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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
i(�`✓ 'G �6.�,c/ Tigard, Oregon 97223
n !) Phone: 6394175
Type of Inspection G
Date Requested
Address jo 6�2 (2 C4 Permit # &2f)2 7 7
Owner_ __ Lam ` r'' Lot #
Buillder l (1�O -`Jeu i�S SLrnc ISG/ /(c --
L �
Thefollowing Buildingv Codetgeficiancies are required to be corrected:
- - 1
Presented to
�'�►pproved
Inspector i _ P'"�- ❑ Diapproved
Date
CALL FOR REINSPECTION
L-1 YE8 ❑ NO
I
CITYOFT11FA
HU11 IXl'N('.; PE PM IT
RD
C111"YOFTIGARD PERMIT NO. : BU88027*7
11
ORE
COMMUNITY DEVELOPMENT DEPARTMENT T
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.15031639-4175 DATE ISSUED: P./29/(38
PRIM. P141 .140. 113 S 0?--7 7,
JOB ADDNE;'GS : 10623 SW ierrii CT
TAX MAP/LUT :1.51. 33A 3.0600 SUB: SUMMERI A K F--: 1-1 1.62 HK :
LAND USE: 14*7pu
I-EXT SIZE: VAI UATION : Al 7-'4 ,6 110 SETBACKS
FRONT: 20 PE-AR : 15
WORK CLASS : NEW 1.)WE.I-L .UNITS: I LEFT : 6 k'T(*'-'l-4*T : (20
USF: 1YPF.:.' : FAMJ'l y NO . BF*V)P('.)(:)MS : 3 F.:Xf . Wol..I.. CONST :
CONS'T . TYPE: VN NO . HATHS : 3 N: S: E: W:
UCCUP . GRP . 1:4.3 PROT .OPEN.INGS :
OCCUP. I-OAD N: 5: E : W:
"(01AL. AREKA : •'3 6
NO. STOPIES : 12 IST: Y09 ROOF CONS r: C FIRE PET?
1-*.•JG4+T* : .?0 V N D : '127 AREA SEPAP7 P A Tr-,':U :
13ASEMENT7 3PO: OCCUP. SEPAP7 RATED:
MF-,:ZZAN:I*NE:.'? HASU:M' T
Fl OOP L..OAD: AO CARA(X : 441. F:':E 14E SPRI(I_.R'? ()I APM7
F LOW GPM 1A..I I:-1:::'T"; yl:.:,(,.)
1:1-AN CHE:(:,K BY : l"It
I3IEMAnKS :
need I'l-'k.linin in p 0 c' PEISSUE OF' NO.
LAST REISSUE
O F EKIS :
W LOCKWOOD MICHAEL PERMIT $358. 00
N
E P61.0 SOLITI-1 SHOPIii: HI V 1.) P1 AN PIEVIEW 2 3 Z! . 7
R 1atke aswega cir 9*7034 F-'XnE DEPT
(30".8) 636 3040 S*T'(.)'T,E;* 'TAX 7 . 490
OTHER
CDEVE'l-A')PME NT CH1*hl-'4GF.--'S
0
N LOCKWOOD MICHAEL SDC(STORM) $250 . 00
T I-OCKWOOD Mlfa IAI L. SD(:'( STREET) $600 . 00
R
A ?61.0 SOUTH SHORE BLVD $250 .00
C
T climwlelgn ar, 9,7031 PPEPAI D < 111111100 . 00)
0 PHONE (503) 636--3040
R —Wk:Xa1STPA'TJ('.)N NO. 3.06 T01*61. 1111-1. 60113 . 60
This permit is Issued subject to the regulations contained in Title 14 RECEIPT NO G/'
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby FIEQUIRED IN5PF,--'CTIONS
agreed that the work will be done in accordance with the plans and 5 IL'.'W L.W
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive FOUNDATION WALI RAIN DRAINS
covenants Contractor Ai d subcontractors shall have current city POST & BEAM WAJI-J4 I T NI L
business tax permits. This permit will expire and become null and PLO.UNDEASLAB CITY API:)P( H/cjW
void it work is not started within 180 days.or if work is suspended or ailA14
V
abandoned for a period of 180 days any time after work has T NON-
commenced It shill be the responsibility of the permillee to assure PL.B . TOPOUT
all required Inspections are requested and approved F:RAMI NG
FIREPLACE
('.,A S 1 :1 NE
INSULATION
Pr,,r Ke;S,Alga t,,r a (3Y1'.:' HOAI--41)
Issued By --
CALL FnP TNSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'GA RDPERMIT NO. : PL880278
��i�,
CITYOFTWAIW
1-1
COMMUNITY DEVELOPMENT DEPARTMENT1::. 1.S 5 UE D 2 W0
V/ 9/
13125 S.W.Hall Blvd..P.0 Box 23397.Tigard,Oregon 97223,(503)6394175 1.)P I M, . PMT .NO. 01010277
I AND USE
kjca ADDRESS : 106e3 sw :Larrl-1 (:,,,r*
TAX MAP/I OT 'Ail *33AD :10600 SI I B : SUMMIli M A K F;: 3 16 P. B K
'..XYT 151ZE :
ITEM : NO: NO:
WO'*( U )GS : Nl-..W WATF 1:4 GLOSET TPAP
USIE TYPE: SINGLE FAMILY URINAL BKFLOW PPVNTP
CONST l'YPF-. : VN LAW)PATORY 3 TRAY:' P111MER
OCCUP 'Gnp. : P3 TUB SHOWER c:! GPEASE TRAPS
D1 J.
GARBAGE' D*L!5I::,0SAL
NO WASH1W3 MACH]NI-i
DIWIF-i'l-I UNITS : I LAUNDRY TRAY D(., . DRAIN ( DIA
F11-00P DRAIN
SINK 1 SEWE (1::"r)
WA'TrflR HE ATEP I.
STO PM N 1:: 1
OTHER
REMARKS : / ��'/� ���i �',� /:,,
L
0 MICHAEL P t-'.'P WE'T
W e610 SOUTH SHOPE 91-VD
N
E .1I m.k* cimw .gci 111, 9'7( �
FIXTURES
PHONE (303) 636-30410 STATE TAX $6 - 63
OTHF: 4
C DAVIS MICHAEL
0
N POWER IN, UMP PNU
T
R 5970 SW SPRUCE
A 97005
C
T PHONE 1'.103) e97-.394i
0 PEW'.STPAI ION NO. 5P378
R I OTAl- 13 9 J '3
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC State of Oregon Specialty Codes.zoning regulations PI-i"QUIPED INSPE:cTIONS
And all athor applicable codes and ordinances, and it is hereby PI-9 . UNDEPEA.AH
Agreed triat the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and POST & REAM
ordinances The Nivance of this permit does not waive restrictive WATE N I.. INF::
covenants Contractor and subcontractors shall have current city PLB. TOPOUT
busine-iis tax permits This permit will expire and become null and PAIN DRAINS
void if work is not Warted within 180 days,or it work is suspended or F INAL
Abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to Assure
all required Inspections are requested and approved
��
Crr
C'TYOFTIGrARD ' RD PERMIT NO. ME880279
011116011
COMMUNITY DEVELOPMENT DEPARTMENT DA11-: ISSUED: 2/P9/08
13125 S.W.Hall Blvd, P.O.Box 23397.Tigard.Oregon 97223.15031639-4175 -N8
PRf M. Pt"" - 198ORT 7
JOB ADDRESS : 10623 SW 1.27TH CT
TAX MAP/1-0T 1.51, 33AD :1.0600 SUE.N' . 5UMMkJ&.AKI:% 3 L T : 1.6a DIK :
LAND USE:
I OT S:I:ZF,"-: ITEM: NO: NO:
WOPIK (",LA455 : NF.:'W FL)PNALIE (1.00K 1. A'117 HANDLP <10
USE TYPE: 15ING1 I;;: 1�:*AMTII Y FURNACE 10OK4, AIR HANDIL.R 10K
1::1 00P FUr4NA CE EVAP . GO01 EP
GRP. 1.13 HEATER VENT FAN A
VENT VENT . SYSI EM
BL.R/COMP <3HP HOOD
NO. STORIES : 2 BI n/(:11OMP 3-1.151-11j) INCINE;RATC1111(DOM
DWELL .UNITS : I BLR/%"OMP INICINERATOP(COM
IL'UR.L. TYPE.E. CIAS 81 R/COMP '150-50HV) REPAIR UNITS
MAX . INPUT BLP/COMP 50+HP OTHER OUTLETS
FINE:. DMPAS.? PIPING
1.
HIGH PRESS'? -------
REMARKS :
0 411.0 . 00
W L.(.I(*,*KWOOD MICHAEL. PERMIT
N $11
E P-61.0 SOUTH SHORE BLVD PLAN Pr-KVIE-W $2AJ . 63
. "1UR lake ot%WftgD or, 97034 FIXTURES
PHONE (503) 636-3040 STATrn' TAX *1 . 7 3
OTHER
C
0
N HP.:IN VZ Jim
T SOUTHWEST SHE'E'T METAL
R
A 1.041.0.11%1611 122ND
C portland or 97ee3
T
0 PHONE (50'.3) P416-6�MA
Ri REGISTRATION NO. queq
This permit is issued subject to the regulations contained in Title 14 PECE I PT No
of the TMC. State of Oregon Specialty Codes, zoning regulations -----------------------
and all other applicable codes and ordinances, and it is hereby PEVILITPEC.) I'NSPEOTTONS.'s
agreed that the work will be done in accordance with the plans and GAS L.INE
specifications and In compliance with all applicable codes and POST A DRAM
ordinances The issuance of this permit does iiot waive restrictive
covenants Contractor and subcontractors shall have current city POUGH—IN
business tax permits This permit will expire and become null and F: 1 NAI
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 to assure
all required inspections are requested and approved
Permit'#ISignature
'
Issued By
I CAL.1- FOR T.N5PECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
'n
77—
SEWEW PE RMIT
PEPMIT NO. : SES80280
CIIYOFTIFARD DATE 3:In')SUED : 2/29/88
CITYOFMAW
COMMUNITY DEVELOPMENT DEPARTMENT ,RIM. PMT .NO . (30(?277
13125 S W,Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
4062Z GW IR7444-43-4 ........
)AX MAP/L.01 IS1. 33AD SUMMiAl A K E 3 BK .
LAND USE :
I (IT SIZE:— :
SECTION: 33 TW 1:." 7 1.li; RN;;; : 3.w
W0PK C'LASS : Nl::.W
USE TYPE � SIMA-E F'AMTLY
1 1t, wi.t.1.1 aCIA, mricl rsoqjtA,u&t:1.nriw. ci-li t l i e Urij.f:l.kr:!cl
Sonwsib"Rgo! A(11orIc_'y . The I.-)armJ.t exi:llirato 120 chayin -Prom the daLtc.! Ji.isramed . The trrtla.1.
'AIVIOL(lit 1;)I11J.c1 W11.1 he! J.•P I'lic'? Tfle Aqc±rlc'.y c1c)*p1ii ricit ......
iu'ltec.- th*7? accuratcy 04, the 10V.m.t:1.rjn c)41 the iside mewer latter uLlm . 1-111 the mewcir J1.%
licit iikt 1.11.10 tilel Z-1, f -tC-)t J.11
ial]. dirtic`tl.ont% 41rrim ti-imi cH.tataince g:l.vtan . 141 not mu J.nmtmllor ifl-inUl.
F)Urc1'iivvoo iit "Trap iarld SA.cicn Perm:i.t larld tile Ag(.!11 .:q W:[J.J. J.1-111itin.11. ill
-----------
iNSTAtt T M 17 r' r1trTT1T1t-,--=
TXTU111F.'. UNI.TF5 11-KNAN'T TMI.-Il"401JEW"N'1
DWELI ING UNITS : :1.
NO . OF BI D G S . i.
9666 1
L.0(:',KWOOD MICHAIF1. PEPM1,11,
)''A1.0 SOUTH SHORE BLVD CONNECTION CHARGE $1 ,100 . 00
W Tifl(o? ulawsoun c)1, 970:5'f1 1.A:NF.. TAP
N
PHONE (503) 636--3040
OTHE.A $360 ()o
C MICHAEI.
0
N 2610 SOUTH SHOnEE 1-11 VO
T 1.111,11(e 9"1034
R
A 1."1HUNE (503) 636--3040
C rai*.cn�sTPATION NO. :1.06 T01 AL iija 'ziwn . 0()
T
0
R i RECEIPT NO.
This permit is issued subject to the regulations contained In Title 14 PEQUIRED INSPI--_CTIGINS
of the TMC, State of Oregon Specialty Codes toning regulations riClUf.;H- IN
and all other applicable codes and urdinances, and it is hereby
agreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable coders 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 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 Filter work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Perm?ie Signature
I�nalure CALL. FUP INSPECT ION 639-4175
1-o ied By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
is we � � er �r r�r � ■r
add �7 .
CITYOFT167ARD —TWARD PLAN CHECK PLAN CHECK APPLICATION
C
COMMUNITY liYor DEVELOPMENT DEPARTMENT oREaoN
13125 SW wn Blvd.P.O.Bax 23707,TlpW,Onpon crm(SM)63"175 PERMIT #
DATE ISSUED
JOB ADDRESS: /U( 2-.3 S w (2"� `'• C TAX M,'►P/LOT_JS/--
SUB: ,5I-� <�� ,L F LOT: j1 LAND USE: 7
VALUATION: o c/ SETBAACKS• I OONT: REAR: I.T FT:� RIGHT:_
WORK CLASS: Al! HEICHT: _ TOTAL APPA:
USE TYPE: _5-F FLOOR LOAD: :� IST: Se r
CONSTR TYPE: HEAT TYPE: 2ND: 7Z y
OCCUP GROUP: DWELL/UNITS: / 3RD:
OCCUP LOAD: - NO BEDROOMS: BASEMENT:
NO STORIES: - �� NO B/,THS: GARAGE: _
IMP SURFACE:
AP1ROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LI—ST�SUBBCCONTRACTORS:
ENGINEERING: _ LAST REISSUE: BUS TAX: �..
FIRE DEPT. : FLOOD PLAIN/ _ CALCULATIONS:
OTHER: SEN LND.-. TR13SS DETAILS:
- PARKING PI_4N:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER: _+
COMMENTS:
ACCT # DESCRIPTION AMOUNT
OWNER 10-432 00 Building Permit Fees $_+ `
NAME: , m ALe, 10-431 00 Plumbing Permit Fees
ADDRESS: ����� �,, 10-431 01 Mechanical Permit Fees s >��
�j-L,,J- L tgk-:' �' "r:>.yr;_�.�10-230 01 State Build:lug Tax (5%) 7,yo�G
10-433 00 Plans Check Fee t ay,aI $
PN.ONE: 6, ` _7 3C -443 00 Sewer Connection (20x) $
30-202 00 Sewer Connection (80X) 3
CONTRACTOR 30-•444 00 Sewer Inspection $
NAI:E: .51-448 00 Street System Dev. Charge (SDC) �• (
ADDRESS: •52-449 Ol Parks I System Dev. Charge (PDC) _
52-449 02 Parks II System Dev. Charge (PDC) 3
31-450 00 Storm Drainage Syst Dev Chrg(SSDC) S ,l_ �•
PHONE:M 10-230 01) TRFD (95x) $ _
10-435 00 TRFD (5%) S _
ARCH/ENGINEER. 10-230 00 Washington County Fire #1 (95x)
NAME: e 10-435 00 Washington County Fire #1 (5%) $
ADDRESS: .y, cIO 1.3 10-220 00 Amart/Wedgewood
ir'T:C � -)Q _ _
TOTAL.
---
PREPAID pU et
RFC #
BALANCF DUE s
AP LICANI'
Received By: _ Date Received: