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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 �� Time A.M. k P.M.
Address
+ C Permit # cam
Owner-- - — ---- — — — lot #
Buileer
The following Building Code deficiencies are required to he corrected:
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Presented to
P Approved
Inspector
Date L `
CALL FOR 4INSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Dote Requested_ 3i C? Time__'� A.M. P.M.
Address � 1-2LT � / Permit # ")SZ6
Owner _ __ _� Lot #.
Builder f_ ! 1Lu.Z'2 —The following Buildi ig Code deficiencies are required to be corrected:
L11 4
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Presented to — — �. i Approved
Inspector -�lifllppr6'1r�e!
Date
CALL FOR REINSPECTION
YE8 �� NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —_
a.� '
Date Requested_ _ ..___ .�� Time_ A.M. P.M.
Address Permit # Le
D. er_ Lot # _
Builder ---
The following Building Code deficiencies are required to be corrected:
r
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i
Presented to Approved
Inspecor _ [l Disapproved
Date
CALL FOR REINSPECTION
❑ YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 if J
Tigard, Oregon 97223
Phone: 639-•4175
Type of Inspection
Date Requested � � /] Time A.M._ P.M.
Address zL k7 W l _ Permit
Owner Lot #
Builder
The following Building Code deficiencies are required 'o to corrected:
Presented to
(] Approved
Inspector EJ Disapproved
Date
CALL FOR REINSPECTION
❑ YEa O NO
ro
INSOPECTION NOTICE ;)
City of Tigard Building Department
P.O. Box 23347
Tigard, Oregon 9,223
Q
Phone: 639-4175
Type ov ;nspection ,`E "
Date Requested �� z Z —7 Time A.M. P.M.
��
Address ) 6 t 2 /.=Q /Q ' t Permit # �
Owner / Lot
Builder _ �4 rG_
The following Building Code deticiencies are required to be corrected:
Presentedto _ _ _____ ___ pproved
Inspector �J Disapproved
178tR ._.. .... ._._ _
CALL FOR REINSPECTION
0 YES ❑ NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 �-
Tigard, Oregon 97223
Phone: 639-4175 1
'D
Type of inspection
Date Requested Time__A.M. P.M.
Address _- _ ---__ _ _ Permit.
OwnerLot .
Builder ---
The following Building Code deficiencies are required to be correcttrd:
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Presented to _ ❑ Approved
Inspector ❑ biapproved
Date
CALL FOR i0l '"ECTION
YE• V NO
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M.,-P.M.
Address Permit #
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
v e"I
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Presented to ❑ Approved
Inspector L1 Disapproved
Date VT
CALL FOR REINSPECTION
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111,11LDiNG PERMIT
GIIYOFTIFARD PSAMIT NO. : BUE380326
CITYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT OROGON 41127/aB
13125 S.W.Hall Blvd,P O.Box 23397,Tigard.Oregon 97223,(503)639AI75 PIP.T.M. PMI' .NO 9 G 0"5r'.6
J00 ADDPESS : 10636 SW 127TI"I C'r
TAX MAP/I 01 1.51.336-0104100 551.110 : PIV5 LJ 161 DK
LAND USE : RIP0
VAI LIAIJON: $ 67 ,97P. 51:::1 HACKS
F-PONT' : 50 PEAPI: 6
WORK CL.ASG : NEW DWELL. . UN:E'rs : 1. 1 EF"T: 5 AlGl-fr : 32
USE 'I'YPE : S:I:NCI E FA M1 L Y NO EIEUROOMS : 13 EKE . WAL.L. GONST :
CONST' . 'T'YPI--_-' : VN NO. BA'n-vi . 2 N: 5: E . W .
Ot"C"UP.C-11PP . : P;3 PPOT .OPEN11NIGS :
OCCUP . LOAD N S E. W
11,01 AL. AREA : L 19.5
NG. STORIES : 1. J.GT : 1.A95 PNOOF CONST' C, F"TRE PUT?
HE I(.*,',H'I* 2ND AREA S)EPAP7 PATki"D :
PA5L-'ME*.N'r'7 3PD : 0C.*,C(.P. '.iEF)AA"? PATED :
MEZZAN1NE:7 DA5F:M-I*
F L.00R I OAD: 10 GAPAGE: AV.0 F"IFIE 5F)PIKI.-Il'7 ALAPM7
FAE0,11"? YES
Fl OW(GPM) D
H1j.7.A'J' 'TYPE : GAS HDC.P . AUESS 7 'OPP7
1:1 AN C>K;:GK LIY
PI:: 1 1:iFiLIE Or-' NO .
PETY31JE
----------
0 PEPMT 1' $331 - 00
W PI AIII NE;.'V*I.r_'.W $'r. lell Orl
N
E
R 'Y,)X 1111.6 U5
)F;*Vr._'.:L 01,IME 1`0 G 11A.rKA'..5
C MAVION MICHAtil. soC,(5 FOPM) mk3.io 00
0
N MAHON ION SUE, !VITO-J". I IIIIA00 00
R T I'P0935114 AVE::
C PHONE 11503) 639- •:993
7
T
O I PFG:[!�'IPAI TON NO I 03P3 1 01'Al 101.
R
L I PK.(7F.-.JP1' NO .
This permit is issued subject to the regulations contained In Title 14 .31
of the TMC. 6ta'.e of Oregon Specialty Codes,zoning regulations 14-A41,111:11VA) TNriPEctT0N'.'1
and all other applicable codes and ordinances, and it Is hereby I (10,TJ NC SF:1AICIP
agreed that the work will be done in accordance with the plans and I INDA VION WALA.- RAXN UPA111NIS
specifications and in compliance with all applicable codes and PI,)S'11 & rMlAll WAlLTO L I*NE
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city (:.T'I Y APPFICH SW
business tax permits This permit will expire and become null and C.,L A b NAL
void it work is not started within 180 days.or If work Is suspended or PL.13 . 1,017,011.11,
abandoned for a period of 180 days any time after work he-; FP6M 1:NC',
commenced. It shall be the responsibility of the permittee to assure. .
All required Inspections are requested and approved F,1 r IE P1.r'%'F
PermAleeSign-a(uureP
t ,l I i flly TINS 'I I I'QN 6:59-41l. f"5
Issued By -------
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WWIWitff-jun-immsignMRS
!!)1::.WIr-;4 PFAMI I
PEAKET NO, , SE SE310-529
CITY CSF TIGA RD RD SUED 27/as
COMMUNITY DEVELOPMENT DEPARTMENT F1141M . PMT .NO. C180526
13125:j:tl Blvd-P.O.Box 23397,1 igard.Oregon 97223,(503)639-4175 A8
TAX MAI-1/1.01 1S1.33AU3.0-100 L)Ej: !:51JMM(-::Rl.3-)Kr--': 11,13 L.T : IAel RK :
L.AND LISE : P7PU
I-O"T, 51711--' :
SMTTON: 33 *TWP: 1:41 N(3, : w
WOW< E'LA55 : NEW
USE TYPE: S1NGL.E FAMXLY
the ilqlreell; tl:1 ctlmlaa.y With 14.3-:1. 1,113.elf1 j,111(j 1-4)(01:1.jjtj,:I 1:11.1% cl+ tl-,sD! uni-r:1.ed
5eW1W--'f`8L(W" A91211C4 'rale pel-ln:I.t expiretu 1.130 Clayin -FrOM able date isimt-led rhe t(:Ita*l.
in in u u n t 1:1 a i d W il vii +0 r+ei I.e,(:1 :1 + t 11 e 1:)et I,in'I I. ro x P i I"e 0' 11-1w, AcJrTlnr.y c1climm ricit
m.11twe the (3-Ir the J.acmLtion m4( the side viewer tf the fliet-)vr ifli
jLlf:)j, --Cmpect, 3
.CI 111j, jjjf--.-�
saiVE-l-1 , the 131
n1l. (ftrectionw frcint thG, cJ:Luitnnc.,e,,. given . 1-F nnrt,
SLI the iiimtot-l-ler whal.).
5i.dv F-5ewull" Pel.,10:i i, iti,llcl 1,1 el .0 q U.I-I C q Wi:1.1 :1.1-11litill] :1. ill, 1 at 1.e I,MCI.
11 16M.0 Ill V T OW3 111 11rrl
M.-, :3
UN1116 : IL.NMI 3J11' P(.)k)l::J1I:;J41
I)Wr..:.I-.l I NG UN 3:T'S - 1.
NO OF BIAMS 1.
111:3:11 . 00
0 (MNNE:C'r1(:)N C,14ARGE
W LTNE." 16F) 1NSTALI
N
E
R LYTHEP
Will 1111*11 Mt.EIHAlir
0 C MAHON CONS T11LIC-IJON
N I.P090515W 1.11111+1 AUE
T
R r1GA140
A r)H(:)Nl':: (503) 639 59' 3'7
C PE G 1.r.2TPA7'X ON NO 1.0 5 23 TOTAL. : 1. Al 4R!5 . 0
.r
0
R WECEETPI NO.
This permit is issued subject to the regulations contained in Title 14 14-MA1.11PED 1W)PE:CTION5
of the TMC, State of Oregon Specialty Codes. zoning regulations POLWY31---3:N
and all other applicable codes and ordinances, and It is hereby
agreed thpi the work will be done In accordance with the plans And
specifications and in compliance with all applicable codes and
o,,jinances 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 If work Is not started within 1180 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
C-4-�
Permittee ',qnAtwo GAl.-I.. FOP 1NISPIEUVION 639-41. f-5
Issued By
SEPARATE PERMITS REQUIRED FOR WOAK OTHER THAN DESCRIBED ABOVE
--.-
PN FtrTT NO . ME:6805VO
C17YOFTIGARDDATC:cm�i6lltD :M51.111"D: A/P7/Be
COMMUNITY DEVELOPMENT DEPARTMENT PF41M . PMT . NO 880526
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175
0111314L CAA
' MME PI AKE: PH3 LA* : 1.6-1 13K :
TAX MAI: ill-01 1.sJ.X.!,AD:I.0/I00 In'U
-ANI] USE :
11-01, �;IZC: i'mm- NO : NO:
WOPK CLASS Nr-..'.W F:'t.JPNA(:',E <100K 1. AIA HANDI P (11.0
uSC TYPE: SINGLE FAM11--Y FURNACE 11-00K+ AlPf HANDLA 10K
CONST . TYPE: VN FL.nnP FLIPISIACE: EA)AP COOLER
occup.cpp. : n3 HE'A"I'lliril VEN T FAN
VENT VF::N'(
)L..P/C(*-)MP (31.11F) HOOD
BLr4/C(:)MP 3-15HP I INILUNERA1*0141(D()M
NO . STOPIE"I : INCINEPAT011(COM
DWELL .UNrrs : I E4 I PICOMP 11.5-301-41P, DEP
UN1TS
VAJE1. TYPE: CWi W.141COMP '30-5011P
MAX . :ENPUT SLA/COMP 504.1-10 OTI-11F.-P
r."TRE: D14PPs.? GASs P1J):1N(*.-) C)(.J*Y'I-.E'T-S
I.
1-41GH PPrr*:'1rJ7
1. Ow PIPIFS51? yE.S
PEPM11 $1.0 . 00
PI...AN PF,--V1F'.W 1119 . 00
000
W FIXTURES
N TAX $1. U0
E
R 01 HU'A
C G0UTHWI;-*.ST 5sVIE'L T ME:VAL.
0
N
T P c)r t1 in.1-1(1 t31^ 9*7223
R
A (503) TOTAII IIIIA6 .U0
C PC VITPATION NO A5089
T
0 114EXA.:A.Fil NO.
R— - I
This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes. zot Ing regulations G'A15 I .CNE::
and all other applicable codes and ordinances, and it Is hereby I'AA0 &
agreed that the work will be done,In Ficcorda ;e with the plans And 1:40001 1 1 N
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 null and
void if work Is not Marted within 180 days,or it 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
"--' -Ac
Permittee Signattit, (111 TWiVIEU�TICIN 6.19
Issued By )A
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1-••1_It.J I I I b.1.N I., h'fr.1.4 1 q.1. 1
P11.11MI V NO, : PL.-BE40521
C'1 OF TIVARD ISSUED : (I/2*7/88
(C I TYOZF ZTWA RD
02190N
(,OMMUNITY DEVELOPMENT DEPARTMENT PPJ:M PMT .NO . 1380M26
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175
fox MAP/IATT I.S133AD10,100 MAil: SUMME-J411 AKE PIAZ3
I-ONI) UShi.: P71
LOT
NO: NO:
WOPK CL-(V"5G : Nl:-:'W WATER 011-OSE-IT P.
USE TYPE. ; SINGLE:* FAMILY 1. FUN01 18110:1 OW PIWNTR
CONS0 TYPE: VIN I-AVOPATOPYTPAI:-, I:'-'P:1MF:P
OCCUPA."PP. P3 11JIS 511-4014EP (::PEA SC:: T'PAPS
NO - STOPIE.S : J.
WELL UNI TS I I AUNI)PY TPAY RLDG. DPAIN MIA
FLOOP I)PAIN
13INK i 1:.-:W ki:1-1 11 F:
t4t.)'Y'r--w :1. tiTOPMMAIN Wt
OTHEF,
0
W I. AX T*t.jPE!h
N
E 5 I'A'T F.. TA X WN
R
RAV44i M 4i ON IMF I.
CO 1-'OWER 1:1 U H r-.4 N c',
N 5970 SW
T bmmvei-tori t3r- 91005
R
A PHONE:. (.50'3) 'r.*-.'?7--*.*49*1J
C
T NO . W.?37113 1'(:)'T AL.. $123. 38
0
R
I I N
.......... ............
This permit is issued subject to the regulations contained In Title 14 :I:Nsr'-+:C'TTC)W-i
of the TMC, State of Oregon Specialty Codes,zoning regulations 1.INIA'.-.:n!5LAR
and all other applicable codes and ordinances, and it is hereby F. F.3r,:'()t4
agre�d that the work will be done In accordance with the plans and WA 11:11 LIE"
N .
specifications and In compliance with all applicable codes and 14.p" TOP01.11
ordinances The last-ince of this permit does not waive restrictive
covenants Contractor And subcontractors shall have current city IMI.N OPotNta
business tax permits This permit will expire and become null and V 1:NAt
void 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 be the responsibility of the permittee to ASSUre
all required inspections are requested and approved
-irmittee Signature
CALL. INtiPEC TJUN 6.119-41.1. 7M
Issued By 1___ ,
SEPARATE PERI'lill REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGrARD ;®L PLAN CHECK APPLICATION
COM 1AUNl;Y DEVELOPMENT DEPARTMENT OFTWAPLAN CHECK 3. 0 r
13125S1VHAPZ P.O.Bw"W.no., 0mgonW=(W)631.417c PERMIT #
-- - -— DATE ISSUED
JOB ADDRESS: `i,�l�, i2l '� Qc--u Z TAX MAP/LOT
SUB: AIA4 i �,_U,KM l-/ak� � +2� LOT: LAND USE:
VALUATION: SETBACKS: FRONT: -;n REAR: LEFT: RIGHT:
WORK CLASS: _ HEIGHT: i� � TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: 2ND:
OCCUP GROUP: _ DWELL/UNITS: 3RD:
O^CUP LOAD: NO BEDROOMS: BASEMENT: _
N) STORIES: NO BATHS: GARAGE:
IAP 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 IND.: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: CIfirtt:
COMM:r1TS. !?Cr .� �e n �.c t 4(C�'c^.if � ' .-,•>t:l�, /S�,csc—� V , cam.
CCT f DESCRIPTION AMOUNT
OWMM 10-432 00 Building Permit Fees
NAMES IV�Ic'W4�L W. 1�114ND�� 10-431 00 Plumbing Permit Fees +0,5;Z " 3
ADDRESS;�� `a � V,41 AVS_ 10-431 01 Mechanical Permit Fees
�C1Ca�,k:l� O 'J-f�c,L�l 12"Z S 10-230 01 State Building Tax (5X) ' r` t 2
10-433 00 Plane Check Fee $ ti
PHONES cam•,") 5`�3�� 30-443 00 Sewer Connection (20X) $
30-202 00 Sewer Connection (80X) ate" _-~
CONTRACTOR 30-444 00 Sewer Innpection $
NAME: .51-448 00 Street System Dev. Charge (SDC) $
ADDRESS: 52-449 01 Parke I System Dev. Charge (PDC) $!
52-449 02 Parke II System Dev. Charge (PDC) $
_ 31-450 00 Storm Drainage Syst Dev Chrg(SSDC) $�
PHONE:_ 10-230 09 TRFD (95x) $
I.0-435 00 TRFD (5%) 3
ARCH/ENGINEER 10-230 06 Washington County Fire #1 (95x) $
NAME: 10-435 00 Washingtvr. County Fire /1 (52) $
ADDR.ESS:_ 10-220 00 Amact/Wedgewood' $—
PHGN`E: TOTAL
PREPAID $
R rc aBALANCE DUE
Ck-
APPLICANT
SIGNATURE �►Kan1�
Received By: ,� -(J Date Received: