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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
J
Type of Inspection ' '!`.(1�
Date Requested '��'�"� ��,` Time_ A.M. P.M.
AddressPermit #
Ownc., Lat.#
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector ter --- 1.1 DisapprovFld
Date _✓�1L2�
CALL POR REINSPECTION
O YES C] NO
INSPECTICN NOTICE
City of Tigard Building Depart i
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection / V l!'l.t.
Date Requested _ Time-- AJ M _P.M.
Address Permit #.Y q�
Owner G�� LOt
Builder __
i
The following Fuilding Code deficiencies are requires to be corrected:
- . 7
r
1 _
Presented to /Approved
Inspector _.. 1[] Diapproved
�'ALI FOR REINSPECTION
❑ YEa O NO
i
INSPECTION NOTICV..
City of Tigard Building Depar,ment
P.O. Box 23391 e
1 igard, Oregon 972.23 Vol
Phone. 639-4175
r
Type of Inspection 2y-Y `04,-
Date
04,-Date Requested 1/Z—/�z9L _ Time A.M. P.M. /
Address -— G'4~3 c" S•` ,hV✓ - Permit #�� �
Owner_._ L,ut #_
Builder KI -rj?A c?,C NG' z
The following Building Code deficiencies are required to be corrected:
C � a7-nqc �4.
-��EL2 1l ov 1t)c= C�f�6ti�r7�ic r SC' ia7Z/aT7C��t
Presented to ❑ /*proved
Inspector �_� Diwpproved
Date
CALL FOR REINSPECTION
[i YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 �� d
Phone: 639-4175
i
Type of Inspection
Data Requested 3 Time A.M. P.M.
A �,
ddress ermit # `
,!
Owner--4 �)�-�� ] _ Lot #
Builder P4CSTAk e- 140 -..m—w,15 44'rZ ���
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector �-� ❑ Disapproved
Date _ .?
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9,,23 �"
Phone: 639-417b
Type of InspectionDate. Requested � — 3���(� �)ig/e
e A P.M.Address i �L� Q'
Permit #
Owner
Lot
Builder --
Thr `ollowing Building Code deficiencies are required to be con acted:
-----
-------------
Presented to
Approved
Inspector_
Date
Ej Disapproved
/
CALL FOR REINSPECTION
O YES E] NO
KW W or
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection '- " ---
"
Date Requested Time A.M. P.M.
—. �
Address �� • -- Permit
Owner -- ----- ` A #
Builder __ r�y ST"A { ,�++=.y -
The following Building Code .leficiercir 're required to be corrected:
- — "-
Jc vc—i`' ---
Z� in-.1r'1L 50 F-1--a-
21,
1-- Cd nuc .
Presented t0 Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YEs ❑ NO
INSPECTION NOTi:E
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone 639-417.5
Type of Inspection —
Date Requested___ _ Time_ A. P.M.
Address .1 i�?4k 5 vet J ��� � Permit #
Owner / Lot
Builder_ Z 4ac
( c-- -----
The following Building Cod deficiencies are required to be corrected:
Presented to Approved
Ins,'NCtor / "C C.I Disapproved
Date
CALL FOR REINSPECTION
0 YES 0 NO
C17YOFTIIFARD
PLUMBING PERMIT
�.�>l; FtRMYT NO. : FL892194
C1nroF tMw
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 11/38/89
13125 S.W.hall Blvd.,T.O.Box 23397,T.gard.Orugon 97223.(503)6394175
JOB ADDRESS: 16438 SW 189TH PL
TAX MAP/LOT 2S1 15 SUB: REPECCA PARK 1.1 :23 BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WCPK CLASS: NEW WATER CLOSET 3 TRAM
USE TYPE: SINGLE rAMII.Y URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP.GRP. : TUB SHOWER c" GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 DASHING MACHINE 1
DWELL.UNITS: LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/PAIN (FT i
OTHER
REMARKS:
FEEb:
w K.EHYON TOM PERMIT �144T.8N1
nI 14655 3W 65TH AT'T 17
BI TUALITAN OR FIXTURES
S'i ATE TAX $7.oO
---- ------- --------- 'J T H E R
C
01 N
WARNKE DEAN
T DEAN WARNKE PLUMBING
A , 6386 GLEN ECHO AVE.
C1 gladgtone or 97827
T PHONE (503) 656--6265
REGISTRATION NO. 52644 TOTAL: $147.88
This permit is issued subject to the regulations contained 1n Title 1.1 RECEIPT N0.
of the TMC State of nrngon Specialty Codes,zoning requlahons '------�
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECT IONS
agrt•ed that the work will be done 1n Accordance with the plans and PLB.UNDERSLAB
,pecificatlons and in compliance with all applicable codes and POST 8 BEAM
)rdinanrcd The issuance of this permit does not waive restrictive
ovenants Contractor and subcontractors shall have current city WATEk LINE
'nlsiness tax petmits This permit will expire and become null and PLB•TOPOUT
.oid if work 1s not started within 180 days.or 4 work is suspended or RAIN DKAINS
Abandoned for a period of 180 days any time after work has TINA
ommenced It shall be the responsibility of the permittee to a59Ure
01 required tions are requested and approved
7
G'r nndt a Signature
Issued By .�-�1� -f 43FF T116EiT�9�F 53�}-41f -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB:D ABOVE
www w w
OF
TIGA
MECHANICAL PERMIT
C11Y RDPERMIT NO. : ME892195
c oa* RD
COMMUNITY DEVELOPMENT DEPARTMENT ��� TE ISSUED: 11/30/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639.4175 P I M.F`MT.NO. 892161
JOB ADDRESS: 16430 SW 109TH PL
TAX MAP/LOT 2S1 15 SUB: kEBECCA PARK LT:23 BK:
LAND USE:
LO1 SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE (100K 1 AIR HANDLR (10
USE TYPE: SINGLE FAMILY FUR14ACE 100K+ AIF: HANDLR 10Y.
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : HEATER VENT FAN 4
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD 1
NO.STORIES: 2 BLh/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: ;1LR/COMP 15--30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30 .50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HF' OTHER 2
FIRE DMPRS? GAS PIPING OUTLEIS 1
HIGH PRESS?
_LIIWPRESS2 __�__
PEMARKQ:
0 FEES:
W KENYON TOM PERMIT $10.01.4
E 19655 SW 65TH APT 17 FLAN REVIEW $10.88
R TUALITAN OR FIXTURES $33.50
S1ATE TAX $2. 18
------- - ------- - - OTHER
C
0
N
T GENERAL FURNACE
A Po BOX 35
C Clackamas or 97015
0 PHONE (503) 656-0326
JR1 REGISTRATION NO. 816 TOTALS $56.56
I his permit Is iseued subject to the regulations contaii id In Title 14 RECEIPT NO. /(?`, -3�!1
,if the TMC, State of Oregon Specialty Cc des, zoning regulations -- -""" ------ .
and all other applicable codes and L;-dirances. and It is hereby REQUIRED INSPECTIONS
igreed that the work will be done in r„cordance with the plans and GAS LINE
•oecrHcations and in compliance with all applicable codes and POST R BEAM
ordinances The issuance of this permit does not waive restrictive
ovenants Contractor and subcontractors shall have current city ROUGH-IN
nosiness tax permi's Tnis permit will expire and become null and F INAL
,old if work is not started within 180 days.or If work is suspended or
abandoned for a pe•lod of 180 days any time after work has
ornmenced It shat!no the responsibility of the uermitlee to assury
ill required Inspec!lons are requested arid approved
/: ", �,7 ----�*
Fermdtee Signature
Issued By �3i ,1111-11?R -V,lz3 'FCTTtW"111-41
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
-- ------ - _ - -- SEWER PERMITC'TY OF TIGARD cm���PERMIT NO. : SE892196
COMMUNITY DEVELOPMENT DEPARTMENT calf" TE ISSUED: 11/30/89
13125 S W Hall Blvd-P.O.Box 23397,Tigard.Oregon 97223,(503)639-0175
P IM.PMT-NQ- 992191
JOB ADDRESS: 16430 SW 109TP PL USA NUMBER: 39130
TAX MAR/LOT 2S1 15 SUB: REBECCA PARK LT:2' BK:
LAND USES
LOT SIZE:
SECTION: 15 TWP: 2s RNG: lw
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
Th.: applicant agrees to comp.y with all rules and regulations of the Unified
Seweraqe Agency. The ourmit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency does not quar-
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at the measurement giver., the installer shall prosppct 3 feet in
all direction$ from the distance given. If not so located, the installer shall
purchase a "'ap and Side Sewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILD?NG SEWER IMPERVIOUS AREA:
FIXTURE UNITSi TENANT IMPROVEMENT:
DWELLING UNITS: 1
J`NO, OF BLDGS. : 1
PEGS:
w KENYON TOM PERMIT $35.00
L 19655 SW G51H API17 CONNECIION CHARGE $1.250.00 1
R !UALITAN OR LINE TAP INSTALL.
---- --- - ------
OTHER
c
n I
N KENYON IOM
T NOSTALGit. HOMES
A 1793;5W MC;EWAN
c F'ortland UR 97224
T
o PHONE (503) 620-5666
R REGISTRATION NO. 55633 TOTALt $1,285.08
1 his permit is issued subject to the regulations contained in Title 14 RECEIPT 140.
of the TMC. State of Oregon Specialty Codes.zoning regulations ---•------__--_._---
-
and all other applicable codes and ordinance,. and it is hereby RFnUIRED INSPECTIONS
at reed that the work will be..done In accordance with the plans and ROUGH-I�a
srl.clfications and In compliance pith all applicable codes and
ordinances The issuance of this permit does not .vwie restrictive
covenr-its Contractor and subcontractors shall hr,e 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 hes
commenced It shall be the responsibility of the permittee to assure
all rcrqu)ledFi it spections are requested and approved
Permittee Signati.re
Issued By 1
_INSt?E'CT?0'f7�,39=4275— -_
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
/ BUILDING REkMIT
CITY OF TIGA RF61 PERMIT NO. : PUB92161
Cn4.j AV
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 11/30/89
13125 S.W.Hull Blvd.,P.O.Box 23397,Tigard,Oregon 97271,1503)839-'175 2u un 89216 t
JOB ADDRESS: 16430 '"A 109TH PL
TAX MAP/LOT 2S1 15 SUP: REBECCA PARK LT:23 BK:
LAW) USE:
LOT :;IZE: VALUATION: $ 82,104 SETBACKS
FRONT: 20 REAR: 9
WORK CLASS: NEW DWELL.LINITS: I.FFFT: 6 RIGHT:
USE TYPES SINGLE FAMILY NO.BEDROOMS: 4 EXT.WALL. CONST:
CONST.TYPE: VN NO.BATHS: N: S: E: W:
OCCUP.GRP. : PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 1792
NO.STORIES: 2 1ST: 921 ROOF CONST: C FIRE RET?
4EIGHT: 20 2ND: 871 AREA SEPAR? RATEDr
BASEMENT! 3RD: OCCUP.SEPAR? RATEt:
MEZZANINE:? BASEM'T
FLOOR LOAD: 40 GARAGE: :380 FIRE SPRKL.R? ALARM?
FLOW(GPM) DETECT? YES
PLAN CHECK BY: rlt
REMARKS:
REISSUE OF N0.
LAST REISSUE
FEES:
W KEI4YON TOM PERMIT 6382.08
N 19655 SW 65TH APT 17 PLAN REVIEW $248.30
R TUALITAN OR FIRE DEPT
STATE TAX •19. 10
OTHER
DEVELOPMENT CHARGES:
KENYON TOM SDC(STORM) $250.00
N NOSTALGIC HOMES SDC(STREET) $600.Ef0
R 17937SW MCEWAN PDC(M1 ) $250.00
A PREPAID ! $100.00)
C Portland OR 97224
T PHONE (503) 620-5666
R REGISTRATION NO. 55633 (OtALe 11,649.40
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO.
- _ .._____
of the TMC. State of Oregon Specialty Codes,toning regulations REQUIRE D INSPECTIONS
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and FOOTING SEWER
specifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST R BEAM WATER LINE
covenants Contractor and subcontractors shall have current city
business tax perm's This permit will expire and become null and K'LB.UNDERSLAB CITY APRRGH/SW
void if work is not started within 180 days.or If work is suspended or SLAB FINAL
abandoned for a period of 180 days any time after work has PLB.TOPOUT
commen It shall be the responsibility of the permittee to assure FRAMING
all r aired spections err. re4iji4sted and approved_ FIREPLACE
OAS LINE
INSULATION
(/ GYP. BOARD
ermlttee Signature \�
Issued By9104-417- -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ANO' OF TIFARD
CITY OF TWA P' 1N CHL(:K APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK
13125 S W.Hall Blvd-P.O.Box 23397,Tigard,Oregon 97223.(W3)639-4175 \ � PERMIT #
j DATE T.SSUED
JOB ADI 2ESS: _ S�,/ /o/d J 7 -- I-AX MAP/LOT ,7S/
SUB: �FCGfI �ZI LOl : _ - 2r�_ _ LAND USE: _ -
VALUATION:
OWNER �.- SPECIAL NOTES
NAME: /0")- Ike,n
LCel&.0 19 e7 REISSUE OF:
ADDRESS: /253:2 5 N *2 e 6 w A r1 5!//T,. 220 LAST REISSUE:
�r TL.An T� rlt- 2X FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: y05TA/�i �/a»ks LSCyG �o62 C-+j�, aNGINE URING:
ADDRESS: /7-537 S.✓ l f ~,#-n S r.s- Z 2 0 _ FIRE DEPT
472R 57 2 Z-V -- OTHER:
PHONE.: 6p0 S444G _ ITEMS REQUIRED_
BUILDERS BOARD M: 6211 '1_ EXP DATE: LP-/6 -�OLIST/SUBCONTRACTORS:
3 3 BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME: "4 L'+W _ TRUSS DETAILS:
ADDRESS: 15/t_ .A/ Al ¢3„�,�D— �4y N V� OTHER:
Per?L A-v. � OL2 5 72/ a
PHWE: —-' /
COMMENTS:
SUBCONTRACTORS: PLUMB: L - CH: n N<-C-
L'
• •G•yy � -a"`.� -yp;r �.-the-b�- /���/Z `�jb
PERMIT N ACCT M DESCRIPTION AMOUNT AMOUNT PD. BAL. Dkj ,
V� , 10-432 00 Building Permit Fees _ _; � ==
17(1 10-431 00 Plumbing Permit Fees_!._ �=
10-431 01 Mechanical Permit Fees r
10-230 01 State Building Tax (5%)
Building
Plumbing s� "f
Mach
10-433 00 Plana Check Fee
Building -
Plumbing
Me 01 i
:11 30-202 00 Sewer Connection
30-444 00 Sewer Inspection ? 5
51-448 00 Street -stem Day Charge (SDC)
52-449 00 Parks System Dev Charge (PDC) .i :+ '�
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) .11J _
i Z
10-230 06 Fire
TOTAL (/ l—i •(rs: (i
APPLICANT SIGNATURIf
Receivad By: Date Received:
cn/3587P/18P