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A60L/e 114SPECTION NOTICE
City of Iigard Building Department
ii!vlcr aav r` P.O. Box 21397
Tigard, Oregon 97223
P"ione: 839-4175
Type of Inspection
Date Requested r._.r_ ✓ Time A.M._ P.M.
Address Permit *42
Owner Lot tt
Builder --75 3 'i — / r The following Building Code deficiencies are required to be corrected:
--, �.-
10001, 100�
--
Presented to W ❑ Approved
Inspector --�f-i— .r!- � --- disapproved k
Date
CALL FOR�REINSPECTION
I`'T Virs ❑ No
r
i
i
iNSPI=CTION NOTICE
i
uty of Tiganl Building Departrr;C71
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection C ��
Date Requested _ CI Dime—A.M. P.M.
Address — /1 �, �� � � — -- Permit
Owner s.e=—�=� ��1 _ Lot IIk
Builder
The following Building Code deficiencies are required to be corrected:
a
Presented to ---- [� Approved
� 1"
Inspector
�Disapprts"ved
Date
GALL FOR REINSPECTION
J}'E3� I.1 NO
PLUMBING PE'PM)l
pERMIT NO. : PL-880290
ITYOF T167ARD CITYOF ' Rr i? 98
COMMUNITY DEVELOPMENT DEPARTMENT OVIGON PRIM. PHIT.NC). (:10)02 89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
12176 SW MILLVIEW C'TBK :
SUB: MT11 1-.-VTF.:'.W
TAX MAP/I O'T ISO, 341CF) 1.2.300
LAND U."JL* :
1-01, SIZE : I'TEM: N(',): NO:
WO R K CI ASL'i : Nl::W W01'El"I CLOSEI* 3 1114N:)
BKii:1 OW PPVNI'P
USE `TYPE: SIW�vL.E FAMII y URINAL
CUNS'T .'T i'PE. VI`J i—AVORA'TOPY 'el PI13:11F.:'P
ut"Cull) CAP. R3 TUB SHOWER 3 G 1:*41.':A 5 r.--. `TP A P S
DT .1
GARBAGE. DISPOSAL 1.
NO. S 10 WT E!F) WASHING MOLHIW.' I BLDG - DRAIN (DIA
DWELL.UNITS : 1. 1 AUND-1Y *TRAY
DPAIN
SINK 1 SEWER (FT)
.5
WA11:11
(YTHER
ISH'MAPKS :
FEES ; $147 -150
M11.3—Elpf PE51MI'T
0 1.,0178 N SHEPWOOD BLVD,
W
N siticiii-wr.ind FIXII)RES $7 .
E STATE 'TAX
R PHONE (503) 6P5-61.67
C PEANSON THUMAS
0 P1 I IMBING
N
T rt .3 BOX 140A--1
P m r 9"71.1.'x'
A
C plAONE (503) 357-6897 TOTAL. : fIf 1 t541 as
T PE:(:,'P-VTr.1A'1JON NO , 18955
0
RRECEIPT
This permit is issued subject to the regulations contained in Title 14 PEQU11-4ED INSPEC'TVINS
of the TMC, State of Oregon Specialty Codes,zoning regulations
Fal E1 IJNDF:RSL..ltCa
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done In accordance with the plans and P05'T & BEAM
specifications and in compliance with all applicable codes and WO 'IIJI I...TNr-.'
ordinances The issuance of this permit does not waive restrictive r)j-.B .'TOPUUT
covenants Contractor and subcontractors shall have current city 1'.IAT.N DRAINS
bLISIrIeSS tax permits This permit will expire and become null and FINAL
void it work is not started within 180(lays.or it work is suspended or
abandoned for a period of 180 days any time after work has
commenred. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
pa, nature CALL FOP INSPEGI'10N 639-41175
Issils'd By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN b-7SCRIBED ABOVE
PEPM.i.T NO.
DATE ISSUED: P-/(2 5/8 6
C'7YOFTIVAg"Aw"RD
CITYOFTWAO PRIM. PMT.NO. (3802.69
COMMUNITY DEVELOPMENT DEPARTMENT 001
jur-V%hb-N-Tl!�-,P'j1AW-TOW RffTi3*-V'ff`
TAX MAP/LOT ISJ. 341201 1'2300 SOD : '1111 LVI.Ew LT:P3 SK :
LAND USE:
1-01 SIZE' .
ITEM: NO: N(*.) :
W('.)Pi( (:-'l.-AL'315 : NEW FURNACE:' <100K 1, All-*2 HANULP <11.0
USE TYPE: SINGLE FAMILY ','-'(JPNACE 1.00K+ AIR HANDL.R 10K
GONST .TYPE. : VN FLAJOR V--;.'VAP . COOLER
OCCUP .('$'RP. . R3 HEATER VENT FAN 1.5
VENT VENT' . S Y S TI-ii:M
BLP/COMP <31-4P HOOD 1.
R HI-.R/(:('.)MP '3 15HP TNE',11NERATUA(DOM
DWELI., .UNT T S I BLR/COMP 15---30HP INCINERATOR(COM
1--UEL. 'TYI:)r.-.: (.-',A!!' "ll-P/C11011P *30-1-50HP AFJ:A111 UNITS
MAX , INPUT 8LR/COMP 30+HP OTHER
VJPE, DMPRs'? Grk�-.s PIPING, OUTI ETS .1
HIGH PRESS?
LOW PPF 91i
REMAR
Wuus
TOM MILLER PERM I T $10. 00
117(:) tv, P.31 VD . P1 AN REVIEW $9 . 313
O
IN wherwood tar 97140 FIXTURES $27,1150
N PHONE: (!.503) 62,5-6167 STATE 'TAX OR
E
R (3THEP
("LA 9cit A 1-iEATING
C CLASS A HV'ATING
L 7514." 5E
N
T grumhutm L11, 97030
A R (,103) t-.'i67--5989
C PEG ISTPATIOP4 NO. 216039 TOTAL: 111-110 . 73
T
0
JR1 Pr-.'C. In'T O- �j C,>/,/
--------F':(---N— 2
REQUIPF-Al 1NSPi::('1'T:EON5
This permit is issued Subject to the regulations contained In Title 14 GAS 1.INE.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby POST & SE'AM
agreed that the work will be done In accordance with the plans and ROUG'14—IN
specifications And in compliance with all applicable codes and FINAL..
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permit, This permit will expire and become null and
void if work Is not started within 180 day,,,,of if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the respons bility of the permittee to Fissure
all required Inspections are requesi.-id incl approved.
Permit a-S nature
r-:*OR INSVIECTTON 6,711-1-411.')
Issued By
I.Pc"PAWITEPERIVITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
kill 'I
CITYOF TIGA RSD SEP ERk"t, PERMIT NO. : SE88Oe92
CITY Of TWA RD
COMMUNITY DEVELOPMENT DEPARTMENT on, DATE ISSOED: P/25/88
13125 S.W.Hall Blvd-P.O.Box 23397,Tigard,Oregon 97223.(503)639 4175 PATM. GMT.NO. ealpieleg
JnR AD131"IESS : 121*76 SW M11 I V I 1E.W C'V USA NUMBER: 34967
"!Ax MAl'-1 OF I OT IS3. '3'e1CB 111 L.L.V T EW I-'r 8K
LAND USE
SECTION 344 1.m PNC, 1w
WORK CLASS : NF.-.:W
USE TYPE . SINGLE FAMILY
Y hc';l t tlqjrin)*im to c.cloill.1 W.I.tl I nricl of the Uni. ind
Sewarill Agency Tl*lia exi:)trimm 1.20 (hays from tho (JuLte isillitAmd . T h a t(I t MA.
ill,1111 C)4.1 111. 1a all.l.cI WA.T:1. L)to + -11 1.c'(.1 :1 4! t h(:is 1:)(.1)1,In:k t a X 1:):I,r 10?ill . '11 h fri A to 1-1 C.,y d C14A In lV('T' clifilki,
miltee the aec--tirav-y of the J.oc.�in.t.ion fit the wide mower IaLterliLl.m . If the !,icafolor :1111
not wt the qJ.%/fh?n , thitir Ji-itritia.11er mhat.1.1 I-)romovic.,t :1.11
all direct tinnm from the distmnc!a given . 141 not wo Inic!ated , the ii;iituaL1!.*r shnii
m " Iml:) ilincl 151cloo l:*lC4I-IllJ.t mitcl the Agenc!k.j intilitail.1.1. w lattervil
INSTALL . TYPE: BUT.A.I.Y.LN'", SE.IWIF11 IMPERVIOUS AREA:
1::*]:X'T*k.JPF' UNITS : TENANT IMPPOIJEMEN1
DWELLING UNITS I
NO � OF HLI)GS :1.
FEES
VV 'TOM MILL.F.-KI14 PE R1,113''T
ra t478 N SHERWOOD B1 VD. CUNNECTICIN C14ARGE 411 100 00
iiiiher-wond cir 971.A10 1..:I:Nf-*.' TAI:" INS'J'Al L.. .
PHONE ("50;3) 623 61,67
OTHER 111360 - 00
C
0 TOM MILLEP
N
T TOM M3:l-L.l:;:P 81 DR .
R 14713 N SHERwoor) BLVD.
A
C villerwirincl or 971.40
T PHONE 4503) 625-6167
OL
NO 373 F It Ii TOTAL : $1. 495 . Of)f�
RECEIPT_1140.
This permit is issued subject to the regulations c ntalned in Title 14 ........... "07 i'5fTe
of the TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby nE.16JUIRED INSPEUTTONS
agreed that the work will be done in accordance with the plans and P011.1114-1-1 N
specIfIcatior-, and In compliance with all applicable codes and
ordinances he issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit wit 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 days any time after work has
commenced It shall be the responsibility of the permittee to ass ire
All required inspections are requeste I d approved
Pern fle Signature
Issued By
PIN! XWir"Pt."I
SEPAPATV PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
NO. : BU880289
C*0*lff OF TIC, 4 RDNI•.::1�2MI'T'
h.4%
CIT D A I F.
0111100H
COMMUNITY DEVELOPMENT DEPARI MENT 77� PRIM. PMT .NO .
13125 S W Hall Blvd,P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175
Ew C-I--
TAX MAP/L..01 1-1-11. -3AC8 11-2300 5t.)B :
1 ANU USE: R4 . 5
1 ITT S1 ZF.: VAIAJAIJON 4i A I'.,K!:i
F*AONT : 20 PEAK :
WORK C.L./iSS : NEW DWELL.UNITS : 1. LEFT : 7 P1G.1-IT : :.l'..':?
US ' TYPE: ti IN0,11—E I"AM11—Y N') . F.O.J)POOMS : F.,..,X,y . WAI I... (A)INIST :
CONST .TYPE: VN NO. BATHS : 3 N : S : E: W:
LIM3.1p.G.Pp. : R:3 PPOT .0PF'N:I.N(.,S
OCCUP.LOAD N: S W:
113TAI... APEA :1.9 7 19
NO.STORIES : P. IST: 988 ROOF' CONST : FIRE; PET7
HEJ('.,HT : i:?U 2ND: 1991. APEA SLPAI'17 RATED:
HASEMEN*r7 3pr" : MXUP . SEPAP? PA*rn) :
MEZZANJIME"I HASE'M''I
F'LOOP LOAD: AO GARAGE : A 115
F I OW
HEAT TYPE: GAS Hl'.)CP.ACC,11-".5 S CIOAR?
1EMAPKS :
0 PEISSUk., 011- NO 691-41
I.-AST PEIS!7)t.IE
TOM MILLER PE0 . 00
PERMIT —
()
0 3.471H IN SHERWOOD 81 VE)- PI AN PEVYEW 1140 . 00
W wherwood mI- 97140 FIRES DEPT
N PH(')NE (503) 625-61-67 STATE 'TAX oo
E
R OTHER
D E V E I OPMENT CHARGES :
3XIM 1XIII I FEW Suc(qTOPM) 11250 . 00
C TOM MILI Iii.P 91.DA . S DO,I STPEE:T 111600 00
0 1470 N SHERW000 BLVD. PDC(Ifil ) 111 12*5 0 . 0()
N
T ;"h0?1^WC)cJd C11, 97�,40 PREPA.In < 10140 . 00>
R
A PHONE (503) 6e5--6167
C 1.7h'.('..'j:E'�i'I'I:IA'I':[(:)N NO, 3738-5
T
0
(.E I PT NO /j,
This perm.,I Is issued subject to the regulations contained in Title 14 REQUInED INSPECTIONS
of the TMC, State of Oregon Specialty Codes,zoning regulation,,; F 001 1 N G
and all other applicable codes and ordinances, and it is hereby FOUNDATION WALL. PAIN E)PA:ENS
alreed that the work will be done in accordance with the plans and POST & DEAM WATER I..
specifications and in compliance w;th all applicable code,: and PLB,UNDEnSLAB ('.1,1TY AI'-)PPCH/SW
ordinances *rhe issuance of this permit does not waive restrictive '"11AF) FT NAI..
covenants Contractor and subcontractors shall have current city PL 8.TOPOUT
business tax permits This permit will expire and become null and F14MIN(:,
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 w rk has r- EPEPLACE
commenced.It shall be the responsibility of the permittee to assure L_INE:
all required Inspections are requested and approved. INSULATION
Per it 5, nature CM1. FOR INSPECTION 639-4I73
Issued IB3V
StPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
?7
CITYOFTIGARD PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT CfTY0 iooNRD PLAN CHECK.
u 125 SW rUM Blvd.P.O.ear 2=7,Tlp&d.O",gon arm(GW)63a4175 PERMIT ,� y
-- - —� DATE ISSUED
.JOB ADI)r"gss: ;� TAX MAP/LOT
j .�l f/^ /
SUR: i ?11/ //v �.�.� ...> � � "*
VALUATION: �3Guc� SETBAC'�CS: FRONT:_ LANs USE:
l _ j REAR: ) ? LEFT: J RIGHT:_
WORK CLASS: / r 41' HEIGHT: _ TOTAL AREA: 7
USE TYPE: �.� r FLOOR LOAD: - � , 1ST:
CONSTR TYPE: HEAT TYPE: s 2ND:
OCCUP GROUP: .—A? DWEI L/UNITS:-- 3RD; _
OCCUP LOAD: NO BEDROOMS: BASEMENT:
NO STORIES: NO BATHS: GAR AGF,: U�
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITFMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUES BUS TAR:
FIRE DEPT.: -� -� FLOOD PLAIN/ —` CALCULATIONS:
+7TkTER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PIAN CHECK BY: OTHER:
COMMENTS:
ACCT -DESCRIP7'10N AH0UNT
OWNER 10•-432 00 Building Permit Fees S Cc W)
10-431 00 Plumbiug Permit Fees o
ADDRESS: 10-431 01 Mechanical Permit Fees S u
10-230 01 State Building Tax (5X).2 o. i-7
_ 10-433 00 Plans Check Fee y i> , '' v
iPl'�0'JL�i_ 30-443 00 Sewer Connection (202)
30-201 00 Sewer Connection (80X) 3-`^
CONTRACTOR 30•-444 00 Sewer Inspection
NAWE: __• ,-_ _ .51-448 00 Street System Dev. Charge (SAC) $-,GG z '
ADDt,ESS: - 52-449 01 Parks I System Dev. Charge (PDC) t S -
52-•449 02 Parks II Syatpm Dev. Charge (PDC) $
31-450 00 Storm Drainage Syst Dev Chrg(SSDC) t—
PHONE: I.0-230 09 TRFD (952) S-
10-435 00 TRFD (52) -"
ARCH/ENGINEER 10-230 06 Washington County Fire 01 (952) S
NAME: _ 10--435 00 Washington County Firc. #1 (52)
ADDRESS: 1.0-220 00 Amart/Wedgewood
TOTAL 3:Z4J
PHGNE:
Ifi"%Un`e, PREPAID
PEC
BALANCE DUE $ : Z
f,PPLICANTSIGNATU
Received By:_ -ti - Date Received: �� ��