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INSPECTION NOTICE
City of Tigard Building Departm, nt
Budding
P.O. Box 23397
T.gard, Otegon 97223
Phone: 639-4175
Type of Inspection
Date Requested �>,4 Time /,L A.M. P.M.
Address Permit
Owner Lot
Builder
The following B ding Code deficiencies are ,,equired to be corrected:
Prw-.9rced to Approved
k -jector Disapproved
1';ate
CALL FOR REINSPECTION
YES I--] NO
i,
i
I
I
I
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 /
Type of Inspection ��.
Date Requested Time A.M. _P.M.
Address Permit
Owner _ Lot #—
Builder
The followirf uilding Code deficiencies are required to be corrected:
111�CLU" C1 12 AQ
Presented to —__ k1VA _._ INApproved
Inspector _ L'—)
❑ Disapproved
Date 1 — 2 `0-0
CALL FOR REINSPECTION
El VES K NO
it
i
INSPECTION NOTICE
City o° Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — Z46
Date
Date Requeste/d—__t I '-7Q Time__�_ AN. P.M.
Address __L_L1 ._L! lc / Permit #
Owner Lot #
Builder
The following ilding Code deficiencies are required to be corrected:
Presented to�— pro�}'�proved
Inspector /1 _ El Disapproved
r "
elf-
Date y '
CALL FOR REINSPECTION
E:J YES 0 140
kini � � a
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date RequestedTime A.M. P.M
Address 1 r ' ` Per #
Owner
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ —_- -_.— Approved
Inspector _- _ U Disapproved
Date
CALL FOR REINSPECTION
M YE!!; ❑ NO
i
INSPECTION NOTICE �
s�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
Time A.M.—7V/--P.M.
Address /) � L.,�� Permit
Owner Lee #
Builder —
The following Building Code deficiencies are required to be corrected:
i
1.
— d
Presented to Approved
Inspector / ( I Disapproved '
Date _ '� 92CC• —
CALL FOR REINSPEC77ON
C❑ YES LA NO
- 1
i
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection /�'—,C, ------
Date Requested ' Time A.M. P.M.
Address _ .' � l(2 S� �_� —>
Permit # K�ZyZ-P
Owner _ ___- Lot #
Builder -----..__---
The following Building Code deficiencies are req,lired to be corrected:
r
IiI
Presented to iJ Approved
a
Inspector __� __ _ �.� Disapproved
Dat!!
ALL FOR RG'IMPECTIOA'
F1 YES l _1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigaid, Oregon 97223
Phone: 639-4175 ll
Type of Inspectior. .-'g C •/L--� _
Date RequestEd k-- n. A.M._ P.M.
/l
Address �� �� ��5 �Cr2 C� Permit # �~�
Owner_.__. Lot #
bailder_
The following Building Code deficiencies are required to be corrected:
Presented to Approved
9Inspector ,(� �.5�- / Disapproved
Date
CALL FOR REINSPECTION
❑ YE1 ❑ NO
r
INSPECTION NOTICE
City of Tigard Building Department
P.C. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspections
Date Requested,--L!ti 11 lel<<�' Tlme A.M. —P.
Address _ 1
Owner -
Lot 4k_
Builder —
The following Building Code deficiencies are requ;red tc be corrected:
Presented to _ LJ Approved s
�{7
Inspector _-_ ,�,,.�,,T F1 aapproved
Date
CALL FOR REINSPEC7":ON
❑ YES ❑ NO
INSPECTION NOTICE 1
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 t
V
Phone: 639-4175
Type of Inspection
i
Date Requested / Tir�tta A.M. P.M. (�
(
P
Address _� _ / i� t'►
Owner Lot #
guilder ---
,t
The following Building Code deficiencies are required to be corrected:
e
-- ------- -----
- - K
Presented to + Approved
Inspector - - — 1 Disapproved
Date —
CALL FOR REINSPECTION
[] YES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department G
P.O. Box 23397 �
Tigard, Oregon 97223
1 JPhone: 639-4175 J/ -n•�
Type of Inspection ----
Date Requested Ti A.M. P.M.
Address// I a'` _ Permit
Lot #
Builder -----
The following Building Code deficiencies ere required to be corrected:
G �
Ac
1�
V ~
!.
r
Presented to ❑ Approved
Inspector *�Dlsapprjved
Date
-"f
CALL FOR REINSPECTION
YES [-A NO
i
i
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -
Date Requested �' � -� I- — Time X— A.M._ P.M.
Address v 1�2� -�� �✓ Permit
Owner Lot #
Builder L6'L 1' '-�- -�
The following Building Code deficienciels are required to be corrected:
Presented to __ ___ _ Approved
Inspector f� I Disapproved
Date --
CALL FOR REINSPECT fON
F1 YES 11 NO
i
I
i
i
INSPECTION NOTICE
City of Tigard Building Department
(�/(1 P.Ci. 2-x 23397
Tigard, Oregon 97223
ale Phone: 639-4175
Type of Inspection �����=— C- 4�—
Date Requested Pima A.
Address — ZZ /,2 3rd �� Parmit #_
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �'I Aprnoved
(u
Inspector _ Disapproved
Date
CALL FOR REINSPECTION
YES ❑ Nk.
I
CITY OF T167A RD �� BUILDING PERMT
t PERMIT NO. : PU892029
CITY OF i16ARD
COMMUNITY DEVELOPMENT DEPARTMENT ° D E ISSUED: 10/ 6/89
13125 SV.Hall Blvd..P.O.Box 23397.;igard.Oregon 97223,(503)639-4175 'F I M.PMT.NO. 892029
10P ADDRESS: 1.1110 SW 123PD F'L
TAX MAP/LOT IS] 34CP 9500 SUP: ANTON PARK LT: PK:
LAND USE: R7PD
LOT SIZE: VALUATION: 4 76,301 SETPAUKS
FRONT: 35 REAR: 12
WORK CLASS: NEW DIJELL.UNIfS: 1 LEFT: 5 RIGHT: 32
USE TYPE: SINGLE FAMILI NO.BEDROOMS: 3 F..XT.IJALL CONST:
CONST.TYPE: VN NO.BATHS: 4 N: S: E: W:
OCCUP.GRP. : ' 3 PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 1710
SO.STORIES: 2 IST: 853 ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: 857 AREA SEPAR? RATED:
BASEMENT'? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? HASEM'T
FLOOF LOAD: 40 GARAGE: 490 FIRE SPRKLR? ALARM"
FLOW(GPM1 DETECT? YES
L HEAT TYPE: GAS HDCP.ACCESS? CORR?
PLAN CHECK BY: r1t
REMARKS:
RE I SS!JE OF NO.
LAST REISSUE
FEES:
vW JUNGKIND WERNER PERMIT 1#364.00
N 8105 SW 68TH PLACE PLAN REVIEW 4236.60
R portland or FIRE DEPT
STATE TAX 418.20
_ OTHER
C DEVELOPMENT CHARGES:
O JUNGKIND WERNER SDC(STORM) $250.00
N WERNER JUNGKIND I SDC(STREET) 1
T 600.00
R 8;,w5 SW 68TH PLACE PDC(#I ) $P50.00
C port land or 97223 PREPAID ( 4100.00)
C
T PHONE (503) 254. 8577
R RE.GISTRAIION NO. 14410 TOTAL: 41,618.80
--- RECEIPT-NO.
Ttas permit is Issued subjec!to the regulations contained In Title 14 --__—__
of the TMC. State of Oregon Specialty Codes,toning regulations REOUIRED INSPECTIONS
and all other applicable nodes and ordinances. and it is hereby FOOTING SEWER
agrr,ed that the work will he done in accordance with the plans and
speoihcations and In compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The Issuance of this permit does not waive restrictive POST 8 BEAM WATER LINE
:ovanants Contractor and subcontractors shall have Current city PLP.UNDERSLAP CITY APPRCH/SW
business tax permits This permit will expire and become null and SLAP FINAL
void if work Is not started within 180 days,or if work is suspended or PLA.TOPOUT
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure FRAMING
all required i ections are requested and approved FIREPLACE
GAS LINE
INFdLATION
Permittee Signat it GYP. BOARD
Issued By LALL FOR INSPECTION 639-4175 J
G
SEP(.RATE PERMITS REQUIRED FOR worx OTHER THAN DESCRIBED ABOVE
■
CITY OF T167A lr MECHANIC.: PERMIT
RD
*�\
PERMIT NO. : ME892061
CITYOFT ARD
COMMUNITY DEVELOPMENT DEPARTMENT °"°°" D .E TS5UED: 10/ 6/89
1 1115 S.W.Heli B!vd..P.C.Box 23397.Tigard.Orrgon 97223 (503)639-4175 �;I M.r,MT T.NO. 892029
JOB ADDFt 7SS: 1.1110 SW 123RD PL
TAX MAP/LOT 151 34CP 9500 SUB: ANTON PARK LT: BK:
LAND USE: R7PD
LOT SIZE:
ITEM: N0: NO
WOR!! CLASS: NEW FURNACE (100K 1 AIR HANDI_R (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDLP .10K
CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER
OCCUP.GRP. : R3 HEATER VENT FAM 4
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD I
NO.STORTES: 2 PLR/COMP 3--15HP INCINERATQR(DOM
DWELL.UNITS: 1 BLR/COMP 15-39141' INCINERATOR(COM
FUEL TYPE GAS DLR/COMP 30•-50HP REPAIR UNITS
MAX. INPUT PLR/COMP 50+HP OTHEI'. 2
FIRE DMPRS? GAS PIPING OUTLETS 1
--- HIGH PRESS? _ -- — -- --- - --- W— -- — r
LOU PRESS?
REMARKSt l
need contractor dumber
FEES:
O JUNGKIND WERNER PERMIT :10,00
N .105 SW 68TIl PLACE PLAN REVIEW $10.88
R Portland or FIXTURES E33.50
STATE TAX, $2. 18
_ OTHER
T V
R
A
C
T
O
R TOTALII $56.56
�UJr�n
This permit Is issued subject to the regulations contained In Title 14 -.-_________RECEIPT NO.
of the TMC. State of Oregon Spec,ariy Codas. zoning regulations REQUIREb INSPECTIONS
and all other applicable codes and ordinances. and it is hereby OAS LINE
Agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and POST d BEAM
oidintinces The Issuance of this permit does not waive restrictive ROUGH-IN
covenants Contractor and subcontractors shall have current city FINAL.
business tax permits This permit will expire and become mill and
void it work is not started within 190 days.or if work is suspended or
abandoned for a period of 190 days any time after work has
cornmrinced It shall be the responsibility of the permittee to assure
all required nspections are requested and approved
11
Permittee Signat e
Issued By. ICALL FOR INSPECT?ON_6339-.4175 _
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
SEWER PERMIT
CIIYOFTIFARDP _RMlT NO. : SE892062
CITY r f TWA RD
COMMUNITY DEVELOPMENT DEPARTMENT D E 1 ZSUED: 10/ 6/89
13125 S.W.Hall Blvd.P o.Box 23397,Tigard,Oregon 97223,(503)6394175 RI M.PM T.NO. 892029
JOB ADDRESS: 11110 SW 123RD PL LISA NUMBER: 39078
TAX MAP/LOT 1S1 34CB 9500 SUB: ANTON DARK LT: RK:
LAND USE: R7PD
LOT SIZE:
SECTION: 34 TWP: is RNG: 1w
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant agrees to comply with all rules and requlations of the Unified
Sewerage Agency. The permit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency dues not guar-
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at the measurement given, the installer shall prospect 3 feet in
all directions from the distance given. If not so located. the installer shall
purchase a 'Tap and Side Sewer" Permit; and the Agency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. : 1
- — -_-_.____----------- -- - FEE 5: -—---- ------
o JUNGKIND WERNER PERMIT $35.00
N 8105 SW 6ST14 PLACE CONNECTION CHARGE $1,250.00
E portland or LINE TAP INSTALL.
R
OTHER
C
JUNGKIND WERNER
N WERNER JUNGKIND
T
8105 SW 68TH PLACE
A portland or 97223
T PHONE (503) 254-8577
R REC*STRATION NO. 14410 TOTAL: $1,285.00
------------------- -- RECEIPT NO.
This permit Is Issued subject to the reguiationscontained in Title 14 --•------•----•---_____
of the TMC State of Oregon Specialty Coues, toning regulations REOUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby ROUGH-IN
+greed that the work will be do•ie in accordance with the plans and
pecifir.,ations and in nmplia we with all applicable codes and
rdinances The issuance of this permit does not waive restrictive
ower ants. Contramr and subcontractors shall have current city
,,usiness tax permits This permit will expire and become null and
ud if work is not started within 180 days,or if work is suspended or
handcned for a period of 180 days any time after work has
urnmencod It shall be the responsibility of the permittee to assrire
ill required it coons are requested and approved
f'
VV✓ ' l
Pornuttee Signatu
Issued By CALL FOR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
PLUMPING PERMIT ✓
PERMIT No. : F'L892060
CITY OF T167A RD
CIIVOF F ARD
COMMUNITY DEVELOPMENT DEPARTMENT D E ISSUED: 10/ 6/89
13125 S W Hail Blvd.,P.O Box 23397,Tigard.Oregon 97223,(503)639-4175 I M.PMT.NO. 992029
JOB ADDRESS: 11110 SW 123RD PL
TAX MAP/LOT 1S1 34CB 9500 SUB: ANTON PARK LT: BK:
LAND USE: R7PD
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL EIKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP.GRP. : R3 TUB SI40WE.R 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNITS: 1 LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKS:
need contractor number
FEES:
JU11GKIND WLRNER PERMIT $1.40.00
N 3105 SW 68TH PLACE
E portland or FIXTURES
R
STATE TAX $7.00
OTHER
N
T
11
A
1
TOTALff $147.00
Fa
RECEIPT NO. 1454P 4)3
This permit Is issued subject to the regulations contalned in Title 14 ---------------•------
of the TMC. State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances and it is hereby PLB.UNDERSLAB
igreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable codes and POST R BEAM
)rdinnnces The issuance of this permit does not waive restrictive WATER LINE
nvPnants Contractor and subcontractors shall have current city PLB.TOPOUT
huslne.ss tax permits This permit will expire and become null and RAIN DRAINS
void if work Is not started within 180 days,or if work is suspended or
ihandoned for a period of 180 days any time after work has FINAL.
olnmenced It shall be the msponslbility of the permittee to assure
ill require nspections are quested and approved
U�"
Permittee Slgn ure
Issued By 1` CALL .FOR. INSPECTION I-qN-639-117 J _
SEPARATE PERMITS REQUIRED FOR WORK OTHER 'KHAN DESCRIBED ABOVE
!� mum
PLAN CHECK APPLICAT ONS /
clTYOFF16ARD u�+ro(tr+cn PLAN Cf1EC1C a 4�
PL:RCIIT (( f�U
COMMUNITY OC_VELOVMENT�s m� i , ` DATE YSSUCO _-
�
YAX MAP/LOt
JOB ADDRESS: D LOT: _ _- LAND USE: — ---
SUD: t
VALUATION: �— SPECIAL NOTES
owNi=R �� 1 u N 1 N D _ REISSUE OF:
�l L CAST REYSSUE:
ADDRESS: S 5 Z2 3 FLOOo PLAIN/
L SENSITIVC LAND: —
P1tONE: APPROVALS RE9ULRE0
- PLANNING: _ --
OONTRACIOR /1 I1 p ENGINEERING:
NAt4E: FIRE DEPT
ADDRESS: OTHER:------------
- -
' ITF11S REQUIRED
pf{ONE- _ LIST/SUOOONTRACIORS:
I3US TAX: _—
ARCH/ENGINEER CALCULATIONS:
NAME: - TRUSS RETAILS:ADDRESS,. PARKING PARKING PLAN: _
LANDSCAPE PLAN: -
- OTHER:
Pf{ONE
00f'C1CMS: __ --------
AMpUNT AMOUNT P0. GA-LL.. DUE
PERCIIT 0 AOCT It
0[SCRIPTTON
C 10
32 00 Building Permit Fees �- v
�11U< 10131 00 Plumbing Permit Fees
� ---
10-A31 01 Mectzanieal Permit fees ) r�
T- - 1(}-730 01 State Building Tax (5X)
Building --Le-07--o
Plumbing
-
Mech L, , ,
10-433 00 Plans Check Fee
Building
Plumbing
^� (j 30-207 Sewer Cx)nnect-ien
30-144 00 Sewer Inspection
S1--440 00 Street System Oev G�arge
System Dev (,barge (PIN:) -�
52-449 00 Parks y _ 7
31-ASO 00 $toren Drainage Syst ocv C3ir9 --
LO-230 09 TRFO
10-230 06 Washington County l=ire al 95X) j
0-27.0 00 nmart/Wedgewood .• L-L
i
RCC It
I
nPPI_ICnMT S " IURF
UaL� Re -eived: _ � -----
Received BY: V'
c_n/3587P/f[)P