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INSPECTION NOTICE Ado i(` 01)x'
pr F�-dwd,O,er y' /*a
City of Tigard Building Department X ,.r. Tb Cr�R�w/�,•4K
P.O. Box 23397 per occ�SSCPd.Ii• G
Tigard, Oregon 97223 2r-rZ c l,oiz,,v,/9
Phone. 639-4175
Type of Inspection r'1 i la
Date Requested L� �y — 1 Time A.M. �qr% P.M.
Address �/ %C, S(/V �L�-7 Permit
Owner_
the fnlln-.uing Building Code deficiencies are required to be corrected.
� o,Y, �rT
-700,7
_ 9-12K) N - --- - -
4./ b
Presented to -- Approved
Inspector I Disapproved
Date
CALL FOR REINSPECTION
YES A NO
■
rit.)Ill DING PE'PMI1
PL.'RMIT NO. : BU8816541
CITY, OF ����RD C11YOFMARD
COMMUNITY DEVELOPMENT DEPARTMENT 09100H DATE. :1.2/20/88
11125 S W Hall Blvd P 0 Box 23397.Tigard,Oregon 97223,(503)639-4175 1,1:13:M . 1::'M r .NO . f3El 1.bpi�I
—-----------------
J013 ADDPI "i'li : 1641741 ! W 1.0471-1 AVE
,TAX MAP/1 kil 2S3. IZIFA.-* 1,3600 F-A)13: SWANSON!i LI . 7 UK
I.-AND U!:.iK : 1.11.2 P 1)
VAL 1.101 TON 4i 1501 6*7 %F.MACK`
F PONT: i'0 PlEAP: 1 1
W11:1114K (:A..AS!;1 . NEW DWEI.J... .UNI'TS : 1. LEFT : 5 14 1 GI--I r
IS
L I S;U., 1 11'P F: '1iTN(*.'AJ.: FAMILT'. t"1 . St.' �1141001` 3 EXT .WAI-1- (;ONSI
CX)Nlil' I Y*PL. : VN N0 . #:.;A,r 1.4 r5 r N U. : W
P3 PI:W'11 .OPF..N ING$ :
[:)("X,LJII:*, I OAD N: S : E : W .
'11 01'r'll... Apr-!.*F,l 1.Oei2
N U . G TO R*1 E!:i i vsi r: 1.09 1140OF (:'ONST : G
I-II.;.I G'I 1,251 N D APEA Fir-1PAR7 WA 11:01.) :
HA�H::.MENT? 3PO : Olt"(::UP . IIIi-il)(4141? PA
MI:.:7..ZAN3-NF.::? BASEWl'
IL I UOR 'el j 380 1-*,,,l:r4E: fif:44M.-P"?
r!'L.UW((.-,PM)
I--IUA*r I YPE :
G A5
I'L.AN LIY :
PFA,!:i 51.114 (:W MO . EIE30A02,
I.J-Yi T' 61;)1.6:9.3
0 1: M0I:'&.-',0N f'fi 4a1 1 1 *286 - 00
W
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E 'J OFIA I III
R 111'1 1 30
i I f I I:!
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0 MOPGAN )I TI i 1(1::2!!;0 0O
1`4 'ITION PMIPEPIAJ.t:S 1W.I . Y it 1 141 1 . 1 1 10600 00
T
R 1,11 F.)OX 6(135 11-1-.2 $P50 . 00
A P 1')'!'007 e.,H 3!`) (%)`1 F%r A 1,1.) < $110 . 007
C
T I HOW:: I r0?s) 6(:3"j.4-6606
n T(IN NO f('111011, $ ;:;4116 . i.'0
R
NO . o 6' 7
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations fol i li I I.I:tl*1) 1
and all other applicable codes and ordinances and it is owroby I t it) I f41. SiEWL 1:4
agreed that the work will be done,n accordance with the plans and i
specifications and In compliance with all applicabir. codes and )I INJ6 I J.uN WA1.1 PAIN DIIATNt';
ordinances The issuance of this permit does not welve restrictive P(0i I '6 UEAM WrYFLP 1 1 NI
covenants Contractor and subcontractorr shall have current city I 0 tINI*jEP5LAR 11.3 y Alit N I I ',I.)
business tax permits This permit will expire and trincome null and I r11:> I- 'I.NAI-
/old if work Is not started within 180 days,or if work Is suspended or 1.1
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the prrmiltee to assure I I 10M 1.N(.
all required Inspections are requested and approved I I I I 11-olf., .
I N"i I 11, 0 1 11)N
HOAAD
pp)�et fnitt gnature
Issued By A I -L-1I11
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Oil
CITY OF TIOA RD
%Ai�LRD PERM1T NO . : SE'
(MY TIMM
COMMUNITY DEVELOPMENT DEPARTMENT 0111111-01"I
13125 S W Blvd I'U.Box 2339t I (lardl Owqon 97223 (,031!,39 417`, DATE ISSUED: 12 20 69
A001*1ESS : 1647.1 SW 11.041TH AVE: UGA NUMBEP : 0371.2.11.
AX MAP/I.-OT Psi- 1.188 9.."3600 EaUD : 5WAN50N!5 GL..EN L.T ; *17 DIK
L.AND
I OT S3,ZF::
511EC' UJIN : 14 I'WP : 2M PNG ; J.w
WORK CLAS5 : NEW
LIGh'". TYPE: GINGLA.: FAKELY
ilqjl'oem 'to r.iumpl.y witl-ii a0.1. aLtrid rrwgLiJ.A&-iJurwiu of 'LIM1 1.111J.-Il'i.ed
S*Pwlvaragrma Agorlc:-y pol"InJA wixpti-e,m 120 daym -Ilr-c)ni the da-Le J.16ist.ted , rI.,e t 3 t in."I.
J.-F t-hio? I:)VeI.In:lA OX0.1"O.M . TI'Mr! I'lot giiiiil.r
mri-t-e-,*a tho me^r.-urar,-y of thvp Toon t.i.on of MIG? loicic' tnew': .I:+ Vie ffi*:,W*"r' i'th
liot :Iocal,imd n.t. thiia inwuml.11'roiniol-11, fAivoill , 0141) irilliud.,10I.- :LrI
m1:1. fi-min t'hal dj'qit'arire qji.vori . Tf I-lut it;(:) 1ociat'faicl , thu, i.rt ist,m].1.rar toh1n1 .l
1101'UhRILIN ' In. ULIICI 5:1.cllra Swwor"' Pwri"J.1, Ilki-Id thea Oc"Peric!y WJAA.
INSTALL. . TYP.E : BUILMING SEEWEA 11"IPEAVIIIJUG APEA;
F1XI"LINE LINI'TS : 'TENANT 1MPl.K)VF:MF:.*N'I
L.Mr-11.1,ING UNT T'S 1.
0
W
N F41 1-_::A K M0IW*.-',AN PEPIVIXT 114 A.5 00
E 1:.'(:) BOX 683..1) CONNECTION GHAAGE 1111 ."L 00 00
R ALL)HA (71.4 LJNE* TAP :ENSTALL..
C OTHEA
0
N I3LI::.'AI( MOACiAN
T
R
C A F)E) r.-WX 61335
T AL-01-16 OP 9f001 68'3111-i
0 PHONE R
11 (3 T AL. : di I I ti:,I
This permit Is issued subject to the regulations contained in T ille 14 PELCUP'T NO
of the TMC, State of Oregon Specialty Codes, Tuning 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
specificatiorit; and in compliance with all applicable codes and 11011 1N
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current ulty
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 respinsibility of the permittee to assure
all requited inspections are requested and nporoved
Issued By
SEPARATE PERMITS REOIIIRED FOR WORK OTHFR THAN DESCRIBED ABOVE
PLAAMEANG I-1EPM11'
CITY OF TIFA RD C, �� D PIE'RMT I' W.) F"I 88233AI
COMMUNITY DEVELOPMENT DEPARTMENT offooN
13125 5 W Hall Blvd P O.Box 23397.Tigard Oregon 97223.(503)639AI75
JOB 1.6,"111 SW :1-04111 AVE.
'TAX MOP/LAY) JADD :1,3600 SUB: 5WANSONS
LAND USE:
:1, 11:M : ING . NO :
WOW CLA5i : NEW WAI I*A.4 C'1-0!i EA 2 1 PAV,
'1 010-1 OW 1*)PVNTA
USE 5ING1 E FAM11-Y UPINoL
CONST . l'Yl:"1::: : UN I AIMPA-1,A)RII, k, 'T PAP PAIMEA
(XICUP GIPP . : W"'S 'ruiiiI i? 1,146ps
DISHWASHE'A :1.
GIA 1:1 U.4()C1 E: 11CIL-443SA- 1 :1.
ND. 5*1 OPT F::!!) 1. WASHING, NACA-11'.Nk' J.
11WEA L 1.'N'1:Yi!5 1. I-OHNIN-4Y TRAY 141...D('., . DPAIN ( D:'I:A
FIA)CM 1:)[WI.
'31NK 1. 5I:::W( P, (I::-Y
WAIEP 1. "ITOPH
0 II
Vv
N L"ILL K M01A AN
E 1::'(:l 9M 601V5
I I X I1.30"'
1�. TAX
C
0
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I<I: 1`4
T
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0
H itVIAL : $1.1"
This permit 15 Issued subject to the regulations contained in Title 14 N('.)
of , —MC. State of Oregon Specialty r;odes.zoning regulations
and , other anplicable codes and ordinances, and it Is hereby I I I i I t'I 1 1 1 1 J I f i 1 11)N!ii
agreed that the work will be done in accordance with the plans and I If 4D L Is!
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrir:tive I;F
covenants Contractor and subcontractors shall have current city kdt j-f,jl
business tax permits. This permit will expire and become null and
void If work is not started within 180 days.or it work Is suspended or I I J DPA 1:N
Abandoned for a period of 180 days any time After work has
commenced It shall be the responsibility of the permittee to Fissure I NAL
all required inspections are requested and approved
Permittee rialul.,
14VA
Issue[, By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED APOVE
ME:CiAJ:(� PE RM
CITY OF TI67A RD CM441�Lftlllll I-:+-"PM1TNNOAl— MEAIEIP336
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 0"1 E: PiSUED: :12/150/(36
I ri . I--M I .N 0 . U i:J 1.6 t1i 21
1.6,elyq j5w .1 (-)vl::,
J08 ADUPIL,�Sfi
I'A X MAI:' L.0 V Ptii J-elpr., 1.3600 151.31--1: !:jWANIA)NI:i GLUN 1..T : 17 DKI
I ( ND USE 1:41.2P 1)
I (TI
TTEM : NU : NU
LIPINIA("E' <I.OOK ASR HANI.A.14 01.0
WORK LLA5111 : Nk%'W
5 E.. YYVIE" : !:i'.LNGIA.: FAKIA.-Y I:.t IPN -ICE :.00I<+ -11P HANDLI:,1 1.01<
(.'(JN'!iT . *1 YPE. VN FA JOP F*UPI`4A(1A1
Eve-)r, c.xjuJI.J:,I--!
R3 1-1 r:AT U.01 VEN 1, 1.-(IN
k I F'.N 1
F31 R/CXJr1I:,* 1-1(:1(:)1:) 1.
NO . 1:i T01-0 115 3, 1-:1..N/('110MI '151AP LN(A*NI-:.I-4A'1*0P I DUM
DWEA.A. I1N.11. 11:i : 1 EA.-H/GOM V, 15-301-11-:1
I**Ur"J... TYVIE' ("A", H 1 1:4 111 GUM 1::, 150 501-11=, UNT15
.: .4 1 AE'R
MAX . '.I:Nl;*,tl*y* PA I CA)MI.) 5 04-H I. UTI
1 1P,It:: DtIPPIU,'e P''1 VIT NG IT.!I I L:1 5 I.
I11.K411
.........
0
W .41:1.0 00
N
F F:OX f,k-j A,:, I 14i 1 I.id
(IL Of 1([ 11, 1 I,XTUPE, 4107 . 150
11111 f AX $1 un
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R Ill .1 1 1-11%0 1 1 t K I M,
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R IY1 I I LIN NJ- /I-'I Z 76
This per mit is issued su blec I to the regulations contained In Title 14
of the TNIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed Iiiat the work will be,done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit dor,1 not waive restrictive
covenants Contractor and subcontractors shall have ;urrent city 1 11 11 1 1 IA
business tax permits This permit will expire and become null and
void it work Is not started within 180 days or it work 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 Fissure
all required inspections are requested and approved
Pe :it e, `;1(1,), irr
IRSUed By
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
c
PLAN C:HEGK APPLICATION
CITY CSF TIGARD ��.
/ PLAN CHECK �
COMMUNITY DEVELOPMENT DEPARTMENT, ;,,' � oina�►+ / PERMIT N
1suisvv W@W�.o�..rxsa.t .�+eM"oP�ttio01 17s . DATE ISSUED
.108 ADDRESS: -IrA�-40��� _...__ TAX MAP/LOT �,�,[—/�114�3��G()
LAND USE:
t_07
Skill f�jjllYfd L=1i`
VAl_UA'rION: -
OWNLR SPECIAL NOTES
NAME: T /�i�� !� '� REISSUE OF: is F
FLOODRPLAIN/:
FLOUD PLAIN/
_ SENSITIVE LAND:
APPROVALS RE UQ IRED
t',GNTRAI:TOR PLANNING: —
NAME - ENGINEERING: —_
ADDRESS: - -~r FIRE DEPT —
��� �~ OTHER:
PHONE . — ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/E.NGINEERBUS TAX:
NAME : — CALCULATIONS:
ADDRESS: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PNONI r OTHER: —
COMMENTS: _ —_ ---
PERMIT N ACCT 11 OESCRIP'EION AMOUNT AMOUNT PD, BAL. DUE
5� 10--432 00 Building Permit Fees c (y,�_
10--431 00 Plumbing Permit Fees U
10--431 01 Mechanical Permit Fees 50 7 50
10. 230 01 State Building Tax (5%) •� - _ 121
Building
Plumbing
Mech
10- 433 00 Plans Check Fee � .......
Building
Plumbing _
Mech
154?- 3Si 304-202 00 Sewer Connection 1100
30--444 00 Sewer Inspection _ T _
51--448 00 Street System Dev Charge (SDC) _&'v_
52-449 00 Parks System Dev Charge (PDC) 5d
31-•4b0 OO Storm Drainage Syst Dev Chrg (SWC) _ ASO
10-230 09 TRFD
10-230 06 Washington County Fire 01 (95%)
10 -220 00 Amar•t/Wodgewood
10-rAL a��.S�LV✓ _..S��_-_ �����V U
REC
APPI C r S 16NA I URE:
Reuvived Ely : _.�._ Date Receiuedc
�•n/3'+111P/lOP