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INSPECTION NOTICE
City of Tigarc Building Department
P.O. Box 23397
J Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _—
Date Requested- -�' I Time / A.M. P.M.
Address �./-/_�U '� 1 2 •'� ___ Permit
Owner ----.._— % ��`�7��N j Uzy o Lot #
Builder —.---
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector — � Lj Disapproved
Date _
CALL FOR W."INSPECTION
P YES LJ NO
I
i
i
INSPECTION NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 97223
�Z Phone: 639-4175
Type of Inspection –j���,�,
Dare Requested '— /—,� 'S���—
Time A.M. _P.Ib',.
Address __� ' �.C'LF_Z—�L/`i ------ Permit # �.—
Owner_._ _ �� � ,C���1 .— Lot #
Builder
The following Building Code deficiencies are required to be corrected:
a
i
i
_
Presented to Approved
Inspector Ll Disapproved
1
Date
CALL FOR REINSPECTIM
❑ YEd 0 NO
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 _ 1 I I l�1' �l �7G'� d Gl C _-_ Permit
Owner--- '` ' ':-A z-aj ---- -- Lot #_—
Builder _ /The following Building Code deficiencies are required to be corrected:
Presented to — - __ ___ Approved
Inspector Disapproved
Date
CALL FOR REINSIVTION
YES U NO
PEPM11' NO. : SE880004
CITY OF TIOA RD
' DATE. TSSUED: 1. 68
C TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 3:I`1- PM*r .NO. M10001
13131A
1:"r.*11 .1q 3)639-4175
. ...�Iqq_P.1
f2
.&I.�
USA NUMBE1711: 34929
i_)N10N PAIM L'T :7'.ti_R RK
-
LAND USE:
1_01' 532E :
SEWTION: :34 'T*WP : 1% PN(.; : 1w
WOWK CL(MiS : NEW
USE TYPE: 51NGL.F. FAM11 Y
vlj.41'tiecelii tc) c'c)IrII:0y w1th llk:l *,I. 4lkl'l(:l l"(RgLI:lWA:iA:)ll!h
Agenrzy , 'Mie pc r,init exi:)ii,ets :LRO dmy% fr-aii that diat(-.i J.5!s(.I0d . 'Thc.i tota].
i:)e Pc)I-TC...d.to(i :14' thirl J:)or`mit 'Vhm� licit
imit*i,lv-r the atc.-ct.tr,acy cif the lcic!iatioll (34, the %:Ldca intiwer latc.-Pir-al.iii . 1f the inewei- J.!n
licit 111A thvi? this,, 3 'Ffor.?t 111
fr•oln the dillitalleria (J:Lvorl 1-l' not too 3.00iiktv.ici , ti-io irljatatl'.Lej-
fil. "I'll1r) MIMI Ifi,ricl thc_., A(4is.c)ric.,y wcl.', irtilitnt,
I INSTALL. 'ryPE: SWELDING WE-MEP IMPERVIOUS A14EA:
—1-114441i WIN04, * .-
I 1714'E"LLING UNI'T'S : :1.
NO. OF
rIMl'41'q.l.NL, It I PERM I
4031. SE 92ND AVE . GONNEc-rION CHARGE $1. 1.00 . 00
W 0 j-.)ci ir`t 1 at n d ol'. 197pee) I..T.NE 'T'AP TN5'TAI L
N PHONE (603) 771-8347
E
R OTHER 1111.460 00
MANNINGs
C 121PIGH'T'WOOK) HOMES
0 4031 Sr 9eN0 AVE .
N
I F)c)I,t*1 at ncl 1:)r, 97;'?66
R PHONE 11303) T71.--83,wr
A
C RKG'TS1*PA1''r.(:)N NO . 114*301. '11'Ll T AL. : $1 ,495.00
Fa REC'EIPT NO.
..........................................
141611AWRED INSPECTIONS
This permit Is Issued subject to the regulations contained In Title 14 POUCH— J:N
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicebte 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
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become mull 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 permittee!o assure
al; rnquirpri inspections are requested and approved
L, FOR 11`413111U."'TTON
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I-:'I..AJMFi11NG PERMIT
CITY OF T ICSANO. : PL880002
RD CIIYOFTWARD
01111110004
COMMUNITY DEVELOPMENT DEPARTMENT se
13125 S.W.141all Blvd-P 0 Box 23397,Tigard.Oregon 97223.(503)639-4175 rip-l-M PM-L-Nn gnt)(Inj
SW 1.231PID PL H K
'['I'-)X MAP/1-01, I.S1. 9600 t.I D : A NJ N
LAND USE- :
11"I , SIZE : ITEM. Nil: NO:
wo . Cl-ASS : Nk..W WATER CLOSIi.:1' 3 PAP
URINAL BKFLOW 1:)RVN*T'r
USv. rYf-E: SINGI-E
VN LAVOPATOPY 3 'TRAP PWIMER
OCCUP ' GAP. : P3 TuB sl-lowEP 3 ('*PEASE TRAPS
DT!,HWOSHER 1.
GARBAGE DISPOSAL
NO. 51ORIES : 2 WASHIN('.-, MA("H]:Nl:;'
DWE#-I...UNITS : A. LAUNDRY 'T WAY kA.UG . I)PAIN (r)1A
F:1_0 A I)NATIN
'ii I NK SEWCE-'N (I"'Y')
WATEP VIkKA1 kA-)
01 HER
FEES:
0 $1.ZI0 . 00
W MONNING, STEVEN PESIMIT
N 4031 SE 92ND AVE ,
E
R V.)111�t I 1.1-1 CI 972RP6 F"T WTURES $7.00
PHONE (303) 771-83A7 STATIn". TAX
1:11144F.14
C
0 MADORE PAUL
N
T M AND 0 P1 U M k4 I NG'
A 121560SW 'TIGEll LILLY LAW--'
C hw#tVwl't'clr1 or 97005
T (503) 6,43-51.74
0 PHONE TOTAL:
OR r1r'..GI431PAT]!0N NO. 50'Z
PC-(:',EIPT NO.
This permit is issued subject to the regulaiions contained In Title 14 --p.,.._,_
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It Is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and rn.t'.4 . UNDERSLAB
specifications and in compliance with all applicable codes and POST 8 BEAM
ordinances The issuance of this permit does not waive restrictive WA*1lE.;J1 1-.1:NF.:.
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and Pl. .TOPOUT
void if work is not started within 180 days,or if work is suspended or WAIN DrIAINS
abandoned for a perloa of 180 days any time after work has FINAL.
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Si,
Issued By
I UN 6:i9..-.11 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TWA RD
aTyoF ooFooNncaRu
COMMUNITY DEVELOPMENT DEPARTMENT
13125 i.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 MECHANICAL PERM 1:'T'
----- — -- PERMIT NO. ME08000:3
fyI1IM . PHT .NO. (380001
JOL4 Aw)RESS : 1.1.1:30 SW 1.23P J PL
TAX MAP/1 0'r1.53. '.3/1(:181 9600 Gil.1F. ANTON PARK I...T : 50 BK:
I...AND USE. :
L".C)'T SIZE-.
ITEM : NO : NO
W(:)RK C:I_ASiSi : NF:W FURNACE:: <3.00K 1. e-i-P HANI')I...Gi <1-
USE 'T'YPE: SINGLE 1''AMII...Y Fl.1RNA(:,E :LOOK+ 4:i174 HANt.'lt..P 10K
CONST .'TYPE:: VN FLOUP FURNAf:1::: r:VAI . C;t:IO�.E:Fi
R3 HEATER VENT FAN 'Q
VENT VE'N T . 5 Y 5 T'E:.M
BL.1=7/C;OMP <-31-1r) HOOD �
NO . S'T0PTEK5 : G F.)L_R/C;(:1MP '3 1. 51-IP 1NC,TNEPA'TIL)P(I:)(:)M
DWEL.L . UNITS : 1. 1:11...1`/(:;0MP 1.5--30HP 'IN(,TNE:RA' 014(COM
FUEL. TYPE: GAS; _-- -F3L.F1/t_:;C)M��.,_:f0-�".LOHP —_ RE:PA12 Lit4l1'C� —
t?T`
h'II�I: UMI�CiS'7 P:I:PT.NG OUTI...FTS 1
HT.GH PRESS'?
L.OW r'-111E:! S''t
:.RASS; -------- -------- -- ----
0
W
N
F
f�
MANNING STEVEN --- Pl-_RM3:'T411.0 . 00
C A0:31. SE 92ND AVE , F)L_AN Ric:V T E:.W $R . 63
0 par•tlinnd mr, 97266 FIXTURE:5 41PA 50
P'
T PHONE: t 50'.+.'S) 7 7 1-113 341 r-.�TATE.: TAX
P (.11THIER
A
C
T
(J
p F"C11Jf=1 SEASONS I•*::A'T':CtJC;A:CFT f:ONI) .
I:)crr-t.:l.s►nd (3r• 97T3.66
This pefRll�
e( btSyh,"Mmis ti nocontalned In Title 14
of the i {���1i' p�; l v ,„icy'Ing regulatlansand all 811p�1 111 A71 crd ''and It Is hereby
agreed that the work will be done In accordance with the plans and
specifications and In compllanco with all applicable codes and PECEIPT NO.
ordinances The issuance of this permit does not waive restrictive ...........,.......
covenants. Contractor and subcontractors shall have current city RFWUIREi:) .NS P T .-Y-10145
business tax permits. This permit wl!I expire and become null and (':A! 7:NEi
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 PO .T C 141=:AM
commenced It shall be the responsibility of the permittee to assure RO
' all rc.�,.lired Inspections are requested and approved. FF'INAL
Permittee Signature
Issued By -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
�.L
C17Y OF TiVAw RD � OF aRD P1 AN CHECK APPLICATION
COMMUNRY DEVELOPMENT DEPARTMENT aREooN PLAN CHECK
13 125 SW FIWI Blvd P.o.Box 23397,n9mM,Or"w97 (6W)6394176 PERMIT 06,0/ ,-
�-' DATE ISSUED_
JOB ADDRE S: �% c l✓) / i� I�G fl % TAX MAP/L�1T
SUB: � ��2tC. LOT: .3y r LAND USE:
VALUATION: Lziz . 01 11 SETBACKS: FRONT: 20 REAR: r_'_I LEFT: RIGHT: •� _
WORK CLASS: _ 1 pw HEIGHT: 'LO TOTAL AREA: /S CI C-1
USE TYPE: FLOOR LOAD: 1ST: ��R�
CONSTR TYPE: HEAT TYPE: ��_ 2ND: Ll j
OCCUP GROUP: DWELL/UNITS: 3RD: -
OCCUP LOAD: NO B1:DROOMS: _ BASEMENT:
NO STORIES: L NO B:.THS: /L_ GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND .: TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER:
COMMENTS:
ACCT�� DESCRIPTION UNT
OWNER 10-432 Building Permit Fees _ -
NAME:,)7y,.,' AIA AJIA (- 10-431-600 Plumbing Permit Feas 1 O e
ADDRESS: O ' I .,?_- 10-431-601 Mechanical Permit Fees
_ {T 6 G!7?--G6 10-230-501 State Building Tax (5X)
„q Htf,%Gs10-433 Plans Check Fee 6. a
PF!ONE: )7i _}-3 y7 30-443 Sewer Connection (20X) s�_
30-202 Sewer Connection (80%) y V, _
CONTRACTOR_ 30-444 Sewer Inspection
NAME: ,tk. 4) .51-448 Street System Dev. Charge (SDC)
ADDRESS:_-� ,/�, ,�;� 52-449-610 Parks I System Dev. Charge (PDC)
-3o 52-449-620 Parks II System Dev. Charge (PDC)
31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE:------- 10-230-505 TRFD (95x)
10-435 TRFD (5x)
ARCH/ENGINEER 10-230-506 Washington County Fire /1 (95X)
NAME: /,,4r7- _ 10-435 Wnshington County Fire X11 (5x)
ADDRESS:_ �.;` - 10-220 Amart/Wedgewoud s �3�c�0
TOTAL s_al✓h y ��
PHONE:_ Cj YS CJ2
PREPAID
RFC #
J i BALANCE DUE
APPLICANT--SMA p
`�ceived By: '�r +�- -�rr� Date Received: