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10624 SW 127TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type Inspection - .-I -- I f
Data Requested_ CQ �I , Time A.M... P.M.
Address ZU ��� l L7 '��, U Permit
Owner rLC Ld4l�J�l�)t�"l Lot #
Builder
The following Building Code deficiencies are required to be corrected:
r
Presented tc
f' Approved
Inspector _ _ �. Disapproved
Date _
CALL FOR REINSPECTION
❑ YES 0 NO
SEWER PE Am IT
PERMIT NO. : SE(380e(34
�I�OFTIFARD
LCIT%�%,T�,Altl) I DATFE ISSUED: 2/29/88
."y
COMMUNITY DEVELOPMENT DEPARTMENT I:)1-1TM. PMT.NO. eeoeei
13125 S W Hall Blvd.,P.O.Box 23397.Tiga d,Oregon 97223.(503)6394175
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le ; 1 [z4 ++4h—HUMBR-*N
'11(0, MAF'/I... IS1. 33AD :1.0700 51-M : S 1.)M 14 F 1:4 L. K 177 : :1.63 BK
I AND USEK:
SECTION: 33 T"J V, : 3.19 PNG: 1w
WOW CLOSS . NI. W
USE TYPE. : SINGLE,. 1::'AM*I'.l Y
atf;lret.-ma to C."lainply with ilkli
Agency . Tij-,e permit expire its 120 (JuLyti; from tha date iinmt-i"d . The total
nlril:)1.1111, plikicl W:1.11 1:)e +nrfevj.t(,.!(J :1.-V t 1-1 n 1) 1, -r, 0)x The AcWe.41-ic-ly cine.-Im not JJ1.1liki.—
P:I,rem .
aulteet, the accuriacy of the 10C.-HILtiOn u-P the., liti(le sewe)r Imterials . If th(--� mewv,,
not luciatecl Litt the lllu?willtl re.mr-Int filiven , thr.-i l, j.is
all. directionm from thim ci j. 1*lc::, 3 in
. gj.vel-l . If not mo locaLted , the inistaller shall
pl.lrc:illl!t!se;) at —Tvtp ilincl Sicl*-!) 5(:+We' Fle-irinit al.nc.l tl-Ie•!
.y w.i 'I.A. Inviti!1:1.1 at lattevaLl .
xr�al
INSTALL- TYPE .---"tJTtMX:NV 11ru. n.1 — T Mr
F 1:X11)1-1 DWEL.LING UNITS : IMPROVEHEMIH.14'r :
LINT TS 'I E N A N'T
NO. OF
("I("K W 0 0 0 1110 NA F.;:11- PE 14M 1 T
0 e610 SOUTH SHORE BLVD CONNECTION C1-4AI:11GI:;-* *11100 . 00
Wrlr' L-INE TAP INSTALL-
N
E
OTHEP *360 00
C LOC KWOOD MICHAEL
0
N 261.0 L.WILITH SHOPE' NLVD
T
R 1%ke omwega or 9703AI
A PHONF.i. (503) 636-304,,10
C PEGISTPATION NO. 106
T TOTAL: I z49!3 . 0 0
0
R
WECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 14111-NAL)IRE"i'll INSPECTIONS
of the TMC. State of Oregon Specialty Codes, zoning regulations ROUMi I N
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 co,;es and
ordinances The i,suance 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 If work is suspended or
abandone( for a period of 180 days any time after work has
commenced 11 shall be the responsibility of the permillee to assure
all required inspections Are requested and approved
Perms e Signature
F(If; INSPECTION 639 A 1'7"J
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
-----—-—-—
NO. . ME880283
CITY OF TIGA RD
' '
CrfYOF TiA ftD
PRIM. PM' T .NO . 360281
'TY DEVELOPMENT DEPARTMENT
C
4d p6.94"7.%Wrd, 6d.A4*24lk)
639-4175
gil --4 M
I-AND USE: -44- AAAP- I W�-140 �4.44 - SUMMER A"N' "5 8K
1-01, 5IZE :
I TEM: NO: NO :
WORK CL.ASS . NFU 11"WINACE <100K 1. AIR HANDLR 0.0
USE TYPE: SINGLE. 1:--AMILY FURNACE 100K+ AIR HANOLP 1OK
G'ONST .TYPE: : VN F*I-OOR F'URNA(:,F F.::VA-P.GOOL-ER
0(:'CUP.GRP . : P3 HEATER VENT FAN
VENT V F.;:NT . 5 Y STE M
BLR/COMP (311P HOOD I.
NU. STOPIF.*:S : 2 01...W COM17 1N('.'',I INK PATUP(DOM
I)WEI-L.UNIT'S : I BLAI/COMP 15---30HP INCINERATOR(COM
FUED.. TYPV: GAS (:31 PICIUMI", Z.50----50HP Pk:'r)A:L 1:4 UNITS
MAX , INPUT HI..P/COMP 504-HP OTHER
VJWE DMIDOS11 GAS PIPING OUTLJ::''T '1 I.
HIGH PPES57
1-ow Prwiii-'s-?
FE E%
P16114044 T $10 ,010
*
P61.0 SOUTH SHORE DI V D PL-AN 11EVI.EW $9 . 1,58
0 lake newego ar 9703,e1 FIXTURES 4127. 50
W 1:�H(')NE (,503) 636-3040 S1 ATE: TAX 1111
N
E OTHER
R
J I M
C
0
N partland a1., 97 V.23
T 14-1111)NE. (.1103) 2-16 A F!8XI
R
A IIEGISTPATION NO . 450139 TOTAL:
C
T
0 r.4F.XFJPT NO.
RE.Q1,11PE L) INSPEGTIONS
This permit 0 issued subject to the regulations contained in Title 14 GAS L..INE
of the (MC, State of Oregon Specialty Codes, zoning regulations PD!0' & FA:'AM
and all other applicable codes and ordinances. and It is hereby POUUH-I N
Agreed that It is work will be done in accordance with the plans and F: I NAL
specifications and in compliance with all applicable codes and
ordinances the issuance of this pernilt does not waive restrictive
covenants Contractor a A subcontractors shall have current city
business tax p-rmits This permit will expire and become nu!! and
void if work is r of started within 180 days or if work is suspended or
abandoned foi a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
All required Inspections are requested and approved
CAL.I.- FOR INSPECTION 639 -U-715
Pe�rml S-eigriRture
Issued By V
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
NWr I F r
Xff
INUUM
�Iw
X
1.11W
PEAMI*T NO. PLBOOR82
CITY OFT11FARD
ciTy�6�F TiGA RD
TE'
OR10-0 RD DAISSUED 2/P9/E:8
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W Hall Blvd..P O.Box 23397.Tigard.Oregon 97223 (503)539-4175 PPIM. PMT.NC). Be oaa i.
JOB AUDPF-55 : 10624 SW J.271'H CT
-
•T AX MAP/11-01 IS.i1. 33AD 10700 SUB: '5UMMk-:RL.AKE '3 L T : :1.63 F..4 l<
LANU USE .
STZE. :
ITEM: NO: NO:
WORK Nl::.W WAIER CLOSET '3 TRAll)
USE TYPE : SINGLE' F*AMILY URINAL BKFLOW PPVNTP
CONS .TY1-:111ii : VN L A V C)1:4 ATO 1."4 Y 3
OCCUP.GPP. : R3 'TUD SHOWER 2 GREASE. TRAPS
1)1 S H W A So 1,4117.:P I
GAPBAGE DISPOSAL I
NO. STORIE!; WASHING, MACHINE 1.
DWELL.UNITS : I LAUNDRY TRAY BLDG. DRAIN (DIA
F1 0014 DRAIN
SINK I SEWER (FT)
WATER HF-.':ATL-':P I. STOPM/111AIN (FT
O'T'HER
PEMAHK�i .
1.-('.)C,KW(:)L)D MICIIAE:A.. P .5
2610 FiOUTH F1110111F BLVD
N .1 iii.kO% 9703A
F
ra
PHONE (303) 636-30-10 STATE *TAX $6 . 6;3
OTHER
C DAV 15 M:r.G H A E'l
0 POWEN P1 11-JIMPT NC,
N
T 5970 SW SPPUCE
R ti e±+av o?r-t u c 1 tar 'x'7005
A
C PHONE (503) P.97 39-11
TO PE(ITSTPATION NO. 52-..170 10 T'Al . : $3.39 . 13
R
PLGEIPT NO.
This permit is issued subject to the regulations contained in Title 14 REQUIRED INSPECTIONS
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby PLR LINDENSI-AH
agreed that the work will be done In accordance with the plans and POST & BEAM
specifications and In compliance with all applicable codes and WAII.:'lill I.. I*NF.;'
ordinances The issuance of this permit does riot waive res.rictive PL9. 'TOPDU'T
covenants Contractor and subcontractors she I have current city I:IA'.I'N [)11AINF-ii
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 F I NAL
abandoned for a period of 180 days any time Fitter work has
commenced It shall be the responsibility of the permittee to assiorr,
all required inspections are requested and approved
Per tee Signature
CAll L FOR INSPET',TION 639-411.75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
BUILUING P.E.RM.1' T
C'7YOFT11FARD PERMIT NQ. : 131.,18802181
'"t, L)ATE-' ISSUED. 2/29/6E)
CITY01IFTIGARD
COMMUNITY DEVELOPMENTPEPARTMENT
OREGON PRIM. PmT.NO. 1360281
13125 S.W.Hall Blvd.P O.Box 23397,Tigard,Oregr,n 97223.(503)63r)A17r
1AX MAP/lAll' IS1. ;31SAD 1.0700 !:iI.Jr-1 : SUMMEPLAKE 3 LT : 3.63 EiK
I AND USE. .
VAL.UAT I(IN: $ 76,069 SETRAU11<5
"PONT : 20 PEAP: e,
WORK C,LASS : NEW DWELL .UNITS : I LEFT : 3 PIGHT : :3a
USE TYPE : SINGLE 1::'AMI:l Y NO. BEDROOMS : 3 F.X'T . W AL.I.- (�ONST :
CONST . TYPE: VN NO. BATHS : 3 N : 5: E: W :
OCICIUP.CAP . : R3 F'PCJ'1' . DPENINC.45 :
OCCUP.L.OAD N : S : E: W:
TOTAL AREA : :1.60 6
NO. STORIES : 2 IST: 929 ROOF CONST: C FIAE: REIT 7
HE 3:C.HT : r PND: 757 APPA PIATE-D:
BASEMENT7 3PU: OCCUP. SEPAR7 RATED :
MEZZANINE'? RASEM IT
F1 DOR LOAD: AO GAP AGE : 441 FIRE SPPKL.P7 AL.APM7
FI-Ow(GPM) DKTET-1-7 Yl:-".!.-)
HI AT 'TYPE: GAS I-IIA"P . ACCESS7 CORP'?
PEMAPKS :
REISSUE OF NO.
LAST REISSUE
LD(.'KWOOD PERMIT
0 261.0 SOUIH SHORE Ell—VII PLAN PEVIEW 11111160
W lake aswago or 9703A FIRE DEPT
N
E PHONE' U503) 636-301(10 STA'TIT TAX a 2.0
Fa
0THEr"4
DEM E.1.01"MENT CHARGE 14
MT 11"HAtt. SDC( STORM) 111100
C LOC,KWOUD MTC*HAI-.*:l
0 $600 . 00
N P-61.0 SOUTH '.SHOPS Ell VD PDC(*1 11 $e5o. 00
T laikfo timwilill or 9703-1
R PREPAID < 1111.00 . 00)
A PHONE 4503) 636--3040
C
T REGISTRATION NO. 1.06 TOTAL: 1111618 , CIO
0
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 11-11E.QUI14ED INSPECT'IONS
of the 71VIC. State of Oregon Specialty Codes, zoning regulations F OUT I NO SEWER
and all other applicable codga and ordinances. and It Is hereby FOUNDATION WALL PAIN DRAINS
agreed that the work will be done in accordance with the plans and POSI & 14r.AM WATE-P I.. INE:.
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive PLO . UNDEWSLAB CITY APPRCH/SW
covenants Contractor and subcontractors shall have current city S I AB FINAL.
business tax permits This permit will expire and become null and PL H. TOPOILIT
void It work Is not started within 180 days,or It work is suspended or F14 A MT NG
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to Assure FIREPLACE
all required inspections are requested and approved 13o A S I. I N F
INSULATION
GYP 1:40AWD
Pei tee 5lgnature
CAI...I_. r(JP )JjSIYj-.LI I (ij,q
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
w W 1
n
CIIYOFT167ARD � PLAN CHECK APPLICATION
wt,/)Of WA PLAN CHECK
(,OMMUNnY DEVELOPMENT DEPARTMENT oaaoorr
1:125 SW HM Bhd P.O.Baas 2 Q7.T1g".Or mon OrM(5w)=4176 PERMIT ice"
` - J DATE T.'-iF 'FD
JOB ADDRESS: /D 412 4 ` Cj . TE.X MAP/LO1
SUB: 4 LOT: , _ LAND USE:
VALUATION: / ,' _ SETBACKS: FROW:. REA°: LEFT: 5 RIGHT: �.>
WORK CLASS: fo HEIGHT: �-0 IO �L TAL AREA:
USE TYPE: F FLOOR LOAD: S4 — 1ST: ry2-9
CONSTR TYPE: $ HEAT TYPE: 6,15 2ND: 7,57
OCCUP GROUP: D;*'LL/UNITS: / 3RD:
OCCUP LOAD: NO BEDROOMS: -7BASEMENT:
110 STORIES: 0-_ NO BATHS: GARAGE:
IMP SURFACE:
APPROVALS REQ'l) SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE. OF _ LIST/-SUBCONTRACTORS:—
ENGINEERING:
IST SUBCONTRACTORS:ENGINEERING: LAST RETSSUE: BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN ;L.ND.: TRUSS DETAILS: '—
PARKING PLAN: _
LANDSCAPE. PLAN:
PLAN CHECK BY: OTHER:
COMMENTS:
ACCT-T DESCRIPTION —IF(OUNT
OWNER 10-432 00 B"ilding Permit Fees
NAME,.-J11, yp �
L l� � ,-, 3 v 1.0-431 00 Plumbing Permit Fees s s Z
ADDRESS! 10-431. 01 Mechanical Permit Fees ? S vI�LL'�7 �d r' ['f.[.>>Pf, �'� 10-230 01 State Building; Tax (SX)lY�w���t/1 � � ,3 (� U
10-433 00 Plans Check
30-443 00 Sewer Connection (20x) �
fjrj �o� 7 !fir 30-7.02 00 Sewer Connection (80x) S �
CONTRACTOR 30-444 00 Sewer Inspection —_
NAME: .51-448 00 Street System Dev. Charge (SDC) 0
ADDRESS: - •-52-449 01 Parks I System Dev. Charge (PDC) t
52-449 02 Parks II System Dev. Charge (PDC) 3
31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC) s 77Sc,'
PHONE: 10-230 O TRFD (95x) —
10-435 00 TRFD (5X)
ARCH/ENGINEER 10-230 0(, Washington County Fire 11 (95X)
VAMP: 10-435 110 Washington County Fire /1 (5X)
ADDRESS: 3J ;,��� 10-220 00 Amart/WedaegQ�
PHGNE: _TOTAL � D
1� `� y'l
PREPAID
REC A
{C � BALANCF. DUE 'ILL J_o
�"J .e csa ee i . i - 3 0
APP CANT SIGNATUR
I
Received By: Date Received: