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CE!rt if i.ed # P 685 269 E
CITY OF TIGARD
Vashington County, Oregon
NOTIrc of INFRACTION CITY 4F 11117A RD
Case #: 8801.8-r OREGO14
Address: 117W8SW Swendon Loop
Tax Map: 1S1-3. CD1000
/f
To: CIAIK Homes To: Occupant
Respondent A Respondent
157 Oswego Summit 11748 SW Sendon Loop
Lake Oswego, OR 97035 Tigard, OR 97223
It has been determined that the following activity(+eek or condition(.&) is/are
an infraction4) as defined by the Tigard Municipal Code:
18.18.010 Certificate of Occupancy —
You may contact me by phone at 639-4171 between 9:00 A.M. and 5:00 P.M. ,
Mon6Av through Friday, or by mail at the Tigard Civic Center, 13125 S.W. Hall
Blvd. , PO Box 23397, Tigard, OR 97223, to informally discuss the possibility
of entering a Voluntary Compliance Agreement. Under this agreement, you would
agree to remedy the alleged infraction within a certain time period and the
City would agree not to file a summons and complaint against you during this
period.
If. a Voluntnry Compliance Agreement is not executed, the following action to
remedy the infraction must be completed by
4:00 PM 2-9-88 Obtaining Certificate of Occupancy or
(Time and Date)
vacate premises
If this remedial action( is/are not taken and a Voluntary Compliance
Agreement has not been entered by the time and date indicated, a uniform
summons and complaint -.till he issued, and a penalty of 3250.00, plus hearing
fees, may be imposed upon you, pursuant to Tigard Municipal Code.
CITY OF TIGARD
BY:
Code Pnf6FrremenF Offir_er
George Steele Date:
Print Name) —
ht/2929D
I 97 Ti and e an 97223 (503)639-4171 -----
-- -------�
13125 SW Hall Blv.i.,P.O Bax 233 g ,Ur g
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P 685 269 647
RECEIPT FOR�ERTIFIED MAIL
U NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
'1 (See Reverse)
��+
Sent to Clark Homes
\v Slreot and No.
(I\}JPO+ 157 Oswego Summit
P 0.Stale nd ZIP Code
Farce Oswego OR 97035
Postage 5
Certified Fee ^
Special Delivery Fee
VS Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
Return Receipt showinoo whom, J "
Dale.and Address of Delivery /
TOTAL Postage andF ,%L n
-v
Postmark or Dale
A
s I■r It � If � w �u �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223 /
Phone: 639-4175
Type of Inspection ._._...
Date Requested____ Time______ A.M. P.M. �O
Address ��l/1 �_7G�71�,�f --- Permit #
')wnt,rjL Lot #
Builder
The following Building Code defiziencies are required to be corrected:
r7l CLZI-&2.a
Presented to — ❑ Approved
Inspector inpproved
Date _
CALL :�uR- REINSPECTION
I_J YEa ONO
W1 4Fj 4W el► W1 W1 W1 OF
P.O.a x 2-1397
CITY OF TIGARD PLUMBING 13MSgH&U blvd.
Timed CR 97223
Applicants must hold Oregon Regisualion to coMud a plumbing PERMIT 639-4175
business or must be property owner/operator not hiring outside help.
Name ne(wMio"rit S y 20
Plumbing Permit No.
Address --- Description
ORS 814-21-610 QUAN. PRICE AMT
J�,
Tax Lot Map.No.
•.ddreaw
FIXTURES _
L.ot� Bockb
Subdivlsn - ---
Sink - _ -— --- 7.50
�-' Name(or rwr»of bUsinessjLavatory -- J 7.50_ ZJd
I lr � b bLc �� r� ��L�C /�1 -- Tub or Tub/Shower Comb. 7.50
si trq Addiress Shower Only _- .so -
Owner , -- ___- __ ------- Water Closet -- 7.50Zlip
Dishwasher _ _ / _ 7.50 7-sZ
---- ---- Ph(xre ------ Garbage Disposal -- --/ __ 7.50 7 yZ)
Name __+ Washing Machine -- - _- 7.50
Floor Drain 7.50 _
Matting Nhone Water Beater 7.50 7 �_
City/Stele
Occupant �t
-- P Laundry Room Tray-- - 7.50 Urinal 7.50_
- arra -"P on Other Fixtures(Specify) 7.50
1 M&MV _ _ -- -- 7.50
7.50
Cantracttx %Stale; ---� zip --- --- -_—- --- 7.50--
MISCELLANEOUS
_
Tex NooSewer 1st 100' 30.00
State - stars s�iC-Ao Sewer-ea.Addit.100 15.00
(Reskienfiairl Water Service 1 at 100' L __20.00 0
1 hereby ackntpwiedge that I hwe reed kits applic lion,Ihaa IM'kdormatk- Water Service ea.Addis. t - --`15.00 - /j
given is conect,thwt I am regiaiured with the Stale Bt*Wfj Bowl.and&ISO Storm b hail Drain 1 at.100' 30.00
have a Stale PkirrO*V aeon.*ow the minders given ars sorted that opt Storm 6 p yin Drain Addis 100 1 s 00 -
pitxrtbing work w*be done In w000rdorxr�with opp leable previsions of Ore --_-- ----- _ -
gom Rsvioed SUM"Chapters 417 and 693 and spplcable codes and that Moblle Horne Space _ -- -- -- --2500 -
no help wA br,empbyW WAM Noweed tinder()RS 693 (ti exempt from
State regl"lon,paMse give reason below). Bade Flow Pt.wen am
HOMEOWMEf2S -I hereby cerofy If*I am the owner of ew property de- Deviceor Ants-Poputbn Device - 7.50 _
moxtxsti wbow.M wt 0 bosom 1 V1apaw.to malar a pkr**V kKUAPdtxr for Any Trap or Wnsis Not
my own use and Mk p ropw2y 1s not beft corwoucied tar site.lease or nM Connected to a Fb eh" _ 7.50
Catch Basin _ 750 _
kw.of Exist Pk.rt" — 40.00 Per Hr
--- - Specia_ ll ryRRa q- 1 d InspeaYona;
40.00 Per Hr
_ Ager of Pkirr**V wttarin
an Exk*V Bldg - ---- -- 15.00 min
AUTWJRIZED SKMATURE Dtle Now 61dp.or BuNd.AdoJNllon -15.00 min --
,sirly—le fa l _--
[D9;x wale rrewv® addition o aharttlon❑ repair❑ (Alit --- — 15.CO
dot» reeldential
Ettle ft user of
t>Sle(Af q or prop" — ----------- - f*TCsTa1L
U"01 As BUNol4ullr/ 3
Or P101aar1ty__ __- —.—-- TOTAL i
This Aasrr*R ttao(nttas niM and t,ok1M aeotk frit o0elMutosion atAho.tssd la ml oom
w1Mt0ar!w1Rllt 1110 eMrs�r M oarsMtledMt111 a ttitak11t11aMr1Md n.abendorsed for "
a paned et 1110 clove od any Stine ells►wok Is am wttinead
DING IMwad _ f_� by _
KNUMUM
INSPECTION NOTICE
City of Tigard Building Department
P.O Box ;13397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - --
Date Requested_
1,,P- 7 Time A.M. P.M.
_—_
Address -5 w4r/y,oc Permit
Lot
Owner
#
Builder
The following Building Code deficiencies are required to bevrrected:
Presented to Approved
Inspector -- - --- Disapproved
Date -
CALL, FOR REINSPECTION
❑ Yes ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 37223
Phone: 639-4175
Type of Inspection _�i`L'—•_./7�1.��1-3���� ---- --------
--� "
i
Date Requested Time A.M.—j/—' P.M.
Address /`/F Permit #_
--------
Owner __ _ _____ Lot #
Builder - - -._-- --- _The following Building Code deficiencies are required to be corrected: 7
' ri' <
.�T4ti 6
C1 —0Pj/ 4 A— (L& A"kl,-
Preser ted to ___ [� Approved
Inspector 1.I/b'ilvp proved
Date Z'" 2. 1
CALL ,F�ORR REINSPECTION`L"1 YES C_.1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Ph ne: 639-4175
Type of Inspection
Date Requested Time A.M.__ /P.M. _
ry
Address ' l l n �t�7 F.'r'' Permit
Owner ._ '13LLot #
Builder
rhe following Building Code deficiencies are required to be corrogted:
fo ►
')`__ r -----
r
f i—�
ci
�C,
74
f�' •->:.
'� _�' 'f..-• �� �C./Q�..!'� :rr2r viii-Z..�2c�
Presented to _ — _ I
Approved
Inspector 17 Disapproved
Date
F
CALL FOR REINSPECTION
Ea 0 NO
qq2 City of
NOTICE
f Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address Lill qS' J. dlonrl --Le . ----- Permit #—,----
Owner. Lot
Builder—
The followit g Building Code deficiencies are required to be corrected: Jew
CA
Presented to ❑ Approved
Inspector RZisapproved
Date
CALL FOR REINSPECTION
LT-"FS 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Ph ne: 639-4175
Type of Inspection
Date Requestcd _ Ti a�/�A.fJi. _ P.M.
V- P
Address / .-- & —
A 1.0t
Owner
i
Builder
The following Building code deficiencies are required to be corrected:
i
Presented to __
_E'Ap�rroved
Inspector _ _ ❑ Disapproved
Date
CA L FOR REIN EMON
El YES ❑ NO
INSPFCTION 'NOTICE
City of Tigard 4uildiny Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-
Type of Inspection _ dD
Date Requested �i� – 3 Time�__ A.M. P.M.
Address ` gy Lp . Permit #
Owner —_--_-_-_-_ Lot #
Builder --- —---- -- .._ —.The following Building Code deficiencies aie required to be corrected:
C-L.) - -
Presented to �/ / ❑ Ap roved
Inspector =��" Disapproved
Date
CALL FOR REINSPECTION
❑ YEs I� NO
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: j
This is to certify that the attached sets of plaris have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Sarety Code, '+� � edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRACTOR: c TELEPHONE:
JOL ADDRESS: LOT NO. & MAP:
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
O Engineering Dept. U Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
0 Other O Other
Items Required
List of subcontractors
OBusiness Tex
'�) Calculations
OTruss Details
0. Parking Plan
0 Landscape Plan
OOther
COMMENTS:
City of Tigard Building Department
BY. �� �
BUILDING PERMITAPPLICAT!ON TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES F OR A PERMIT FOI i HE WORK HEREIN INDICATED BUILDER PHONE —__— u3..
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC!FICA rIONS. OWNER PHONE
1173;z- LOT NO.
OWNER Pon Horin8 ttt JOB ADDRESS 1'19'1n-SWLoo
ARCHITECT
ENGINEER
BUILDER SaMe ADDRESS V.u. }lox 15524 DESIGNER
STRUCTURE 13 NEW ❑ REMODEL U ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
a RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑_PATIO ❑ CARPORT ❑ AAHAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 1473 LAND USE ZONE t-25 BLDG.TYPE SN FIRE ZONE. _PLAN CHECK BY _ETW — HEAT- -
-- CONSTRUCT SINCLE FAI IILI DWLLLING WIATTA(HED GARAGE
RE-I9SU1' of Permit 5114
bject Lu 36U.00 Atnart/We4gwood etnd $150.00 Leron height :ever Svrchaiz le
SEWER PERMIT# 24,1546 _
--__---- - _ �aratre 440
OCC.LOAD FLOOR LOAD HEIGHT__ NO.STORIES 2 _ AREA 1t`U0 NO.BEDROOMS VALUE
BUILDING DEPARTMENT _- SET BACKS FRONT 20 REAR 5U —_LEFT SIDE f' RIGHT SIDE 9
Permit _ ZSy•lu THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING'
4U ()I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
329.00 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB rONTRACTORS TO HAVE CURRENT CITY BUSINESS
1.$6 LtGENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stale Tax
Total
340.50 -- SDC- 1t :)UU•UU
-- -- PDC# 1 415U•UU APPLICANT OR AGENT
By
—---�i(,;i;-- Receipt No. ,
Approved - _�____ PHONE._
tJAIE INSP. TYPE INSPECTION REMARKS FLUMbiNG DATE
ikil�' D-6 Ccntra,tor
Permit No
A-Z
Fixture
Fir if
Ilkl-, 29 4 -1- HEATING
Contractor
Permit No.
Gait or Off
-L4 0 X-- Rnogh-in
JF
Final
SEWER
Final -DRIVEWAY
4m.1
rainew
IR%-.In Cra;n)Final
Sidewalk
Curb&Street Final
PLOD.DEPT 'IIJ �L Approach-iiif—iP-O'R---A-RY----------CERTIFICATE OCCUPANCY ------
CRT IrlC ATE OCCUPANCY Final
Landscaping
Zoninu Filial
- _ __ - I I __ __ m_ I
Lti- - 'k - PLAN L11LLn NO.
for inspections call 639--4L75 1
CITU OF TIQARO 6x9.1171 PERMIT NO.
BUILDING P �
ffIWIT DATE - _ 10__
P.O. 13ox 23397, Tigard OR 97223 TAX MAP 161 33'_6 LOT NO.
OWNER— Mfv' 7 /n/ JOBADORESS
BUILDER —.fir_,_ _ 1 str E 1� - _ STATE REG.NO, d EXP.DATE
:C c �✓
BUILDER'S PHONE
ARCHITECT PHONE OTHER
ST RE NfW 0 REMODEL 0 AOOITICN 0 REPAIR 0 MOVE 0 OTHER_ 0 DEMOLITION
ESIDENCE a OOMM 0 EOUCATK)N 0 1NO • 0 RE GUS• ❑'ACCESSORY a GARAGE 0 OTHER 0 FENCE
Ar ft
OCCUPANCY LAND USE ZONE ` SLOG TYPE FIRE ZONE�.-PLAN CHECK BY IfAT � T
Construct single family dwelling w/attached_( - --
4iihipct f0 85 code..
SEWER PERMITI,;73� y (Idu) baths, trays
^� garage area/ _p
OCC.LOAD FLOOR LOAD 'U HEIGHT V*—NO.STORIES F^' AREA Y '7&ANO.BEDROOMS VALUE7a O 00
BUILO(NG DEPARTMENT SETBACKS FRONT 3 0 REAIE&�S' LEFT SIDE_ �� RIGHT SIDE
d 5 Ov THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT 13 HEREBY AGREED THAT TNt
Plan Check T WOIIK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCI
WITH ALL APMJCABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOG.!NOT WAIVt
PL C L F" RESTRICTWE COVENANTS.CbNTRACTOR AND SUB CONTRACTORS TO KAVE CURRENT CITY RUSINESS
r' TAX PERMITS.SEPARAT i PERMITS REGUIRED FOR SEINER,PLUMBING AND HEATIM
Slate Tax T �k SSOC
SOC—
Tood n AM ICANTORACENi
Pnpd � 7)L- --
FOCI
Receipt ADDRESS------ ►►�(ii+t
Bal.Due _
Iaaued B ___Apptoved By__
SSDC
SDC
— RECEIPT #
POC - 1 '3v
--` DATE PD.
SCWER CONNECTION 5 ^" AMOUNT PD. La 0 --
SEWER INSPECTION S
SEWER SURCHARGE S
;ommente: 7 4
CITY OF TIGARD MECHANICAL PERMIT Receipt k
Permit#-,
Deeojiption
Table 3A Mechanicel Code (ITY PRICE AMT
City of Tigard —
13125 S.W. Hall Bled. 1) Permit Fee— 0 -0_ 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit _ 3.00
639-4175 1) Furnace to 100,000 BTU 600
incl.ducts&vents
2) Furnace 100,000 BTU 4 _ 7.50 —
incl.ducts&vents
F--
Name orve t 3 Floor Furnace 6.00
����L �� � ) incl.vent _
,lob Address — 4 Suspended heater,wall heater 6.00
Address
// '-t/� f ) or floor mounted heater
t.r F a�_• �,, �-' - _
tax Lot Nap No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit _ —_ — _—
Nome or n mess) ---- 6) Repair of heating, urig.,t ^ - --- 6.00 ---
��� cooling,absorption unit
Melling Address Phone 7) Boiler or comp to 3 HP 6.00
Owner aosorp.unit to 100,000 BTU _
City/Stale _ -- zip --- 6) Boiler or comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTU 7
- �Boilerorcom 15-30 HPC u-
Nerne _ / ' 9) absorp unit 1/2-1 million-— _ 15.00
Mailing Address '/�L�- Phone 10) Boiler or comp to 30-50 HP 22,50
absorp.unit 1-1.75 million _ _
Contractor City/State zip -- 11) Boiler or comp to 50 HP _ 31.50 -
absorp.unit 1,750,000 BTU
State Registration No City Bus,Tax No 12) Air handling Unit to — 4.50
t 0,000 CFM
I heren acknowledge Air handling unit
y edge mat I have road this application That the Information given Is 13) 10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that Mans submitted of-... ----- ------- —
v rnpliance with State laws,that I am registerwi wdh the Stale Builders'Board,that the 14) Non portable 4.50
number given Is oared (If exempt front Stale registration please give reason below). evaporate Cooler
15) Vent tan connected 300
to a single duct- •2'
- -- -- - ------ -- - --- ----- - — 16) Ventilation system not 4.50
/ included in appliance permit
17) Hood served by 4.50 y� "
mechanical exhaust
Ipnature(owner or agent) -- [)are 18) Domestic type 7.50
Describe work ❑ addition ❑ alteration U repair I incinerator
to be done residential Q non-residential L] _— t 9) Commercial or industrial 30.00
Existing use of type incinerator —_- -_
building or prerQrly '`'�'�_ ___-__--._ ) Other i.e.,woodstove,water 2
Proposed use of heater,solar,clothes dryers,etc. 4.50
building �
or property pe --- - - -------- 21) Gas piping one to four outlets 2.00 l'-
Type of fuel - oil 11 natural gas LPG L] electric [] � -
-- — — 22) More than 4-per outlet
NOTICE -- ---_ T
SUB-TOTAL 3y sv
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -- -- --� - -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE / �d
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL 42
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ----_--- -- - - -
WORK IS COMMENCED TOTAL
Specal Conditions.--_
Date Issued ---- ---—by-- --- _ - -