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INSPECTION NOTICE
City of Tigard Building Dep.rtment
P.C. Box 23397
Tigard, Oregon 97223
Phone: 539-4175
Type of Inspection
Date Requested /h �-,��— Time P.M.
)Addre,iscam ('�d„� ►i ! Permit +k
Owner -- --- — Lot ------
Builder -L -- — - ---- ---—.._ - --
rhe following Building Code deficiencies are required to be corrected:
Presented to _ �� % pproved
Inspector — _ U Disapproved
Date. --
CALL FOR REINSPECTION
F I YES NO
INSPECTION NOTICE
city of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �: '�� .fes
Date Requested P.M.
Address -�_ 7����_C�3 `�1t.=16: Permit
Owner _ _ ;7 Lot #
Builder _— -----
The following Building Code deficiencies are required to be corrected:
I
I
Presented to _. ^_.—_._�____—_______ Appioved
inspector _ _ —__ Disapproved
Date
CALL POR RFINSPFCTION
YES ❑ NO
CITY OF TIGA RD CL
.DING 1)1--:1:4M:I:'T
CIiYID
PERMIT NO.
OF',
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503%639-4175 ISSUED:
jii"" ADDPC--S5 : -.09417 SW t.,'I-]A'TEAIJ LN
TAX (4AP/L.CIT —Sl 141 PF*:HE.CXA P)PIK L'T HK :
LAND USE-K :
L-OT SIZE : VALUATION: 111 C-.11 6,/-196 SETBACKS
FAUNT : 20 RI:'.AP: ell
WORK NEW DWELL .UNITS : I I..I-::F*T': 6
USE TYPE: : F-'A- M:[L,.Y NO. Br-:111POOMS : 3 EXT .WALL. (:'ONST:
CONST' TYPE : VN NO . HA 0-IS : 3 N 5 : E : W
OCCUP.(:;rql*-*, . R3 P1101' .OPENING!:.s :
0(XUP .LOAD N S W
'T'OTAL API-KA :1.1930
NO . STOPIES : a 3.51, : 1.01'e1 POOF (:,'ONST : r FIPE' PET?
HE I CRT : 20 2NI'.): 91.6 ARE4'o SEPAPI.? I� AT.":::D:
BASEMRN'T"? 3RD (:)(-(-UP
MEZZANINE7 HASEM' 'T
FI 00111 LOAD lei 0 C'PAPAGE : CIPPIKLI-47 ALARM?
FLOW EJE1-F:-(:-11.7 Yl:;.!:,
ilii
AWW6644
PL-AN (:HECK BY :
REISSUE OF NO. 6383.102
L L.ASI' AI*-.:IS1,3UI::-- 8913313
0
W MiJ LEP %JAY PEPM11* *394.00
N BOX P3291.
E PI AN REV IEW $40 . 00
R TIGA114D OR F134K DEI--"T
S'I*A*T'V-.' TAX 11111119 . 70
OTHER
C
0 DEVEL-OPMENT U,HARGk!.S :
N MIL.1 KP %JAY $;250 . 00
T ..)AY mu-.1 Ep s(.j,.I:l I:)F-:I:4
R 130C(STPEEI' ) $600 , 00
A p - 0 . ROX 23291. PD(:;(41e I $a50 . 00
C GA.wl') 01:4 9 7 2.P.3
T PREPAID < $40 . 004
0 PHONE (503)
R I REGISTPATTON Na . zim.w.? TOIAL : t11. 1 51.;3.'70
This permit is issued subject to the regulations contained In Titip A
of the TMC. Slate of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby REQUIPI-H-1) 3-N15PECrIOJ,1'-3
agreed that the work will be done In accordance with the plans and F'00*11:NL, SEWER
specifications and In compliance with all applicable codes and I::-(.IUNDAI'.T.0N WAL.I VIAIN DRAINS
ordinances. The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city P(:15*T A REAM WA'TER LINK'
business tax permits This permit will expire and become null and III B.tJNI:)r--.P!il AS (*,.I'T'Y APPACI-1/5W
void if work is not started within 180 days,or If work is suspended or SLAU FA:14AI
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the Permittee to assure PI.-R. 'T'UPOLIT
all required inspections are requested and approved F RAMI:NG
F I PE r1l A(:,E
GAS LINE
TINISUI-ATTON
Parmittee Signatu I GYP- HOAPP
Issued By CAL.L. FOP T.N!Fr,EcT'T0N
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Will
CITY O F TIA RD �^� 5F:W1'-:':P PEAM11'
CITY
'WAND
raw RM11' NO. . SE:891369
COMMUNI'T" DEVELOPMENT DEPARTMENT
13125 S W Hall ilvd P 0 Box 23397.Tigard.Oregon 97223.(503)639-4175 7/TA/09
PPIT.-RO . 89.1.360
"A :
JOH ADDRESS . .1-09,417 1:iW GFIA11-At.) I N 1.)S NUMBEP3*7593
'TAX MAP/1-1,1' ?Ei 1. :11.A SUR: AF SECIL'A PAPK L.T:9 HK
I AND LME :
LUT 51ZE :
Sr:.:C*rT.C)N: 1.11 Twl::,: Z?% GING; : 1w
WOPK CLAGS : NEW
USE'. 'rYl:)I:;. : !iTNGLE FAMTL.Y
'The wW11a.9.c rcrlt mnrv*q?% to C.,olnFily W:l.th 600. ri-1:11-1-0111 RLIlLl thoUni.4ii.cacl
5-7wo-riauve Algilrancy . 'T'he pcaI-Ihit expli.rlo!i; 120 diayiii from the chate to-60.L1
'10hol-trit i:)oicl wi.].J. be farfei.tolcl J.f the j:)*AI,In:ft expJ-1-il 'The Ageniny dnetii not
anteo. tht.-i? ac.m.n.traay of tile of the !I;J.Cle Hiewor litttef-atl% If Mica fiewt'-pi., J.!u
"'Lit ol the mei:Lrii I., t g:i-ven , tile insitalIer- ShilLI.J. J.1-1
RIR (JJI.r-ec-,tioni4 from the (J:li.iti;Lnt.:,e gi.ven . If not tuc) located , tile
pUrchai;;e a "'Tdiii:) vil.l1d Si.de 50WO-I-" Pel"MiA, RIICI the Agenc-y wi.3.3. J.1-111itIA13. Al,
INSiTALL.. 'TYPE : B1.)I I DTN(3 SEMEn IMPEEAV113US APE:A:
FIXTUPE: UNI-TS : 'TENAN'T IMPPOVE-MENT :
DWEI.I.114(*.; LINT T155 : 1.
L- NO. (:)F:. ULDU
0 1::'EE!i
W
N MILI F:'.P JAY 1:)E:PMII* $33. 00
P . 11 . 8('.)X 23291 CONNIECTION GHAPGE $1 , 100 . 0()
(JCAPD 01-4 LINle-E 'TAP INS'T'Al L .
C (71*11-11F.-P
0
N M 1.1 1-1:34 JAY
T
R JAY M I I I F--'P r:)t.):I:l DEP
A
C p . cl . B3
OX 2291.
T 'FIGAE'll) 0R 97 2 k?3
R 0 P-440NE.: ('503)
r-1WA3,ir 11,11N 61111,11 JU*1()W
This permit is Issued subject to the regulations contained in Title 14 NF-C.E.IP't NO.
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances. an,, it is hereby
agreed that the we•k will be done in accordance with the plans and PE.QUTRED INSPEC'VIONS
ispecifications and In compliance with all applicable codes and PO1.1GH-4N
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 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 responsioility of the permittee to assure
all required inspections are equested and approved
Signature
Issued By
L,01 L V01:41I.NSPECIT.ON 639--.-11.*75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
William
PI UMPTNU.', I-.]'E*PM1' I
CITYOFTICFARD NO . : PI (39:1.3
UrVOFTIGA""
COMMUNITY DEVELOPMENT DEPARTMENT 0010ow DATE: 15SUED: 7/1.Zi 69
13125 S.W.Hall Blvd,P.O.Box 23397.Tigard,Oregon 97223,15031639-4175 P A 1:M. F),M T.N111. a 91.*,*5 6 0
JOB ADDPF:-*5S : 1.09,(I'7 SW C.HATKA1.1 I N
TAX MAP/1-01' PSI. 1.1
SUB: PF.:*BF.-:C(:.A PAPK L.T:9 E3!<
i AND LISE:
LOT SIZI.;'. :
1*1*F:'.M NO Nk)
WORK C.LALSS : NEW WATE14 (:',I O5F::T TI:IAP)
USE 'T'YPI:-'-' : SINGILEK I:7AMJ:LY I.JPI:NAI-. I-101 OW 1314VNITP
CONST , TYPE : UN LAVOPATORY TWAP 14.41ME.k
0(7(',IJI:) .GARP, : P3 TU13 SHOWED 2 GREASE TRAPS
DTSI-IWASHPi*:A i.
UARBA(A.'E" D1SPOSAL
NO. STOA1ES : 2 WASHI:NG MAC1-11NE I
DWELL . UNITS : I LAUNDRY 'T'RAY I 131...DG. DPAJ:N (DJ:A
F*LOOI4 DPA:r.N
S1NK
WATER Hr--:ATEP 4F'T
0 HE A
REMARKS :
W 0 JAY 1:)EPMI*.*T' "J0
N P -
E TT.GAPD Oil
R
STATE TAX q;7 311
OTHEP
C
0
N
T
R
A
C
T
0
A TOTAL.: III 1..03AI Be
r4r--'c.F:-.T.P'Y- NO .
This permit is issued aubject to the regulations contained In Tilly 14
of the TMC, State of Oregon Specialty Codes. ioning regulations
and all other applicable codes and ordinances. and it Is hereby
agreed that the work will be done In accordance with the plains and PI-19.UNDERSI-AD
specifications and In compl:ance with all applicable codes and POST & HF'-'.AM
ordinances The issuance of this permit does not waiv-restrictive WATEP L..TNr--*:
covenants Contractor and subcontractors shall have Current city PL.8 . TOPOLIT
business tax permits. This permit will expire and become null and 11AIN E)r4A]*NS
void If work Is no!started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has IL-1 NAL
corn;nenr;ed. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Signature
Issued By:
ro9 4,174
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TI ARD A�j6 PERMITcj
RD PI
COMMUNITY DEVELOPMENT DEPARTMENT 0"6001 AMIT NO . ME"891,36113
:
13125 S.W.Hdll Blvd. P 7 Box 23397,Tigard,Oregon 97223.(503)6394175 )
1)ATE I S 5 L)E D 7/I/I/B9
:11M . PMT.N . 891.360
JOB ADDPESS : 109A7 SW CHATEAU LN
TAX MAP/l OT PS 1. IA SUB: PE:BECCA PAI:4K LT:9 8K .
I AND USE:
I OT S:KZF-,: :
NO : NO ,
WOPK CA-ASS : NEW F;tJPNAC,F:: 0.00K I AIP HANOLP <1.0
USE SINGI-Ei". 1:�'Alvli'l Y F:*tJl4NA'—'E:: 10oK+ AIII HANDLA 10K
CONST .TYPE : VIN F*I.-(:)(:)P FtJr4NACE EVAP.COOLEP
OCCUP - ('.441P . : 143 1:4 VENT FAN
VENT . SYSTEM
Hl P/COMP <31-113 HOOD 1.
NO . t.)TOPIF-.:S : 2 HLP/COMP 3-1.51,4P I NL,'1,MAIATOR MUM
UNITS : 1. 131-p/COMP 1.115-301AP INGINI-KRATORMOM
V'UEL I YPF---. GAS UL.PMOMP 30 .50HP PEPAIP UNITS
MAX . :I'NPtJ*T' 81-A/COMP "'10.f-HP OTHER
VA'PE DMPRS? (.,AS PIPING OLITIL.CJS
REMAPIKS :
0
W
N M 1'.L.L P.--'P JAY Pr::RMIT
E P . Cl DOX 23291 PLAN 1:4F-V:I:r--:W
R . $:1.0 . 13
T:lX."$APD 01" 1�:'IXTUWES $30 . 50
STATE TAX it; 03
0
N
T
R
A
C
T
0
R
TOTAL . 66
This permit is issued subject to the regulations contained In Title 14 r*:CI-.A'P'lNO.
of the TMC. Slate 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 andraN r*U INSIPF-KICTIONS
specifications and in compliance with all applicable codes and GAS LINE
ordInr ices The issuance of this permit does not waive restrictive POST a Bl;..AM
covenants Contractor and subcontractors shall have current city 11- (:)t.J('.vH IN
business tax permits This permit will expire and become null and FA:NAL
void if 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 assure
all required Inspections are requested and approvqd.
tur
�
Permittee Signature
Issued By:
I'ALI TNI
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
U4FTZWA
PLAN CHECK APPLICATION
CITYOFT117A� ` PLAN CHECK NCOMMUNITY DEVELOPMENT DEPARTMENT `TN SUED
13125 Sw Hdl Bbd P.O.am 23n7,T48 d.Oregon 1:7 (M)630 4,76Joe ADDRESS: � a 9� j $,vt/ � t..t PUH /LOT
SUB: _�P►l�pc�4 � LOT: g L, ,E:
VALUATION: -
C4NER ,/ SPECIAL NOTES
NAME: J_ G2 ht/ Gi /�/Ci REISSUE OF:
ADDRESS: LAST REISSUE :
FLOOD PLAIN/
_ SENSTTIVE LAND:
PHONE:
APPR01ALS REQUIRED
CONTRACTORPLANNING:
NAMF p L.1, d S P �^'�Qp ��- ENG'_igEERING: _
ADDRESS: �___ FIRE DEPT -
T 14Z'w � OTHER: —�
PHONE: _ (o Q- 6G S ITEMS RFOUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX: _
NAME: CALCULATIONS:
ADDRESS: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN_
PHONE: OTHER: _
COMMENTS: f S 4 P 3 A _Z_
r
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
(00 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fee Zq7.50 _'L. � M10-431 01 Mechanical Permit Fags U.5 U 1�
10-230 01 State Building Tax (5%) �,// _ 9.//
Building /G. 10
Plumbing ? 3 br
Mech -)(-) 3 _
10-433 00 Plans Check F e 13
Buildingy
Plumbing
Mech V 1 0 / ry
30-443 00 Sewer Connection (20x) Z&oU
4' 30--202 00 Sewer Connection (80X) _ �-
30-444 00 Sewer Inspection 35
51--448 00 Street System Dev Charge (SDC) c 0
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks TI Sgstem Dev Charge (PDC) �T_S U- ?S v
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) J u f
10-230 09 1RFD (95X) _
0-435 00 TRFD (5X)
10-230 06 Washington Countv Fire NI (95X)
10-435 00 Washington County Fire Nl (5X)
10-220 PO Amart/Wedgewood
TOTAL
REC N
APPI_ICA _
Received By: Uato porn(ved•