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AGIN
V,
1, T
INSPECTION NOTICE
City of Tigard building Department ' nA'YY—
P.O. Br K 23397 C �J
Tigard, Ore-,ion 97223
Phone: 639-4175
Type of Inspection
C.
Date Requested -��- Tim s A.M CZ' P.M.
Address /y I ► r _ Permit # Z-
Owner Lot # as
Builder --- ------ - -- —
The following Building Code deficiencies are required to be corrected:
Presented to — i104-Approvkd
Inspector _ Disapproved
CALL FOR REINSPECTION
❑ YES ❑ NO
W W t W s m
INSPECTION NOTICE
City of Tigard Bu+Iding Department
P p Bo- 23397
f-r,ard. ' .egon 97223
�Jvrl i-,— e: 639-4175
Type of Inspection
Date RequestedJJ Time �_ A.M. P.M.
-__r
Address _ / �� /d. �� y �n`� ' � Permit #_.'~49
Owner y— 1 Lot #!_ _
Builder -------
The following Building Code deficiencies are required to be corrected:
Presented to - A!?proved
Inspector ' ❑ Disapproved
Date
CALL FO REINSPECTION
7 YEt Cl NO
BUT L L...r4c; PEAM I''11'
C17YOFT167ARD C PEPM11' NO. : Bt.18823.73
COMMUNITY D17VELOPMENT DEPARTMENT U ATE 3:IS 5 L 11;-;.D .tet/ 1./88
13125 S.W.Hall Blvd.,Ru.dox 23397.T;gard,Oregon 97223.(503)6394175 C—A, PIP11M. I-)M*T' .NO. 882173
,.JOB ADDWES5 : 16AP.9 SW 10.4111-1 AVI:-:'
'TAX MAP/1 1111* P.S:L 1.{II: 1'3POO SLJU : 5WANGONS G',LLN L'I : 13 DK :
LAND 1.15E : 1 1.2.
L.07 S)1:ZE: :;)E: 'BAGK5
1-14(]N 1' : 210 PEAP:
WORK (wLAGG : NEW DWFI. L. IJN1 rL'i : :1. LEFT : 17 RMI-I'T' : a9
05E 'TYI;-,k;.: SINULIE. F"AMD Y NO , UL.D1.4uUMS 3 KEM . WA-1-1 CONST :
(:.'ONG T . 'TY PE:: VN
NO. BA'THS : 3 N S E'.: W
OCCUP (:11-4P. : RZ4 PRO'll .UPENJIMUS !
OCCUV, I 13AD N: S : L : W
11*01 At APF:A : 1.a*�3 a
NO. STOCUL-i'S : r 6 5 2 POOF CONS T' : 1-1141 Ar.-i' -?
11ki:11[31111*11 20 N D '686 AWEA !al: ,''AIT? PA'TIED:
BAGE"MEN'T"? ZPD: OCC1.3-1. Go-PAP"?
MI:::7Z
AN]:NFt'? BA51i':'M' 'I
(:)At): leM (70 A P A(X' ITIPE GPI'410-117 AL.APM?
FLOW(('.-'PM) DIE'll Ecl"? YES
1* T Yl:.
T (;AS HIA.,r) .A0GE'q5"?
1::,I...AN LAII.-XK By : vl-t.
H1::.151:UI:: OU No
I AS'T 14I.-EISSUl":
W 0 13L.V'AlK N(M-1AN 1.30:41VIT1, 41,307 . 00
N PO U 0 X d,0'13 It,$ PI AN 4110 . 00
E (,it OOp
I-.IA :L 1:)1!7
R ..1:)-T-
';'I A'TE. I'AX 411.5 . 3!:-1
0,1"HEA41
C DI:VEL.O1'-"Mr-.N'1
0 HI. E.:AK ML)IA.",AN S1:1( ( M11)r4m) Vi�r'50 . 00
N 'Ir j,4(:1,
T (A.1'e.)N PROPE.14*11 '1:1'::cl SIX,( !"i't r4E.ET $600 . 0 0
.,
R j.*-(.1 10OX 6035 IFIL'.0111+2i.*12 5 0 . 00
A
C r"il ,7
UHA OR 9007 68,315 PREPA.I.E.) 141410 , 00)
T it 101::' jo,/?) c&I,:l
0
R
VWX,F:J: NO
Th;s permit is Issued subject to the regulations contained in TIM)14
of the TMC. State of Oregon Specialty Codes,zoning regulations PE"WA11PIED 1N!"sPIE-1,11ONG
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance vith the plar's and 1•F'ULY1S N('.; liEWEER
specifica"ons and In compliance with all applicable codes and 1: OUNDA'110N WALL 14AT.N 1:)PATISIS
ordinances The issuance of this permit does riot waive restrictive PU'-i I 'v 0E-;.:AM WoTr-.:P LINE,
covenants Contractor and subcontractors shall have current city 1=1.11 t.INUIE.P!51...AU CITY APPACH/SW
business lax permits This permit will expire and become null and
void if wcrk Is not started within 180 days,or if work is suspended or 1: 1 NAI
sbandored for a period of 180 days ani time after work has PLA) . TOPOU U
commer ced It shall be the responsibility of the permittee to assure 1"P A M.I.,N
all requ red inspection- are requested and approved 1:7 1:F1 F.:1:)L Ac;K
it*N:i UL o'l*I ON
f.�PYP . BOANU
Issupo ll,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C,�� 1:1:�:.PM11 MQ CSF T IGA RD
city OF7WAFM
COMMJNITY DEVELOPMENT DEPARTMENT 00190N
13125 S.,'..Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 PRT.M. PH'I" .NO 884,21.73
JOI: ADDPIESS : 1.6,4129 GW 1.0,41TH AVE I. N(.JMRE:-'P : 036(114?)`
2S3. :1.41DO 1.3200 SUB . SS
WANOW) (',I I.:f I..
I—AND 1112
L-OT SIZE :
SECTION: 1.41 TWP 16 PN(, : :Lw
WORK Cl-ASS : Nl:::W
USE TYPIES;:TN( I...I:_ FAMIL.-Y
lftt,7r-eeql 1.13 (--alnply with 110.1.
Ageiic^y 'T'I-Ire lael-Iniv, expii-r�s IPO LIULY41 fr-am ti-la clukto. 1!119il.led . T1.1" tats.l.
likini:111111, I:)aid W111 1.)e 4'1:11-feiteaci :L-r 1.likiv 1:)Tdr,init foxpir-cow . dc-lew I'lat 511'iar—
atritew 014:1 &-Ctlr`akc. Y 4:1-11 ti-101 a-F M-10 tsidieft %4-LIWfor. IT ti-10 Hitrawer. J.11;
Lim-:111AWd al, 011va M1wu9►t,ii,4iiinwiit, givc)ri , tI')*':) pr-ampoict ',J J.1-1
dii-ra--c-ti.of-iin fi-ain tl.)(.p give rl . .I:,p n w t, Ina "c::Rta(J ' M-16? ill-11fitR341.f.:'J-'
lill-ml Stowsar", per-l"it ur.r1t.l illie A(J1?A1-)C.'Y wi,1.3.
INSTAI-1— TYPF..:: BUIL-DING SEWEV4 111PF."RVIOUS AAE'A:
FIXTURE. UNIT S : 'T'LNANT* 3'.MPP(:)VF*.-:MEN'T' �
DWEL.I.ING UNITS : I
NO. (:)F Ell-DOS .
0 E S
W I)L..EAI< MOPGAN PEW111, 3;;3"5 0 0
N BOX 1,833 CONNEurION CHAPG4 311. , 1.00 . 00
E
AI-01-16 0W L-INE TAP :LNS'T'AL.I-. .
OTHEP
0 al-r-iw< MOPGAN
N
T Y*1:,r*AN r-140PKITTIES 7!1,11111 .
R F.Nc) BOX 61PI35
A
C, AL.UHA 0A 97007 6H.35
0 T r-l-R-IINC.- 4.50,511 68-1-660A
R I 114F.:GISTPATION NO. 30b'58 TOTAL_ : 01 i , isn . U0
('.'E:T.P I NCI .
This permit Is iL. I subject to the regulations contained in Title 14
FiFd
of the TMC, State of Oregc.i Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and it is hereby PrE."QUIPP-D INriPECTIONS
agreed that the work will be done in accordance with the plans and ROUGH—1 N
specifications and in compliance with all applicable codes dnd
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 and
void if work is not started within 180 days,or if work Is suspended or
abandoned for R period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are rp.questqd and approved.
PerFittee Signature
Issued By 11 N (74 sp *I I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANTIEAL PI-.-'.*PM'X T
CITY OF T167A RD 111-M PEPM17' NO .
'CITY0FnMIW
COMMUNITY DEVELOPMENT DEPARTMENT 01110001 1)611.: 1.2/ 1. /
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 ID141M. PHT NO. 00E:'.:l /:3
-J0F) AUL)REESS : 1&6129 SW 3.0,e1'TI-4 AVI.;:.
fAX MAP/I O'T*
J.,.4po(Ji SUB: SWANSONS
I AND U!:jI;:* :
I. 01,
TTEM: NO
WORK (:',LASi5 : NEW FUPNA(:X 1. A11:4 FIANDI R (10
STINIGI E F'AM*.I.'L.y F*tJPNA(:,E 10 M-1- ASP 1-16NDL.F4 J.0K
C,ONSI' . l'YPL-:: VN 1--'LO(:)r4 F1 IANAM.:.' E.VAP .CUOI E P
0GIll"'UP. 0114113. - P3 VIEW' F"AN
VE.:-
.N*I VEN' . FjYS1*F:M
I'll-P/031VIP <31-110 1-1000 1
NO. ST01-41C.S : 02 Fill-PICOMP 3—:15HP 1:NCI:Nl::*kA*T(:)P(I:)(:)M
DWE.L.L . (JISIXTS : J. E.41 14/(:,(,)Ml:) 1.15-30111 :LN('XNEPAI'011. (GOM
G A S 1'.41.44/cIUMP 30-1501.4p PEPATP UN1*1'S
MAX . INPUT 504-1-110 (:)'T'1- .::P
F '[PE: UIVIPPS? ('.;AS V"rPTNG OUTLETS
I-IT.G.1-4 PPIE:557
1011
0 FiL..E AK MORGAN P V:OWE T *10 .00
W
N P0 DOX 68,13.5 VII-AN r4I:-:V]1.:W $1.0 . :1.3
E
R F'X X T I I PE 5 11130 .50
SO A14-:-' TAX *2 . 03
13"I'l-4EKA
C
0
N 1-:1...11: FIEW1,1NG I'AC .
T - --
R un-mi.,iose. PxAZZA AVIF
A
C (1114 9701,111
*r PRIM' mo.-i)
0
Hr.-A.;3'. 110-i'l TUN N(") 114.7 T01 Al... : 63e . 01)
This permit Is issued subject to the regulations contained In Title 14 RIZEU)t NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it Is hereby
agreed that the work will be dome in accordance with the plans and (;A; 1 1 N K
specifications and In compliance with all applicable c,les and
ordinances The Issuance of this permit does not waive restrictive I-!LAJ("VH- :LN
covenants Contractor and subcontractors shall have current city r.: :1.NAL.
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 the responsibility of the permillee to assure
all required inspections are requested and approved
Permittee SignaturLei
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r'ITYOF TI1FARD PI LJMB:I:N(; PEPM11'
C? 4W
COMMUNITY DEVELOPMENT DEPARTMENT PE"AKET NO. : F)LOC-32120k.?
021GON DATE." 15SUEU 1.2/ 1/86
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)6394175 1::11:41M. PMT .NO . 8 8 2 17 3
JOB ADDAIESS ! 1.6A129 514 10,krvt (wr'.
TAX MAP. I OT P251. 1AR6 :1.:3e 0U ")OF : SWANSONS (.,L.EN L.T : 7*3 1-:1"
I AND USE : P1.2
I. 0T t.;IZ kE,:
TFM: NO:
WORK CA-AtiS : NEW W T Er'.:R CLOSET 3 TPAP
LJSI'--* TYPE : 51NGLE: FAMIA-Y U141NAL. BKI::'I-L)W PAVNTP
CONS T . TYPE: VN L-AVORATOPY '3 'TWAPI PPJAEP
()(,'(:'A.)P . (311P. : 113 TUS SHOWEP (IMPE'ASE 1A.-41011:15
01SIAWASHLP
GA14H.AW.-Ax D:I:SI:-"OSAI 1.
NO. STIDATE.S : 2 WAf-31+04, MACHINE
DWFA L. UN:ETS : 1. LAUND141Y TPAY (D3A
VA.-OUP 1*)I:IA- :LN
SiTNK J.
WATE-A1 I.-MATE:A 1. t'1'T'0WM/I4A1N (FT
OTHEII
I"I FE M 0 4K I-.)
0 MORGAN PERMIA
W 111111.3"a. 50
N PO BOX 6035
E (11-0110) 0 N
1-:*1 X'T UPES
15TATE TAX $6 .63
OTIAE-A
C
0 WATTS MEN
N
T l(t-.;:N WAI*T'!-i
A R P VJ BO3
X 20925
C t J.f.4 1IL I,d
U T I'-'-HONE l5 3) 6e-q uw6
p Ar-.G:rSTAA1J(.)N No 'I OTAL : *139. 13
This permit Is issued sublimict to the regulations contained in Title 14 PECIE-11PT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, And it is hereby
agreed that the work will be done In accordance with the plans And PL L: I INDEPlisl..AB
specifications and In compliance with all applicable codes and P(Ri T' fi Hlt:'Am
ordinances. The issuance of this permit does not waive restrictive WA 1 l`J4 LANE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and PLO . rOpUli'l,
void f ovork Is not started within 180 days.or if work is suspended or NAAN 0PATISIS
Abandoned for n period of 180 days any time after work has I"T NA.L.
commenced It shall be the responsibility of the permittee to assure
all required inspection%are requested and approved
Pe �Signstue
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C11Y OF TRD � PLAN CHECK APPLICAI ION
:OMMUNITY DEVELOPMENT -rGARTMEPfT owooN PLAN CHECK N ) 7 .
trK
31*6 sw Nm sbae d P.a SMW.Tvwct OrWDA
�' E5m)6304175 �� REIT N
. DATE ISSUED
1011 TAX MAP/101' ---
s
c /tea ill ... r;' LANE 11&L. :
VALUAIION
OWN111. !� SPECIAL NOTES
NAME S j` ��... �' _. C REISSUE OF:
LAS r RE]:;SUE
FLOOD PLAIN/
SENS]-I.LVE LAND:
PHONEG -.....__...____.._..._._ ..__.._.._..
APPROVALS REQUIRED
CONIRACIOR PLANNING:
nlnrli � L a ENGINEERING:
�I�Ultl_:;S
FIRE DEPT
I1H0f1I1 ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCIHVLNG.[NELR BUS TAX: -- —
NAME : CALCULATIONS:
AD11R1'Fa TRUSS DE f AILS:
._ .._._ —__----___-- PARKING PLAN: _
LANDSCAPE PLAN: --Yv
F'HONI OTHER
t;OMMFNfS:
PL RMI 1it ACCT N DESCRIPTION AMOUNT AMOUNT PO. DAL. DUE
�f��11.3 10 -432 00 Building Permit Fees � �' �— —_ a�—� c ✓
Nff�20L 10 431 00 Plumbing Permit Feea
,gr c)U j 10 -431 O1 Mrachanical Permit Fees _ /u.5� �/y.3 v
__.. _
10- 230 01 Si:iite Hui ldirna Tax (hX) �
RuiIdirug _/�.3 -)
Plumbing
Mo c hi
_. QO
to 433 00 Elan:; ,.heck Fev
11uilding �ly,pu
Plumbing
Moch
30 907 00 Sower Connoction
10- 444 00 ;owor inspection 3.) __•___� ,3j''_
'-,t 440 00 i4rv11't. Systcl►n Dev Charge (GDC)
')2 449 00 Parks System Dov Charge (PI)(,) 17 STJ
31 4'.,O 00 Storm Drainage Syst Dev Chrg (SSHC) _ IV
10--230 09 TRFr)
10 230 OG Washinrllon County f iry 01 (914)
10 IYII 00 Ani(+r 1 /Woniyewood
10 1 At
�C�a• � R r 1. N /�►i::� E3 -
01111I I I:nN ' I1 ilvn 1 llltf
kvivIvvil Ely �l 1�1J. IWtr ketviurd:
i n/ 1'11111/ 11111
C1W OF TIGA RD I PLAN CHECK APP CATION _
CIT12 i1GARD PLAN CHECK # - -� 7
COMMUNFTY DEVELOPMENT [DEPARTMENT OREGON / PERMIT (c Ll (_-)
13125 SWIWI81vd. P.O.8-2339'7,Tigard,Oregon 97223(SM)639-4175
DATE ISSUED
/i
JOB ADDRESS: ii _�/ry�C �� �J y - TAX MAP/LOT
SUB: .��� •n s G/�- Z2� LOT: - --�_ LAND USE
VALUATION: _ _ _ -- ---
Cw^_ER - - SPECIAL NOTES_
NAME:
v REISSUE OF :
- �.�- �.�'ct'"•,
ADDRESS: el g z �- _ - LAST REISSUE -,--
�` FLOOD PLAIN/
SENSITIVE LAND:
PHONE: -
APPROVALS RE UIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: _
ADDRESS: _ _ FIRE DEPT -
- ---- — OTHER: —
PHONE: _ !� ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER �� BUS TAX: _
NAME: �— _ CALCULATIONS:
ADDRESS: _ _ TRUSS DETAILS:—
PARKING PLAN:
LANDSCAPE PLAN_
PHONE: [ -- v OTHER:
COMMENTS: �. �. 1�,1 0� i
:1:sjc —
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
`5 l/ ,"t 10-432 00 Building Permit Fees
6b � G 1, 10--431 00 P'.umbing Permit Fees
r r... 10-431 01 Mechanical Permit Fees
10--230 01 State Building Tax (5%) 2 4, r,l 7 1 c,
Building
Plumbing _
Mech
10--433 00 Plans Check Fee Ifu L, _ C
Building
Plumbing --_
Mech
30-7.02 00 Sewer Connection - 0 0-
30--444
"30-444 00 Sewer Inspection rj Z.
51--448 00 Street System Dev Charge (SDC)
52--449 01 Parka I System Dev Charge (PDC)
52- 449 02 Parks I1 System Dev Charge (PDC) „2y -
31--450 00 Storm Drainage Syst Dev Chr•y (SSDC)
10---230 09 TRFD
10-230 06 Washington County Fire #1
10--220 00 Amar•t/Wedgewood J--`
TOTAL .1, ► i� �C � , �.j
REC N rLJ &',
APPLICANT SIGNATURE
Received By: — _ Vate Received:
ht/3587P/18P -