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15210 SW 100TH AVENUE _ _L5210 SW 100TH AVENUE _ -r; X u 0 0 3 tn G N !' WAR /yv'Au °5. $� J Y die wr '"'"m, e• + r Et" AIM, �{ pL r• �r G ��A7n•�� �!+ Y ;yn♦ n" � 3 '• `� Ulu�e n� ,Ary "• "h'rf p6P� j �+ jbA NN �+?��j� .. _—.�cPr^a�.accr-R-ve� �--, sarearctiT.-s.-Rc-'.:..�v.'aeeie,; w_B.�r �•�, ,Ppi cw o ;p VC14 y ° Z;' �x,d•, + 0.1 •-+ � i �' � to O to a G s u F w u co cd 40 c 's ar •�,a O q q � �` � cs <'' w V LLI x a U �t��� 'd t ' �i O M''"I N � 'C •p � r cd Ia Q o� a vY Lr i� �•. •i � � Q W / j!P tj Vv'�'��� 7� Vis'.°� ,• �£, �J 1or rr: .. -'�"'�.-►- etSr}i �,,'��''`//�u ` -': ,�PY �� 4 �_•�.,,, --- ./p� 'O. ,!S[ !d4',r.. i.�� 'yV11Y, 1tt dIIIF.�'�Pv'J� {�Ilp, 't1 #'1+ dIIP �•�. '°'"' ''��p`'•'��1Yr111����/� y�„'*5�l�/�y'••�•�r � '•j'9fr -, 'm .;�n��,�"C 'll� ? i(yt u� '.1'�` .� •�"r� t., ;Y .�` t"; t. tti INSPECTION NOTICE City of Tigard E{uilding Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 Type ori Inspection —_v���:GE�I�.�-�Date Requested Requested Time A.M.--_P.M. Address _1_ �j-_a=Z �—�_ Permit #------- Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to Inspector ! Disapproved Date ` CALL FOR REINSPECTION ❑ YES 1-7 NO CITY OF TIGARD 639.4171 6021 BUILDING PERMIF .uz>,u:cai0ft Line 63'3-41i5 DATE TAX MAP LOT NO. _ I SUBDIVISIO($U _ OWNER JOB ADDRESS]-���� 1�WW.1"Aye. BUILDER Upki�lr Cc>. Mfr . Inc. 3 jlt. ,lefferson 'r�111'> ATE REG NO - --_EXP.DATE BUILDER'S PHONE 635-1441 LOA uawego 97034 ARCHITECT _ PHONE_._._. _____OTHER STRUCTURE 1 N .W L 1 REMODEL 0 ADDITION L� REPAIR C.] MOVE I7 OTHER _DEMOLITION RESIDENCE COMM LJ EDUCATION F7 IND R'cLIGIOUS FIACCESSORY ❑ GARAGE OTHER FENCE OCCUPANCY LAND USE ZONE1c' BLDG TYPE "}' FIRE TONE PLAN CHECK LAY — HEAT SEWER PERMIT N 29x41 , 13u� 2 hath, 9 traps gardee ar(e5.i 41to - — OCC.LOAD FLOOR LOAD 4U HEIGHT 20+ NO,STORIES 1 AR A1� NO.BEDROOMS ; VALUE BUILDING DEPARTMENT 35 D '= - _.--_—_ D —_-- SET PACKS FRONT REAP LEFT SIDE RIGHT SIDE _ Permit _ 352.00 THIS PE"MIT IS ISSUED SUBJECT TO THE HF_GULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLIC^BLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THt Plan Check 22h*60 WORK WILL BE DONE IN ACCOh.jANCE WITH THE PLANS AND SPECIFICATIONS AND IN :OMPLIANCF WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT Dr c.S NOT WAIVE PI.Ck.Fire_ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREN. CITY BUSINFSS -- J TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State'axiil.___ :i5�/L la'.r.',:• SDC- 500*UV Total A*98d APPLICANT OR AGENT_ PDCM11 1SG.UU Orepd, 1ty,.0U -- ----- �- I Bal.Due 494.8 Receipt No:' ; � � ADDRESS Issued By- .—_Approved By_ _- --' -- _ REMAHKS� PLUMBING DATE DATE INSP. TYPE INSPECTION REMARKS �y�x bbu 5 Contractor - 17 7�8 6 Permit No. w 7 L J � Rough-in — Fixture Final - � .-- HEATING Contractor Pernii No. _ 7-7- Gae Or Oil Rough-in -- �� Sd Final -+ � 2 -�-=- __ --- ---- 921" COiC�' r � N SEWER -- '— Final r DRIVEWAY — Final Storm Drainage -- (Rain Drain)Final — _- ---- v Sidewalk -' Curb R Street Final Approach BLDG.DEPT.FINAL. TEMPORARY CFR)IFICATE OCCUPANCY Final CERTFICATE OCCUPANCY Landscaping Zoning Final i I I i i I c'1'1'Y OF 'rl(;ARD BUILDING DEPARTMENT PLAN CHECK NO. :_�S' PLAN (.HECK AFPLICATCON DATE RECEIVED: P X. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: /Q Chis is to certify that the attached ::;—I set, of plans have been submitted for plan cheek pursuant .o the Oregon Structural Code and Fire f, Life Safety Code, ?0- edition. PROPERTY 04NER: �b OWNER'S ADDRESS: CONTRACTOR: -*TELEPHONE: 1yC��fdL_*''/TELEPHONE: JOB ADDRESS: l��/ �QQ LOT NO. 5 MAP: UES,:RIPT IUN OF WORK : Jzee � _ Approvals Required SPECIAL NOTES 0 Planning Uept. O Reissue OEngineering Dept . 0 Flood Plain/Se.isitive Lands O Fire District O Sewer A,railability OOther O Other Items Required OList of subcontractors 0 Business Tax 0 Calculations OTruss Details ) Parking Plan 0 Landscape Plan OOther COMMENTS: Ci tv of 'Ci andBluilding Department BY: BUILDING RECEIPT / NA1'II: //L (�(ifi'J 'I' DATE:: & --& ADDRI.SS & Lot, .\,tiUNUIVI:'1UN NAME: UE:SCit(P'l'lON �j �U '7�U �' MOUNT lt1- , 1 Building Permit Fees $ lU- +31-t+t�U Plumbing Permit Fees 10-431-tiOl Mechanical Permit Fees 10-433 Plans Check Fee 10-230-501 State Building Tax $ 30-443 Sewer Connection (20%) 30-202 Sewer Connection (80x) $ 30-444 Sewer Inspection $ 51-448 Street System Dev. Charge (SAC) $ 52-449-610 Parks 1 System Dev. Charge (PDC) $ 52-449-620 Parks II System Dev. Charge (PDC) $ 31-450 Storm Drainage System Dev. Chrg (SSDC) $ 10-230-505 TRFD (95X) $ 10-435 TRFD (5X) $ 10-230-506 Washington County Fire N1 (95X) $ /C` -14'35 Washington County Fire #1 (5x) $ 10-220 Amart/Wedgewood $ TOTAL $ A 4 (Separate ChecP for Leron Heights $150.00). (hr/1214P) i F r CITY OF TIGA R® No. 1-3338 12755 S.W. ASH P.O.BOX 23397 Date TIGARD,OR 97223 i Name Address f -- - f Lot 810 k/MLp Subdivision/Address r I Permit N's Bldg. Plumb _ Cash Check Other _ Other Rec. By �� [k Acct. No. scription T Amount 10.432 Building Permit Fees_ _ _ — I 10.431.800 Plumbing Permit Fees�� 10.431-801 Mechanical Permit Fees 10-230.501 State Bldg. Tax 10-433 Flans Check Fee 30-443 Sewer Connection -- 30-444 Sewer Inspection 51.448 Street Syst. Dev. Charge 52.449.810 Parks I Syst. nev. Chrrge b2.449-1320 Parks II Syst. Dev. Cher e — 31.450 Storm Drainage Syst. Day. Charge 10 430 Business Tax 10.434 _ Alarm Permit 10.227 Bail ----- ---� -- 10.455- Fines --Trafflc/Wi jiParking —TO—230. CPTA Traffic/MlsdfVlc. Asst._ 10.456 Indigent Defense 30.122.401 Sewer Service/USA 30-122402 Sewer Service/City 30% 30-123 Sewer Sevice/City Malnt. 30125 Unmatched 31.124 Storm Drainage —V 475 5ancroft Prin. Pymt. 1 Bancioft Int. Pymt. TOTAL OMT for inspections call 639-•4175 CITY OF TIGARD 639.1171 DATE BUILDING PERMIT co �rGSip� P.O. Box 23397, Tigard OR 97223 TAXMAP .___ LOTN0. _. -7 _BUeDIVISION OWNER >*/4/14' __ pG� JOLI AOURESS _ _ l52—r,, — 160E BUILDER _H 7G' Cp, �tJj.� .7"N G .j a-U�� _ STATE REG.NO. �� -7G EXP.GATE I"I dp-S-7 BUILDER'S PHONE ARCHITECT__ PHONE _ OTHER STRUCTURE bEW ❑ REMODEL ❑ ADDITION ❑ REPAIR L7 MOVE U OTHER C.1 PEMOLITIO 0111IESIDENCE ❑ COMM ❑ EDUCATION n *40 ❑ -ItLIGIOUS (3 ACCESSORY Ci GARAGE ❑ OTHER ❑ FENC �s ��.._... *• OCCUPANCY - _'-ANO USE ZONE . 8L0(s.TYPE .��_FIRE 7_ONF `fy PLAN CHECK BY 7 MEAT i I IF SEWER PERMIT A c � � r 4 — NO.STORIES AREA /�j/] NO.BEDROOMS VAI L�I� OCC.LOAD FLOOR LOAD �L HEIGHI'�U BUILDING DEPARTMENT SET BACKS FRONT ( REAR LEFT SIDE RIGHT SIDE L p Permit �+� — THIS PERMIT IS ISSUED SU9JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONIN FfGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HERESY AGREED THAT TH Plan Check Z 1' Sr 4, WORK WILL BE ^ jNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC WITH ALL APPLI(_4BLE CODES AND ORDINANCES. THE ISSUANCE OF T141S PERMIT DOES NOT WAIVI PI.Ck_Fin RESTRICTIVE COVENANTS,CONTRACTOR AND SITS CONTRACTOM TO HAVE CURRENT CITY BUSINFS' J y v TAX PERMITS.SEPARATE PERMIT QUIRED FOR SEWER.PLUMBING AND HEATING, Slate Tax _ Total n 1 PO PU(I APPI �-nAGENT - -- — - Prapd. /d /' Ole Receipt No. ADDRESS PHONE Bal.Due If Issued By_----__-_ -ApprovedBy !by_ y SSI)C _ SUC POC SEWER CONNECTION S ? A, k^t 1 SEWER INSPECTION 8 f'c 1 SEWER SURCHARGE. S2- (001, z � x - 7 ILL THE UNL)EjjSIGNEO H�HEUY APr'LIES EWA A PLIWI I FOH I tIL �VUIIm IILIILI'J w 101 _ OR AS SHOWN ANO APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. 80TT 1`10-47— IF- ADO Ovnv1` —47- r O� •T.VN Ep k ' ' �. JO©AOOff E55 / JL cJ�� ARCr11TECT >cu• f ENGINEER :iU1�_7C'Z .�/ 1h-I"� K•1-Y7�Ll ��Lc_i LdAR_gSD - I�•�%/ =J�C� DESIGNER STRUCTURE _ 7VEW ❑Rt'MY,1)EL ❑AOOITION _❑-1_REPAI_R ❑RENES'/AL ❑FIRE DAMAGE rr--tt CIOVAOL1 t1ESIL'ENC.I- 000"m ❑EDUCATIONAL CJGOV'T ❑RELIGICUS[]PATIO ❑CAR PORT GARAGE Cl STORAGE IJSLA3 ❑F / N OLDG TYPE_ PLAN CHECK 9Y,— ►IEAT l:C•l:l:P.�f;•=Yg�__ANO USE ZUrI �• --i- __ �cpNSTRUGT INTI d�MIL.Y L�YFLT, iJ , w1Arrn Y) rAII (117 _ f✓ BATH 0}�,OM BEDROOM REAR FERf•1IT •�' �ouov QjX_1..9rD _FLQO A �___t1F G nILS 1 ARE11% NO-BEDROOMS 1 9111LQIti•i DEPARTMENT _SET BACKS FFi I REAR LZ LEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED S EJECT TO THE REGULATIONS CONTAINED Its THE BUILDING COf)E, X j :-:.In ChrCR �',� REGULATIONS AND ALL A PLICASLE CODES AND OROINANCES, AND IT IS HEREBY AGREED THA T-- ---�� WORK WILL BE DONE IN AC ROAXCE WITH THE PLANS AND SPECIFICATIONS AND IN CC*%IPLIl.NC( $:17•t5t�1 ;i ` Att--APPLICABLE CODES ANt1" ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT RESTRICTIVFCOVENANTS. CONTRA.:TOR AKO SUR CONTRACTORS TO HAVE CU;•REtIT CITY B! r•-str. Tax f 14ENSE. SEPARATE PERMITS REOVIREU FCR SEWER. PLUMBING AND HEATING. Tunl � S 'i PDC#, r APPLICANT OR AGENT FApprovIFtt a elpt No. SJ)C (Storm Por, - -- SEWER CONNECTION SEWER IN3PECTIoN SEWER SURCHARGE $ Comments : t ?il ' CI _- 7r7 �t rs