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INSPECTION NOTICE
City of Tigard Building Deportment
P.O. Box 23.197
Tigard, Oregon 97223
Phone: 639-4175
Type of In.pection -�'= �
Date Requested— �-T 11 me A.M. P.M.
Address -- 2?- Permit
Owner Lot
Builder
The fall--owing Building Code deficiencies are required to be corrected:
L J , c 1 A?nx,
_—�S -- 5C) ori
Presentec. to / ,L J [j–p�proved
Inspector ,_��y, ❑ Disapproved
Date —
CALL FOR REINSPECTION
0 yes F:1 No
SEWER PEPIVIXT
CITY OFTIGAPIE111411T NO . ! SE88C(353
�Oe`O°"
C"WARD E)A'tt-.: 15SLIED: 5/1PR/98
COMMUNITY DEVELOPMENT DEPARTMENT P P T M , F*•,M,r .NO . tit 0 85 0
13125 S.W.H.,ill Blvd.,P.O.Box 23397,Tigard,Oregon 97223.1503)639AI 75 IJ
JOB 1ee-134 SW M11-1-ViL-114 CY, U130) NUMM:14 : 35 1,6.3'
lox MAP/1-01, :1.S 1.;34(:F) SUD: M1I L.V1 E,W LT - 2,5 EAK :
L AND USE PAI .5
1,01' !:;I:zl"-. :
5i'.':C'r10N: :34 TWP ONG:
WORK V.1 ASS : NEW
u,;E GINGLE F'AM'(1..1'
I'l-le wpp) :'.viarlt 11101-60"; t,r., c:timplly wJth as:1.:t ri.tieoi; 11111(1 1:04 Ole 1.1111-Fi4."cl
Sawernge Agenr.•y . rhe r.)erin.it texpirem 11.20 davo from thf& date J.lntilme(J . T III a t.43 t,all.
as.mot.mt paici wil.l. ben ps.-NI'Mit smxl-lirray lii III&' Agiii1lic-t) cloom I'l 111. I;j 1 lal.t'-
nntime the flfcxnAravy of the 1acottiorl of. the friiclel Ifiewcar :Lf sewer J.,ii
licit 1ocafte(A of thtx meaanmclrcamer.rlt, givel.) , the A foot 111
f .11. (Jiroc�tioris From the ciiistar(^*i given. 14, not fta f�M te tho
) trimit.a.l .l.er ishin.l. )
P1.1rchi919lm in "1oll.13 RAnd Sidi* Siloweir" Permit wid the M fit t C4 r R.1
A TYrF 801.1713TNU —T.11177119TOUS AREA
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NO. Ur' 81-A)G5
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RECEIPT
This permit is issued subject to the rerjulations contained in Title 14
of the TMC. State of Oregon Specia,ty Codes.toning r-,julations NEQI.1114.1'11) .LNC T
PECTUNS
and all other applicable codlAs and ordinances, and ! it hereby POLIGA"I 1.N
agreed that the Work will be done in accordance with thtr-flans and
specifications and in compliance with A" applicable cAes and
ordinances. The issuance it this permit does not waive re3trictive
covenants Contractor .:nd %uhcontraclors shall have current city
business tax permits.lh�� permit will expire and become null wid
void if work is not started within 180 days.or if work is suspended er
Abandoned for a ,3eriod of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspilictions An. equ sted nn pproved.
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P r i I ,�ig
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issued f3jy AL 1 1 (11:4 TINISPIE.C'r XON 639--41.7:5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DECFCRIBED ABOVE
F- F31,11LDIM.. PF*WIT
CITYOFTIIFARD aw�L P1j:-AM:E*1 NC) � PU8808.150
COMMUNITY DEVELOPMENT DEPARTMENT D�
13125 S.W.Hall Blvd..P O.Box 23397,TigarJ.Oregon 97223.(903)153941175 DAIL. ISSUED , 5/1P180
J08 ADUPF.SS : :14223/1 5W M:IAJ"V:rL:W (:-r
tAX M(.*)I:)/I...C)*T' SU13: 1`111:1 1 V".I,r::w I. I;I{
L AND 1P5IZ: 1:4 Al 5
1 1,111, S"IZE.- VAI UAI TUN : 1 9 61 !:11' URACK5
FRONT : 20 REAMS:
WORK C1 615'1 : NEW I)WEELA.-UNITS t L..E:F'T* : 5 RIGHT :
05L. TYPE' 4-iTINIGI.J: FY)WILY NO- 6 LX1 WAI-L CAJINL0
CON5 I' . T'Yr VN NO . BATHS ! P N 4-5 : W
GPP . I1".5 r,"MYT . UPEMINGS :
C)CCUP I-OAD N . G : L W .
TUT"Al... 6pl::A'
NO - !ii I U R 3:E i-) I. 1.SiT 15H3 FUN)F CONS T : C FrTPE: PET.?
.:1 EPAI:0
PND: APEA 1.i
V
3PU : (XZ'UP. 151EPAW? VIA T11 D
r,`iF/.Z-AN1 Nili.7 EWE:m I Y
GAPAGE : /IXIA F111E.' SPIPMAI"? Al-APM1
FL.OW C-',I' M
Flki:AT UAS
Pl oN BY . ber
fd.::M(-,%NK5 :
1:.1*l.i;kI-%*76919 Pill WElSSUE: OF NO ,
I-AST PEISSI.A.
0 TOM PEJ"MIT V3419 . 00
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%herw(ancl c r Y7/11.0 1 r PI:,, I.')1:-:P*T*
(503) !:0,611;:: TAX 161.7 . elb
OTHE.KPI
C DEVE.1-0f:11` ::N I GI-10 P C-,E:S
0 M:11..1.E.11 'TOM 'il:)G( iii 11,0r.1m) 111250 . 00
T T,C)m 1141 DrI , 131:X 1 PET-,
1 1 `5 1 $600 . 00
R 1.478 N !A-II-J4W(:)(Jl:) 1:4,M) 1:,DC11 l 4:1. 11111'r.' 10 . 00
A
C 11 v r W cl 1:1(1 nr 9,71.410 PREPAII) $:1.00 . ()0>
0PHONE: (t0-3) 6P5 616 7
""(11"I'Al 1. 159,13 30
R I HIN NO . 31385
PEI.CX-1:0'r NU .
This permit is issued subject to the regulations contained in Title 14 ...................... ........
of the TIVIC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It is hereby 0:1311.ED
agreed that the work will be done In accordance with the plans and F-001 IN11'..', %L.W 1:1
specifications and In compliance with all applicable codes and FOUNI)AIT'VON Wol. I. r.IA1N DRAINS
ordinances The issuance of this permit does not waive restrictive & 14-:.AM WATE-A l-TNk:.
covenants Contractor and subcontractors shall have current city PI 1:11 .UNDERr-51 Ara (:"]:1'Y APPMA-1/Sw
business tax permits This permit will expire and become null and F: I NoL
void it work Is n it started within 180 days.or it work Is suspended or
abandoned for a period of 180 days any time after work has P1-F-4 TUPOUT
commenced. It shall be the responsibility of the permittee to assure [-:'RAM:rNG
all req lre.1 inspections are requ sted and approved. F
GAS 1 1.N1
IN"A.11 ATT(IN
(";YPI . FIC)APE)
Pe ittee Signature
I ). I
Issued y C�A -1-
SEPARATE PERMITS REQU!RED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUM01NO PE14H3.1
'T NO. : PLA380851
CITY OF TIGA RIDI:,w'I'tM:f.
CITY OF TIC-11ti) UA'TE XSSULD: .5/1 P/E-18
CITY J
COMMUN17"Y DEVELOPMENT DEPARTMENT PPJ:M. PM'T.N0. 13808.50
11125 S W Hall Blvd P 0 Box 23297,Tigard.Or"gon 9122:1 (503)6:19-4175
-
S W M I I I"V 1: W 1- 1
FAX f1tll:-'11 01 1!:1 I..i"-1CF3 150:3 : M.I.L.I V 1.L.W L'T :25 RK :
A011) USE G241 5
NO: NO :
WOPIK CLASS : NEW WA'1 UR 11:1.0tiC"T 2 TnAP
FAMILY OWENAL BKI:-'.,OW PAVNTA
CON51 I Yr)F-.:. VN I AV(JPA1,C)PY 13 P11:41MVP
*W"ASE 'T'PAW."i
OC"CU.") UPP. : 143 'TUH 2
01 t-;&IWA!5I--1FA4 I
DV5PC)5AI.- 1.
NO. t.11OPTEKS : I '404,11'NG MOC'FITW:
(Mill L . LINXTs : 1. ;...At.:IVUPY TRAY BLOG. 01;A1N (L)1A
1`1 CHIP
151114k 1. SjEWEP (F-T)
WATI::14 1-11E.611:1":4
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1,11::APSON 1,11-1UMAS
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T 1-- t-3 BOX 1.40A.-A
R 11161.si;I,rI I'l ar 9", 1 1
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C PHONE 1150*3) 357-6119197
T 14.1,TSTRA1'TON NO. 409,55. X8:1.:3:1. .V 5
................ ... ........_..... .. .......NO
3i S��/
This permit is issued subject to the regulations contained in Title 14
of the TMC, Statc 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 P(.)'i T DL-' 1M
specifications and in compliance with all applicable codes and I T W...'
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 'lecome null and 14A, :I:N DRATWI
void if work is not started within 180 days,or if work is suspended or F. T h161.
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all req fire inspections are requested and approved
eq, r'
A—
P rrnittP.e Signature
CALL V OP I NL)I I TON 639-411. 1,��
1591,lod By
SEPARATE PERMITS REQUIRED FOR WORK 0,,r HER THAN DESCRIBED ABOVE
ME(:'1--1AN1(:,AL PE"PM]. 11'
NO . : M1 880852
CITYCITY OF Th...20IRD CITY OF TWARD DATE" ISSULW: 5/J.2/86
COMMUNITY DEVELOPMENT DEPARTMENT ono 111-11M. PMT .NC) . 8608150
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(5031639 4175
AI' DPF:!5': : '-1W MJ I V:I'-F'-'W (.-V
TAX f1Ar-1/1'.01 l!"il.3-1(..'E., SILM : 1`11.L L V1 EW LT :2N UK :
I-AND W:;E: : x41 .5
1 .01 :W1ZF1 .. 111,m: NO: NO:
Wc.InK L'I ASS 7 NV.W 1r (Jr4NACE 0.001A 1. A:1:1:4 RANI_—k <10
U15E 'I*YPI: . 51N(7.L1;.:: 1;:'AWILY F,L)RINACIF. 11.001< 1•- AYLP IIANULP 10K
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F*1VA1- . GOCH E.R
GPP , 1-if;;A11EA VI NT F*AN 3
YVENI' V r:-.'N T* . Wr S
I*-.%I A/CIOMP <3111F) HOOD
NO 510RIEtb : J.
DWU'L L. .UNTA*5 : :1. I!*A-P/(:1C)MP INCINEI'WrUH(C,9M
I 1(PE C;A S J;)j,,Vt/C,0MP 30-50HP WELPAI P UNIl'il
M0X . 'I:NPt.J*T' I;.%L,P/('.1OM1"-1 50411-1P C)THEII
I 1:14E DMI4457 GAS 5
LOW 1:,P[.*5!:"
11E,M61111(s ,
J,:I i:ixi*1699 Pak
L Fi:1.*4 14:341111'
0 1-1 AN r4:�VIE.M 919 .00
W tel I0 N SHEI-11WOOD !"I. VV, 9,Rh 0 0
N I 1.X,11.1 RE.!;ii
E5 V A'Y E I'A X 111111. .130
R PHONE.* (503)
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T 13001:1 X 66/109
R P d Or 107'r,266
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Thispermit is issued subject to the regulations cor alned In Title 14
of the TPAC. State of Oregon Specialty Codes. zoning regulations (c) I I (it
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance-Nith the plans and
specifications and in compliance with all app— tle codes and In 11 It I
ordinances The issuance of this permit does rot waive restrictive I I I It'll
covenants Contractor and Subcontractors shall have current city
business tax permits This permit will(!xpire and become null and
void it work is not started within 180 Hoys,or if work is suspended or
abandoned for a period of 180 days any time after work has
comme,iced It shall be the responsibi ity of the permittee to 899M 9
all re iced insp ctions are r quested gind approved
Permittee,ig ature
TAIAM 639—
Issued By
SEPARATE PERMITS REQUIRED rOR WORK OTHER THAN DESCRIBED ABOVE
I
PLAN CHECK APPLICATION
CITY F TWA`
RD
� PLAN CHECK 1Y
CITY C►F T1GARD
PERMIT' b
COMMUNITY DEVELOPMENT DEPARTMENT COEGON DATE ISSUED _
13125 SW HWi Blvd. P.O.Bw 2'_097,Tigard,Oregon 97223(bal)SX4176
RESS:
JOB AT / � � � •�' •�- � TAX MAP/LU"f
_.�L ---- _-J�-` G � ` -
SUB: l' 11 f! f u y LOT: 'T -'� LAND USE: _ -
VALUATION: c7
OWNER SPECIAL ;DOTES
NAME: � (�Q( ( REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
E 77
SENSITIVE LAND:
PHONE: 4a2 G _,�--
APPROVALS REQUIRED
IRED
CONTRACTOR PLANNING: _-
NAME: `. tL� _ ENGINEERING:
ADDRESS: FIRE DEPT _
01hi_i
PHONE: V- I"fEMS REWUIRED
LIST/SUBCONTRACTORS: -
ARCH/ENGINEER �i / BITS TAX: _
NAME: �� ( �67 (Q� CALCULATIONS: — 1.
,'WDRESS: _ TRUSS DETAILS:
_ PARKING PLAN: _
LANDSCAPE PLAN:
PH(NE: OTHER.
COMMENTS: - _��---_ -------- -- ---
PERMIT # ACCT Sl DESCRIPTION AMOUNT APIOUN) PL . BAL. DUE
10--432 00 Building Permit Fees y1) __-
10-4n1 00 Plumbing Permit Fees
10--431 U1 P'echanical Permit Fees _ _�21
10-^.3U 01 State Building Tax (5%) _2 -L
Boilding
Plui-.tbing -
Mech
10•-43,1 00 Plans Check Fee - ;�R'' /UD C&
Building ,' 2
Plumbing
Mech
30--•443 00 Sewer Connection (20X) .2 ' ;2•,Z 7
30-702 00 Sewer Connection (80X)
30-444 00 Sewer Inspection
51•-448 00 Street System Dev Charge (SDC) 5 r.5
52-449 01 Parks I System Dev Charge (PUC) `-= '�-
52-449 02 Parks II System Dev Charge (PDC)
31--450 00 Storm r r•ainage Syst Dav Chr•g (SSDC)
10-230 09 IRFD (95X) - —.
10-435 00 TRFD (5%) �-
10-230 06 Washington County Fire Ni (95X)
10-435 00 Waviirgton County Fire b1 (5%) _
10-220 00 Amar•t/W"dgewood 31 ; ro_,_ _ z, 6:
TOTAL
REC 11 3.,1 G(.31
APPI_[CANT SIGNATURE ----.---.
l;
Received By : Date Receiv,td:
ht/1K87P