InitiallyGood (25) 16295 SW 104TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Pho e: 639-4175
Type of Inspection
Date Requested -_�!' x Time A M. �—P.M.
Address¢ Z �����_ Q�✓1�i _ Permit
Owner -- ---— — Lot
Builder
The following Building Cede deficiencies are requi-ed to be corrected:
- - - _� ,
Presented to _. *4�ApprovArr
—� , --
Inspector ! DisA
K,LFOR
pproved
Date
CA RKINSITCTION
11 YES C.] NO
NO. : OU81130365CITY OF T167A RDI,I_F2M3:T
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUE.1):
13125 S.W.Hall Blvd-P O.Box 23397,Tigard.Oregon 97223,(503)6394175 PPIM, PMT .NO. 800.36")
ADDRE'.155i : 3.62913 SW 1.0,e]TH AVE
TAX MAP/l 0T PSI 1.1flDH !:sWoWi(.')N (:.;I k:.N LT P.0 HK :
LAND USIA::
1-01 S]:ZF.-: : VAI.-UATION : 41 i 7 0 11)5 SETBACKS
FRONT : 20 PEAR: 15
WORK CA ASS : NEW DWI'-L.L .LIN IT 15 : 1. 1 EFT: M RIGHT :
USE TYPE : 53:N(.*31-,E F'AM.'I:L..Y NO . F.4EDROOMS : 3 F'XT - W61 I CONL51' :
('.'(JNS*T' . 'T'YPI-- : VN NO. l3ATi+3 : N:N17 S : V: W
OCCLIP .GRP . : Q3 PIATT . (')PFN1N(3!:') :
(X:',CLIP.LOAD N E W
TOTAL. AREA: :1
NO.STORIES : It? 1.ST 6100 1:400F CONST ; C FIRE- RIH:T'?
HEIGHT' F20 P-ND t"100 APPA sk".POP'? PA*T ED :
PAT1:::D:
MEZZANINE'? BASEWT
11::1-01:1141 LOAD : 40 (.-*,APAGK : 368 1::*TRE SPRKLP'? ALARM'?
F'1-016)(GPM) DETECT YES
IAF.::A'f Tyrli;..' : GAS HDCF- . A(.X,E!'.iS7 CORR?
-J
Pr--*"ISSL)F-- OF NO.
LAST RETSSLIF.
FEES :
IiA.-KAK MOPGAN PERMIT $307 . 00
W Etta WX 6935 1-11-AN REVIEW !0 1.99 .5 5
N L)"aLvertall or 97007 FIRE DEPT
E
Fl PHONIF.: 15W'-'�) 6841-6606 STATF TAX $13 . 35
OTHER
DEVELOPMENT CHARGES :
C RLEAK MORGAN SDC( STORM) $250 . 00
0 TITAN PPOPF11TTES INC . SDC(ST )
4
N 600 . 00
T Na BOX 68315 PUC 1102 $250 .00
R E)envor to n or, 97007 8
6X5
A PREPAID < 1111140 . 001%
C PHONE (503) 61134-6606
1 PF . T.5jTPATION NO. 30.51'41 TOTAL: $1 ,581 , 90
0
PECEirr NO.
This permit is issued subject to the regUetl0flS contained in Title 14
of the TMC. State of Oregon Specialtv Codes,zoning regulations REQUIPKD T'NSPECTION"i
and all other applicable codes end ordinances. and It is herphy FOCIT I NQ S F-.*.,W E 1:4
agreed that the work will be drine Ir accordance with the plans and FOUNDATION WAIJ. RAIN DRAINS
specifications and in comp'lance with all applicable cotes and POL"i't & REAM WA*Y'F:*P LINE
ordinances The 194uance of this permit does not waive restrictive PL.R.UNUERSLAB CITY APPRCH/SW
covenants Contractor and subcontractors shall have current city 6 t
business tax permits. This permit will expire and become null and L.A a F 1:NAL
void if work is not started within 180 days,or it work is suspended or PL8 . 'rommi r
abandoned for A periorl of 180 days any time after work has FRAMING
commenced It shall b,the rosponsibility of the permittee to assure FIREPLACE
all required inspections are requested and approved GAS I INE
INSULATION
GYP. BOARD
4 Oitte: nature
Issued By CALL. FOR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIPED ABOVE
11111" W
1,11 01111=_
PERMIT
PEPMIT NO. PI-BC40366
oreooN
CITYOFTIGrARD
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 3/11/88
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 PRIM. PM*r.NO. 880365
JOB ADDRESS : 16295 SW 1041TH AVE:
'TAX MAP/L..OT PSI. 1.18191 7900 SUR : SWANSON (A E.N L-*T :20 HK :
I-AND USE :
1_01, SIZE :
:E,rEm: NO: NO
WORK Cl-ASS: NEW WATER CLOSET 2 '1 PAP
USE TYPE; SINGLA'_ FAMILY t.JP:I:NAI- HKF1.014 lDRVN,rR
(MNST . TYPE : VN I-AVORATORY TPAV, PRIMED
OCCUI::- .GPP, - R3 TUB SHOWER 1. GPEA911--i: TPAPS
DISHWASHER I.
GAPBAGA-K DISPOSAL. I
NO. ST0,14liES : 2 WASHING MAM4114E :1.
DWE'I L_ LINITS : I. L.AUNDAY PRAY l*.`IL.DG. Dl-_4A1N MIA
Fl..DOP DRAIN
SINK I SEWER (F'*T')
WATER HKATFM 1. SIror;im/rml'.N IVA I.
O,rHER
PEMARKS :
F,EES :
0 Rl_.F;:AK M-011;AN PERMIT $110 . 00
W
N P c) 1i3OX 66.3.05
R E b 1w a v*.?r,t ci ry or- 97007 6835 FIXTURES
PHONE (503) 681-6606 STATE TAX 111115.50
OTHER
0
0 WATTS KEN
N KEN WATTS PI-LIMBING
T
R PC Box 2309R5
A
2
C 97P- 3
T PHONIE (.503) 684-66L16
0 S TPATT LIN NO. '50870 TOTAL.: 111.111 .50
R
i;4lF.:CF1P.r Na.
This permit is issued subject to the rtgulation:-nn!nIned In Title 14
of the TMC. State of Oregon Specialty Codes.zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, a,id it Is hcreby
agreed that the work will he done in accordance will,the plans and
PI-111 .LINDE RLSI-AR
;pecIfica!ions and in compi!arice with all applicable codes and POS T & REAM
ordinan s The issuance of this permit does not waive restrictive W A TE P L.a:
NE:
cr tenants Contractor and subcontractors shall have current city Pl-ri. 'roPOUT
buiinc!-s tax permits This permit will expire arJ become null and PAIN DRAINS
void d work to not started within 180 clay 9.or if oark is suspended or
at-,enclooed for a perind of 180 days any time after work ties FINAL..
cjrnmunced If shall be the responsibility of the permittee to Assure
ail reqL-red inspections are requested and approved
00,
�od
arm FP9
6;Ter—nafure
Issued By 19,041.1. FRR
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGARD I::+,-,PMI Y' No. ME.060367
CITYOFTWARD 1)ATIE :ISSUED: 3/11/08
COMMUNITY DEVELOPMENT DEPARTMENT OREGON P P 1'.M . PMT.NO . (31130365
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97221(50:)6394175
JIL110 AUlJ"t,.13!J : 1.6F.JV5 5W-1 0-1 T H AVI'.:.'
TAX MAP/LOT 2S3. 1ABB 7900 1508: SWAN50N GLEN I-T : 2.0 RK :
LAND USE:
LOT 4 17E::
ITEM NC) NO .
WORK (A.Aqli : NEW FURNACE: <100K 1. 0:11:4 HANDLA <10
(J!-,E: TYPE: SINGLIE FAMILY FUPNACrX- 100K+ A*144 HANULP 10K
CONST .TYPE:: VN FI-00A FUPISIACE: I;.,-:VAP .COOLE*P
OCCUP.GPP. : A3 11FEATEP VENT FAN '13
VE.N)' VE.NT . SYS'T'EM
EILP/11:XIMP (141-11P HOOD 1
NO . STOPIES : 2 13(-F;/C('.)MP 3-45HI,' I NCI NE:PATO P I UOM
DWELL .UNITS : I 1:31I.-P/11"UMP 1N(.'INl:;J1s'v*V!)P(LOM
FUEL TYPE: GV A S Fil A/COMP 30-150HP REPAIN UNITS
MAX . INPUT 131-.8/(7,(:)MP 504-HP UI*Hr--:P
DMPRS7 GAS PIPING OUTI LTS 1.
HIGH PPE-SS7
I..0W PPE:SS7
Pll'.-.'MAnkS :
to f-"..5
8I...E.:AK MORGAN Pk A M 1,T HI 1.0 . 00
Pct BOX 6835 PLAN VIEVIE:W 11117 .SIG
W
N bp.ai.�,ai,tan 13r 97007 613:3".f F;TXTUPES to;P 1 .:50
E PHONE'. (50*311 6841-6606 STATE* TAX .5a
C RIP11,11,11, BILL
0 SYSTEM A 1.1-1
N 14/144SW F:'E.'PN !;)'V .
T
R ti(jard ri r 97 P.2.5
C A PHONE"PHONE" (503) 626---9780
T NO . 30062 'T'O'TAL.: 1111140 .95
0
PUZEIPT NO. 5("(4,
This permit Is issueJ subject to the regulations contained in Title 14 RE-QUIREDI:NLiPECT IONS
of the TMC. State of Oregon Specialty Codo-;,zoning regulations 1 1`0 A 93 1 1 NF:*
and all othe; applicable codes and ordinances, and It is hereby
agreed that the work Will be done in accordance with the plans and POSI a HKAM
specifications and In compliance with all applicable codes and POUCH-I N
ordinances The issuance of this permit does not waive restrictive F1 PIAL
covenants Contractor and subcontractors shall have current city
business tax permits This 06rmit 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 Ume after work has
commenced. It shall be the responsibility of the permittae to assure
all required inspections are requested and approved
40"
Per
CALL FOR INSPF—CTION 639-- 1 1 t::.)
Issued By --- -- — -- — --1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV'-
ANEW
M11'
C'7YOFTIGARD SEWER PERMIT NO. : SPERESS0368
C"YOFTW40
COMMUNITY DEVELOPMENT DEPARTMENT 041GON DATE: TSSUED: 3/J.J./8(1
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639A175 PRIM. PMT.NO. BB0365
JOB ADI)PIESS : 1.6295 SW 10/41+1 AVI-:'. USA NUMBER: 3A982
TAX MAP/L.OT PSI. 1AREI 7900 SUH : SWANI:iON GL.EN L.T:20 EIK '.
LAND USki. :
LOT S:l:Zli'.:' .
1.1 T W P : 29; P N 1.w
WOWK CL.ASS : N I.:-*W
(P.-AE-K TYFIE' : !-5T.NGL.E: F'AMTLY
Thel aLppl.ir-,ant iiqjrip,.r; to w:l. t.h .:>13. nricl I"eQUIAR1•A.01-191 OT t11" 1-1119.-Pi.eiCI
Agel-kc.y . T h*a I:)*o.1-'1111:1-t 01 X 13 11-e III i.e'0 (:1&Y ii, f1"0111 t h 0 (1 in.t FiI A.9;In U ed . Thc? tatn:L
w:L:I.,I. I:)E-1 :IAI ti-Ir'! inerin:1A The Aqpllc.�y Ilot
-itnt.wM the- cif th -i lcjc�iati.c)ri i3f thc,) %J.de ilipwe.r LiLte.,�rialfti . 1.1' thcl Ititiwell- J.16
not 3.47ciii.t9ni iat thw qi.ven , the :111stul.3.1e1" 110111t1'.1, 1.)rc31llpetc't 3 Vcae±t J.1-1
80.1. tJircnrtirirlsl fl-43M tile cl:iiatlmllo'cl 5JJ.V*tI-I . 1-P 1.1crit, %(:I 1c3ciatviIcl , ti-ic.-I ii-itiltia.l.ler mhal.].
lil. "Tm.p llknci 5:1.(Je Pmrin:I.t lttl-l(:l thO AgO)CIC'y k0j.3.3. J.111111tilL11 Al.
INSTALL . TYPE: BUIL-DING SEWER IMPFPV:I:ULIS AREA:
FIXTURE UNTTS : TENANT :EMPROVEMENT :
DWELLING UNITS : 1.
NO. OF BLDG,5 . 1
F FEE S
HI EAK MUDGAN PERMIT $311111 00
W
N p(I BOX 6133,15 (NINNECTION (',HAAGE tb I. , :I. On
E 1)re st V vi+1,t 1:11-1 1.11., 9700'7 603!') 1 INE: TAP INSTAI L. .
H
1:141NE 1 .503) 613-14-66U6
L)THI-JI
C I — I
0 BLEAK MORGAN
NT'3:'T'AN PPOPERTIEri :I*NC.
T
R Pill BOX 6835
A bei#tv*r r tri n r1l. 9700*7
C
T PHONE (303) 6113AI-6606
0
R REGISTRATION NO. 30558 TOTAL: lb.l. 1;3:1 . 00
PE'CEIP-ir NO.
This permit Is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning reyi,lations 11F."1JUIRED T.N4PECTTONS
and all other applicable codes and ordinances, and it is hereby
agrees that the work will be done In accordance with the plans and I IOUGH---:I:N
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
coverinnis Contractor and subcontractors shall have current city
business tax permh. This permit will expire and become null and
void it work is not started within 1.80days,or it wnrk issuspended ot
abandoned for a period of 1911 days any Iiine niter work has
commenced.It shall be the real --nibility of the oe,mittee to assure
all required inspections are req,jesled and.coir *:ad
Permittee rgfnati,
Issued By
SEPARATE PERMITS REQUIRED rOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIFARLI PLAN C 4:.:r APPLICATION
CItYOFTWARD PLAN ChLCK # 2-
COMMUNITY DEVELOPMENT DEPARTMENT ORI
1314SW Fall Blvd.P.O.Box 23397.Tlpud,rkwjon 9722.1 SEW)63"175 PERMIT c p
DATE ISSUED
1OB ADDRESS: L Z_ 74 T4 TAX MAP/LOT S U
/. ) flA - ?/��i
IUB: i'�/.4�`Y� �'Y S / -U LOT: ZO _ LAND USE:
IALUATION: 5' O .Sr _ SETBACKS: FRONT:- REAR.: LEFTS_
RIGHT:
WORK CLASS: Fr✓ HEIGHT: TOTAL AREA:
/IVk,
USE TYPE: FLOOR LOAD: 1FT: G_ y�
CONSTR TYPE: HEAT TYPE: 2ND: 60y,
OCCUP GROUP: DWELL/UNITS:_ 3RD:
OCCUP LOAD: NO BEDROOMS,-- BASEMENT:
NO FTORIFS: —�- NO BATHS: GARAGE: 77
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE:�g BUS TAX:
FIRE DEPT. : FLOOD PLA?N/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCP.ris PIAN:
PLAN CHECK BY: OTHER:
COMMENTS: I c c + 1ti
i
i
_XCCT I DESCRIFTION AlMUNT
OWNER 10-452 00 Building Permit Fees j(I 'J U
NAME: 10-431 00 Plumbing Permit Fees s p
ADDRESS _ 10-431 01 Mechanical Permit Fees SU
10-230 01 State Building Tax (5Z) ti 3,'1t``'
} 0 SS.�` 10-433 00 Plans Check Fee
PHONE: 30-443 00 Sewer Connection (20X) t z
30-202 00 Sewer Connection (80X)
CONTRACTOR 30-444 00 Sewer Inspection C-77
NAME: .51-448 00 Street System Dev. Charge (SDC)
ADDRESS: _ '•52-449 01 Parks I System Dev. Charge (PDC) #
-� ac _ 52-449 02 Parks II System Dev. Charge (PDC) 3� Sv
31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC) s
PH(NE: _ 10-230 09 TRFD (95X) $
10-435 00 TRFD (5X) s�
ARM/ENGINEER 10-230 06 Washington County Fire 41 (95x) 3
Nom• — _ 10. 435 00 Washington County Fire /1 (57) t
ADDRESS:_ __ - 10-220 00 AmArt/Wedlge�ood s
PRGNBt TOTAL s
4117
pip PREPAID
REC 0
k11d JV
Aif
BALANCE DUE s
-APPLICANT SIGNATURE
Received PY:_ Y Date Received:_'',/�y��