16445 SW 109th Place __
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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
b2Type of Inspection
Date Requested de?- "d rU Ti �N���� .M. P.M.
Address _1&11v..›- / 424 f4Permit
Owner _ Lot
Builder #4(--"AA-1 _
The following Building Cods deficiencies are required to be corrected:
Pleeented to _ — Approved
Inspector _ r ❑ Disapproved
Date
CALL FOR REP1SPION
D YES NO
INSPECTION NOTICE
City of Tigard Building Department
P 0 Box 23397 "`�
Tigard, Oregon 97223
Phone. 639 3175 /)
Type of Inspection — t.
Date Requested • r'
`/ r Time
Address Lid ! / Permit oM Owner Lot ek
Builder _-The following Building Code deficiencies are required to be corrected:
(may, D.0 t Cie,i %L �, v _ 4izC:0"/ DNL
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i c ✓t X17- <I
At,r1.ti IL efe /4I-.571l T yFc -[3 V All
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C/AA/ 11— c.-776 ti p-70 Z r 4, —
Ff 2- Abovr. 4 r`--rul /'or2 rl�C�TCO11 3 :Ma1i��
AC r.2 c.rte.��
Pneeflted to _ Approved
(, ,, t Disapproved
Inspector
Data /3/ 2 .s17 — — —
CALL FOR REINSPECTION
❑ vis f i NO
INSPECTION NOTICE
amity of Tigard Bu 'ding Dec,at ment �� )
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inepeotiort
Date 'iequested S '`l _ Time_A_A.M. P.M.
Address f��43 /GL" Permit 410419//11/11
C rvner —__- Lot N
Builder �yl-,L-�s �
Ti following Building Code deficiencies are •esiuired to b, correctors:
3o - p, 5-
.30-
sO- S = A v .44 a ,,,,r,z S
Presented to
Approved
Inspector
_ Disrtopruvud
Data _ ;7
FOR REINSPECTION
[-1 Yu CD NO
___
T_
CITY
( BUILDING PERMIT
PERMIT HO. : BA91948
lcm a 11011w
COMMUNITY DEVELOPMENT DEPARTMENT \ °~.OM TE ISSUED: 9/25/89
11115 SW Nall Floyd PO Bow 23391 Tigard.Oregon 97223 1.4)3)619+I..
(M.DMT.N(1. 8q1948
JOB ADDRESS: 16445 SW 109TH ST
TAX MAP/LOT 2S1 15AA SUB: 0 :20 BK:
LAND USE:
LOT SIZE: VALUATION: $ 91. 134 SETBACKS
FRONT: 20 REAR: 5
WORK CLASS: NEW DWELL.UHITS: 1 LEFT: 5 1 iHT: 26
USE TYPE: SINGLE FAMILY NO.DEDr(OOMS: 4 FYT.WALL CONST:
CONST.TYPE: VN NO.BATHS: 3 N: S: Es Ws
OCCUP.GRP. : R3 PkOT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 2000
NO.STORIES: 2 1ST: 1030 ROOF CONST: C FIRE RET?
HEIGHT: 22 2ND: 970 AREA SEPAR? RATED:
BASEMENT' 3RD: CCCUP.SEPAR? RATED:
MEZZANINE' PASEK'T
FLOOR LOAD: 40 GARAGE: 573 FIRE SPRKLR' ALARM'
FLOW(GPM) DETECT? YES
HEAT TYPE: GAS HDCP.ACCESS' CORP'
PLAN CHECK BY: DIt
REMARKS:
REISSUE OF NO.
LAST REISSUE
1
FEES:
PERMIT
ROH9INS RICHARD L PERMIT T $409.00
N� 14855 SW 141ST PLAN REVIEW $265.85
E TIGARI' OR FIRE DEPT
Fl
STATE TAX $20.45
OTHER
c DEVELOPMENT CHARGES:
ct ROHRINS RICHARD 1 SDC(STORM) $250.00
N
1 P L R HOMES SDC(STREET) $600.00
1+ 14855SW 141ST FDC(N2 ) $250.00
A
TIGARD OR 97224 PREPAID $100.008
T PH(TNE (503) 6'0-3883
1i REGISTRAUON NO. 16986 T;11AL: $1,695. 30
RECEIPT NO. k• '/>'l/- 1
True permit is issued suhipu t to the regulations r nnteinerl in Title 14
of aha TMC State of Oregon Specialty Codes 7nnnog regulations
REWIRED INSPECTIONS
and all other applicable codes and ordinances and it is here, FOOTING FFWER
agreed that the work will be done in accordance with the plans and
specifications and Ir, compliance with all applicable codes and FOUNDATION WALL PAIN DRAINS
ordmanr.ee The issuance of this permit does not waive restrictive POST A BEAM WATER LINE
covenants Contractor and subcontractors shall have correct city PLP.UNDERSLAP CITY APPRCH/SW
business tare permits this permit will expire and become null and SLHP F INAL
void of Work is not started Within 180 days or it work is suspended or PLB.TOPOUT
bandoned for a period of 180 days any ti re after work has
commenced It elicit he the responsibility of the pecrettee to essurr FRAMING
all required Inspections are requested and approved _ F IREPLACF
- GAS LINE
INSULATION
f-'. 7 ' r ' , GYP. BOARD
/
' mitten Srgnahn i
oti. 1Ii*, .�• FOR INSPECTION 633 417: _
L',/ SEPARA1 E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ITY F TIGA Rte ' SEWER PERMITC0w PERMIT NO. : SE891957
CITY riF MOND
COMMUN;TY DEV•ELOPMEN I DEPARTMLNT �"aCM F ISSUED: 9/25/89
11175 S W Mab Sive P O Bow 2339? Tigard.Oregon 97243.(503)639.4175 P I M.PMT.NO. 891948
JOB ADDRESS: 16445 SW 109TH ST USA NUMBER, 39067
TAX MAP/LOT 2S1 15AA SUB: LT:20 BK:
LAND USE:
LOT SIZE:
SECTION: 15 TWP: 2s RNG: 2s
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 1;20 days from t'1e date issued. The total
amount paid will he forfeited if the permit expires. The Agency does not guar
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at the measureeient given, the Installer shall prospect 3 feet in
all directions from the distance given. If not so located, the installer shall
purchase a "lap and gide Sewer" Permit and the Agency will install a ' ateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. : 1
--
FEES:
[—r) BOBBINS RICHARD L PERMIT $35.00
N 14855 SW 141ST CONNECTION CHARGE $1,250.0P
TIGARD OR LINE TAP INSTALL.
OTHER
ROBBINS RICHARD L_
R L R HOMES
14855SW 141ST
A TIGARD OR 97224
1 PHONE (5031 62B-3883
q REGISTRATION NO. 16986 TOTAL: $1,285.00
RECEIPT NO. l4,1'7',04,
this permit is iSsiil'r1 suiter. tr, in I illy 14
of the 1MC State or Oregon SDP(lally Codes 7iir 1n1) rp4.'111a11,r,, REQUIRED INFOELTIONS
and all other applicable ,odes and in i nanrPS At .1 it is herr•hy
tweed that the work will he done rel Ar r.urdance with the plans atilt ROUGH-IN
.pecnccations and in coniplrince with all applir able roles anti
udinanres 1 he issuance of this permit does not waive restrictive
ovenanfs Contracfnr and subcontractors shall haver orient r 1fy
nusrnpss tat permits This permit r•rll expire and heroine null amt
nod it work Is not started within 10 days o,,t work IS suspenuln l it
ltwrndoned for a period of 15'1 days any time After work has
ommenced It shall be the responsibility of the pe;mrtfee to tissue'
ill required inspections are requested and approved
1 � � ./
t'prnnitpe •
'ugnafu_e
lesiied fay CAL_ I.W. I NSL'kC I L UN 614-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIRD .>t. GERMIT NO. : PERMIT ,
ClreOinase
COMMUNITY DEVELOPMENT DEPARTMENT a..o.1 E ISSUED: 9/2589
1312s S W Nall Blvd P I) an.13397 Tigard Oregon 97113 003)639 1175 P I M.PMT.NO. 891948
JOB ADDRESS: 1644' SW 109TH ST
TAX MAP/LOT 2S1 15AA SUB. 1T:20 BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE (100K AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ 1 AIR HANDER 10K
CO9ST.TYPE: VN FLOOR FURNACE EVAP.000LEP
OCCUP.GRP. : R3 HEATER VENT FAN 3
VENT VENC.SYSTEM
BER/COMP f3HP HOOD 1
NO.3TORIES: 2 DLR/COMP 3 15HP INCINERATOR(DOM
DWELL.UNITS: 1 BLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT DER/COMP 50+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS'' — --
REMARKS:
ne^d
contractor number
FEES:
ROBBINS RICHARD I PERMIT $10.00
N 14855 SW 141ST PLAN REVIEW
TIGARD OR FIXTURES 1,:!2.00
STATE TAX $2. 10
OTHER
c.
R
A
o TOTAL : $54.60
R
RECEIPT NO. //0.) AV 11y
This permit Is 19Sned suhlect hi the requlahnns 1 uotapned In 1 itlp 14
01 the TM(, Stale o1 o regori `,per laity Codes tonlnq requiatiru sREQUIRED INSPECTIONS
and all other applicable r.odes and ordinances and it IA hereby GAS LINE
tweed that the work will he done in accordance with the plans and
perdreahons and in complianr with all applicable indr s and PUS 8 REAM
,rdnances The issuance Of this permit does not wave rester live ROUGH- IN
ovenants Contractor and subcontractors shall have current r,Ity F !NAL
nusmess las permits This permit will expire and he"ame null and
vend if work is not started within 180 days or if work is suspended or
Ibandormd tw a period of 180 days any time Aller work has
ommenced II shall he the responsibility of the permittee to Assure
ill required inspections are requested and applgyed
Permittee ',maltre
Issued Ry /'' LACI. 4 Ul. I Ma.L I. 1 IOM (..4`4-41 i
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PERMIT
CI1 "v' OF
P"dt/
Para, PERMIT NO. : PL891955
cltrov1IGID I
COMMUNITY DEVELOPMENT DEPARTMENT p4TE ISSUED: 9/25/89
--- 13125$.W Hall Lilvd P 0 How 13391 l Igard Or•gon 97223 1503)539 41/5 \ PF1T M,PHT.NO. 891948 -_ —
10N ADDRESS: 16445 SW 109TH ST
FAX MAP/LOT 2S1 15AA SUE: 11:LO BKi
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PF.,VNTR
CONST.TYPE: Vhi LAVORATORY 4 TRAP PRIMER
OCCUP.GRP. : R3 TUB SHOWER 3 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNITS: 1 LAUIIDRY TRAY 1 BLDG. DRAIN (DTA
FLOOR DRAIN
SINK 1 GEWEF, (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKS:
need
contractor number
FEES.
0 ROJBBINS RICHARD L PERMIT $155.00
w
N 14855 SW 141S1
TIGARD Jk FIXTURES
11
STALE TAX $7. 75
OTHER
N
(
I-I
A
I1
11 TOTAL : $162.75
I
RECEIPT NC. AJ
This permit is issued sullied to the regulations contained)in title IA
of the TMC' State of Oregon Specialty Codes zoning regulations REnUiREG INSPECTIONS
and aii other apple able codes and ordinances and it is hereby PLP.I1NDEkSLAB
agreed that the work will be done in accordance with the plans And
specifications ifications And in compliance web all Applicable codes and POST d BEAM
nrdinanreS The issuance of this permit does not waive restrectivo WATER L. INF
covenants Contractor And subk ontrCvtres shall have a orient city PIP.TOPOUT
nosiness taw permits This permit will expire and become null and RAIN DRAINS
void if work is not started within 180 days or if work is suspended or
abandrmed for a period of 180 days Any time alter we, k has F IHAL
r,iiirnenrell It shall he the responsibility of the permittee to Assure
ail secluded 'risme lions it,,.requester)and apprn .ed
` r-
Perrnittea Signature
Issued Hy 1/4"'"' LLAI,L FOR INSPECI IUN 6.19-4175
SEPARATE PERMITS PEOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
' / � PLAN CHECK APPLICATION
4)CI1Y ®F TIEA amoc .s PLM/ CHECK N
COMMUNITY DEVELOPMENT OEPARTMENT PERMIT N W� -
1u25 w_w«„e�e,o.SON msa.n9..ac g.11/723.(911311 MTh : I'a DATE ISSUED
'7‘ ..:,, /& 9 �A S i 'iAX MAP/LOT ,;x5_/ -/ A4
J00 AQORCSS: ? 0
SUB: �'�.??'tv cu ' 4,-,X. LOT: LANG USE.
VALUATION: # j /.;Y-l- SPECIAL NOTES
NAME:
A7.1 /"',N f S' REISSUE OF: —
NAf1E= - .- i LAST REISSUET- _
A00RESS Y 'f i /'� /1/4� FL000 PLAIN/
SENSITIVE LAND:
PHONE: .1G 4.VC APPROVALS REQUIRED
CONEPLANNING: __ _
<ACTOf; '�L . T /7'f a s J ENGINEERING: _
/ FIRE DEPT __ ._
ADDRESS: / 1 S OTHER:
-7"/G/9X0 roe
•
.� -T �. - +, 4; .
REQUIRED
PHONE: �� " LIST/SUBCONTRAC,TORS: • (/
BUS TAX: __
ARCH/ENGINEER r, CALCULATIONS:
NarlE: .'//��v /4 gG C1��� TRUSS oET alts _
ADDRESS: :—... , 77,0,„, PARKING PLAN: -
LANDSCAPE PLAN:
OTHER:
PHONE: .
COMMENTS: EL 61 i �� .
-- �,d , -
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNI PO. BAt I)I M
8,1 ( ,Y 10_.432 00 Building Permit Fees /�` --
11 /5, '/ 10-431 00 Plumbing Permit Fees _________
,yiy ( 10-431 01 Mechanical Permit Fees
10-0230 01 State Building Tax (5X) _ -
Building i c
Plumbing _
riech 144'
10-433 00 Plans Check Fee 32 ' / (-) '-) ' /u
Building _ ' _
Plumbing _
Meeh i 12>c,,St C1 • y, ' 30-202 00 Stover Connection `i2 S C. _
30-444 00 Sewer Inspection -
51-440 00 Street System Oev Charge (SOC) _ ....4„;_c____. `
52-449 00 Parks System 0ev Charge (POC) ..2 , _ 1 ) L
31-450 00 Storm Drainage Syst Oev thrg (SSOC) ) ,i —2_11._
10-230
l11.-
10-230 09 TRFO —
10-230 06 Washington County Fire MI (951)
10-2?0 00 Amart/Wedgewood
t�?' r;f--4-APPLICFNT SIGNATU
Received Oy: - U.at.' Received: / h'
cn/3SR7P/iRl'
I _____