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INSPECTION NOTICE
City of Tigard Building Department
P O. 133 23397
Tigard, Oregon 97223
Phony: 639-4175
Tyre of Inspection t
Date Requested _ f '' Orn me --j"C A.M. _P.M.
Address � �� /Li L�� Permit # ��
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to a _ Approved
Inspector IJ Disapproved
Date
LIf INSPECTION
Cl YES _1 NO
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INSPECTION NOTICE
amity of Tigard Building Department
P.O. Box 23397
Tigard, Oregcwn 9'223
Phone: 639-4175
Type of Inspection
Date Requested �y _ z_ rime A.M. P.
Address � L � 7 / Permit # l
Owner _ Lot #.
BuilderThe following Building Code deficiencies are required to be corrected:
Presentad to .Approved
Inspector _ — [J Disapproved
Date
CALL FOk HEINSPECTION
❑ YES ❑ NO
i
INbl tl;I IUIV IVU I Ila
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection yJ. --
Date Requested Time A.M. P.M.
Address _. _ Permit
Owner ��r2-�-' i_� t_ot # _
Builder
The following Building Code deficiencies are required to be corrected:
ee
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CV
Presented to [ Approved
inspector Disapproved
Date
CALL FOR REINSPEMON
❑ YES 0 NO
BUXI D.LNC, PEPKE-11'
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�..ITY* OF T167ARD pq�rwm:r'Y' NO. : BU1390828 CITY0FT*XIID
.-;OMMUNITY DEVELOPMENT DEPARTMENT1aAel/:L 3/89
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)6394175
.1.6406 SW 1.041TH AVE MN (311 E'N L'T : 75 IM :
pt.i:j. :j.,ejBr-
SUB: !."MAN5
LAND USE :
VAL UAI TON: 111 '157 227 5 1*--'T P.A K 5
F'AON'T' : 0 1 4t E,A I Q
WORK CI A15S : Nl.-'-W DWE'.1. L. .UN A,1*14 1 EF-'T': F1 P111311-1 1' :
U51F 'TYPE:� : !;.i:r.N(--;LA:: FY)MI'll.-Y NO , Hr:-.'DPOOM5 : Z5 EXT .WAL.L. CONST :
CONS T' TYPEE' : VN NO . N . $ : E'. W
0("(:',LJP UPP - : P-3 P140"I . OI*-'II:.:.N:I:N(*.-;!ii :
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7CITiin
6PEA ii?alis
NO . 65(."? ROOF (:,ONST ; C IX 11'21;" Pj» Y.
P 1'.) OU3.1P . EiEPAP? PAT IED
1:;-1 00A I-OAD '10 L.'WAWAGE lelo() IX 3.WI-K 511"•IRKI-1:4, L.A I"I M7
IF IOW((.-"r':'M)
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1:41"R-Jus"AIE: OF NO . 6655
LAST AE15fil-11V 880556
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N Ii 0.4-33'5 1111/10 . 00
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(."50.5) 686 660r TAX $15
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0111050 . 00
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T AN INC— 111600 . 00
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This lit is issued subject to the regulations contained in Title 14 1-�I 1A. .1 1 Nr) . 034/3
of the I MC, Stat, of Oregon Specialty Codes zoning regulations
and all other applicatle codes and ordinances, and It is hereby
agreed that the work will be done In accordance with the plans and I l J0 I I f.h,
specifications and In compliance with all applicable codes and 1: (AY-40e.)1 ION wol I.. PAIN DPAIN5
ordinances. The issuance of this permit does not waive restrictive P(:)!1j'J4 &
covenants. Contractor and subcontractors shall have current city
. .. . WAII;:'14 LINL:'
business tax permits. This permit will expire and become null and 01. 1.-3 . UNIILPA-AS C;1. VY APPIX.3-4 SW
void if work Is not started within 180 days.or it work is suspended or 111 1^19 F I NAI.
Al.
abandoned for a period of 180 days any time after work has r,i.rit rormu t
commenced It shall be the rnsponsibility of the permittee to assure 1:1:4 olvill.NL,
all required Inspections are requested and approved. I' 'I l4i'l-1, ACU.
.1 Wi I A. A V J ON
Permittee Signature Gyi-I
1850ed By- ------
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
5 L'-*W' IZ.*P PEAMI'T
CI1YOFTIGrARD CmOFTlAII D F.'LR
. M11, SE".890,722
COMMUNITY DEVELOPMENT DEPARTMENT o"60N
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 1:)61'1 EK :11.5!i I..)Vol 1.) 141/1.3/89
1.108 011717PEESS : 1.6406 SW 1.0,el"11-4 AVE. 0374 113 A
(AX 110-4-1/1 (11, 2ij. 1.*1191:) 1,3400 !7)t.1r;): S4IAN5UNG (.;I 1:::f,4 L T :75 BK
I-AND (MAK'. : 1:47PI)
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USE 51M.XE" 1::*AMII Y
'111to iilpplicaj.ni. n1jr-aiii1m tc) with at rctlre!ii nild r-*�41m1aticinvi cliff'
1.e".10 (18LYIH Fl,(:)fn tl')(.-# datte iffivil.104:11 . 'I'llel t'L%-t'a1
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1-int 1clic..'aled liti, thr.'.' tho inri-wikllcor� %I-tall pr-nq;p#h?c.,t fcarw-t in
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(711 97007
681 6606
1 ')*I*I'*,A'T,1:(,)N NO. 30530 rc)'rev- . 411. 1.35 . 0
This permit Is issued sobject to the regulations contained in I itle 14 Plin'CL.1 1:-'T No
of the TMC. State of Oregon Specialty Codes,zoning regulations ......................................
and all other applicable codes and ordinances, and It is hereby iii. I.) I 1 .1 1 INS
agreed that the work will be done In accordance with the plans and I
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit dor-%not waive restrictive
covenants. Contractor and itubcontracto-9 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 if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Slaneure
Issued By ._-- ---_.---( --_._.__ .__ _
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
E[W
CITY Off' TIGA Rte►► PI (.JMU1 .N., PEP9M0,III-PM:UT' NOPI-817
20
-17YOFWARD
COMMUNITY DEVELOPMENT DEPARTMENT OYFooM
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 Dt)11:, A.SSUED: /1/1. -, $,if
WWT1:4 1:443, bill" 61QQIW�lia
JOU 164406 tiW 1.04TI-1 AVE
'11 AX MA 11-"/I-OT 251. :1.11811121 1-3400 SUID: SWANSON.) 6:N LT : 75 DK !
I-ANI) t.151*-- : 1:1'71"ala
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WORK CLASS . NEW WATEP CA 0 S E"T 3 TPAP
USE' T'YPI'-" : SINGI-EFAM11-Y UPJINAI... BI(FLOW 1:44VISITI-4
CONST. TYPE' : 1,1N I-AVOPA74:44Y 3 TRAP PPIMEA
TUB SHOWEA 2 GRE"KAGItE TPAVS
E)3.S HWAS HE34 1.
DISPOSAL :1.
NO . S11.111=rIAES : If.? W(lSHING, MAGIATINIF. 1.
DWELL . (.)N:I:'Y*!!; : 1. I AUNDAY 114AY 8 i DGA)PAIN MIA
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Th,s permit is issued subject to the regulations contained In Title 14 r4F-('.:F j:P*r NO
of the TMC. State of Oregon Specialty Codes,torimg regulations ...............
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plana And 1-11 H (1NDEPIA-AD
specifications and in cumpliamce with all applicabie codes and 1101A, & WFAM
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city 14AJAJ*4 I.. INE
business tax permits. This permit will expire and become mull and IA.,H . 1,I)POU F
void It work is not started within 180 days,or if work is suspended or IMIN DPA YNSI
abandoned for a period of 180 days any time after work has L 1 NAl.
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Signature
Issued By
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECI-11AINIMAL. PIEPM UT
CITY OF TIGAPD, PEEPIKUT NO. ME1390' '721.
CITY01FTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 09100"
13125 S.W.Hall Blvd-P.O.Dox 23397,Tigard,Oregon 97223.(503)6394175 I)A'I'F.:: 155LIF.D : q/1•.3 H9
JOI� ADDHESS : J.e. SW 1011*11 AVE'.
'TAX 1`46P/l O'r* P.!:51. J.lei U 13 :13/100 F.UD SWANSOW-i (:dl F.::N 1-7*:'73" BK :
I-AND USEK : 1'-*4 7 P 1".)
LOT SIZE":
NO : NO:
WOPK CLASiiS : Nl;..W FLMNACE.: :1. A.1:14 IIANDI-P 0.0
USE TYP'll-K, 15:1:N(.-',l Er F'AM 1:1. Y F'UANACE. 1.001(-1- A111 HANIA 1-4 1.0 K
CONST . 'TYPE : VN F1 OOP FURNACE 1:.;.,v A- P .0,001 ER
11*3 VE*N'T F'AN
VFI:N*I' VIEW* , SYi'RKM
NO 1.11 014:11r.::T' : 2 13LIA/COMP 3-415HP 1.NC1NE'PA'TCJP(0OM
DWEJA . 01SIX'P5 : J. RI
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This permit Is issued subject to the regulations contained in Title 14 WLCILA V,T' NO
of the TMC, State of Oregon Specialty Codes, toning regulations ..........
and all other applicable codes and ordinances, and It is hereby I H. fJtJ[ilt.1) XNSPECT'TON59
agreed that the work will be done In accordance with the plans and 1:11 I3 1.11"IDEW-il.AU
specifications and in compliance with all applicable codes and F. I 1 1101
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city WA I I P 1., 1.1`4 1::
business tax permits. This permit will expire and become null and 11:4.001
void if work is not started within 180 days,or If work Is suspended or PA'IN EMA:1N!,
abandoned for a period of 180 days any time after work has I 1111.I
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Signature
Issued By: - _ ``J _ __�_._. _._� __.___
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
R�CITYOF TIGA ��` (C7nYOf''
PLAN CHECK APPLICATION
ncalm PLAN CHECK N 1,
COMMUNITY DEVELOPMENT DEPARTMENT �''� PERMIT H `r,`'t C? 2
13125SW."Blvd-P.O.Box 23397.Tigard,Oregon 9rM.(503)639 4175 DATE ISSUED
r JOB ADDRESS:
qlLILL-
r,UB:
IAX MAP/L_OT . '.5 � � f g /3, 00
tJG.1� =C 7") `> LOT: LAND USE:
VALUATION: /" " i
OWNER �, SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: LAST REISSUE:
_ FLOOD PLAIN/
SENSITIVE LAND:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING:
ADDRESS: FIRE DEPT
_ OTHER-
ITEMS
THER:
PHONE: ITEMS REQUIRED
— LIST/SUBCONTRACTORS:
A_RCN/ENGINEER BUS TAX:
NAME: _ CALCULATIONS: _—
ADDRESS: _— TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN
PHONE: --_- OTHER:
COMMENTS:
ll� � �uC77y
PERMIT N ArCT N DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
10-432 OJ Building Permit Fees IYCI r
10-431 00 Piumbing Permit Fees
! pro 1 L� 10-431 Ol Mechanical Permit Fees
10-230 01 State Building Tax (5x) T�� % tel
Building _ —
Plumbing _Y i
Mech (�,
10--433 00 Plans Check Fee
GiS.�3 .Z S•i
3uilding
Plumbing
Mech
30-202 00 Sewer Connecton
30-444 00 Sewer Insper_tion
51-448 00 Street System Dev Charge (SDC) :- t_
52-449 00 Parrs System Dev Charge (PDC) -2 U
31-450 00 Storm Drainage Syst Dev Chrg (USOC)
10-230 09 TRFD
10--230 06 Washington County Fire pl (95x)
i10-220 00 Amart/Wedgewood
REC N
APPLICANT SIC111ATt1RF-
Received Hy: _ _ -- — Date Received: _--
cn/3587P/18P