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INSPECTION NOTICE
City of Tigard B 'Idir�y Department
P.O. x 23397
,4
Tigard, 639--go97223 I
AGM P f;39-4175 r
ioi I I
Type. of Inspection
Date Requested Ti _� A.M. P.M.
021
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Address L j Permit
Owner_–_ _ �(°�'''� __ Lot
BailderThe following Building Code deficiencies are r1quired to be corrected:
Mesnted to � /¢¢�� �� Approved
✓
Inspector — _ _ _.. k�,Disapprcred
Date
CALL FOR REINSPECTION
KYES 0 NO
EmAwin
C'TY"OFTIGARD PL.".Aml 11' NO. BL'WHO 1.0 1
CaYOFTWAIM
COMMUNITY DEVELOPMIENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175
URTM W 3: NO .
,J(10 AODPIE5S . 16X.1-3 SW 10ATI-4 AVE 4-11
IfY, HOW/11.111,11, PS 1. 11W) WWO 51,11D IMANISON (411.1-H I. I 0?I,, W.
VAL I I%1 1.ON
I,JfIF)K (X A 1"It"M Dwku..i... . LINT lr,�, 1. 1..1 1 f' : I P IGH T*
I*61f,;')I.Y NO IAFFOIJUIIOM!-; 101I1I I
T(PE VN NO - BATHS t N
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HP, I[*H I I IJ It U oil APE;^ M-.PAP*f 1-0 0,11;;.0
8A C.'s E M E'N'T ARD: OLICUP. SEPAR? PfITED:
fit:1/0t41NE'J HAsh'M I T
LFA-0014 LDA0: 40 G,A A A Gv E qOO FXPE 5PRIKI.J17 A L ARII
F 1.Ow U 1-11,11
i-IL4*1 "Will, ("A"L
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1)V,H(l P l<15
PE15I!:AjF*.. 014, NL) .
1. A9T PCIUSUE
0
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N IACAX
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T I I 1 61'1 it 1:1 1 11.. 1
R 0 600 00
A I-)n ROX 603"1 (*V MIR 50 . 00
C I,II, J.1%'I 1 1,1111 111, ,, 1 1111111 0110 00
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0 150-t ) 1101 -6606
11 1 ,'1 1 1 1 1;1 1,10 .!.M1.05 FA 11111 1. lip.P
This permit is issued subject to the regulations contained in'title 14 11EA.4'I P Y NO.
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it Is hereby RFNAYLPF-71) t-NSPEUTIONG
agreed that the work will be done in accordance with the plans and 1 110 1
specifications and In compliance with all Applicable .:odes and
ordinances The Issuance of this permit does not wave restrictive (AJl`-10si`,'10t4 WAL 1. nALN DPAINIJ
covenants Contractor and subcontractors shall have current city !I(J!A I t.; �.*'(Nil, I i, F( 1, 1
business tax permits This permit will expire and become null and r-4.8 (.INVE114,551-AIR I Y APPMH/SW
void if work Is not started vithin 180 days,or if work is suspended or ;d e)H C)l
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 approved
.1.1 IF,I`L OV'E
I.r4,if it A r um
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'VA RD
CIIYOFTMRD
COMMUNITY DEVELOPMENT DEPARTMENT 14;CHANIOAL PERM.1 I
13125 S,111,Hall Blvd-P.O.Bo,111117,Tigard,Oregn97121,,501,619-41171 PERMI'T NO. : ME880106
DA'117 15511F.-'04 1./R7/Ele
PRIM*. PMT .NO . (380101
J00 A- 00PIESS : t63Vq SW 1.0411-1 AVET
IN/ tif"lli"104 P511. 1,11W) Kboo SIJID' SWANSON OLEN I-'I -Pit, RK
LAND 015E :
1 01 !;01;�.F;*
I*TEM: NO: NU
WORK CLASS f4l.."W FAMING CE 0.00K .1 6,W HANDL-14 < tO
IJSF.:: 'T*YPE : SINGLE FAMILY FURNACE 1.00K+ AIP HANDLR 10K
I 3:1INVI I VN 1:1-00111 FI.0NAEA1.' I-0 UA-1"A (3301.E14
OCC1.1117 . C1417 . P3 HEATIEP VENT FAN
kjp:N,t UK'N't
IN P/COMP C3HP
Nc) r-)I-P/CX)MI.*' 5--:I3HP
UNTTS : 1, B1.114/cOMID 1,115-30I.-IP INCTNEPATOR(COM
ni.wcamr) .�o-now,) PI:K1100:14 1.041 I'S
MAX 'LNPI,I*T ISL A/COMP 50+11.1p ('11 11-11ER
A 4WI4 WoWww'o
HIGH PPr-::!551
I (11W
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R MOPGAN PK.DMI r $1.0 00
W.) PDX 6830 I'll "It-1 rW:Vj1!!W 1017 el,,A
U 4W -A so 0-4.4a MC24 50
C IAX 01t 73
0
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0 1-44-14145W F;EPN 51' .
R
t503 62d) 9780
This per'AWIVAIKLPAS t*hguAA"dt'ntI1ed In Title 14 80111
of the TMC. State ut Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it Is hereby RECEIPT NO.
agreed that the work will be done In accordance with the plans and ........
specifications and in compli3nee with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive F4.'-:Q1JtR1EI3 INS 'T
PECIONS
covenants Contractor and subcontractors shall have current city CAi 1. 1W.
business tax permits This permit will expire and become null and rxesir B sk:.:Am
void it work Is not started within 180 days,or If work is suspended or PrIll.11111-1 It N
abandoned for a period of 180 days any time after work has FINAL
commenced It shall be the responsibility of the permittee to assure
all required inspections are tpquested and approved
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED F 9THIE�
I TH N Pgo
GIBED ABOVE
W =A MAMA ff
CITY OFTIFILLIMWING PLAMIA
IFARD
C I Tf OF TWA 1111)
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON PFFIM1*17 NO. PI.-FJe01.0A
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
PMT .NO 880101
JOB ADDAESS : 1632A SW tOATH AVE
TAX MAP/1 .04' PS111 11.118D f-.)''100 SUB! SWOMSON GIA.-N
I AND LIGE :
I.()'! SSZE.:
I T'IFM: NO:
140 IK 01.6614 - NF;'W WA US)F„F 11110
USE VYPF : SINGLAE. F"AMTI.-.Y UPTNAL BKF*I..UW 1:)PVNI*I1
3 PlITMEP
OCCIA" ' (7,pp . P3 TUB SiHOWL3.1 2 GPEAGr TRAPS
D15POSAIL. 1.
NO S4 LIP1
DWIF.1-L, (.)Nl'rS: 1. I-ALINDAY TRAY BLOG D14AIN (DTA
Ft'1-(:101'11 0PAYN
ST N K 1. SEWED IF:,I')
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I' t 1.111 F T X I LI 1:111F.50
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0 1)will%Io,1 1.1.111 Or 7700.5
PHONE (503) 64111--.05208
1.1 1 �-I I I I ri,1 1.1 IN 140 190 P ;X1 Al.
This permit is issued sublect to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations PEr.E.I.P T' Nn
ano ;, other applicable codes and ordinances, and it Is herehy
agreaci that the work will be done in accordance with the plans and REQUIPED INSPECT.T.ONS
specifications end in compliance with all applicable codes and
ordinances The issuance of this permit noes not waive restrictive
covenants Contractor and subcontractors shall have current city POS T' & HE AM
business tax permits. This permit will expire and become null and W1114C.11 1 TNr.
void If work Is not started within 180 days,or If work is suspended or PLH 1011101.1 T'
abandoned for a period of 180 days any time after work has or,'m
commenced It shall be the responsibility of the permittee to assur,
all required inspections are requested and approved I' MAI
Iss ed By
SEPARATE PERMITS REWIRED F60' A13OVE
CITY OF TIGA RD
CITY01"FWarts
COMMUNITY DEVELOPMENT DEPARTMENTOYEOON $E"WEP PERMS Y
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 I:*1l'PM1T NO : 50300107
P"I as
PRIM PMT-NO- 88010
JOFs ADOPESS : 1.6321 GW tOATH A-Vh: USA NUMSEW 34937
MAU111.01 f? ; l *1101:.'i OM00 !:jWB: FWAM;(:)N Ci-EN 1. r :2pe, OK
L.AND
11.01 SIZE .
SEC r WN I lei IMP : 25 PNC : 1W
WORK NE-M
1.115E 'TYPh--: 151NGL.E FAMIA-Y
o• i-1 I 11.)*1 -1 c.Al I I k 4,1 1,v It!w 1.1.1 1.:4.)W pl.S.) WJ ,11 411'1 :1. 1-11:1 ill fit I I CI r-e g I 1*1 W 1, 1 1:111 fit c)-f JII I:i f':1 V.4(J
Sic,warage Agency ri-le permtt expl.rew 1.20 clmyin from the dm.t.e tainued . The tmtfal.
'.1 ill I.)I I I I 1 1:)fit.1 (.1 W 1 14'11 hir,) fni-,Tso:ll.o?cI :if the peilli t. V.)xp:llvwlit The Apeliczy dultsfti lult I;lt.liwi
W-11UM thcl ukc�vuracy of the 1fricn-ati.on of the intlAcl% sewor laterals . If the ineweir im
it(.)I 1 1:11.%As.1.ve(A At I lhv.-. Ineillontirelo-Ill. I 116 1,lit') I- ,I t I lit I'l-ritiploc;t, ,, +C.... :!1 i 1-1
ACT 1, 0 1,rt--c,0,U11111 frilin Ole fij.";tfflllc�o qj.verl .1 F ii(3t wici 3.43catv.(J , Lhe xrostalAer ti;)-iial.J.
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fit,1:) 1!1 11(j -1 (,1r:.•) !4;ewt-a I— 11-�'N�, J I i u tj u i i r—u w J 11 to I.if,J I it 'I Id
5EWEP 131F,EA VIULIS APER:
L1'
NTIS : i i .NiYAJ TMP-".;VK.MENT :
ILIrl UI I-Mfg! I It,i T 11*r. I
I 1171 Ill i--T—F—f-7
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17 t3 SOX 68'1519 (:1ONNE(:,T1ON (1-4AFMOE 01. 1100 . 00
k:.fit to I I r.11 I, ANH TAP I.Wi*lol.I..
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NO.
This permit Is issued;liubject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinanres. and It is hereby VIIA'A'Al"T NO
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable nodes and rwlAui i or.. r) JASPL.
ordinAnces The Issuince of this permit does not waive restrictive r-41131.101-4 -1.N
covenants Contractor and subcontractors ohall have current city
busineab tax permits This permit will expire ana become null and
void It work is not started within 180 days,or if work Is suspended or
abandoneu 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 approved
Permittee Signature
Issued By - -----
SEPARATE PERMITS REQUIRED FOR! WORK OTHER THAN UESCRIBED ABOVE
I
I
PLAN CHECK APPLICATI 4
PLAN CHECK
PERMIT #
DATE ISSUED
.JOB ADDRESS: �(p r� y �l� /C�% TAX MAP/LOT 8.506)
SUB: r• e--- -",;'-:-,---c'•:-YIr,- LOT: LAND USE: C%_/7
VALUATION: :R+ � ,< '7` �,7, ^' SETBACKS: FRONT: %, REAR: _ LEFT: / RIGHT:
WORK CLASS: HEIGHT: b' TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST:
CONSTR TYPE: 5 HEAT TYPE: <<; 2ND:
OCCUP GRODP: _777— DWELL/UNITS: / 3RD:
OGCUP LOAD: NO BEDROOMS: BASEMENT:
NO STORIES: _� NO BATHS: GARAGE: - U�1
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: ~_ REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: _ LAST REISSUE BUS TAX: _
FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS: �!
OTHFP,: _ SEN LNb.: TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: _ OTHER:
COMMENTS:
ACCT # DLSCRIPTION UNT
OWNER 10-432 Building Permit Fees y u
I NAME: �.��` �lyyj�f�►` /fes 10-431-600 Plumbing Permit Peen s /, 37, 3
T3 10-431-601 Mechanical Permit Fees .3415—d
AnnREss s .�!'G-� G g3��
10-230-501 State Building Tax (5X) ¢----
10-433 Plans Check Fee y/J 4 8,61, �aF'•G.'.
PHONE: 30-443 Sewer Connection (20X)
30-202 Sewer. Connection (80X)
CONTRACTOR 30-444 Sewer Inspection $ -5:;-
NAME:
5:;NAME: ' - 51-448 Street System Dev. Ciarge (SDC) $ mo o
ADDRESS: 52-449-610 Parks I Syatem Dev. Charge (PDC) I
52-449-620 Parks II System Dev. Charge (PDC) sSU
31-450 Storm Drainage Syst Dev Chrg(SSDC) 9 Q
PHONE: _ 10-230-505 TRPD (95x) $
10-435 TRFD (.5x) s
ARCH/ENGINEER 10-230-506 Washington County Fire /1 (95x) . _
NAME: 10-435 Washington County Fire #1 (5X)
ADDRESS:-_ 10-220 Amart/Wedgewood
7_ ,��a
TOTAL
PHONE:
6 y PREPAID
C, �+. _ !S i O REC #
no/U?
BALANCE DUE
ICANT SIGNATURE
Received i►y:__-�_ Date Received: .5- of