11695 SW GALLO AVENUE-1 OF MW
11695 SW GALLO AVENUE
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INSPECTION NOTICE
City of Tigard Building Department ( ,
P.O. Box 23397 `✓ 111
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time_—_____ A.M. P.M.
Address _ --- (� ------� Permit
Owner 0 Lot
Builder
Th foil ing Building Code deficiencies are required to be corrected:
---rf- ------ --- -- _
� l
R -as'
Presented to ,? _�_____ __ } Approved
Inspector ___.. Disapproved
Date ♦/,� VP
--
CALL FOR REINSPECTION
C7 YES (❑ NO
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BUTT DING PF-.*WM:I!1'
C17Y OF POP RDPk:ITM:E T. NO DU8812,q],
CMOFTWAM
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COMMUNITY DEVELOPMENT DEPARTMENT
09100N DAIS ISSLIED- 7/ f/0H
13125 S W.Hall Blvd.P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 PRIM . PMT.NO . 1:1131.V44:1.
,)OR ADI)PESS : 11.695 SW GAIA 0 AVE
TAX MAP/L")Y* 1.'.:11.':3410('7200 SUE1 : GAI.A.-I)IS VINE.YARD '..1 3 EIK .
I. AND USF-i'. 1:,4A 5
1...01 SIZE. : VAI UAIJON: 71 ,6 6,1 SEJBA(: KS
1--PON'T : 30 14E.-AP: 11
WORK CLASS . NEW DWEL I... . UNIT'S I'S 1. LEFT: P1:GI--I,T : As
USE TYPE: SINCLE FAMII Y NO. BEDROOMS : 3 F.:X1' .WALI CONST
(XINS'r . *rypi»: VN NO. E:A*THS : V N: 5 ; F W
UCCLJP . '.V'PP . P3 PPOT .UPEENINGS :
OEXUP .LOAD N S W
"'01 AL AREA 1.5 P Al
NO. STORIES 1 : t 11)2 d1I I40OF* (:,UNS,r C FIRE RE-1-7
HEIGHT : 1.2 2ND: AREA SEPAR7 PA1*ED .
BASEME-NT"? 3RO: 0('(,'(.)P . SEPAP7
MEZZANINE;-? EJASELM' 'T
FLOOR I OAD: 40 GAI:4A(.'.',E 560 FJPE SPRI(L..P*? Al APM7
FA OW(GPM) E)E'*Tt-.(::*Tl? YES
1--IEA*T 'rYIn1E . GA.5 HD('P.A(XE5S7 C,(IPP.?
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PI R ["--.L;K 3Y-:)Qlr'
PE:MARKS :
REISSUE (')I:;' NO.
I AS,T, REISSUE
F FX S
MOPISSETIC: I-IF-'-PB AND V,Al' PERM11" $3449. 00
0
W 1-170 SW 7671-1 AVE PLAN REVIEW
N pol,t I all(I C)r
E
R [:1--10NI::* ( '50,A) 90 A T E: TAX
un-iEp
DEVELOPMENT C:HAPGF-S :
C M(:)Rlssc-:,r,rE HEAR AND PAT SO(7(151,014M)
0 EP
HS mopiswui-lE. '(N(-, . SDC:(S'T PEET 1111600 00
N
T 74170 SUI *76TH AVE $250 . 00
R p C.)r t 1.a r)CI or 97M?3 r)PE.PA 11) < *1,00 . 00>
A
C PI IONS. (503) 246-800'.3
T NO , 6e9F) 101 AI h.1 593 30
0
PEGFUPT' No .
This permit is issued subject to the regulations contained in Title 14 11-EQUIPE:0 INSPECT]AINS
of the TMC. State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances. and It is hereby SEWEP
agreed that the work will be done in accordance with the plans and FnUNDA'T':[(]N WAIJ PAIN DRAINS
specifications and In compliance with all applicable codes and pl[)c;l & BEAM WIAI'LP LINE
ordinances The issuance of this permit does not waive restrictive PLIS .UNDERS"LAI.-I (.TTY AF)PP(`H/SW
covenants Contractor and subcontractors Shall have current city
businest,tax permits. This permit will expire and become null and SI.A I'Ll F1 N A- L
void if work Is not started within 180 days,or If work is suspended or PI...N . TUP01.11*
abandoned for a period of 180 days any time after work has FRAMING
commenced It Shall be the responsibility of the permittee to assure FT PEPL.A(:,E`.
all req d Inspections are requested and approved GAS LINE
INSUL.Al'ION
grieftur (.',YP BOAPO
Permitle
tur
UAL.L FOR INSPEL14L.11N 6139-4111,`3
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MRAN MR&= J1NNRAq&Mq&MW
--W ARMW
A,
CITY OF T167A RD
aCIYYC7'4 TIGARD
�I
U MMUNITY DEVELOPMENT DEPARTMENT 0111100141 F.-A-WEP Pr--.PM:L'T
131 1 IF 0.,Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)639.4175 V'E'141*1111' NO.
AD1)PF"55 : 11695 SW CAI LD AVE: USA NUMEAJI 3393'r
TAX MAP/L.01, I.S1*13414DUIP-00 SLIP : 1*,,AI.A..O!5 VIlNEYARD LA— 3 IDK
I ANO USE-. : R-41.5
1-01 Lsl:Zr--::
SF*Cl'l()N: 3-1 PNG: W
WOW C.L.ASS : NEW
USJE 'rYr-'E:* : SINGLE FAMILY
'Thir,' ifwrtiic;ffflrit at.gravoi t 1 c-'t:)lAP34 With ;aj :l. r*ii'llottli, iftiicl 4:1.11 the
A19M11cw . 'ri-ifvi Pai-mit. ".xpireilp 1.20 din.yiN fi-4:1m the cliiiitr :o9rnt.I0-.(j 'Th t,cit in 1.
pivicl W1.13. I.-)*I ft)"fedt,rh1(1 if thw vxpii`e% ThfiLl Ajjeric:tj cloein r,c) t, ii;j I I;jk I......
thV aCC'L4I'1lRr.?4 Or thw 113r:att.iciri cii, ti-ito Iflidit's qlc-?Wer'
fill, thir..% mewkilli.11"0MOM1, 411.vearl , ijisp
ti-jo- cl .
M njjv� .1 f 11 C)1., 9;(:) 1C Litted thm
,
I I qu t-Ali I
'TY PE BUTI-DING 45E;.WV.P 11"IPIFF.1141VIOUS APEA :
I`!JXT'URIF UNI'T'S : I'E:NAN'I' XMPP0VE1`Il::'.N'T' : NO
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(- 0. 011" HI-I)GS
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R Mc)P I S C.F:I.I.r.
74,70 SW 761+4 AVI::. ANI) r..,P') I PEAMI'l 1111,135 . 00
(,'.ONNEC"r1UN GHAAc.,E *I ' J.00 . 00
C 10111:11 L.INE TAP :1NS'tALL. ,
0 PHONE (503) 0.46-44(3o3
N
T CYTHE-1141
R
A M(:)1.1 J:S E:TT,E FIEPS AND PA F
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T I-IF*PF;l MOR115SE 1 11*: BLURS . J.N(" .
OR
*71370 514 76'T'H AVE-
L)clr 1.IlLn d ul' -272)r!*,i-----
1.1
:'1-10 14 E 1 105 0 3
This td*U reg6*19%contained in Title 14
of the TMC, State of Oregon Specialty Cudes. !nning regulations
and all other arplicable codes and ordinances, and it Is hereby
RIMETP-1, NO
agreed that V,t work will be done In accordance with the plans and
specificatirns and In compliance with all applicable codes and
,lrdlna�ces The Issuance of this permit does not waive restrictive E:QIJIPr,:D TNSPEc,'rT0NS
covenants Contractor and subcontractors shall have current city KtL7hICai 1:N
hUsiness 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
ibandoned for a period of 180 days any time after work has
ommenced. It shall be the responsibility of the permittee to assure
;ill require,)inspections are requested and approved.
Permittee 811-inture
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
til; 1.N S 1 1.ON 6;59...11. T5.
CITY OF TIGARD
CITM!L- RD Ml:.:C'HANI(,AL Pi;;:PMIT
COMMUNITY DEVELOPMENT DEPARTMENT 09100N PE::F)M[T NO . MI.'*
I-"12"FW 11,111 Blvd V() f3o■23347 Tigard.Oregon 97223,(503)fi39.4175
NO
JOH ADUPESS 11693 SW GAI LO AVE
-J,
TAX MAP/L..C),r ISI-34DCPOO
I AND IJSI::, ; PA. 3 SUB: GALLOS VINEYARD I_.1' F-4 l<
L.01 SIIE":
WORK CLASS : rjEWITEM: NO: N(.,):
USF: 'T'YPE:: SINGLE F'AMIJ y F*I.JPNA(:,E <100K AIP 1-4ANDLP <10
L;ONS'T' - TY;jL,, : VN FU114NACE.' 1.00K+ AIR H,)N[.')Ln 10K
O(-'CUP. GRP . r-'L.(:)(')R FURNACE EVAP. GUOLER
HEA rEp Vl--':N,T* FAN
VENT VI.Z:N'T . SYSTEM
NO. STUR1r;."S : 8L.P/COMP <3HP HOOD
F31.-R/(:"Omp
DWELL. -UNITS : INCINERATOR(DOM
I-UEL. rypr:. l•IL13-3P 0H
GAS T.NCINEPA*T*(3R((:,(]M
MAX. T NPU FCtI30-3wlp PRI)AIR UNITS
f"1:111-. P/COMP OTHER
1.
GAS PIPING OUTLETS
LOW
0
N
E
( SHERR HERR AND PAT PERMI'l,
7 170
L
R SW 76TH AVE
Portland or 9*7p.�13 PI AN RF.-':vjEW $1.0 . 00
PHI! F1 X 1,1.1 pF,:51. 25
C S'T,Ar[: TAX 00
0
N $1 . 63
T
R
A mA*T'TsON-HUGHES 1-i rNG .
C
T Po HOX ot'2,e11
0 cNK93-611 c.,rook (3r• 9,7()c,
R PHONE (303) 637-352a
PE'GIST11AIJON NO, 4-699P
This permit is issued subject to the regulations contained in Title 14 TOTAL.. : go
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby RECEIPT NO,
agreed that the work will be done in accordance with the plans and
specifications and in compliance with 811 applicable codes and ArQuIPED INSPECTIONS
ordinances The issuance of this permit does not waive restrictive GAS LJNI.:'
covenants Contractor and subcontractors shall have current city POST & OFAM
business tax permits This permit will expire and become null and POtJ(.','
void if work is not started within 180 days or if work Is suspended or F*1:NAI..H--IN
abandoned for a period of 180 days any time after w6l,k has
comma el It shall be the responsibility of the permittee to ASSUre
all re
d 1,p9pections are requested and approved
Af
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOA OtSt"PIED ABOVE
UAIIE. 1551LIED : 7/ 7/88
/117- Ppim Pm*r .NO. 11381LIqJ
Z-
1J1,J,:.. ,CJT, Y0FTJ1FAwRD A 1-+
cffy§TMRD
TAX gy1L.L05 T I,It!"RD
"P
I DEPAWftE D L'Ir:3 VK :
A b!W.Hall Blvd!:'A:13%x 23397.Tigard,Urcjon 97223.(503)639-4175
I T'EM: N('.): NO:
WORK C.I-AiS; NLW CdA T E:A CL OSEA 2 MAP
usE 'rym. . SINGLE FAMTI-Y UP 3:NAI 010:11-OW I:)PVN'rR
CUNS'T* . ",'YPE: VN I-AVOWA1111py 2 1PAP PRIMER
OCCLJP .GPP . : R3 rUS 51.40WE 11 P GPF.--..ASE 'TRAPS
DI S HWA 5 H 1-:R
G,APHAGE 015POSAL
N0 . 5TOPIIS : I WASHING MCHINE I.
DWEJ.L .UNUFS : I LAUNDRY 'r NAY M (DIA
FLOOR DPATN
SINK 1 SEMEP (F; I'll
WATER 5,f'0PM/PA*I:N (F T
C)'THE:R
REMARKS :
MOPISSLI-TE HERB AND PA'Y PEPIV111", *11 r ,'.)l7
SW 761'H AVE
fij IN-4 --
-g� 11�4 X4,
PHONE- ( 503) 246-880 3 !i*rAI'E 'TAX
0 01,14R.R
W
N
E 5 H(.)ri-.,M A K E:A HAMA, I-)
.moE,MAKr.',:P- s PLUMST.N(-.3
pa R 0 X 2:50
C PHONE 115 3
03) 60-7-128
0
NqPEC0'1SiTPA'T1(.')N NO. 39EArl
T I UT A L $1.23 . 30
1141KCIElpf, NLJ.
................................
PILQUIPED INSPEUTIONS
PI-D.UNDERF-iii-AD
This permit Is issued subject to the regulations contalrod in Title 14 WA11734 LINE
of the TMC. State of Oregon Specialty Codes,roni.-q regulations r)i-.s. ,rOPOL)T
and all other applicable codes and ordinances, and it Is hereby PAIN DRAINS
agreed that the Nork will be done In accordance with the plans and
specifications and in compliance with all applicable codes and F-I N AL
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
husiness tax permits This permit will expire and become null and
void If work is riot started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
comma rWe
I d It shall be the responsibility of the permittee to assure
.q
,11 , inspection,,are requested and approved
I.. rop
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
IYOFTIFARD �'A PLAN CHECK APPL.TCATION
CIT
ry�� YOFTIGARD PLS%N CHECK # A V y
COMMUNITY DEVELOPMENT DEPAR IMENT OREGON PERMIT # -'
13126SW"W1Blvd. P.O.BM 23397.Tigwe rJr*W Q7W(SM)&W4176 DATE ISSUED
YM ODDRL_S S: .SIJ) �5_4L4c) Ad e /
TAX MAP/LOT
SUl3: SNL L� LOT: - - LAND USE:
VALUATION:
OWNE:F? SrCCIAL NOTES '
NAME: �'Zr Ua
ADDRESS:
w ��--si` FEISSUE OF:
.�' LAST REISSUE:
,�� •�hd — FLOOD PLAIN/ --
SENSITIVE LAND:
PHONF� C) - --
--- APPROVALS RE�IU]RED
CONTRACTOR PLANNING: __
NAME: _ �/�` ENGINEERING-
FIRE
ADDRESS: _ FIRE DEPT _
OTHER: T
PHONIE: _ _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCI�/ENGINEE BUS TAX: -
NAME: _ CALCULATIONS:
ADDRESS: TRUSS DETAILS:
-- — PARKING PLAN: ----�A— -
_ LANDSCAPE Pl_A�J:--�--- _-
PHONE: _ _ OTHER: - --COMMENTS: i' - r-, •�
jj
PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees � _3?"_v _
�s'�3i-Zs�Z 10-431 00 Plumbing Permit Fecrs Z - o
�R10-431 01 Mechanical Permit: Foos
10-230 01 State Building Tax (5%) y �
Building
Plumbing t
Mech _ /.
10- 433 00 Plans Chi -(—Fee c 3S./fl iy r S
Building
Plumbing
Mech
30--443 OU Sewer, Connection (20%) Z
30-202 00 Sewer Connection (80X) — , g Q�
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SD,'.) Ca c, "
52-449 01 Parks I System Dev Charge (PUC) -- �-
52-449 02 Parks II System Dc-.,v Charge (PDc) -- -'�-
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) �� Q
10-230 09 TRFD (95X) --�-'- ----
10-451 00 TRFD (5X) `--�- -
10-230 06 Washington County Fire #1 (95X) a V^ --
10-•451 00 Washington County Fire #1 (5X)
10--220 00 Amart/Wedgewood
• I OTAL !tr ""7 ��s3
RFC # 7 '2
APPLICA T SIG TURE
L_. a __ By: Date-Re