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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- -_ __-------_- --
Date Requested ,?Q Time _ A.M. P.M.
Address �G 7� rs __� Permit
Owner_-- - --- Lot .._____
Builder
The f/o�Jlgwing Building Code deficiencies are required to be -orrected: ,{.
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Presented to _ ____ _- __ Approved
Inspector r� V-tIisapproved
Date d
CALL FOR REINSPE(I'TION
❑ YES ❑ NO
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
7 .
Type of Inspection
Date Requested 3 O Time / A.M._ P.M.
Address v �.' 3 �-<� �J✓ _ Permit #_� t—� Z C
Owner _ Lot #
Builder
The following Building Code deficiencies are required to he corrected:
i
Presented to �App►ol dd
Inspector
h.:�.- -�- � ❑ Disapproved
Date
CALL FOR REINSPECTION
0 YES 1-:1 NO
KW1W1W1WW =0 mnannnn,
Xff
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INSPECTION NOTICL
City of Tigard Building Department
P.O. Box 2,397
Tigard, Oregon 97223
Phone: 639-4175
Type. of Inspection
Date Requested 11 me A.M. P.M.
Address 2 Irk) Permit
Owner Lot
Builder
The following Bvilding Code deficiencies are required to be corrected:
Presented to Approved
Inspector n M&approved
Date
CALL FOR REINSPECTION
0 YES 1-1 NO
F rar
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4115
Type of Inspection � �—LSC-•
Date Requested_._ _L_ — Time A.M.
Address _�.�' 2 7__ Permit # Sf
Owner_ Lot
Builder —)LII U f L.L'.�C�{� Cc)n s4 -- -
The following Building Code deficiencies are required to he corrected:
Presented to VIA
#roved
Inspector D Disapproved
Date
CALL FOR REINSPECTION
O rep O NO
CITY OF T16A RD F3U1L.0:EN(:.1* PERKET
('0TY OF TIGARD PEHAKIA' NO. SUFABOINF-1.6
COMMUNITY DEVELOPMENT DEPARTMENT 0"GoN
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oreqo.i97223.(503)639-41'5
DATE. ISSUEL 3/ �rF/88
PPJ:M . PMT.NO . 800926
,j()I:% ADDRE:55 : 10Y53 SW 3.1511--1 i-WE,
M6I:*-,/L(XT 1.S:1.:580 Fil.ff;! : PE:NN LAWN PIAP P.w> U1<
LAND U51:1: 1.411. 15
LST ZE V I)I. t JA I T ON Ar Fl:l. 0'7A 5 L'.I W A GK LS
VPONT : a 1. PE A 174 :51.
WOPK GLAEA : NEW (.)NJ:*Y'S : 1. r : 1.6 1=tUA-11 1.
I.K.AE: FYI:4,K : 51NGLE: FAMI'l Y NO ULDROL)MI : 1'3 LXl' WAL.L (AMS)i
(.ONST . Y'YPI::: . VN NO. BA'FIASi : :3 N 15 : I-.: : W
OCCUP .C.*;Pl:-' . P-3 PPO I . UIJEWLNG5 ,
LOAD N E. Ij
T01 Al- AWE"A :1.160
NO ()I f)I-Z*11" % '18 RLA.A., GUNS 1* : F11.4h. RIET*7
11L.A.I.1111 . e.?J. 2ND: a i? APEA PA*T'I;--I:):
FWAAFl N'T? 3141) : 51-i'V'AP' RA11N):
LOAD: "10 A 1:41 A G E: 5111,113 14. 1RE: 51:4410-4417 ALARM*?
FLOW((*.;[)M)
1061", 0 'E'lili"o
(-`LAN (:',k*.A1K 1:.*4Y :
PI OF NO .
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This permit Is Issued gLiblect to the regulations contained in Title 14 • NO . 3
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 hI
specifications and In compliance with all applicable codes and I. C.W 1::,.1.4
ordinances The issuance of this permit does not waive restrictive I OUNDA1 10N WALA. PA 1.N cm AT N(i
covenants Contractor and subcontractors shall have Current city f 0'.11 t; 1:3 1:::A 1"1 WATI:J4 L.1 NE:
business tax permits This permit will expire and become null and -1 E.4 UNDU11i'd.A14 (.,:I" ) Y APPI1111-1 9W
void if work is not started within 180 days,or if work is Suspended or
abandoned lot A period of 190 days any time After work has AL F: I:NAI_
commenced It shall be the responsibility of the pal mittee to fissure I11..L3 111,111:1001,
all required inspections are reqU?)led and approved.
Permittee Signature
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Issued By
t,l ICIN (,'k') 11 111i
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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P11-UMBING PEX.Mll
C17Y OF T'GA RDL,6I�Ma:'r NO . : PI ,880011:�`
Cl%=oARD DATE: 1SSUED: .15/ W/81,14
COMMUNITY DEVELOPMENT DEPARTMENT 1'44]:M . [:,M'I* .NO. 0808i.?6
13125 S W.Hall Blvd,P.O Box 23397,Tigard.Oregon 97223,(503)639-4175
'Y'AX M("P/l UT 1G0-3!56'11:) t51.I63: PE NN I—AWN PHS? LA -2!5 "K :
LAND tAiEK: 1:141.3
LUT !:i J:Z I.:
ITEM: NO: NO
WC PI( (A—ASS . NL W WAI E:A CLOSE T 3 1 PAP
USE" l'Yl::,E : SYN(I.-F F'AMIL.Y UWXNAI 1911(FLOW PPVN'rP
(:1(:)N5'1' . TYPlE:` VN L.AVOPA'TOPY (.I MAI— PRIME".14
OCIC."UP . UPF) . R3 '7110 S11-40WEP MAPS,
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GANSAGE
NO . 511)11;41E:Si 11401511ING, MAGHINE I
OWELL. . UNI'T'S : I ! AUND14Y I'PAY 1. RL DG: . LRAIIN ( U.I:()
FLOOP DPAI.N
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PF'.1MARKS
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This permit is issued Subject to the regulations contained in Title 14 1 It:('11 1 1 11.1) 114"11 -.11 1 (.1141,
of the TMC. State of Oregon Specialty Codes,zoning regulations 1:4
and all other applicable codes and ordinances, and it is hereby
agreed that 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 does not waive restrictive I t I OV-100 I
covenants Contractor and subcontractors shall have current city PAI:N DPA IJ 1(.1
business tax permits This permit will expire and become null and I NAI
volo if 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 he the responsibility 0 the permittee to assure
all required inspections are requested An, Approved
7/c
Permittee Signature
CAI.A. F-11.1114 11NI:W1 (' 1'10N 6,39- 411I. 7t5
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANICAL PEAM:L,T*
CITY OF TIGA RD PE RM11' NO. : MESH0H28
CON MUNITY DEVELOPMENT DEPARTMENT opfr�N An DAME: T5SUI-_,:D: 3 1
13125 S W.Hall Blvd.,P.O.Box 23397.Tigard,Orrqon 972Z%.,!�03)639-4175 PPY M . I-)M'r. NO. 880826
TAX MA",/L.01, 1.51 13 15 B 1.) "AW : F-)I.-::N N I r-iWN
L.AND OFIL: 11-14. 5 1-'1* :25 BK :
I JYT S;TZE:
WC) 11< GLASS : NEW NO NO :
AYR FIANDLP (to
USE *T'YPE : 51NGLA-K F'AWELY F'IJPN6(:'E :1.001<4- A11:4 HANDL A 10K
CON5'T . I'YK: : VN 1::L 0O14 FLIRNA(.".E
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RLIQ/(:OMlo <1*11:'' HOOD I.
NO. S'IT)PIAES : V 1MYNE.;*Wn'T011:411001`1
DWELL
GAsi I;t I P/It:10mr., '.3015OPF.,
r -J:IAJI:14 LIMA$'
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This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,toning regulations J) 31OW1E.(I"TJONS ✓-
and all other applicable codes and ordinances, and It is hereby (.:An) LINF.
7)
agreed that the work will be done in accordance with the plans and MWAM
Specifications and In compliance W"'I all applicable codes and 1401MA, - 'T N
ordinances The issuance of this Permit does not waive restrictive F 1 NAL
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it 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 Ihq responsibility of the perrnittee tonsstirf,
all feCiffired inspections are req .;led and approved
4u re'
*Wc)(3d
ise Si nature
1 1- 0 P I'NG P 1.11 N At f!:)
Issued 8 y
Issued fly
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r'l%.wl"T
PEPM1 I NO, li-E-600829
CITY OF T®67 RD -4 ii /(0
C"YOFTWAIRD DAIE ISSUED: 15 -.9/08
.Z.
COMMUNITY DEVELOPMENT DEPARTMENT 0 WON 11"APIM . Pm*r .NO. a(30826
13125 S.W.Hall Blvd.,P.O.Bou 23397,Tigard,Oregon 97223,(503)6394175
-,.J08 Al 55 10753 SW UUA NUMBEP: 35158
FAX MOP/I 01 :LSJ.Zf 5E)j:) SUP: PENN I-AWN PI-12 HK
I..ANDUSE- : 1-41(•I
1 01 SIZE, .
15ECT.LON: 35 Twrl m FING: w
WORK CA.-ASS : NEW
USE: TYPAE: GINGLA: P'Al"13:11-Y
1 11 rut at 13131.:L c al r l t t.t3 r'.;C)laP:l'g With fall I'l.13-41*10 lik"ICI 1"0191-0 its-I-A.cinio c)-P tfie LjI-Ii-r:j.4nCj
$ewv.,raqjrt Ago-mr.7y ,
Thiii, Permit expirem 12#0 dal.ylu from +.he dllsstw.� i!ufuclecl . 1*101 t 43 t al
it)Inc)1.111,11, P"A:J (i wi 3.1 be +C)r"f0i t(-*)d :1.f -Ll-irm t Jox r.)J I-evi y1le Aor-Mcy dr),mvi ncit qmitr—
A.1-1 the ac!cm I r att-Y c)+ the 1 l3cffi t J.1.11-1 a the midvi1 Iattoorial.%. I f thlo 1fi&:K-WCPI" ift;
cl c'41 t Ira(1 at t 1,h*1 0 011111.11*lo M*P I-I t fila.V(4111 1.1 Pi e r h
from thr'. cliontiall-licne giviia ll Hso t1-lim iniflitialler tuhall
itti-itl 5j.(11rp 1%,lim,mit mild Agetic'y wil'i. .11111t.101.1 v).
UNITS :
DWEL.-I...'ENG T'l::,1`4ANf TMPPOVEMENJ
NO Of 13LAA-J: . 1.
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W tilCl' P L I (:)NN6*.:G1'Ior4 Ipt1.00 . 00
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ar -?7E.!0P
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HI 111114 TPI NO.
This permit Is Issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes zoning regulations
frid -A other applicable codes and ordinances, and it is hereby F�t11- N
agreed that the work will be done In accord-ice with the plans and
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrirtivp
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 withij 1 180 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 permittee 10 115SUre
all required tnsper..tions re requests d approved
lqqtl(,.j NVA! 1 11`01-4 INSPECI ION 639 41,7.5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
in // r MINA"
CITY OF TIFA RD / PLAN CHK Af'F'L]CA11.UN —
( PLAN CH7C=CK N
CITYOFTIOAM) PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE -
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(50:1)8394175 _— _--
JOB ADDRESS: C)-;I S TAX MAP/LOT -
SUB. Vic_ Y�r. `RL-��-� E� /"o5 LOT: �_�� _ LAND USE
OWNER Ph ' J>94 g i ,6 SPECIAL NOTES
NAME: REISUE OFA:
ADDRESS: 4.f z_y gF• 1 V 00. PL, LAST REISSUE
?C'y4-(oa.Q 0f_- Cl ? 2-- FLOOD PLAIN/ --- —
SENSITIVE LAND:
PHONE: '2_7L! - Uff f t Ckx _LIJOCO —
APPROVALS RE's IRED
CONTRACTOR l PLANNING: _
NAME: _ y ccs _ CAO -- ENGINEERING: ----
ADDRESS: 1' 14 0 t-1 u FIRE DEFT
ti 11 OTHER:
PHONE: Z k - �-L� 3 31�1ger ii 2 $& ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINE \ n BUS TAX: y —
NAME: RN IPt�tr alio nom. 1 ('�v+� 1` r CALCULATIONS
ADDRESS: TRUSS DETAILS:
_ PARKING PLAN:
�— LANDSCAPE PLAN:
Pi!nNE: x4 � T— OTHER
COMPIENT i�,Q.�c .�3 ��1�.� •,��•r��
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PERMIT y ACCT H DESCRI^TION AMGUN-f AMOUNT PD. BAL. DUE
10--432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) �
f
Building —
Plumbing
Mech
10-433 00 Plans Check Fee
Building
Plumbing __-
Mech
30-443 00 Sewer Connection (20%) t7
30-202 00 Sewer Connection (80%) g
--- 30-444 00 Sewer Inspection 3-5 -
51-448 00 Street System Dev Charge (SDC)
52--4t9 01 Parks I System Dev Charge (PDC)
52--449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chr•q (SSDC) ;•4
10-230 09 TRFD (95%)
10--435 00 TRFD (5%)
10-230 06 Washington County Fire N1 (95%)
10-435 00 Washington County Fire N1 (5%)
10-220 00 Amar•t-/Wedgewood
NOTAL. _
REC N
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APPLIC T SIGNATURE
Received By: � Date Received:
ht/3587P
i
CIWOF TIFARD No. 31378
13125 S.W. HALL BLVD.
P.O. BOX 23397 Date
.1 4'0, — rIGARD,OR 97223
Name
Address
Lot Block/Map Subdivision/Address
lr '
Permit k's Bldg. Plumb Cash Check
Sewer Othe Other Rec. By
Acct. No. Description Amount
14432 Building Permit Fees
10.431.600 Plumbing Permit Fees
10.431.601 Mechanical Permit Fees
10.230.501 State Bld . Tax y
10.433 Plans Check Fee
30.443_ Sewer Connection
30.444 Sewer Inspection_
51.448Street Syst. Dev. Charge
52-449.610 Parks I Syst. Dev. Charge _
52.449.620 Parks II Syst. Dev. Charge
31.450 Storm Drainage Syst. Dev. Charge
10.430 Business Tax
10.434 Alarm Permit
10-227 Balt-- �_ •---_ --
10.455• Fines - frafficlMlsdlParking
10.230- CPTA TrafficlMlsdlVic. Aset.
10.458 Indigent Defense
30.122-401 Sewer ServlcelUSA
30.122.402 SHwer Service/City 30%
30.123 Sewer SevicelCity Malnt.
3 125 Unmatched
1.124 form Dralnagc�
47 -- Bancroft Prin.'Pymt.
I
40.471 � ancro tInt. Pymt.
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DEPT. ��_.