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0
INSPECTION NOTICE
�)� City of Tigard Building Department
! C L P.O. Box 23397
Tigard, Oregon 97223
Phone: 639.4175
T, of I ispectiun -
Date Requested_ Time _-__� A.M. P.M.
Address Z /'��G� �1� Permit # `
owner �d 1 CG 1'1r_l't t= �6 rL _ Lot #_ —
BuilderThe following Buildng Code deficiencies are required to be corrected:-� - -
Presented to _ ❑ Approved
Inspector Disapproved
Date --
CALL REINSPECTION
YES ONO
CITY OF T'GA RD1P, BUILDING, MIT
CITY0F WARD PEPMA-T NO BUIRM30687
COMMUNITY DEVELOPMENT DEPARTMENT (AIGON
13125 S W Hall Blvd.,P O.Box 23397.Tigard,Oregon 97223.(503)639-4175 DATE IS!-.)U11.::D A 3.5 19 F,
PMT F46'.
JOW ADDPESS : 9222:! SW MARTHA ST
'TAX MAP/L.(:)*r pno. 'J.,e4m.3 .1-0000 lirik.JB : KNE.11.'.1 IN(*., PIA 22 1...T 8-1 SK :
I AND USE
I-O'T C;IZE VAI LIAIJ ON 111, 6.1,500 SE'11.4ACKS
11:440N'r : 20 RIH'AR:
WOPI< CI ASS : NEW L)WELL. .1.)N7*'T'!-) : I LEVY' : 10 PIGH'r : 15
USE I YPE. : S 1'.N GI E F:AMILY N(:) . DF. D P 0 0 M'Jl 3 F.'X'T .WAI L. CONST'
(ONST . VN NO. DA11.15 2 N S W
OCICUP .GPP . P3 P P L T . ()P ENT N(*..'o S
OCCUP .I OAD N S W
I 0*TAl APF--A^%
NO . 2 IST : 99A POOP' C 1::T PE m. T'?
FIND: AA.3 API--':A 5f:.-:PAP7 PATI;:I.
PASEMENI"? 3P1:): 0C,(71J1-- SEPAR'? PA*TED
MEZ ZAN INC-? 8 AS M I'T'
F"1...(701 I DAD: e40 (',A.PAGE 360 F: InE SPPKL-rr? ALAPM7
FLOW(GPM) DF--Tr-*.:(1T17 yk:.!.;
T�---mw-�-
PLAN Cl--W'-CK HY : r,].t
PKMAPKS,
-:19SLIE: OF NO. F*10683
..;0 -Ft mvi-. for cl/w upron from th" Plk- a
il,iiterseci,,iori of 92nd F.-mar LAST PrAISSUIE
,FS
N DAN In' $3123H 00
F 9363 SW PLAN PE'VIEW 11A0 . 00
VA bwavertorl or 97006 FIPR DEPT
PHONE' (503) :.?97-7666 !TAI E 'TAX IA 16 q
C
DEVELA')PMEN'T CHARGES :
N:N ANDEPSON DAN � SDC( S'TOPM) 4;R150 . 00
T
R MF ADOWIRIPOOK I)EVIELOPMEN'T SDC 11 S'T PE'E'T $600 . 00
C A 9363 SW BEAVE4
PTON- 4IL
TI- SDALE PDL.(*P- $250 . 00
T bcmmvor-tmri or 97006 PPE P A T D < +b/10 . 00)
0 I:,*1HONr--'. (503) P-9*7--'76A6
1A.YTAL : AAA . AO
This permit Is issued subject to the regulations contained in Title 14 PECE.IP'T NO
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby PEQUIPE.11 INSPPEUTIONS
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and FOOT I NG, SEWF%'P
ordinances The issuance of this permit does not waive restrictive FOUNDATTON WALL PAIN DPAINS
covenants Contractor and subcontractors shall have current city P015T if BEAM WATEn LINE
business tax permits This permit will expire and become null and PLB . UNI)EP5LAS CITY APPP(;H/Sw
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 -91-AB FINAL
commenced It shall be the responsibility of the permittee to assure PL.B. 'TOPOUT
all r ui a rej#quested mdi awed FPAM ING
FIPEPLACIF
GAS LINE
INSULATION
Permittee Signature L (.,'YV1 . ROAPD
Issued By
CALL FOP INSPECTTON 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMDING PEPWIT
CITY OF T167A kD PERKET NO. : P1 E-1100688
CITYOFTIG-ARD
COMMUNITY DEVELOPMENT DEPARTMENT 001GON DATE: ISSUE'l) : /I/1::1/1198
13125 S W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 Ppi.m . i*)m*r .NO . 880687
,JOB 43DRESS : 9r22 SW MAPTHA 51'
TAX MAP/LOT i.?Sl 14AD :1.0000 SUB: KNE-.:El ING ESTATES PH P I T . l:)-'I DK :
I ANI USE
LOT SIZE
ITE'11 : NO : NO:
WOO r!..Asc; : NLW WATE-11 C11 05FA P. T P A P
USE: TYKE: STNGI 1::: F'AMILY URINAL BKFLOW PPVNTR
C 01115 ,TYPI : VN I AW)FIAITMY PRIME
OCCUP .GAP. : R3 T(.1H SHOWEII i? GWASE TFIAW:i
1)1 S H W A F-5 H E,1:4 1.
(*..,AVDAGI: DISPOSAL I
NO . STORIFti : 2 WASHING MACHT.Nll- 1.
DWFLL . UNITS : 1. LAUNI)PY TPAY 14I-DG. DPA'A:N ( DIA
FI U)Orl DPAIN
S 1.N K
WATF11 1-W-.'.ATTJ4 1. STO 1:1 M RAIN (FT 1.
0 TI-A L-**-1:1
REMARKS:
FEEs :
0 ANDE:05MN DAN E PF-..PMIT $1. L7 .50
W 9363 SW 13EAVF--.I:I'r(IN--HIL.L.1-3DALF.*.
N h e in.v e 1-1.o ri or, 97006 FIXTUVIEF)
E
R V1,40W. (503) 297-7666 STAI E:: TAX
OTFILP
C WO1 COTT PLUMBING
0
N WOL.C(711 PI.A.)MBING
T 1trt 13 0 X a 7(12
R
A g r-o iii h in.in or, 9*7030
C PHONE" (503) 66*7 1)'81.
T
0 PRUISTIPIA"T TON NO . d38117 TOTAL : $1.2 3. 38
r;lEcr-:IPT NO. 312-
This permit is Issued subject to the regulations contained in Title 14
of the TIVIC. State of Oregon Specialty Codes, zoning regulations QE QUI INSPECTIONS
and all other applicable codes and ordinances, and it is hereby PI-8 . UNDE.Ptil.-AD
agreed that the work will be done in accordance with the plans and POST & BEAM
specifications and in compliance with all applicable codes and WATEP
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PL8 . TOPOUT
business tax permits. Tnis permit will expire and become null and PAIN DRATINIS
void if work is not started within 180 days.or if work is suspended or FINAl
abandoned for a period of 180 days any time after work has
commenced.It shall be the responsibility of the permittee to assure
all require gp ns are requested a approved.
F,oimotot, Signature
CALL FOP INSPEKIt-1 TON 639-13 711
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
U=_A_=_1L!W_AL1r AMWIM
:::I:IM:r y' 1,40 ME600609
1.)A'Y*k;: 15SUEA) A/15/0 0
CITY OF
�'��� crryornaARD NO . 13806f:17
ORlOOH
COMMUNITY DEVELOPMENT DEPARTMENT
P.O13125 S.W.Hall Blvd.. B.,,23397.Til.1dtOre 1991?7,2263-(n639-4175
E: 'A*T*E,:5s PH 2 L.'T :0`1 UK :
1AX MAP/L.01, :1.4`1A1:):1.4`1A1:) 10000 SUB � KNEELAN(. S51
LANE) USLE :
1ATT STZE*. : NO:
.1:'T'Em
FURNACE 0-001< FIANDL-14 (1-0
WMAK CLALOii NE:W I-IoNNDI-11
USE 'TYPE.: t-iINGLE, FAMI'l Y FAMINACIE' 1.00K+
OlaG2FLAINACE F'.V 0 P . k.-)OL.Ew
("ON"i"I' . l'Yl:)F;'. : VN VF:'N*Y' F,' N 12
OCCILK" . GAP . P'3 VE'N'T' VI-'..N*T - 5) i'VEM
1.
ULA/COMP <31-IP HOOL)
NO . S'TOFI1I:::5 2 9t P C(*.)M V, '3--1.51AP 1NC3.NEJ,4() 0" DOM
DWELI... .UNIT'la : 1. :301..11:,
1NC1Nrr.:PA) M(COM
HI P (.10MV, 3 (WIP UN, TS
VAJEL. 'TYPE. GAS R
H1.11 COMP 150.1-1-41:1 R
MAX , 1NPUT GA5 PTP'I:NG OU1.1
FTPE' 1:111"IPPSO
P14F55'?
LAW F"r-W.".SS?
$10 .00
ANDERSON PEV:LEW $9.38
(9 363 SIA I:'*.hVF.P'T0N--HTLI Cil')AL.F. *e7.50
(.)1-- 97006 F I X*T UrIES
W "t V ep I,t'c)1-1 $1 .88
PHONE* (t'-M3) '766 'TAX
NJ . 6
E
R
C
0
N
T
R
A 1'(XtAL: $49 . V1
C
T
0 REXEIP1' NO.
R ............
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specially Codes,zoning regulations
POSI, 9 DEAM
and all other applicable codes and ordinances,
and it Is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and FT.NAI
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 become null and
void if work is not started within 180days.oritwork is suspended or
hbandoned for a period of 180 days any time after work has
commenced.It shall be the responsibility of the permittee to assure
are requ sted approved
permitteeb,gnatureAN 639 A 17`5
I%D P 1.N F C I 'I ------ -
Issued By:
I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'�A RD V
SF,WF. PSEE:08MIT
:*+:Rmrr NO06
90
ya �
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED :
13125S.W HFIIBIjd.PO Box 23397.Tigard.Oregon 97223,(505)639-4175 1.) 1117
JOU ADDRESS : W222 SW MAPTHA 91, 013A Nt.JMHr_`:A : 351.36
TAX MAP/LOT 251, 1,10F) SUB: KNEF.I.- T.W., F.G'TATITS P,A as 131(
I.-AND US' :
i_ar s:r.zEK:
SECTION : 1.,q 21% RNG : J,w
W(:)PK CLAS!.i NF:
W
W-W TYVIE : SINGLE FAMILY
MI
Au"llcy . I'l-io 1:)ermit. vtixpil 111 -t-20 C1011-WR J."Illit-led - Y'l-l" t,ot
aimok.tril. I-)at:icI wi7.1 he Tor-Fait,eci :Ij ti-je l:)w0r,Mj.t c.txj:)Jreffi . Tile A( el
13-It the Icic.'atioll (:).(, the !ric.14e laRwel Imtoralm . T4' -Jie fllow*-'- :191
Mir..,,, T e -iin . -cj in 1:)ri,)o t "'.5 e t, :11,1
q.1 J . r Nil _11 f)i
veoi , 0ip. J.riintm'.
jLj*L fl,(:)jn tl-14* cIi%t.m.ric!t--.-i (Jiveri 14i not. tnl-.)
latcr`cI,,, 'i I --M:i .1 C -le wi.I.A. illffita.0.1. M. 1al.tern'l. .
.,!;e la ai,ncl !; mwiyar" Pel in I
INt,VTALL . 'T*YPr---: : BUTLAUNG SEWER jMr)I:RV1.OUS APEA:'
F'IXTURF UNITS )NY* TMIPFIOVEME-INIT :
DWEI LING UNT.P5
NO - OF 8-1 0 6,�i
FEES ,
k 1 $315 . 00
VV ANDF.44SON DON V. PEr-11MIT
rl 9363 SW WAVIFJ111:11N HIL-L-SDALE CONNECTION CHAVIGE 100 , 00
11 boulivertc.iri or 1-.INr7*.'. TINISI'Al L
OTHER
C
N ANDE.PSON DAN F-K
T MIRF.ADOWSPOOK DEVELOPMENT'
il
A 936-3 SW Fff',:AVE ATON—H ILLS DALE
C I:)ei&vwrtcjn or 97006
T
0 PHONE (.1503) P97-7666
R PEGISTRATION NO. 4634A TOTAL : 9c 1. 131:1 , 00
PECETPT NO. 7
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
agreed that the work will be done in accordance with the plans and POLIGH---IN
specifications and in compliance with all applicqble codes and
ordinances The iRsi-rice of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits.This permit will expire and become null and
void if work isnot started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work rias
commenced. It shall be the responsibility of the permittee to assure
811 required inWcti re requested and aroved
Permittee Signature
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
�' � gar age +.. asr Aar as aP e�
o tJ I
CITYOFTIVARDPLAN CHECK APPLICATION
Cffv`0FTWARD PLAN CHECK I
COMMUNRY DEVELOPMENT DEPARTMENT oR[oow
1312b.WwWBkd ao.Bw2Mm.no.M.omgon Qrm(SM)63"175 i PERMIT #ma
DATE ISSUED
JOB ADD ESS: C r �` T.UC MAP/LOT 25
SUB:_ , l ti LO A _ LAND USE: 77, 7
VALUATION: SETBACKS: FRONT: REAR: !- LEFT: RIGHT:
WORK CLASS: AA9 cJ HEIGHT: 7--<) TOTAL AREA: / .s
USE TYPE: FLOOR LOAD: 1ST:
CONSTR TYPE: $/y HEAT TYPE: 2ND: �u
OCCUP C=ROUP: ��_ DWELL/UNITS: / 3RD: -
OCCUP LOAD: - NO BEDROOMS:- � BASEMENT:
NO STORIES: NO BATHS: -17- GARAGF: � �
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: ir„S LIST SUBCONTRACTORS:
ENGINEERING: _ LAST REISSUE: BUS TAX:
FIRE DEPT. : _ FLOOD PLAIN/ �! CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS: _-
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER:
COMMENTS:
ACCT bFSCRTPTION AMOUNT
OWNER _ 10-432 00 Buildi.nv Permit. Fees
NAME: 10-431 00 Plumbing Permit Fees 77
ADDRESS: ;10-431 O1 Mechanical Permit Fees $ 3 7 1
_ r _ 10-230 01 State Building Tax (5%) '(1 $- ?
10-433 00 Plans Check Fee
PHONE: - J' 30-443 00 Sewer. Connection (20%)
30--202 00 Sewer Connection (80X) 3 L'
CONTRACTOR 30-444 00 Sewer Inspection $ �
.51-448 00 Street System Dev. Charge (SDC)
ADDRESS: *•52-449 01 Parks I System Dev. Charge (PDC) $� _
_ 52-449 02 Park.E II System Dev. Charge (PUL') M 2 S u _
31-450 00 Storm Drainage Syst Dev Chrg(SSDC) -5C,
PHONE:_ ~— e _ 10-230 09 TRFD (95x) $
10--435 00 TRFD 1.5%)
$
ARCH/ENGINEER 10-230 06 Washington County Fire /1 (95x) $ _
NAME: r�' _ 10-435 00 Washington County Fire /1 (5%)
ADDRESS: 10-229 00 Amarth'.edgewood $�-
-_ TOTAL.
pHGNE:
PREPAID
REC
BALANCE DUE $
77
�`� '
APPLI ANT SIGNATU E �1
Received By: } �,• L Date Received:_ _ _
nlzi 1,W hill B"A'.
of. TIGA R D IT JM 131 M .1•irjuTi at 972,r-1
ANrlicanls must Isold Oregon Reshiralion to conduct a plumlii(1K P1--,R M F V EL)4-,U75
bUlincss or must be property owner/operalur fW hiring outside hclP.
Nmw of Devsbpmenl PlurrlHng Permil No. sQ t-)
Address AMT
0115 814.21.910 DUAN PRICE
J ib Tax Lot Map.No. —
Addrsa• FIXTURES ,15�
Lal Bek Subdntalon Sink 7.50
Uvatory _ 7.50 >
ams or name orbu� _
Tub or TvbfSlower Comb -1.50
su Slower Only 1.50 _
;)
Ctoset ?.SO
�-
--• Water '
Owner / �Is 7.50 -7,56
Dishwasher -_-
-- Phone Garbag r Disposal - —1.. -_ 7.50 w Sv
7.50 -
Washirg Machine
7
Name vir.x DrainMs&V 7
ess Phone - -Water Healer 7.50
_ Laundry Room Tray - --- — 7.50
' I
Occupant City/State ZP Urinal 7.50 --
- Other Fixtures(Specify) 7.50
— 7.50LTUi
KI AftM -
--- TAO
Cenbedw
IWSCELLAHEOlfB �
cft am.Tax No. Sower 1x1100' SO.t10 t
Sewer-ea.Advil.100' MOO
Still* Bowdmm wow ({&Ts. O
Wsle Sevios 1st 100' �J 20.00
War$erviosaa.AddN�r IS.00
eby
1 heradmolaWge torr I two nae Ode sppft@1kxl,#Wew Irllonnatbn - 30.00
even Is-orad,ewe I ams npidsnd VAM 11110Stails MAdds Horrd,ane eel Storm a Rain Drain 1 n.too
haves Stat Pkmtbttp fosrw exrt els nterrlbsrs ptven are Ixx+eot a Storm a Alyn Drain Addh.too• 15.00
pkxnbkv work wG be taorw In somdsrin,wRh sPON,-6 M Provisions of�a 25.00
no elip wild wroWW wtNtlr savood udder O M 40 exempt ko- Mobile t son..SpM�e -- -
St hells ole be Back Flow Prevention ?.so
Star ragMlrarex+l please iMaiorl blMOrr�. Dsveoe m A*4'oMWbn Device --
�IC�11ilEOrVtrERS-1 tlsrsbl►wt�tles!<1 MI►tlll.Itttlllsr d�+t�OeM�-
aaRwd aEtrie�
WWI I b�f�1�i �kw&WA M kx AnyTropor W"W Not 7.60
nary own taw aril this praMrw d 1u01 .w► luras or rent Cone 1sd to d F0*1111 s
Ca1ah basin 7.90
k".of Exon.Pkxmotrsp _ 40.00 F+sr w. _ .
-- ----- - _-_.___ s� ,saw InlapWc ns 40,00 Po Nr
AN.r of Pkxvt*V wt1Mn
an Exi**V Bldg i5.o0men r _
Now Bldg.or Build.Ad~ 26.00 min
AUTNQRDY_ED SIGNATURE --
_
Describe work now p sddition(_) sneradon Hint
tp be done reeskiential
E:.sdatklp use at
so
i
PV
POTKZ
fit polM*1Im WON WOK
a eo p d irW w �ai—o; � ereitisrtb+.d
INln Me� by
CITY OF TIGARD MECHh-.LAICAL PERMIT llr,l.r''rl e f
I'ef1111) N
Teh(e3AM.cfua1killCode q1Y PnICI ANI
City of Tigard 1) J Permit Feo o u ro.l ct
13125 S.W. Hall Blvd. _
P.O. Box 23397
z) oupple
Tigard, OR 97223 mt rNal Ponnit
639-4175 Furnace to 100.000 B T U
1) 1100
incl.ducts 6 vents G
2) Furnace I00,000 BTU + 7.50
_ incl,ducts 6 vents __
Name of Develoru.,enl _ 3) Floor Furnace 600
incl.vent
Job Address -- 4) Suspended heater,wall healer 6.00
Address or floor mounted heater ^-
raxrM M� Vent not incl.in
5) 3.00
appliance permit_
Lot eb`M s/bdiviyon Nepairolhealing,refrig -` - ---
Name(or name o1 business) 6) 6.00
cooling,absorption unit - _ +
Boiler or comp to 3 HP
Owner MayAddress -- _—� MR"e � - 7) absorp.unit to 100,000 BTU � _-_s�
dm
CRY/State `— zip 8) Miler or comp to 3 HP-t 5 HP 11.00
bsI
aorp.unit to 500,000 BTU
rams S) Boiler or romp 15.30 HP 15.00
nbsorp.unit'A-1 million
►A+ww Address i Phor►a 10) Boiler or comp to 30.50 HP 22.50
unit i-1.75 million
Contractor Boller or Comp to 50 HP
city/stare ao 11 i 000 BTU 31.50 t.
absorp.unit 1,7S0,
F,late RtplaMatbn No —� cky Bis.Tax No. 12) Air handling unit to 4,50 +
10,000 CFM
Air handling unit 7.50
1 hereby adurowtedpe rat I have read "s sppkawgn flat nue Inrormation given is 13) 10,000 CFM +
coned.Meal I On ra owner or aurrodzed o"M of"owner,that plans nibmitled are i, - "'-
norrvitonoa w Ith Stale law$,rsal I am rVatered with the sole Br Wws Board,thel Mn 14) Non portaaie 4.50
nur ba ger is oorred (II axampt Imm Stale rsox Tallon phase give masa+tllrfow). evaporate Cooler ---��
15) Vent fan connected 3.00
to a sUKII@ duct
----- — Ventilation system not 4.50
16) Included in appliance"rn*
--------------- -- -- ------ 17j 1iCCd teNad by 4,50
matcher" swat
tune(wrw a ap�nq 00" Domestic two
1e) I it1
scribe work incinerator i
O addition Q alteration C1 repair O '
o be done residential Q non-residential 1.1 19) Commercial or industrie' 10 00
- type Incinerator I 1
--
"zisting use of - ---- i
jilding or properly 20) Othor iv-woodsiovo,wntet ,
- heater,solar,clothes diyors,utc --
roposed use of _ __�_.-•_--__. .
wilding or property -.-. _
- -- -- - 2 t) tarts pipir,q nnu 1:1 10111 0111101's
vpo of twat- oil 1-! natural gas I.I LPG I i ofoclnc 1 I
- 221 Moro thou,.1.pot wullrl
t
NOTIg SIIB-TOTAL 17 S�
HIS PERMIT BECOMES NULL AND VOID IF WORK OR CON. �O est.5URCNAru;c
TRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ -��Q 3 i
AYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25'X.OF SUB•TOTAI
ANDONEO FOR A PERIOD OF 180 GAYS AT ANY TIME AFTER
I!
ORK i8'OAENGTOTALEO. �_..
I,
ire lull ( Irnhluin ,