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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 en ML�
Phone: 639-4175
Type of Inspection
Date Requested
Time A.M. P.M.
Address �AJ Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Wic4n
r-
) ) LA )ct
4W 41,
L4 Z-7 - Z6
Presented to P-�Approved
Inspector Disapproved
Drte
CALL FOR REINSPECTION
El YES El NO
e� ear este ofILAWA ns A W ear erw swr .�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
!•_ i e-
Type of Inspection _
Date Requested __ Time A.M. — P.M.
Address _l� — -- Permit
Owner-- ,__— --- — _ Lot
Builder _.------- ----_. __The fol( r.;. . Building Code deficiencies are required to be corrected:
------------
Presented to _ _— ❑ Approved
Inspector Disapproved
Date — --
CALL FOR REINSPECTION
❑ YES ❑ NO
Co"ITYOF TIGARD
CITY OtF TiMARD PESMIT NO. SUE-381.653
COMMUNITY DEVELOPMENT DEPARTMENT 0111111040"
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175
1.0,35P 15W 10,NT 1--N
MAI I 1 .x.700 SUB : SWAWMANS ("11..E:N I T .78 Ell<
VhL UATT ON '!i °)0 ,967 !iE1'WACKS
1:;'1:4(.)N Y' : 20 MAP:
(41l< CA-W,51:i I �J DWEL-L. , UNIP-5 : I. LE.FT : y A:I:(*.Il..I,T,
FAMI.Ly NO . HEAMMOM in : 3 EXT .W/11...1... CONST :
VN NO . HATIAS : N: 5 : E: W
1:113 F'140T .OPENTNGS :
N G 1,.*: : IsJ
TOTAL. AREA A.0 9
1,110 r.VNIATE,S : 1. :1.S T' ' 10 9 POL111"* (W)WEIT
! 0 Ill 1.3 .2141): APFA SEI)AP? PATE'U:
ill NT? 3 I: 0(:1,G.(,3,-, , SEPAR? PA T'F.*.:I,):
ll 'i 1. 001, •10 380 F114L rf 7 AL.Apml?
F."I Ow I [,al;-.,M J W."':1 7 YV.E,-i
W 16114 144
11.AN (.,*I li,:'(.'K I"I
08OZ102
PEA'SSOV. 13(31.652
0 tfI
W MOW'.�,AN 4IRL-16 . 00
N
E P0 1',:(7X 61:11:,,�j Pl. AN PP.-,..V:fI:.W 11,10 . 00
R 1,)l DIli?) 0 P Ill
I rix 1 3 0
C
0 Ill I OPMENT
N 1:1 M(:)P"( M
T I I ( ( ,, I I It f:.150 , 00
Ft I '! IAN IING 64 1 ) IIIIEFJ) $600 . 00
A I I 1;�:(JX 61,1 1,17) 41'e.-�5 0 0 0
C ("I 1
: ,
T to 0P 97007 60,A5 P r 4C.4)A T D < 111110 00
NUI Atl!!�311 – TO*y AL, $ 1 -1100 . "'30
Tf)s permit is issued subject to the regulations contained in Title 14 N(.')
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 V*(I I J.N G
specifications and in compliance with all applicai.'q codes and
oidinancea The issuance of this permit does not waive •estrlctive 1, (JUNDAT]XIN WALL. PAIN 0PAMS
covenants Contractor and subcontractors shall have curil:nt city HEKAM WATE34 LINE
business tax permits This permit will expire and become null end 1:-1.14 .1.1NIX-:1451.AH L"ITY APPM:114/51411
void It work Is not started within 180 days.or it work Is suspended o, 1. IA FINAL.
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 approved !()MINL,
I F,11 ACT.
YN4JUI A 1-11.UN
Permittee Signature
issued By A
1 1-014 .1141c I IN 6,59—li
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
13LWF-P PERMT.'T
OD
CITY OF T'OA RD c I ry,*O--�F'it, I NO
Oak
GoN
COMMUNITY DEVELOPMENT DEPARTMENT rma-� ISSUED: 12/t.?
13 05 SM 1-1 A Blvd P O.Box:3397,Tigard,Oregon 97223.(603)639-4175
TTM.19. Pm I .NU
N I I M H F.1--,'
JOB ADD _0�7;52 15W 10: 141' LN
MAF�11 01, PSI. 1,3700 SWoNIA)Nt.') ('.;I 1::.N BK :
I-AND USE : P.F.)1".)
LOT SIZE..
SF.1"'TION : iA TUP: 0% IING, :
WORK C.L.ASSi : NEW
51NGLE FAMII Y
1.20 cifitjin FI-,c)In 0-10 T*I'l 0. T'13 t a 1.
Sir�wowr-%'-Je Agency . P(e
:1.41 I'lille j:)wI'lult
y
in r)I.t n 1,
ii:icia(A.mn cl-F 0-14A Iai.Clva Inew4wil" slewo-"r. i'm
licit Inc-at'"d lit-L t'hf.') ci lr� I"I-
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TENANT 1:MPpOVEMC'N1' :
TYPE : BUIL.UTNG Sl*--'Wr-.,1:4 IMPERVIOkPi AREA:
FAXTUPE' UNI'TS :
D14E.1 LTNG UN115 :
t4o. ca"
0 F EF.15 : 6305 00
W PE WE 1'
N M 0 P GO A N
O'NNIP"U"JIUN CHARGE 1.0()
E r-a B(")X x,(3:3:!1 C
R ALOHA On 1.-TNI',*-: 'TAP INSTAI L.
to THF.114
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A P 0 t.3 0 X f,835
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(t�03) 6841 6606
- .
-IN
tI
NO.
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 Ili hereby I F-UL j:r RED INSPr..'CTIONS
agreed that the work will be done In accordance with the pians a-id
R(1l.11:yli IN
specifications and in compliance with all applicable CmJes and
ordinances The issuance of this permit does not waive restrict ve
covenants Contractor and subcontractors shall have cuirent city
business tax permits.This permit will expire and become nul.e-nd
void if work is not started within 180 days,or if work is susper!L'r.,)r
abandoned for a period of 180 days any time after worx has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permittee Signature
Issued By-
I- im 1 rl fA 10N
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C'TYOFTIGARD PI.A.)MI31W. l;*,L-:l;4m:uT*
(CITY tO�F�TWARD F-EAM.1 T NO . : P 1.-8 FJ�.2 3.3:1.
COMMUNITY DEVELOPMENT DEPAPTMENT 011100"
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 1.)A,1 Ir., 15SUFA) :1'r2/20/80
101-41M . VIM I .NU. 13 3.6,53
SW KI-.�4 V I..N
UAX MAPMAYI 25:1. ilr.-M 3,3700 SLJIEISWAWiONF,.i (.A.,FN LA . 713 13K :
1 AND U51i:: : 1:4 1. ll`*'D
NO:
W0114K CI ASF) : Nr:.:W W(1)t L:P 01-OSE'T 2 I'RAV,
I1'j1:7: "I'YPE , STNGLE.: FAM11-Y U141NAL 1::'PVNTP
(-ONS'T IYI"'I::: : VN I-AVOPA11.114TY 2 "144AP PPIAER
'111R 151-110WE4T 'T'RAPS
D1 r5l-IWASHEEP I.
GAPEM)GEK
N0 . !:i"1 OA 3:E:1!i :1.
DW."Ll... LIN11"5 : :1. 'T PAY 0(.-.. 0r4A1N (DIA
I- I-OF144 DRAIN
S J"Nk I SEWEA
WA'1*EA:4 J. S'Y'OAM/I*4A:1N (F:"T*
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E I.-i,j IKIOX 611335
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A I:.K)X i'�'MOW.'M
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0 ( ,503) 604-66E'26
R
I P-13.38
This permit is Issued subject to the regulations contained in Title 14 riEcx t P*r NO , IO
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It is hereby I
agreed that the work will be done in accordance with the plans and .1.NSPEUTJ(INS
specifications and in compliance with all applicable codes and IN. D. LINDEPSI AB
ordinances The issuance of this permit does not waive restrictive 1.*,(')!.','T' & "E"Am
covenants Contractor and subcontractors shall have current city WN'll 1:44 1-.:I:NF-
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 I'MAYINIS
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
I'-
41.;?S-'Iql'
Issued By
I U N C'i
1 -1 1 ')N 6.4 9 /111 7°.,
SEPARATE PERMITS REQUIRED FOR WORK OTIIER THAN DESCRIBED ABOVE
7"A
MEZHANIGOAL. PERMI: T
C17YOF7167ARcmra
CMVIERMIT NME'.e82332
COMMUNITY DEVELOPMENT DEPARTIVItNT
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223 (503)639-4175 IrISUE:D: 11.21'f--'0111:118
. 10D ADDAE:5!a : 103!5ii SW I<P'.*.N'I' LN
'fi)X MAP/I 01 2%.1. 1. IU19 :1.3700 SUH: SWONSIONG L-A : M3 LW
LAND I1!5V:: : 1:4 1.2 P I)
I'll 1:::M: NO: NO
0.00K I AIP IIANDI-14 C:1.0
('.,I A''iti : NIEW I. UPW .
I y Fii.l:N(*-',I.,E I- A M:I*.I-Y I;t*t.)14NA(:'I;:: 1.001(+ A11:4 I--IANE)l P tOl<
1111 VN I L,.flclra F'UPINIOGI.- 1;:'VAI:A . 11,11A)1..E.1-1
l4zi 1-411A T'EJ-4 VENT FAN
VENT' . 5 Y M
HOOD
141 1:4/(,.,(:)Mp 3
H1.411CO!"11:1 1.115 501-41:.-1 INC-ENE:PATUP(COM
G*A G 501-.lP 1:41::.PA:I'.W UN1.15
110X III I'M A/(.1(:)MP ::0+1-11:) 0 T'I.-I E:P
0
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I f'AK Ili 0 1:4 C"A I J
E P0 131"YX c 8( 3,', REW EEW 1119 . .30
R )1.A31 *'r.?7 .5
L: 'TAX $1. sr.)
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F1 I-IL.PAING 114C .
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T (',1 (11" Ki"Ifil'01 (44 '.'J`011 '1.'
0 r'llut4r. imi I.•L(:)/1
R I 1\11-1- /1011 -- 1 11111 Al. 111-3 .76
This permit is issued subject to the regulations contained in Title 14 11F.GE1,1:1 T NO . /o/
of the TMC. State of Oregon Specialty Codes,zoning regulations ..............................................
and all other applicable codes and ordinances, and It is hereby INSPEL'I''CON5
agreed that the work will be done In accordance with the plans and ('AS 1. 1'.NF
r-
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive 1.13154 a E:FAM
covenants. Contractor and subcontractors shall have current city 1,4('1(.1(:;11 T'N
business tax permits This permit will expire and become null and I I NAL
void if work Is not started within 180 days,or It work is suspended or
abandoned for a period of 180 days any time after work has
commenced 11 shall be the responsibility of the permittee to assure
all required inspections are requested and approved
ormitIfee 11;ItIlro
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR,'13ED ABOVE
�r ■.. .r aw .�
l
C1TY0FT1VAARD, 1 PLAN CHECK APPLICATION
M PLAN CHECK N
COMMUNITY DEMOPWXr DSPAR'I'MEN'TPERMIT M
13INOWNilt RGFiwIisON,llpidaq��s44sJ 1�1�'41ri DATE I3SUED _
JOB ADDRESS! ...__L._��z s TAX MAP/'.OF
LAND U:if':
V A LU A'T I ON: ---�� �--�-��- -------- _—
OWNl:ft SPECIAL NU?ES
-
NAME.: REISSUE or :
ADDRt ti S: ��c�. _ i.ASI Rt'r1 SSUF:
FLOOD PLAIN/
SENSITIVE LAND.
APPROVALS REQUIRED
CONT'rP:: uR PLANNING:
NAM!' _. _.._ __..._ :P ENGINEE.RING:
FIRE DEPT
OTHER:
PHONE : ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/EN_G_INE_=LR_ BUS TAX: _
NAME_ - CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONI OTHER:
COMMENT,,:
PERf11T # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL, DUE
Sf� /(x,53 10-432 00 Building Permit Fees (O, oZ, -
,� / 10--451 00 Plumbing Permit Fees 117-3-0 // 7.5-V
3. 10-•431 01 Mechanical Permit Fees
10--230 01 Stake Building Tax (5X)
Building
P1umLing
Mech
10 433 00 Plans Check Fee
BuiIdirig U
Plumbing --..___..-.__._.___.....
Mech
30-202. 00 Sewer Connection _/�� ,l/ C-0
30-444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC)
52--449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _ 4.S-V
10--230 09 TRFD
10-2.30 06 Washington County Fire 01 (95X)
10 -220 00 Amar•tlWrdgewoud
'Fci f At-
`-' � RFC a
nPi� I1;iiNT �;. i�NAtuRE
kvvv�ved fly : _ Date Received:
:n/:1'�81P/l8P