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A �
INSPECTION NOTICE
,.;ity of Tigard Building Department n q�
P.O Box 23397 1 LI
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection . 4 7 CZ -- - -- I
c l
Date Requested d Time__.A.M.-_X_P.M.
Address _� ��` ��'�/ - j Permit # (7
Owner ,,` -- ---- Lot #!.---- -
Builder —M _
The following Building Code deficiencies are required to be corrected:
r
3 — ----- --
v tiiAlf�r;
Clay -
Presented to 6&11t WVV-610 Approved
Inspector (V Disapproved
Date - /--L d
CALL FOR REINSPECTION
F1 YES ❑ NO
APPLICATION -- STREET MPROVEMENT/EXCAVATION COPY TO:
ORDIN INCE NO. 74 14 ❑ (WHITE)�>"ttE _
❑ (YELL W)-INf.P L'/clC ,
INSTRUCTIONS ON SEPARATE SHEET) (PINK)=0T4CQ- pENq�
❑ (BLUE)-A LICANT
APPROVED /}}}���ppp/// APPLICATION NO,:
NC'T APPROVED ❑ CITY OF TIGARD, OREGON � FEC AMT. S 0
PENDING FEE PMT ❑ CITY HALL RECEIPT
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY ____—._T DATE I L�
PENDING AGENCY ''OK'' ❑ 1pplication and 1'rc,gtc.%x Record — — — — — — — — — — — r
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION As REcauiREo —
ANNUAL.
PENDING VAFiANCE EXPIRATION DATE:
PERMIT NO !� ' --- DATE ISSUED: - -- � - ------ BY —
(1) APPLICATION IS HEREBY N VDE TO EXCAVATE FOR AND INSTALL�='
J AS DESCRIBED HEREIN, IN FULL ACCORr INCE WITH CITY REQUIREMENTS.
APPLICANT
_ WA-MT— ADR[-s-i-- - -CiYw- -PHONE
CONTRACTOR _ '�►_! �'' 7 ( +fit. E �` c�.�1^. 7�/c�r�
NAME A6V—RIE% - _CTEV-- --_
PLANS BY
— NAME ---- — ADDRESS —
ESTIMATED IMPROVEM7NT TO� AL VALUATION ( COST): S
------ - - ---= ===-----
DOLLARS _
R OFFICE USE: -^ .- -. -' CMIN.
(7_) EXCAVATION DATA: FOT y
__ _ 0.04 x f.� — - ---' f —=-------
STREET _ DESCF IPTION — PROGRESS & INSPECTION STATUS_
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTWIDTH DUPTH ITEM QUANTITY
-�--H Ai^� STREET
- r�Z OPENED
INSPEC- _ --
- R 'l ION
E —
Q
U
ESTIMATED ETRE.!:'" OPENING DATE � / / E
ESTIMATED STREET CLOSING DATE —L / I-
- -. ---
(3) SECURITY NO. STRE
ET
._ SECURITY AMT: E CLOSED
SURETY CO. _ Flrv' +-1—
CERTIFLED CHECK CASH QBONb r INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL 1PECIAL PROVISIONS /CONDITIONS
FEATURES: EXCAVATION LOCATION AND EXTENT. _^^
1
—
_ _
i
r
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERtINENT TO CONDUCT OF THE WORK, AND 'I-) SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURN OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE ` ,•� r + 1_l 1. \-_
------ DATE
:N�-:� INF✓��-IN 61 GALIOfAsl
ro fz-.
F2E=7Al N 61
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CAV PROV ,
11,135
17, X90
1*6
PROJECT ------ --_ _ _-_. --
PREPARED 6Y -- —_------- DATE
PAGE NO ciF
..
$� 60 Rc,PIFT PIW-f H
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PROJEuT -- - — -
=161zN Woo p
PREF 6Y DATE
PAGE NO. OF Z
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PRCJECT - _ --- -- -----
PREPARED BY
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BUILD11NIG, PEAM3:*T
C11YOFT11FARD cm4j�m 7ERM11' NO. 81.11131130799
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
JOH A111714ESS : 14125t.'! SW F*ANM(:) CPI"-:F*K 1...1:7
TAX MAP/1-01 RS1A.2BBdIZI01 SUB L'T ; RK :
I-AND (.ISE : P7
STZE : VALUATTON: 111 69, SETHACKS
FRONI* : 55 AEAW : 1:15
WORK (:,I-ASS : NEW DWF--".I.-L .UN11"S : I LEF-I*: 3 1.11 GH'T : 60
USE I'YPE : SINGLIH: F*AM11 Y NO. BEDPOC'MS : 3 E'XT ,WALL (:'.ONSI* :
CONST' I'YPIF. : VN NO. PATi-'S : 3 N: S : E W
CII17p. : P3 PPOT .(:)PiF.N1N(.',S :
Ut"(:li.11P.I (]At) N W
*1'O1*AL Allb.A: 1.55
NO. smpms 21 1 S'T*: 81111 I1OOF F1141-H, DFAII
I-IEJ.(3H'T - P.0 2ND: 669 APEA SEPAW7 I:4A I li�.1)
0ASEMEN7*7 3AD: U(XUP. SE-EPAP7
MEZZAN I Nk--*:'l HASEM' 'T
F'LOOP LOAD: A10 (3APAGF*.: : 396 FIRE SPAKLA7 ALARM7
F;LOW(L-PPM) DE*11:11'rl7 YES
1:11 AN LA-IF.CK HY bcir
PI:::MARKS :
REVil."sUk. OF* NO .
LA51' FlEISS(LIE
0 FEES :
W r atc ti jerry Pli::141*11 T $343.00
N
F 1.25P.,'5 fiw miairi fit I'll AN PEVJ:E-W $222 . 91r5
R tigiard or 972e3 F TPI,-: DEF)"T,
PHONE (503) 639-4137 S 1*A'I E 'TAX 1.5
OTHER
C DE VELC)PMEN'T CHArK*-#ES
0
N GODWJ*N WILLIAM suc( S17,13AM $.`�150 . 00
T rF--:PNW(:)0D DEV . 1N(1 SDG( $4600 . 00
R
A 331133 SW 1,7071-1 PDC(*a $230 . 00
C it 11:11-1 uk or 9*7006 PPE*PAJ:D < •:1.00 . 00)
T
0 PHONE: (503) 6412--7.0382
R PE(;:i:s-tPA-r:rON NO . 419276 1111TAL : $1 ,!:83. 10
This permit is issued subject to the regulations contained In Title 14 RI-.'.C*ET.P*T* NO .
of the TMC. State of Oregon Sperialty Codes,zoning regulations 3/6,22,
and all other applicable codes and ordinances, and it is hereby PEQUTPED I.NSPEC'TIONS
agreed that the work will be done In accordance with the plans and F11101"T NG S F W E A
specifications and In compliance with all applicable cc les and FOUNOA'I'l fiIALL PAIN DPAINS
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city POST 9 4 WA*I+-'A LINE'
business tax permits This permit will expire and become null and PL F.21 . UNDI::PSLAB 'CI'T'Y APPIPICH/914
void if work is not started within 180 days,or it work Is suspended or A AD F I NAL
abandoned fora period of 180 days any time after work has h PL8 . 1,0POU1,
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved F PAM 3:N(:,
GAS LTNE
INSULA'I'VIN
ROAno
Permittee Signature 11.,'Yr
Issued By TNS'."Al..I... V 011 . .3 F
)FI—T
( TON 639 At
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLHM.L I
Pr--':PM:E*T' NO. P11-880800
���OF �I��RD T,:,- RD OWE 1G5Y/c3/a"
4", UED:
mx
COMMUNITY DEVELOPMENT DEPARTMENT PI1J:M- PMT .NO. 880799
131.5 S.W.Hall Blvd-.P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175
'11AX MAI-*,/I 01, 253-12H84(401. LT: 8K :
I AND LIGEK: IT7
1_0`1' 5'TZE :
NO : NO:
WORK CILA55 : NEU WAI EA CILMSET 3 114AP
USE TYPE: SINGLE P;'AV,:r.L.Y LIPTNAL BKFLOW PIPIVIS17*14
CONS 1 . 'Y'YPF:.* : VN I AVOPA1*Or4Y 3 TF2AFy PPIMEP
OU"Up (Ap. TUB 51-10WE'A 2 PG
133:511-1WASHE:P :1.
(.','A14HA(;E 10115POSAL. I.
NO. 5111FUES : 2 WASHIAG MACH]AIR:
DWELL . UN I T S LAUNOW '1*14AY BUJIG. 0111AIN (DIA
FLOOR DFIA11N
.3ri
1 N K 1. sr-*:WER (FT)
WATEP FIE.A'T'E:1:4 9. STOPM/PAT.N (F1' :1 0
OTHER
L
114LEMAPKI".) :
jr,r, PERWIT 1111111.3p . 1030
0 is Mlai.11 !3t
W t:i. d flr' F T X11JAEKS"
N
E PHONE (503) 639-411,3*7 STATEZ: TAX
R O'THILA
emift.49to
CO PI I.IMF.3*.[N(.,
N 13138NE *FT'I LAMOOK
T P41 I,t:l arl(:) Eir.
R
A PHONE (303) 2.52-93.,q!3
C
T NO. 35266 TUTAI $$.39 . 1.:3
0
R
RE(�XTIXT NO.
This permit Is issued subject to the regulations contained in Title 14 TW5PE(7'T'1:(.)N".,
of the TMC. State of Oregon Specialty Codes.zoning regulations P11-9 . UNDF.114131 AR
and all other applicable codes and ordinances. and It Is hereby POG'T' & HE AM
agreed that the w)rk will be done in accordance with the plans and
specifications and in compliance with all applicable codes and WATE44 LINE
ordinances The issuance of this permit does not waive restrictive PlAq. TOPOUT
covenants Contractor and subcontractors shall have current city RAT.N UPATNS
business tax permits This permit will expire and become null and 11-1 NAL
v,-.-d 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 responsihility of the permittee tORasure
all reqUireci inspections are reom.sted and approved,
•
-Tffmnittov. Signafijre •
h ('Al-.,I-. FOP INS PFC—T TON 639.—All!".10
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
*HANIC'-AL PI-44MIT
ME(:.
CITY OF TIGA R PEPMIT NO. : ME.B8011301
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED 5/23/88
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97221(503!6394175 PP I M . PMT .NO . 880799
JOU ADDAIES75 : I-4P5P SW FANNO GREEK LVI
TAX MAN/I-.(:1')' p5i 11.2"8.qq 0 j. Si L!D L T HK :
I.-AND USE : R7
I-ca s:rZF,-'. ;
NO: NO:
W(:)PK (:1-A55 : NEW FWINACE (100K :1 AIP HANULA (10
WiE IYPE : SING'I-L I-AMILY F*IJIINA(,E 1001(+ AIR HANOLP 10K
(*ON51' ,l'YPF.;'. : VN FI-OOP F:'I.1PNA(7E EVAP.
("PAP . HEATLO VENT FAN 3
Vt-*Nl* VENT . SYL.,TEM
BLP/COMP (3HP HOOD I
INEPA UOP(DOM
NO . 2 81-11-ii''OMP ING
DWEL.1—UNITS : I B1..A/(',OMP 1.3-30HIP TN(.XNE'PATOAIICUM
TYPI.-
G1 A 5 DI---P/COMP 30-50HP REPAT11 UNITS
MAX . INPIJT BLIVIDOMP 50+HP OTHI:J4 1
1:4334E' DMPPS? GAS r."IPING OUTLETS I
I-11GH PWK551?
I-Ow PPIH:551 y E.Ei
FEES:
0 fniach jelf. 1"y PERMYT $10 . 00
W 5 r-R5 mw mw,:i.ri vi I. PLAN WEVIEW
N $9. 00
t i.g a 1^ti 13 t^ 9,1223 P X X11)1415%S 1UP6. 00
rr PHOW.: ('50.A) 639-411.37 STATE TAX $1 .80
OTHER
HEDIN nOBEPT
0
N HEATING
T
R 8415 NW 231ST
A hi.11wbLir-m cir 97123
C
T PHONE (503) 6-18-11.39
0 REGWYTRATION NO . A7211. TOTAI- : ir�lfr tart
R
F4EC;EIP'W' NO .
This permit is issued subject to the,egulations contained in Title 14 •—••••.............
of the TIVIC, State of Oregon Specialty Codes,zoning regulations F-11EQUIRED IN5PE(:*TIONS
and all other applicable codes and ordinances. and it 13 hereby GA'"s LAWK
agreed that the work will be done in accordance with the plans and r Osl' & BEAM
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive ROUtH IN
covenants Contractor and subcontractors shall have current rity F1 NAL.
business tax parmits. This permit will expire and become null and
void I;work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work hag
commenced It shall be the responsibility of the permittee to assure
all required ins**ctions are requested and approved.
Per miltep Signature
Issued By tt" CAI I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
F SEWER 1:4.:44MI' 1
C11Y OF TIOA R PEFiMI'T N(). 5E.,880002
CITAFM�ARD I)ATE ISSUED: "51 P.3/BE;
COMMUNITY DEVELOPMENT DEPARTMENTPAIM. PM-T .NO, 8(30-799
13125 S.W.Hall Blvd. P 0 Box 23397,Tlqard.Oregon 97223.(503)639-4175
USA NU!"IMER 3,51;M2.
'VAX MAP/i...(:)I* p.Fj 1.1.a H 13,eie.1 o 1. !1UH , RK :
LAND USE: : A7
1-.C)*T* SIZEK :
r
.jEC*r:[()N: 1.i? *TWF.*, . Ni PNG: W
WOWK CAASi : NE'M
USE: 'T*YF)f.-: : SINGLE FAMILY
1110? llkiIjl•efolli to c-1:11"ply wi.th aj.]. or'l.0.1vam iancl 1:1 rifli c)+ thw.-, U1.11-11J.01cl
Siewc,%rNtgo Agene4 . The 1-)rormi t iv.ixr.)j.r-eiu 1i*20 (AiNLYM +11`0111 thea ClilktO J.141131LAVeCl . the t a t aT
imn till I rit pllk-i.cl Wj.:1-1 b" J.+ c-iiiii 'The FNljerlc-y cloolli ra-,
itki-itt*e the ar.icm(rac.-Y o-111 thlo lc)clation of that fili-ClIc-) iaivwor T-P th(* inower :1.i
licit Jc1c.'atto)(1 Not tile InefitIR1.11"ement given , t h e :1 1-1 in t il'l 1.WP I, m h a 3.:1. P 1-cl In i:)4ra C....t e e t 1.1-1
all dire ati.cinis fi-om the di.%tanovio ji:11-vehri . If not init.; Ioc�ateoci , ii-lip onhall
jilo.irc.,hiasio m. '"T'Nip p.l.ricl SJ-dei !:i*-wtr.ir,- P*ir,m:I.t ain(I the AgPn,i!y
I-tihILL31i fill 11a &P3WA&
TE;.'NANI* IMPPUVEMENI' :
DWELLING UNITS 1.
NO. OF BLUGS . 1.
j PF*..:Pm:r,T
Now Iftia.11.1-1 Not CUNNEUTTON CHAPG'k $1 , 100 . 00
W
14 o r 9*7PPA LINE". 'TAP INSTAI L.
E PIADIN1' 1,503) 639-.41-37
R
C GODWIN WIL 1 LIRM
0 FEANWOLM DEV . :I:N(:,
3383 SW :11,701'H
R &:I.r.Ihlac nr 9700A
A 13HUNIE. (303) 64P-758k?
11F--:C.'I57'11ATT(".)N NO , -19P-70s
T TUTAI *1. 1.35 . UU
0
R
PE ("L--TP*Y* NO.
.............
T h i s permit 19 issued subject to the regulations con la i ned in Title 14 PE.IR(I'ME-A) INSI*-'1E(71*TONS
of the TIVIC, State of Oregon Specialty Codes, zoning regulations H---IN
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and
spAcifications and in compliance with all anolicable codes and
ordinances. The issuance of this permit doe.. 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
aoiandoned 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
Permittee Signaturi,
CALL F'(:)n TNS;)F:*(—TT01J
Issued By-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
CITYOF TIOARD
OREGON
April 27, 1988
I
Fernwood Development Inc. i
3385 S.W. 1.70th Avenue
Aloha, OR 97006
RE: WCTM 2S1 12BB
TL 4401 & 11300
The address for the above describedro rties have been approved h
P Pe PP Y
this office. The new addresses are:
TL 4401 - 14252 S.W. Fannu Creek Loop
Tigard, OR 97224
TL 11300 - 14256 S.W. Fanno Creek Loop
Tigard, OR. 97224
i
We have notified the postal service; utilities and city and county
agencies of these addresses and have amended our records.
If you have any questions, please feel free to contact this office at
639-4171.
cacti r'�i��rt tcz��
Laura Freeman
Cartographer/Engineering Technician
cc: Cash's Realty
12.525 S.W. Drain St.
Tigard, OR 972.23
Ii
1
13125 SW Hall Blvd-R.O Box 23397,Tigard,Oregon 97223 (503)639-417.1 -------
I