LAST REISSUE
O FE".eSI
N D1..EAK MORGAN I PERMIT $34:3.00
E 1600:' SW t 04TH PLAN REVIEW 040.00
R t i Bard cit 9";.124 FIRE DEPT
PHONE ( 503) 684-6606 STATE TAX 017. 15
-- OTHER
DEVELOPMENT CHARQESs
o F11_EAh: MORGAN SDC(STORM) +�:50. 00
T TITAN PROPERTIES INC. SDC(STREET) $600.00
A 16003SW 104TH PDC(02 ► $130.00
IS 1' ti4srd or 9+72;4 PREPAID i 040.00)•
O PHONE (5C)3) 694--6606
R REGISTRATION NO. 30358 TOTAL& 01 , 360. 13
This permit is issued subject to the regulations contained In Title 14 RECEIPT WO.
of the TMC. State of Oregun Specinity Codes.toning regulations — -- -- — --�--- -- —
and all other applicable codes and ordinances. and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and FOOTING SEWER
specifications and In compliance with all applicable codes and FOUNDAT ION WALL RAIN DRAINS
ordinances The issuance of this permit does not wawa restrictive
covenants Contractor and subcontractors shall nave current city POST ti SEAM WATER LINE:
business tax permits This permit will expire and become null and PLS.UNDERSLAS CITY APPACH/SW
void it work IG not started within 180 days.o. If work is suspended or SLAB FI NAL
abandoned for a period of 180 days any time after work has PLB. TOPOUT
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved FRAMING
F I REPL ACE
CCAS LINE
INSULATION
Permittee Signature GYP. BOARD
Issued By � I
CAL I FOR INSPECTION 6:39-4 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
3/1-5
FW
CITY OFT167ARD MECHANICAL. PERMIT
PERMIT NO. i ME870173
C17YOFTWARD /3/b- ;1
COMMUNITY DEVELOPMENT DEPARTMENT UPFooN
DATE ISSUEDu k111:1111111111111*7
13125 S.I.Y.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 PRIM.PMT.NO. 870170
JOB ADDRESS: 1-6;-Wa&-SW 104TH AVE
TAX IIAP/LOT 2SI 14BB 080t) SUBi -.wansons 91i7?n LT: 29 Bi;. *.
LAND USEs
I-OT SIZES
ITEM: NO; Nn-,
WORK CLASS: NEW FURNACE <10OK I AIR HANDLR 410
USE TYPE SINGLE FAMILY FURNACE 1OOK+ AIR HANDLR 1 O
CONST. TYPE: VN FL.00R FURNACE EVAP.COOLER
OCCUP. GRP. : R3 HEATER VENT' FAN
VENT VENT.SYSTEM
BLR/COMP <3HP HOOD
NO.STORIESs 2 BLR/COMF' "7-15HP INCINERAIOR (DCIM
DWELL. UN ITS: I BLR/COMP 15--30HP INCINERATOR(COM
FUEL. TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX. TNPUT BLR/COMP 5O+HP OTHER
FIRE DMPRS7 GAS P'IP'ING OUTLETS
HIGH PRESS?
nW mrsn,-,,
F f 1 A R K.5 1
FEFSi
W FJLEAI" MORGAN PERM 17 $10. 00
N 16003 SW 104TH PLAN REVIEW $9. 10
E
R t i c3a t-d or 91224 FIXTURES $27. 50
PHONE (503) 684 6606 STATE TAX $1 . 88
OTHER
C
0
N
T SYSTEM-AIPE
R
A 144449W FERN ST.
C t i gard or 9"7"'23,
T
0 PHONE (503) 626-9780
R I REGISTRATION NO. 18062 TOTAL 4 $48. 75
This Dermit is Issued subject to the 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 Ill hereb!, REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and GAS L I NE
specifications and in compliance with all applicable codes and POST & BEAM
ordinances Ti-- isruance of this permit does not waive restrictive POUGH-IN
covenants Contractor and subcontractors shall have current city FINAL
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 tha responsibility of the permittee to assure
all required inspections are requested and approved.
ure
Issued ByCALL -F 0 R I N S F'E —6 9-417
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIT"YOFTIVAwSEWER PERMIT
PERMIT NO. : SE870174
RD
C
CITY0FWARD
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED:
13125 S.W.Hall Blvd..P.O Box 23397,Tigard,Oregon 97223.(503)639A175 PR I M.PMT.NO. 6701 70
-z
JOB ADDRESSil 14P*3&-SW 104TH AVE USA NUMBER: 34598
TAX MAP/LOT 2S 14BD 8000 SUBli swansons, glen LT. 29
LAND USES
LOT SIZES
SECTION: 2 TWP; 15 P N 1137: 1 Lq
WORK CLASSit NEW
USE TYPELit SINGLE FAMILY
Tie a;iplicant agrees to comp), with all Mile,s nind regulations of the Unified
Sewerage Agency. The permit expires 120 days from the dixte issued. The total
arric,unt paid will be forfeited if the permit expires. The- Agency does (lot quar--
antee the aCCUracy of thu location of the side Bewer lateral s. If the sewer is
not located at the measurement given, the installer shall p. ospect 3 feet in
all directions from the diritance given. If not; so located, the installer- shall
parchase a "'Tap and Side Sewer" Permit and L:he Agency will install as lateral .
INSTALL. TYPES BUILDING SEWES IMPERVIOUS AREAS
FIXTURE UNITSI: TENANT IMPROVEMENT:
DWELLING UNITSo 1
NO. OF BLDUS. v I
FE ESs
W DLE AP: MORGAN PERM I T '11135. 00
N 16003 SW It"ITH CONNECTION CHARGE $1 , 100. 00
�11 t iqard or 97224 LINE TAP INSTALL.
PHONE (303) 684---,6606
T Ii i E R
C
0
N EALEAK' MORGAN
T TITAN PROPERTIES INC.
H
A 16003SW 104TH
0 t i Bard or q7241
T
L) FIAONE (503) 684-6606
RED ISTRATION NO. 30558 TOTAL $1, 135.00
This permit Is Issued subject to the regulations contained in Title 14 RECEIPT NO.
of the rMC. Stati? of Oregon Specialty Codes.toeing regulations
and all other applicable codes and ordinances, and It is hereby REQUIRED INSPECTIONS
agreed that the work will up done in accordance with the plans and ROUGH-IN
specifications and in complianef 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 i...:pIre 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 haq
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Issued By
CAL I For, T NSF'E C'T T(JN 1,79 4 1 7!r
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN UFSCRIBED ABOVE
WWI win IF
PLAN CHECK APPLICATION
PIAN CHECK 0
PERMIT / c
DATE ISSUED __
JOB ADDRESS: .r�. 9 ,_� ct�o y
r! TAX MAF/IAT .Z)/
SUB:� �.'a„5r.•_, �ii� LOT: LAND USE: / z
VALUATION: SETBArlre: P►'OLIT:� REAR' D'_ LPFT: RIOHTt —
�' _3 ~�- r TOTAL AREA: > 5 C�
WORK GLASS: /\/vK� -- HEIGHT: — L----
USE TYPE: � FLOOR LOAD: _1 C� 1ST: bZ-
CONSTR TYPE: ��Lj_y]Ly_/ HEAT TYPE: li 7 2ND: �� 5
OCCUP GROUP: -±� -� DWELL/iJNITS: / 3RD:
OCCUP LOAD: NO BEDROOMS - BASE1dP.NT: _
NO STORIES: -�— NO BATHc: - -- GARAGE: -; -
IMP SURFACE: _
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:_,
ENGINEERING: LAST REISSUE:j �/ BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.• TRUSS DETAILS:
— - PARKING PLAN: _
LANDSCAPE PIAN:
PLAN CHECK BY: OTHER:
COMMENTS: ---.
�--- - "WE r 11014 MOUNT
BunLling Permit Fees
OWNER 1C"432
NAME.:�6 , /)u C �✓ _ 10--431--600 Plumbing Permit Fees `
ADDRESS: ” y j 10-43).--601 Me�cla,,nical Permit FeesL�
10-2
. fo-� �_ - 30-501 Ste,te�. Building Tax (5X)
n,(2
1+ P Z 2GU�I s /
10-•433 P1..e.eA Check Fee
PHONE: _ p ., _ 30-443 Sever Connection (207 )
30-202 Sewer Connection (80X)
CONTRACTOR R-444 Serer Inspection
NAME: - 51-448 Street Syattm Dev- Charge (SDC) : Gc L)
ADDRESS: 52-449-610 Parka I Sygtes Dev. Charge (PDC) :
---- 52-449-620 j,arits II System Dev. Charge (FDC)
-�� 31-450 Storm Drainage Spat Dev Chrg(SSDC)
F10-4 E. 10...230--505 TR.RD (95x)
10--435 rRFD (5X) s _
ARCH!ENGINF.FR 10-230-506 Washington County Fire
Nom: _ 10-435 Washington County Fire 11 (5a) s �_
AnLMF.SS: 10-220 Annrt/Wedgewnod
PHONE.
/'rIQC� b�v r 13 RF('
�506U 7 0 f 7 RAT.ANrF 111Ir
APPLICANT SIGNATURF
Rerrlved liv: n�r� Rcceiven: