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INSPECTION NOTICE
City of T;4ird Building Department
P.O. Box 23397 J
Tigard, Oregon 97223
Phone:639-4175/s
Type of Inspection ' � `'�
Date Requested . .- __ -_-_ _ Timm_ A.M. �� P.M. G,
Address _ �� �,/%��- -c J � -- Permit
3uilder
The following Buildinq Code deficiencies are required to be corrected:
Presented to __ _— Pi"Approved
Inspector _ J Disapproved
- +
Date �
CALL FOR REINSPECTION
YE! 17 NO
INSPECTION NOTICE
City of Tigard Building Department J�
P O Box 23397 1111
Tigard, Oregon 97223
Phone: 639-4175
Type of Insrection
Data Requ/estedLO inme /1l A.M.---P.M.
Address f CIL � L Y/ //� L_ �_ Permit #
Owner - Lot #
Builder I LtS
The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector �_� Disapproved
Date i ?�'- la
CALL FOR R F 1NSPECTION
C-] VES k NO
raw :ev e=
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 91223
Phone: 639-4175
Type of Inspection rQ071 1
Date Requested �� • a d � .;' Time 1 �_"_ A.M.-- ---_pP.M.
Address _ s`�U "'� T�t I✓ i�d� _ _ Permit #�gI& 7
Owner_ — _ — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
em
— L
Presented to .----- __ �_I Approved 9'
Inspector ❑ Dkdpproved
Date - .-- �-_` U 947
CALL FOR REINSPECTION
❑ Yve ❑ No
iiiiiiiiir M 0AMUL
BUILD1W., PEPMJ: r
CITY OFT167ARD &4� PERMIT NO. ; INJOH1.6710
(CITY j0F��TWAPVD
COMMUNITY DEVELOPMENT DEPARTMENT DATE 15511JED. 8/25/88
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregin 97223.(503)639-4175 PRIM.PMT.N0. 8131679
%.JOB ADUPESS : 11540 SW FAIPVTF-W LN
VAX KAP/L.01' eS:I. WD 3000 SLIP : HOLLY LA* :2 BIK .
I.-AND USE: R4. 5
I. (:)*I' SI„/„'F.:': : ot-U ATI ON 111 23,000 15 E TO it C.K 5
F'RON'T : I.-*'.AP :
WORK CLASS : ADUI TION DWEL.L - IJNITC.o ; I LEF T: 1:4 TV',I.-I I'
U%E: I YPE : SINGLE FAMT L.Y NO . BEDROOMS : EXI . WALL CONST :
llw(JNST TYPE : VN NO . F3An-i5 N : W :
[)CX3Jl::' .CPP. . P3 PPO T .OPENING'; :
(It'(7UP.LOAD N: 15 : F: W:
TOTAL AREA '510
N0 . STORIES : 1 1.ST 0 CIONST :
III.--I GHT : 1.8 E4ND APEA SE PAP7 RATED:
PASRrMENT7 3AD: O(--CIDP . 5EPAP? RA 11:71):
ME7ZAN'INE-.7 DAGEM I T
I*-1-00P I OAD: 40 GAF4A(.;E: : F'11414". SI: 11<L Al-AlIM7
Fl.Ow(G;pm) DE murt
HFEAT TYPE: HDCP .AliXE S51 CUPPI?
PLAN CHECK DY : r-3A
REMARKS .
RE ISSUE IL W NO .
LAST Pl-.'.XSSI.JE
01.S*r E.N 5 L.N DICK PITIMI T $158.50
W
N 1.3t),410 SW FATPVIEW L.N PLAN REVIEW Il 03
E T I GAPD OP 9%2'x:':3 FIRE" 1.)EP*T'
R PHONE (503) 6P.0-852/4 !:;'TA'T'S. TAX 111117 . 9A
(ITHEP
C DIEVELOPMENT CHAPOES :
O SAMk.JI--'.L.S BOD sot,I STURM)
N RUB SAMUELS IN(:, . GDC I STPFli-T )
T
R (37 35 SW LEMMAN P 1)(11 1# 11
A p a I-,t.l.at ri irl OP 9'72P*13
C PREPAID 63>
T 1-11-IONE 115031 P-46-41730
0 PFA3*151PATION NO. 15V-71 TOTAL.:
R $189 . 82
PECE I PT No. Z
This permit Is issued subject to the regWitions contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations PEQtTtPED TN5PF-r.*t10NS3
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and
van'rING
specifications and In compliance with all applicable cores and PAIN DPAIN5
ordinances The issuance of this permit does not waive restrictive Pflti*f" & WEAM WnTER LINE
covenants Contractor and subcontractors shall have current city Pt..8 I.JNDF.RSI...AB
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 3:N-ft..
abandoned for a period of 180 days any time after work has PI B . T('.)Pr)LJ'I'
commenced It shall be the responsibility of the permittee to 88SUre V'PAMIN(:,
all required inspections are requested and approved. F'TPF"PL.At,lF
t.-,A5 LTNE".
1:11NISLILATION
Permittee Signature
Issued By N in P 14-1—11'3*C I"—Ems_
9 q j. or 14
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MI"CHANICAI Pki.w.1 I-
(Cl _,A PEPMI1' NO —01169p.
CITY OF TIFA RD Afl_tW M".
cl'ryi�F— lm DATr:.-.' ISSUED . 0/23/oa
COMMUNITY DEVELOPMENT DEPARTMENT PRIM. PM*T'.NC) . 01:1116 T()'
13115 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.15031639-4175
ADTJIM=-Li�l : 11-540 5W F*AIPVI.EW LN --
TAXMAP/LOT 2511. 3CD 3000 SUD : 140L I y I I. I<
LAND USE : PA. 5
I-01' SIZE :
NO: NC
WOPX CLASS : ADDI'T:I'(:)N FURNACE. (100K AJA. HANDLA (1.0
I-H-5E I*Yl:)F.: : SIN(yLAH: FAMILY FURNACE 1001(4 AIA I-lAI'4I)I-.P 1.ol<
CUNST . 'TYVIC' VN FLOOP FOPNOCIT EVAP. COOLER
OCCUP .GAP . ; 143 Vt-,N,r FAN
VE'N'T VENT . SYSISM
81-.P/COMP (3HP HOOD
NO . STOPIF:S : 1. BI P/GOMP 13-131-4p INC,INERAIT)P(DOM
DWEI L. -i jN rm : I 1.5-30HP INC INEPATUR(COM
01 WCOMP 30-50HID REPAIP L)N'.I:I'S
MAX . INPUT 1411-II/C'01141-1 150+HP 011.iEll
r -rw OMPPsy
HIGH PRESS? GAS F*IPJ:NC,' OUTLETS
I. Ow PPECIS?
HEMAPKS :
CHAI S*T'L--.NSEN RICK PEPMIT'
wo 11,5/10 W FA3:PV:I'EW L.N PLi4N PrEVTC':W $5.88
TICARE) C)A "Ple.?83 F:X'i1.112E'y M1:3.30
PH(")Nl;;: (503) evP0 a rj P/4
R IWIT: 'TAX 1.0
0 rHEP
C
O Gr-.'NG'.r1AI- F(.JPNAC.',E'
N
T P(:) PDX 315
R 11(ama st 9,10.15
A
C -5
PHONE: ( 50 3) W"36-03P
T 1 K(L;.I.5'T'PA*Y70N N0.
0 $30 :9:3
R
PEGFIF"T NO.
This permit is issued subixt to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done In accordance with the plans and Pl)5i T & REAM
specifications and in compliance with all applicable codes and POLIGH --:rN
ordinances The issuance of this permit does not waive restrictive FINAL.
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
abandoned for a period of 180 de time after work has
commenced it e the r po slit the permittee to assure
all require II
es and aprroved
Permi Ign
6 CALL. F'OP INSPrCTION 639 --,It orn
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVF
CITY
OF
TIGAi;� F1L..'r NO. C; F'IIRMII
RDuin I•'�E:FiM I'r NO. : F�L.(3T:11 x,91
11D
COMMUNITY DEVELOPMENT DEPARTMENT °M'ON DA'Z'E" XSSUI A) : 0/23/08
,:z',SW Han Blvd n o Box 23397.T,garc c w(Icn 97221 ;503)639 4175 PRIM , PMT .NO , 81131679
l[:)El AI'JT)AE:S'i . .1.1540 SW F"A:[rW 1I:::W I._N
'TAX MAH'/L..O'T r!iii .3CD 3000 "'nU ): I••IOL.L.Y TAki:F. LT :2 13K :
I t1ND USE: : 144 .5
I (AT S 11:1-: :
ITEM: NO: NCi
WORK CI...ASS : AI)[)T 1•:[(:)N WAIT:R C:I...OSL T TRAP
I!5E T YPr-" : f't.LNGI..F: F:'AMII.,Y UPINA1... E)KFI-OW PPVN1"R
C:()Nri"1 TYPE . VN I...AVORATORY 'T PAP PRIME:P
OL Cl. P . (*.-*,PP . P3 TIJ9 SIHOWE:A C:rtF ASE. rPAPci
DISHWASHE::N
(';ARE3ACF:
NO. STOPTUi . 1. WASHING MAC,HT.NI'' J.
OW1 L.I.— I.INIT'3 : 1 L A1.INDNY FRAY J. I81_DG . DRATN (011
(•L.00P DRAIN
'SINK 1. GEME:R tFT)
WAIF.R HEA'TUVP STORM/RA114 (I"T
OTHER �
14KMAPKEi :
F*EE':S :
O ('JAP'1:S1F:N5E:N RICK F)F..RM:T1 $317 . 150
W
N 1.1540 SW F"ATRVII-- I...N
E 11GAPU OR 97£:P3 F'IXTURE:S
R
PHONE. (:aa:;) 620__8:5s:'4 fy rA r1=: TA $1 .8114
OTT IT R
C
O 11AYBORN HOWAPI)
7 PAYF3(7RN' S PL.LIMB I:NG
R 1. 164t5SW ,.URGEN'ii PO.
� a+halt Wctctd or 971-140
T FSI i(JNF. 1 t50 3) 69i?-•41.:39
R NF'1:,:[STNAT.T.LIN NO . 4411.0 l fl"rAl... : iM39 . :3E1
I*-X•E'E P'T NO.
This permit is Issued subject to the regulations contained in Title 14 •..•....••..•.•-•-••••••••- ••••••-•- ••••»« -•»
of the TMC. State of Oregon Specialty Codes. zoning regulationsIyI:.:G711;TRE'0 INGPM:C•T•7:UNS
and all other applicable codes and ordinances. and It is hereby T)L B 1JNDF-RSI A8
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and POST tL RIi;:AM
ordinances The issuance of this permit does not waive restrictive WA'1'I P I...:I:NE:"
covenants Contractor and subcontractors shall have current city 1:,1...14 . TUPOU T
business tax permits. this permit will expire and become null and PAIN I]Pii ii
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 r :1•NAI•••
commenced It shall be the responsibility of the parmittee to assure
all required inspections are requester'and approved
Permittee Signature
Issued By
I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
s �w st• it � Ar
OF U
CITY OF TIG ARD �c�✓'
OREGON
Owner: Quetiretnt Corp. 73"143
I_. .. .... ........I..... . _. .. ormit No..........................
Building Address........1154a..
' S.JJ....Feirv.teu .Len.e_ ...................................
Certificate is hereby given this...----19.thday of_.No.uemher .......... 19.7.3.....
that said building may he occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
i
�Uwlg Inspector
KMLPKMLMKALN
ucl
R '-lou 1, 15 3 \�
Address 11540 S.W. Fairview_ Lane Permit No. 4864
Permit charge _
Owner Connection fee 42c;
Paid by „gyadranf Cni -
Type of building residence Date connected
Service rate _ YS 3.00 per month Inspection fee 7 S —
Contractor Quadrant Corp.
Paid by same __ date
Size of connection 4" Assessment paid
City of Tigard
I INSPECTION REQUEST
t
1 for
i
1 INSPECTION TIME :_-- P RMIT NO. . .
1 DATE: "=4i ?? OATE ISSUED' 1
OWNERS NAME ' WA 02Ah y" �----- -' -
ADDRESS .
A C,)N'I RACTO R
C
Tt~S'1
RESUL-T Nppt A r d ❑ :iisrpprovO 1
I SKETCH:
I
I
I
11 INSPECTOR DATE
INOTE: Attach supplemental test ,tu+rs neret-10
City of Tigard
INSPECTION REOUEST
for
'NSPECTl(JN TIME : '*,- -&,: NERMrr NO. . ..-
DATE ; 1 _ ')ATF ISSUED'-._i-/
OWNERS NAME ' C/��J��>l'�
4 O D R E S S ' '_e T a .-Lt
- _--- -- -
C. )N'l RA TO R : - -- -.._ --- - --
7 S _ NnteC � ��1��� t Lo rr. ►
RESULTappy ,� e ] I�, ;c ,�prora� 1 i der ; J
SKETCH:
SPECTOR DATE
JUTE : Attcch supplementclI feet ,sotc; neret]
i
;I
n � �
I
I1
City of Tigard
f
INSPECTION (REQUEST
for
IINSPECTION TIME _ PERMIT NO. :
i DATE: 27 /71DATE ISSUED
I OWNERS NAME :
ADDRESS : /Y -2__ '3�•�, /
CONTRACTOR
I TEST A r J. Water �1 , `�is� ;;I ❑ , La'-
RESULT.'
a'
RESULT. Approved Disapproved -
I _ VP F'"rdlnG
I SKETCH:
I
I
f
I
I SFECTOR DATE
NiTAtforh cii i Iprr.er;}nl }pc,1 t t ,1 otr hereto)
1 I
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : PERMIT NO. .
DATE : I&L'L DATE ISSUED ' _._LL.
0W N E R S N A M E :
ADDRESS : ._.
CONTRACTOR
PEST \ r J, Water,p vii, cLa' ,rator� h
RESULT. Appro, .3d LY, DisopprovA8 _I P-nding l
I
SKETCH:
I
I
I
I
/ INSPECTOR (SATE
` [NOTE . Attach supplemental test dOr; heret]
1
lali
i
�',o of Tigard
INSPECTION REQUEST
for-
.__.__
NSPECTION TIME. �%°� PERMIT NC. .
DATE: , 7 /l/_` 7 DATE ISSUED .—,,—!
OWNERS
SSUED —!OWNERS NAME ' •%` --
ADDRESS: 2 -
0
-n N r R A Tr) R : _ - ----
EST : 1 ti torp , V'wua�y '.udcat�r;' _a
RESULT : ,gyp- roved p ;6uppro•.ad*;e , eridioq, l]
S KETCH: Ja
U
INSPECTOR DATE
[OTE: Attcen supplemental test data heretl
PLUMBING. PERMIT APPLICATION i
Jurisdictior. of TIGARD
No. Type of Fixture Fee Permit No. P_
Permit fee 32.00
2 _
Water Closets Toilets °`-' Permit Issues!
Bath Tubs QD Approved by
avator Wash Basin - I Building Perm
Shower j.W Receipt No. rssS'_
nTcs, Dishwashing ___
Sinks, Kitchen
I Sinks Ordinary a w Location of Building
inks, Bar au _
Sinks Slop 113 SM FAIRVIEW LANE
_
Automatic Dishwasher a 00
'Iisposa _ C+
Laundry Trays Name & Address of Owner _
Drains Floor THE QUADRANT CORP
rain.3 Area 1750 SM SKYLINE BLVD _
rain,3e .r-iRerator PORTLNAD OREGON 97221 _
Rain Drains
I ' Automatic Washer Name & Address of Plumber
Fountains, r n n IMPERIAL IPLUMBING d WEATING, INC„
Fountains oda P 0 BOX 106327
Hot Water Tank 41 PORTLD OREGON 97206
Water Service Siz414 ) 91'=
Urinals Buildin Old or New Alter Repair or
a -c assns - Yard TH—stall) _ NEW
Lawn Sprinkler 5 stem
Swimming Pool ier
S rinkler System
This permit becomes null and void if work or construction authorized is not
commenced within 60 days, or if construction or work is suspended or abanu,ned
for, a period of 120 days at any time after work is commenced°
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond,
I hereby certify that I have road and examined this application and know the same
to be true and correct. All provisions of laws and ordinances governing this typt
of work will be complied with whether specified herein or not, the granting of a
permit does not presume to give authority to violate or cancel the provisions
of any other state or local law regulating conjtruction or the performance of
construction.
IMPERIAL PLUMBING , HFATtNr, !NC.
Srure of Appii. ant
w
I
I
City of Tigard
INSPECTION REQUEST
i for
fouOrl�ATL 0 �• --
IINSPECTION TI DIE :gym_ PERMIT NO. : ..
I DATE.- ?_ //Z-U DATE ISSUED'
OWNERS NAME . q,&17` - --
IADDRESS : _/-.= ---
I CONTRACTOR :_ - - -- -- ------ —
TEST a r J , Water ri , Ifirwol 1 , La" rator r
RESULT: /approved Disopproved _1 Pending ;]
I SKETCH'
I
I
I
I
NSPECTOR DATE
IOTEAttach supplemental test uata heret]
1
a
City of Tigard
INSPECTION REQUEST
for
Z.
INSPECTION TIME. _06'y:_ PERMIT NO. :—
DATE '
O. : rDATE ' //4/7,3 DATE ISSUED :-
OWNERS
SSUED :_OWNERS NAME ' _--
A D D R E S S:
CONTRACTOR :
'i E ST : N ter p , V: ;ual 1-aboratory ❑
RESULT-: Ap.-rovedg :)�supprw ad G Pendiog ❑
SKETCH: Lo ]r Z C3L/4::f
VIS!P ECTOR DAT ��--
NOTE - Attach supplemental test data hereto]
+sn
.�. -73
UNIFIED SEWERAGE AGENCY N O WASHINGTON COUNTY COUNTY DAT _���lt�e- ���_1:�"l.�
CITY' ----
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER-
OWNER'S
WNER OWNER'S ADDRESS ___-__ ___ -1W '.qW:__y4. e.Blwd. _
STREET
CITY STA--` T�'E— ZIP J----
BUILDING SITE: LOT__-L_- __ BLOCK - _- ADDITION
TAX LOT NO. TYPE OF OCCUPANCY Residence
ADDRESS -U-54u S.W. Fairview Lane
DWELLING UNITS 1_..___________ _._ FIXTURE UNITS
SURCHARGE IF APPLICABLE ..-- 50.00 to Derry Dell
PE 13:1 E �`=�- _ INSPECTION FEE ' TOTAL DEPOSITED 450
r�N E)NEW) XISTING) BUILDING SEWER SYSTEM Card
The Applicant agrees to comply with all rules and regul ',Ions of the Unified Sewerage Agency
J ,
A P P l.I C A N
SEWER' PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM
LINE SIZE 14.1
INSTALLER Quadr-wii• Corp.
RECEIVED BY
;F.NCITS AGENT)
� vv
COMMENTS:
This Application and nerrnit expires in ninety (90) days. The amount I)ni!I will he fur'e)lerl
should expiration occur,
CITY OF TIGARD
12420 S. W. Mdn 8~
TIGARD, ORIOON MU
APPLICATION FOR BUILDING PERMIT
New Construction QX Demolish 11 Addition Remodel Move
ZONING_111 DATE ISSULD o-2b-7j BUILDING PERMIT
DATE RECEIVED Junu
BUILDING FEE $ IYJ.W No. 143
PLAN CHECK $ 40.uo ---
BY- OTHER $ VALUATION $ p; ,1,,,_-IXI
TOTAL $ 12u,uu RECEIPT No._�=,� y 7
__ >3
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT N 2 MAP A 2jl 3C CENSUS TRACT W-1: JOB N
Architect or Engineer yLrr. W�uultttt Assuciyy�e�
Address , -� --------Phone
Owner 1X*Ut'nit Cc:r,�r.,cion `_—_"_---_---.—
Address 14,,, w � y,y'-�4nrflunu (u•nK,,r, ^!_ Phone
Builder__
Address
BUILDING USE Single Res. Multi Res. ❑ Comm. Industrial[]
OCCUPANCY GROUP I No. of Stories L_ Total Hcight __J.d'_— Area of Lot 11�7Lr�
Type of Construction V Floor Area B 1 1.41' 2—_
Set Backs: Front «I Back`1,,L L.Side` u, R.Side— ,1nn
Private Sewer Pipe Sian 4*' Sewers Tigaru Septic Tank lJ
water service Pipe Size '.I It Storm Sewer o Ditch 11 Drywell❑
Street and Curb Requirements)Exl,tink
Driveway width �,.1' _ No. of Parking Spaces 2
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED Fairview :e
FTLI,D CHECK BY EC DATE b-2� /j
PEPMIT APPROVED BY.
it is understood that all work will conform with applicable codes and ordinances
of the state of Oregon and the City of Tigar , Oregon, anti that the building will
not be occupied until a Certificate of an h s been is d by the City of
Tigard Building Inspector. i t
- Vie.
/S na ure of App cant