DashNumberEnd (8) 16283 SW 104TH AVENUF ---
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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _,E irna 1 ---
Date Requested 3/28/89 'rime xx AX-P.M.
,'address 16283 SW 104th Avenue _ Permit 4k Ee-0119
Owner T` ':an - 684-6606 _ Lot #t %awl _
Builder -
The following Building Code deficiencies dre required to be corrected:
7 COD
a
Presenred f o r�l_ Approved
lj
Inspector '_ _ �__. Disapproved
Date � -
CALL F REINSPECT.►ON
YES f:1 NO
Y INSPECTION NOTICE
of Tigard Building Department
P O Box 23,397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection J–
Date Requests i - --z `� ` ' — Time X _ A.M._ P.M.
Address _ - _--1�4L? 93 -254-2 0 Permit
f`wner . ---/ S 7h ti/ --------- Lot -
41jilder
The following Building Code deficiencies are required to be corrected:
l CQ
1, -- 1� s� /� ---- -------
:,�
Presented to — C Approved
Inspector Disapproved
Data
CALL FOR REINSPECTION
YES L—J NO
III
111111110Ili--
CITY OF TIGA RDtill
Cr%rY C L0FTWA ROD PERMIT NO. SUIB80119
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 9/Fit.$
— PRIM I"Iml M.; 15118011.9
-
-'7E5!5 162IBS LIJ 3.04114 AVE
I A": 1`116f)"L01 11,11DO 7800 'SILIU SWANIA-IiA L,I. LN 1, 1 VY DK
L.ANU Uta E:: I e.
1.04 !,:16 71 V AL LIAT TUN 111 76 91159 SETUACKS
F PONT P.0 DEAR: 6
WORK (I. ASS : NEW DWEL.1-UNITS : L-EFT : .5 1:4111'..-I r ae
CONST I'Y*PL : VN NO . h.16THS : N 5 E W
ClUGLIP (U" t-43 rorxvi 0I*Il:;.N:fNGS
OCCIUP LOAD N: S . ki. W
0,11 At 1111IC:6 . 111114
NO . 5*I'OAIr-.:!a : 2 151' : 972 ROOF CONST :
J--71PE 161E 16'7
I 161 L U
BASE-MF.-:N*T'7 3140 : OCCUP. SEPAP7 RATED.
11116-iV/At 4:11 IF.{ rij,)!:;r. r i 1 .4
F 1. OOP LOAD 40 UARAGE .351 F IRE SPRIKIL 07 Al ARM'?
. "Ill .. .-
11"1 OW(GI11
HH Ir
If F+ki:MllF�uti
41.1 'I 'I riji 'I tit CO, N(V
LAST REISSUE
0
M F.'.4 L,I-*'?.i I< HOPU',AN PERM I V $361 00
N
E 16111' r'I AN r4:1,11.4W III"-I:i or, 010
Rlaalw.vvrr tGll1 11616 97007 68.".M) F IROS DErIt
1::10*,51 f.9 1 '•0-60f 1-s*IA,1F JAX 019 PO
0
N St. IYAK MORGAN 517(:(STORM 1 *P150 . 00
T
R I I I At i ri il,:fn rfiv.I! I I I, 1�,D(:( VI 111101,100 00
A lata BOX 6111135 PDX:(*P- 11 IPk230 . 00
C I ';"100'I P 1 4E P IN T U < 11111100 00)
0 PH(,JNL�-'. (503) 604-6606
L R I lir 1'.'1.0 111)1 1 ON t-10 A011Y1%11 1114 At. Ili I I n (lot)
This permit is Issued su!:iject to the regulations contained InTit:q 14 PIECE—[P 11' NO
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby REWITPH) J.NSPECtIONS
agreed that the work will be done in accordance with the plans and 16 U(:1 t I.f-H. %I".W L 11)
,specifications and in compliance with all applicable codes andI'l[JUNDATION WALI. PAIN UPAiNS
ordinances The issuance of this permit does not waive restrwli��-
covenants Contractor and subcontractors shall have current city I'I 0-s ( F. OF. AM WA I I"J4 f I Nl;,--
business tax permits This permit will expire and become null and III R I INDIEPS11.AS CITY A6
void if work Is not started within 180 days,or it work is susuended or i J11
shAndoned for a period of 180 days any time after work has
Commenced It shall he the responsibility of the permittee to assure
hil inquired inspections are requested and approved
I.tJCi1It 1 1 (AN
f eMfrit ere
'Issued By
I t 114 e —41 15
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
6EWE'P, PF'PM I r
11 " O. : SlEeeo:11_22?
CITY OF T167A RD 'EFIMIT N
cirYOF114FARD DAI*Fi. ISSUED: s?COMMUNITY DEVELOPMENT DEPARTMENT ORNOON
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 PR I M NO . OH01.1.9
J01'.i ADDPEGS : 16PI133 SW 10-el'T*I-I AVE USA NUMHE'1174 : ;3119 3Y
IAX HAP/1-01, Psi 1.01138 '7900 SOD: SWANS0114 CLEN
I.-AND
114p : 1-?91 FING: lw
WO P k (::1..A55 : N li:W
USE I*YPE: SINGI-E FAMTLY
'it$'! I't-41111t to V.olnply wit'll sill I'tlU,)16 i'llid Vcagt.l]Hit J-01110 rif thillm, 131-1:14iled
Sewer-age Agency . The Pel"Mit exPilles 120 dajw Fr*(:)m they tiate 'T'hs"t total
III al.:l (J wJ l '1. be +r)1,T fo:l 1.*:+d :1.T t,11rr-g I*):1 r lvfl III 1*1)h� Aicl'_+Iic:y cloesl 110t
011-c-c-L'I'aCY (:)-P the laoation of the ividw- sew0r' late"'al.'s If the %ewar iii;
CK:IK 11,10d it t t11w1 IneFlitill I"eirit-,11 t gj:l VIA111 , t I I v i $,111;t HIA.1.0 1- Is 1-1 a II P I-a e(--t '3 f ro lo t :1 11
all dii-et-tions fr-ant tile (ij.tstan(m given . if not isio joc.�at*,#(j , til-le inistKiler, q%j.1sLI*I
11111d !iewel," Pel-l"11• polld the 0gellf-'y WJ11 illoll'all 'I 44 latc.'I'llil
FlftW 14villt"'Fif
FIX(OPE LINT Iw r t*.-.NAN'I* T.MPr;f0Urj.Mr:;'N*1-
DWE.11-LING UN11*13
NO OP HI.DG5
131.r;,A l< IvI(J1`4(3AN 11111133 00
V11 P13 LROX 611HIM5 CIONNEC*TION (A-IIAA(�E 11111111100 . 00
I: 001%1 a.1,1,(111 o( TNL' iAr)
Ir
PHONE (503) 684-6606
C H1. Ir'.:AK MOPGAN
0 I l fr1N PrilL)PIVIII 1'[!:s INC .
N
T Po BOX 683n
R (..,1141 V fhl I- t.a I I a 1- 9700'7' f:), X
A
C r1H0NE (503) 6F)A---6AO6
T 1 1r:T',T S4 PAI *1 ON NO 301"5150
0 101 Al... 1.33 . 00
R
RECElf-11' NO.
This permit is issued sublet l to the revulations contained In Title 14 1'::1,:)N a
of the TMC. State of Oregon Specialty Codes,zoning regulatiorcr;
and all other applicable codes and ordinances, and it Is hereby
T hereby
agreed that the work will be done in accordance with the plans and
specificatir-is 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 end
void if work Is not started within 180 days,or If work Issuspended_
abandoned for a period of 180 days any time alter work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
P_
P18r11�'Rte.s Signature
re
Issued By: 1. Fr 0 111 l.,4 I",r)F".il�T*I f:jt4 6 jit y_
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W W
CITY OF T1��RDPERMITNO. : MLI[3001-Pl-
cl DA'11: 2)i 9/
COMMUNITY DEVELOPMENT DEPARTMENT oaf N PRIM. PMT .NO. 81113011.9
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175
J01--4 AUUPLS5 ; t62C33 SW 1.0411-1 AVE.'
ToX NAVI/I.A.11, P.51, 1-IDD 7000 5il.W : SWANSCIN GI.EN 1.9 EW :
LANU USE:
1 .01 SIZE.:.,
i,rE:M: NO: N(:):
W0PK Nk*.:W VA.11-4NACE: <100K I.-IANDLP 0.0
LISE. TYPE: SINGLE FAMILY FURNACE' 1.001K+ AIR 111AND1._A 10K
(A]INST UYI.-JE . Ut-I F LOOP F 1.111:046ACUi, EVAP. COOL.LA)
OCCUP . (IPP. : VIA VFN'I* FAN
kll.*'.:N'( SYS'l 04
SLI /COMP <SHP 1-100r.) 1.
N0 STOPIK.1"i ui-rimamr, 3:NE',3.N1.RA'T'Ori WOM
DWIFL.L .LINITS : I BL.P/COMP 15-30HP INCINEAATOR(COM
V'UP11. GAS LILP/COMP PEEPATP ONITS
MAX. INI-A.17' BI-II/(:omp 150+11.1p arvirp
I-JOH. DIvIFIrIS0 P:OJING
HTCH
P0r.F')S)7
8L k:'AK 1`11(:IFICAN PERM): T $10.00
W DOX 11,68,13.".5l PL.AN PF:VTr.TW 09 .39
N I.-maLver.trill 10,1001, $27 ,50
F; TALE: 'lAX $1 . 88
OTHER
C
0
N
T 1.41AAASIA11 FERN Sl'
R IAQ M,I (I cit- 972P.3
A
C PHONE (503) 6e6--9*iso
T 1,01 Al. 11111.1113 71
0
R
PECEIPT INA0 .
This permit is issued subject to the regulations conialmed In Title 14 PE.61UTPI ED TNG PEC'TIDN45
of the TMC, State of Oregon Specialty Codes,zoning regulations 1;0 S L 'I NK
and all other applicable codes and ordinances and it is hereby
agreed that the work will be done In accordance with the plans and POEST, FA BEAM
specifications and in compl;ance with all appiInable codes and I PCILIG'sl-I.- IN
ordinances. The issuance of this perrrlt does not waive restrictive F INAI.
covenants, Contractor and subcontractors shall hnve current city
business tax permits This permit will expire alid become null and
void It work is not started within ISO days,or if%York 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 atoproved.
Permittee Signature
L
i t it I I I tl 4 1.N i 11 6
ON 39
Issued By ----- -—, --___
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N W !M wimm-ULN-EN&M
A\C' ®FI6A D P -
PLUMBING PERMI'l'
-4I MIT NO. P-8801.
20CITY OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 0110°N
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 DATE.' ISSUED: 9/EIP
.
JI
014 ADUPE"SS : 1620, 1—
SW 104110 AVE
I AX MA P/1.,0 T Psil 11FA) 7800 51JIDSWONSON GI-EN r..l' :1.9 13K
I-AND USE:
LOT SIZE :
NO: NO
WOI--RK ( LASS . NI�:w wil i:-:p C1.1.c)sE:r
USE 'ryPE: SIN(.',L..E F*AMILY URINAL.. RXF L.0W PPVN*rp
EX9,151' TYPE : UN L-AVOPATORY A ior, r1I-;Ij'mp-.r4
O(7("LIf-'.GVPP. 143 TUS SHOWE-P 3 TRAPS
GARBAGE 0151710561 1.
-
NO P. WA5;1.11'N(" M611314INE .1
DWEL.L. ,LIIN I I'S I LAUNDRY TRAY PI-DIG . DRAIN (C)IA
FLOEM rMAIN
SINK t SEWEP (F 1*)
W A'F 1"..N I'I ri: T E*P (F- 7,
OTHER
I:4F:M6PKS
I ilich WaLtell
0
W
N 11'.-)I. EOR
.- AK MGAN PEPIVITr
E 1:1 ti WOX 6935
R
beaver-tan 01" 97007 611:11,'9', FJ X I'Ll RE S
1`11-1(:114-.' ( .8503) 01801-660e1 S TAI C: I AX 14 1 i.
C OTHER
0
N HANI)LIN
T
R HANDL.IN' S PI.A.IMBINV,
A IPPPOW 0114
C
T i:)1W1a'VeI'tull r, 970015
0 PFIf)f 11 ( tim tmi -!won
R LION NU- 419032 T01'AL $1.47 . 00
This permit Is Issued siblect to the regulations contained In Title 14 PE11,11 NO
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby PFAMM-W INFA"ECITONS
agreed that the work Nill be done in accordance with the plans and 8 . LINDER SL AS
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive DFAM
covenants Contractor and subcontractors shall have current city WA VF'A L.I NE
business tax permits This permit will expire and bec(,.ie null and V! T(11P01,11,11
void if work Is not started within 180 days,or it work is suspended or PAIN DRAMS
abandoned for a period of 180 days any time after work ties
commenced It shall be the responsibility of the permittee to assure F 1.NAI-
all required Inspections are requested and approved.
Permittee Signature
Issued By
CAL L_ 1:411P IW'4-El [ON 639-417"t
S( PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CHECK APPLICATION
PLAN CHECK #
PERMIT #
DATE ISSUED
JOB ADDRESS: /C 2 S� $G�� /� �f/� TAX MAP/LOT
SUB: ��.� LOT: _ LAND USE: .
VALUATION: ' 'S _ SETBACKS: FRONT: .r REAR:�,y: LEFT: S RIGHT: 4
WORK CLASS: P�✓ HEIGHT: t; TOTAL AREA:
USE TYPE: $ FLOOR LOAD: IST: J L
CONSTR TYPE: 5 N HEAT TYPE: 2ND: ��G
OCCUP GROUP: DWELL/UNITS:_ 3RD:
OCCUP LOAD: NO BEDROOMS BASEMENT:
NO STORIES: 2 NO BATHS: -- GARAGE: .3_�_
TMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAX: ---
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS: -
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: / OTHER:
COMMENTS: -Z
-
AG4T DESCRIPTION AMOUNT
OWNER , 10-432 Building Permit Fees ;�4• y
NAA:E? J' yN��� �, 10-431-600 Plumbing Permit Fees
AJ �_ gyp
I �
Mechanical Permit Fees
10-230-501 State Building Tax (5X) .;- "� 1
10-433 Plana Check. Fee 43r' y s"?y
PHONE: /� .drf G lG; 30-443 Sewer Cor►nection (20X)
30-202 Sewer Connection (80X) � �-
CONTRACTOR 30-444 Sewer Inspection
—
NAME:_ r-; _ 51-448 Street System Dev. Charge (SDC) $
ADDRESS: - 52-449-610 Parks I System Dev. Charge (PDC)
52-44q-620 Parke II System Dev. Charge (PDC)
31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: 10-230-505 TRFD (95X)
1.0-435 TRFD (5X) S
ARCH/ENGINEER 10-230-506 Washington County Fire 11 (952)
NAME: 10--435 Washington County Fire N1 (52)
ADDRESS:_ _ 10-220 Amart/Wedgewood
---
PHONE: TOTAL
_
f/I/^�G �.V (--L o PREPAID S
M."CLi br�l V Z I R EC # '
,�r1ry 1 Z L
BALANCE DUE �_ � �►
APPLICANT SIGNATURE
Received Bv: Date Received: