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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.
Permit
�7-
Address
Lot
Owner
Builder
The following Building Code deficiencies are required to be corrected: ''�►�/
Presentee to Approved
Inspector _-_ __ `` _ t)isapproved
Date
CALL FOR REINSPECTION
[] YES U NO
APPLICATION STREET IMPROVEMENT/EXCAVATION COPY TO:
(WHITORDINANCE NO. 74.14 L�(YELL WFILE
(� (YELLOW)•INSP.
(INSTRUCTIONS ON SEPARATE SHEET) L (PINK)-OTHER AGENCY-Bld(j
F3 (BLUE)-APPLICANT
it q
APPROVED APPLICATION NO.:
NOT APPROVED ❑ CITY OlF IIGARD, OREGON FEE AMT. f
PENDING FEE PMT. ❑ CITY MALI. RECEIPT NO.:
PENDING SECURITY ] PUBLIC WORKS DEPARTMENT BY DATE_ /
_ - _ .. _ - - - - - - - _ - ---
PENDING AGENCY ''OK'' ❑ Application and Progress Record MAINTENANCE BONP,•• ..
PENDING INFORMATION ❑
FOR STREET IMPROVEMENT/EXCAVA T ION AS REQUIRED h-
ANNUAL �J one
PENDING VARIANCE EXPIRATION DATE:
PERMIT NO.: ", - DATE ISSUED - - - BY.
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ rj'j1I ary
:Jut u;Pr aroyl __ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT Fecnwocxj Dev., Inc. PO fox 231.2.0_7_ iget^c7, OR ' 7223 639-)31.15 _
_ -
NAME ADDRESS CITE— - PHONE
CON TRACTOR _,""' ' 'it titin t.ilix?
NAMEN ADDRESS C1��— PHONE
PLANS BY1'ec he rngr. C: . (& A��pLiCant) r>�l, 4g Canyon Ln, 0ortlancl 9722', 297037-,L
_
NAME ADDRESS CIT PHONE
ESTIMATED IMPROVEMENT TOTAL_ VALUATION ( COST): DOLLARS
FUR OFFICE USE' -- MIN.
(2) EXCAVATION DATA:
STREET CESCRIPTION PROGRESS 8c INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYFE BY
_ TYPE LENGTH WIDTH DEPTH _ ITEM AI QUANTITY
STREET
P ftFA D —
INS
_ R TPI O N
— E -
Q 11
ESTIMATED STREET OPENING DATE: / 4
ESTIMATED STREET CLOSING DATE: / _ _. E
D
STREET
(3) SECURITY SECURITY AMT.. S �_ CLOSED _
SURETY CO.: __. ._;,� _ FINAL
- --""
CERTIFIED CHECK n INSPEC.� - - lOND
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS!
FEATURES, EXCAVATION LOCATION AND EXTENT. attar- plan for ,i :'','i tL
xistrucLi. ,-I j.'rovisions .A11;
0• W,LIONifA
1 i (:7(1attAci���T Z- f 1 4- ,,,m�litiions app.licy+hl-: hereto.
I I —
I details) t ,
, 9 � y�y ♦ _ _ 2. Conditions of 'T'
r*141TA R.D. areapplicr�l
f.;. Lj
_ 1
1 I I I I ( •- ---- --
I i I I
I I I
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF' WAY JURISDICTION IS T► AlOF WASHINGTON COUNTY OR THE STATE OF Or.EGON
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST' ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE _ _.� DATE /
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CITY OF TIFA RD :11:L'L DING, F."EPM11
=Am N(a . 13.0090051.
COMMUNITY DEVELOPMENT DEPARTMENT DAI 1: ILiSI.A.1) : 3.12411819
13125 S W Hall Blvd,P.O.Box 23397.Ticlard Oregon 97223,(503)639-4175 PlU.M . VIM' 'NO . 890051.
•R.30 ADDNF:!i5 : @161 5W EWNJAY) AD
I AX MAP/1.O T P51 1.213C.4 E4 LA,
1 0IND USE : P7
1)Y, 51 ZE. VAI.A.WTION: Ni 62,900 E&A*l:)A(:,KS
F'RONT : 20 PE-AP: J.
WORK C.1-AGG : NEW DWEI. '. 1.114111'15 : 1 LET-r : 1.0 PXX.�*11' : 2P
IJGE IYPE : SINGLE: 1-0K.H.-Y NO BEA)V4001`11b : 3 F::X*Y . WA1...1 CONST :
("IlWiT TYPE: : VN N 13A 1,1--1�j If.'! N: 5 : E : W :
W3 PPOT .OPLN1N(.,S
N IS : I W
'10TAL. (11PEA : 1.26.8
NO. `*TOPIEKS : 1 :1.ST 3.e'0 8 r.'K)OF:' (''NST : (7 V-146,-.: PEKT?
e,?N 1`1) AHEA 4FIF.-TIAPI? PATEL):
BASl:;:Ml;_::N T"? SET"AP? PATE) :
13A!3EM, T
I (Ain I (:)At) .10 A1.5 FJRE P? AL APM?
F;'L-(:)w DE'.TF.C I
HEWY T Y'PV Co,:! CORIW?
PLAN (:,HlL'.:Cl( CIY : vl -t,
DE"MAVIKS :
I'J41IN"! OF 8.1.1.5 (:)W [1014111A 1:41) MLJI 1.'? 6 PEISSUE OP NO. 801'521-
LAST 14E.'145SWE: 801-926
0 D WT N W11-1.101M I!M1:1, *3P2 . 00
W
N tit 1.10 !:,l"J S' PLAN REVA.L.W $10 , 00
E TIGARD OP I i 111 IA;:PT
'TAX +r1F,
C CA-11ARGES :
0 GODWIN W:11 LT Am S 1)(::t ST 0 RM) $250 . U()
N VEA-INWOOD DEV TNLI 5*0*Pr--,.l----1* $600 - 00
T
R 811.0 5W 1'Al:: 5 V $250 . 00
A P 1) 0A 912.R3 P PIZ,:PAT D < $-10 . 00)
T FIH(INL. (503) .'1115-9611
01(7'1',• L. $1.
NO. 19Prtli
REGE11--111' NO . /6)0301
This permit Is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances. Find it Is 'hereby :A:1Ql.JT 1:41) J:N5PF*G'TJ0N5i
:.
agreed that the work will be done in accordance with the plans and r:r)01 T NG ;i E W LP
specifications and In compliance with all applicable codes and 1':*(*Jt.)Nl,)(')I'I(.)N WAL.L. PAIN DPAINS
ordinances. The issuance of this permit does not walvo restrictive P054 & E)E:,Am WAI Fri L I NE
covenants Contractor and subcontractors shall have current city I'll 3 t INDEP131-111113 CT'TY A[)PP(:.'1•-1/SW
business tax permits This permit will P,pire and become null and NAI,.
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 t IL-B TOPOUT
commenced.It shall be the responsibility of the permittee to assure I *0AMTN(*.-',
all required inspections arf, requested and approved f I'l 4 Pl..A( F.;*
I.NE
i , 0JILATION
l:,:(AAPD
Permittee Siqnaturp
Issued By F-HR 6:119 9111.1"1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
pI.-j',1MJA' NO : MEJ390106
Crr,
4
CITYOFTIGARD �L
C�
COMMUNITY DEVELOPMENT DEPARTMENT 1'.) 99
13125 S W Hnil Blvd 11 0 Box 23397.Tigard.Oregon 97223,(503)639.4175 F)PTM . PM'Y* .NO. 0 CPO 0!5
1316.1. !iW PONUA 1:41.)
1 Ax M A I::f 1. 0.I PSI 1.228
L AND I.Hi E. P7
04'
11-FE:M : NO: Jri
WK-W (A., NEW F"URNAG.E.: <100K I ASP HANDLA (1.0
15TWI1•.E. FAMIA Y FtJl--,,NACr-,-- :1.001<4. AIR FIANDI 1.1 101<
I,yl::11,:., VN FIA30P F:'I.JPNAC',I-:r EVAP . GOOI E W
(A(:;CIL)FIA.34, 1:43 VE"N'r FAN
Vl;::N*T* VENT , i5Y!F,*Tr.n:M
1:311 P/(*1(aMP <311-4) 1-100D
NO 51101:4.3,44.51. .1. Ii LP/C.OMP 3-1-111,1AP INCINE-34AI'01-41111")OM
IN4:1 L. .I IN'T ri 1. FAAWCOW) :1.5 30HFI INC 1NF.A1- A*T'Or4(COM
L. TyI..%:* G A S ULAVCIOMP ;.SO- PRPA334 UN11 5
MAX . 1NPU*T* DLA/GOMP 50.1-HFI 0,11AEA
I.G1-1 1:11PE( C,
E.G.,
rJW
1.11 1,1611107
o 1. (AL)WEN WIT I L 1. M PEPMT r
W 1111.0 . 00
N 01.1.0 FiW Molk)LELIAF PLAfI PEVIEW $10 . 1,*3
E -1-1:(.-,()p I:)
R DA FJ.X11 PI::
m,3a 50
ra 'TAX 41 fl?. 0 1A
T'HEI-4
C
0 1-1F.AJIT N
N
T HFA FING
R H 415 NW
A
C I,i J 1 .1.s h i:j r c)r. 911.r,A
T OHONE: (50:3) 610 1.1.;`119
0NU) .
k R A T'O'TAL. 6
1:4ECE.I P I NO 10230
This permit is issued subject to the regulations contained in Title 14 _...._..............._..•.....................
of the TMC. 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 L-Wil LINE:
specifications and In compliance with all applicable codes and 1:'05 I & HEAM
ordinances The issuance of this permit does not waive restrictive 11001;A-1•-IN
covenants Contractor and subcontractors shall have current city F- 1'.Neal
business tax permits This permit will expire and become null and
void If work Is not started within 180 days.or if work issuspended ot
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all rtquired Inspections are requested and approved
Permittee Signature V
Issued By: - J
SEPARATE
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
liq
CITY OF T 1 67A RD �•I...1.IMB.N(Y PEWMI I
I::'1:..PM)A' NO . : P1 89011(X.)l
COMMUNITY DEVELOPMENT DEPARTMENT 01100" DA'TE: [SGUEE): I/2/ 9
1/8
13125S.w Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639AI75 7 �
7Pp1h . iq*O . (390051.
(311.61. 5W BUNXTA PU
(1.)X MOVIII 01, 25:1. 12DU 5011) : L.T : EM :
I. ANI) 0S E : P'l
1 01
1' 1'I:M NO : NO:
WOPl< Nk.:*W WATEW CIL(MAH:T P 'T P A P
53.*N(;1...E." 1�:'oWELY (.11111W,11- BKI!:*I...(:)W PlIVINITP
. 1 WIT : W4 TUB 51-L AVOPAII')PY 2 PRIME.44
101WIF:11-1 01-2 GREWA::* FRAV*Ili
NO.
14051-11AG
DWE'.1-A. UNIT'5 . J. TRAY BLDG . 01:,46114
I , 001.) DPAIN
'J'I:N l< J. GEWEP
WA11114 HFA'TEP :1. ti,T(:)PM/PATN (I' T' a.
014-11:714
P1EI1Aj:WF-; .
0 W T L.1 1:AM
W $11 't . 50
N I U Sw MAPA. El 1'411-r 15'V
E I (,(lw) 01-4 1 1 XTUPES
R
I*Al F. 'rAX FJH
(.1
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0 1 ARL 501,11 JAMES
N
T I1MVj(:)N I'l-11MOING
R 1313e-11-11: 111.1-AMOOK
A
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T
0
R . 35'26F1 TON NO
P1*-*X,'E::l:VI'T NO 10 7 30 1
This permit is issued subject to the regulations contained In Title 14 ......W......•..
of the TIVIC, State of Oregon Specialty Codes.zoning regidatio na
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 1-1051, a 1A.:'Am
ordinances The issuance of this permit does not waive restrictive Wo *T,E:p LAML'.
covenants Contractor and subcontractors shall have current city 1')L-R. FOPOLYT
business tax permits This permit will expire and become null and
void it work is not started within 180 days.or if work is suspended or RAIN DPAINS
abandoned for a period of 180 days any time alter work has 1-7 T N A L.
commenced It shall be the responsibility of the permittee to assure
all required inspections am rp(luestpri and approved
Permittee Sionattm,
Issued By
.11 . I F+JR +0444PPR4 f FIN—0-49
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITE' OF T'VA RD5 I--P PEPMIJ
PEPMIT NO. . SE-890107„ ,Tyi�6,0 --w
COMMUNITY DEVELOPMENT DEPARI MENT DATE TL'sSUED : :1./2,1/89
13125 S.W.Hall Blvd.,P O.Box 23397,Tigard,Oregon 97223.(503)639x1175 Pinm. r)mT .NO . 690011:111.
JOU"I ADDRESS : (31.61 15W BONITA PD USA NUMEAKI-4 : 03 7:1.h6
1*A. X MAP/11-0'r 1128B SUB : 1-J : HK
I-AND USE: P'7
I-OT ST71E. :
5ECTION: 12 Twrj : a'.w, ZING : 1w
WOPK CLASS : NLW
USE TYPE: S:r.N(;L.I:.-- FAMTL.f
III F)p t fligi'vaes ttl c'malply WJ.th U3.1 ir•l.11vffi HLI-lcl o+ tile
lic.±wlrer,mge Agency . 1'he r.)er'I":iA ('*"Xl:):l.I-iv1ui IRO ditym fr-ain tho datfa - The tc)-t'al
pilvi'd WJAA bet J.-P the per-mi.l. Atte! Agellc-'y chiefff (1011 C11.111MI-1-
atritrae the tif thin tl.v(--' 1111.(le view"I” If the ffiewc"I" im
ricit InceLtecl titt the gi.veri , thim :11.1.1"italler, mhu).El. 3 TIF.-let :1.1-1
aLl.l. di.r-eir.±tJ.aris fr-ciryi the cfti%tiarir±rw g:Lveril . If not R;o 1..:teiatecl , the lntatifiillei- ishiall.
Ill. rand S:Wci± Pee-wl.t akri(l thea Aclem-icy will J.npitiltll III,
T.NSTAL.L. . TYPE . BWELDING SEWER IMPVRVIOUS AAF'.A:
r-*'IX'TLJPE*. UNITS : TENANT IMPPOVEMEKNT
DWELLING UNITS :1.
140 . OF 91 DCS . i.
VEEES
IN 0 G,0 DW I N wl:L L.I AM Prn m:r '35 .
N 13110 raw MAPL E:L.F.AF ST CONNECTION CHAPGE 411 ' 1.00 00
E TIGARD On LINE VAP JINST'ALL. .
R
OTHER
C
0 ('..(:)r.)WIN WT L LI AM
N
T F'ElINWOOD DEV . IN(.'
IN(.'
03.11.0 SW MAPL.r-.L..LAF 51
A
C T'I CAP D a P 9722:3
T m-ioNrn. (,n3o-,4) emi-96'71
0
R rW-:GI5T'13ATT.0N NO. -1976 PT'OTAL : 11;1. 1.35 0
L I
PECLIPT NO
This permit 19 issued subject to the regulations cootalned in Title 14 ................
of the TMC. State of Orogon Specialty Codes,zoning regulations REQUIPLO IN!5PECTJONS
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and P091T' & r3p.:AM
ordinances The issuance of this permit does not waive restrictive POLIU-11—IN
covenants Contractor and subcontractors shell have current city F!'*I'.NAL.
business tax permits This permit will expire and become null and
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
commenced lt%shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Issued By- :6.705
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE