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INSPECTION NOTICE
r ity of Tigard Building Department )41
P.O. Box 23397 �_ I
Tigard, Oregon 97223
Phone: 633,9,-4175
Type of Inspection
J
Date Re guested Time�/O 3d A.M.— P.M.
_ ,[ }/
Address
�(. -- -: L_ r / Permit # !
Owner
Lot
d 13wirler S. ---
1 The following Building Code deficiencies are required to be corrected:
oL) as
S c� -Y1
`1
Prfsented to _ —___- --. --- 04-Approved
Inspector -- /n—f—(�— a_-------— H U sapprnved
Date
CALL FO . REINSPECTION
[I YES U NO
MV0411NICAl 1:'F'-F4M:l'T
CITYOFTIOARD PERMIT NO . HE11360,(4(52
CITYOFTWARD
VC
ow
COMMUNITY DEVELOPIWFNT DEPARTMENT IGON DATE! ISSUE D : ;3/1..15/Be
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,('As)639-4175 Prim' . Pm*y, .NO. BROA51
J013 ADL)P5,51i . 1.036!:1 SW K L*'WE V
IIAX MATS/I.,.01' r--?!:;1.1 (1 HF) SUB: swaLrimmisi glen L*1' 5! 6K
LAND USE, 14 1.;".i P D
I TEM: NO NO
WC114K U A F;S : N E.W FURNACE <100K I AIP I-IANDI—P <10
USE TYPE: SINGLE FAHV Y FURNACE'. :1.001<4- AIA HANL)LP I 0K
C.ONL'a'r .'i'yr)F--': UN FAIJ-)OP FOPINIAcz- F."VAPF*-R
OU'." "Up .GRP. 143 HEATEP VENr FAN 5
VE'N'T' WENT SYSTEM
BI—k (.10MV) <:31-II"' 1-1001) 1.
NO. STOATEKS a 01..P CIIOMP 3 1.3 IA P OR 11 DOM
DWELL .tJNI*rs I F31 P (:OMP 15-30HP 1'.NL,'.I:NE'PATO P(('.,OM
FLIEL TYPE GALs DLP COMP A 0—5 0 H P PE*PATIR LJNIIc;
MAX . INPLI .' E31 A ('OMP "504.1.4P (TTI-4r.-A
FJAE DMPI"I CASs PIPINto OL111.1"I '5 I.
HIGH PRESS
I Ow PRESS,?
FIE"MAPKS
0 bl tim k m(:)rganPERMIT 1111.0 , 00
W 1.600;3 !11w :1,0A t h PLAN r.4I':'V3:F.W !111? 3(1
N I
E t J.g at r-d (ir 997224 FIXTURES 41
R PHONE.: (!503) 6F),q--6A06 S1 ATE TAX
OTHER
C R11 I
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N y%T E:M A I PE
T i.,qdwsw rrrm ST .
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A tigard al" 9722'.3
C PFICINI:. 11-503) 626-9780
T
0 NO. 3113062 fill qC3 .7 5
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PEGETIPT NO,
This permit Is issued subject to the regulations contained in Title 14
of the TMC. Slate of Oregon Specialty Codes, zoning regulations Fw(At.aF*:r) TINSPESTIONS
and all other applicable codes and ordinances. and it is hereby GAS LANE
agreed that the work will be done In accordance with the plans and POST a DE 04M
specifications and In compliance with all applicable codes and ROUGH 1'N
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current :Ity F- 1:N AL
buoolness tax permits.This permit will expire and become null and
void If work Is not 911a;(pd within 180 days,or it work Is suspended or
abandoned for a period of .40 days any time after work has
commenced. It shall be the respLnsibility of the permittee to Mum
all required inspections are requested and approved
Permittee Signature
Issued By FOR TNSPEC"TJON 639 A
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PE:pm':'
Cm /�, \\ Ru PlEnmif* NO . : Pi-eeoA52
CITY OF IIGA RD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 rm . l`.-"M'T* . NO . (3130 4.9 1.
,.JOB ADDAESS : 10395 5W KE111
'TAX MOP/1..(')'T' 24311.11311 GLID : tilwill,rivicirlm g1ral-I LI ; 05 UK :
LAND 1.15E: 141.12PE)
T.Tr-.':M: NO : NO
WOPK (:A-AS5 : NE'W W 144 1'1:-:*n CILOSET 3 '144AF"
TYPE. : $INGL ' FAMILY Ul"ANAL. DKI-A 0141 PlAINTA
1* . 'TYPE VN I-AVOPAI()Ny 41 TiMP P141TWMI
OL GPP. n3 TUB t-MOWEP Z! G3411"A511ii: TPAPI.)
Of GI--lWA!-)I-*-'PI 1.
k',AP8AGk-:
NO. STURIF'.5 : 2 WtMil-H.N('.;
DWELL .UNITS : I LAUNDPY 'T PAY BL.DG . ORATN (DIA
11.00A DRAT.)!
!il N K 1. SEWEP (FT)
WATrIp HE-AIT-J4 :1. STOPM/PATN (FT 100
OTHEA
RF--:MAPK!:'1 :
PILIPM], T III I-,(10 00
r-KES :
1�(.1 box 6835
N
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F e4wve)t•trill ril- "x'%00'7 68"'55 F:ixn.jr*---i
it V)I--IONF:: 11,503) 6113.1-6606 STATE TAX 111 00
011 IAE'R
CO WA . i'S 10"-:N
N KEN WAT : S rALIJIMBING
T F)C 3
) BOX P09;215
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A ti q u r,cl rlr97PFA
C PHONE 1303) 684-6626
T
0 NO . "508713 1 DIAL - tq I 'If , 00
nECEM-t NO.
This permit Is Issued subject to the regulations contained In Title 14
of the TMC. Stale of Oregon Specialty Codes,zoning regulations INSPECTIONS
and all other applicable codes and ordinances, and it Is here-by UNDE-:'Pt;1 A F.1
agreed that the work will be done In accordance with the plans;,nd POST 8 BEAM
specifications and In compliance with all applicable codes ind WA*TF.-.P LINE
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city PLB. FUPOLH
business tax permits This permit will expire and become null and PAIN DPAINS
void It work is not started within 180 days.or it work Is suspended or FT NAI
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.
Permittee�ggnau�r.
Issued By: CAI Il- FOP TN%PE(:,'Y'T(:)N 639-441.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'VARD151.1a:L..0>].N(.; PE'PMI'f'
PEPMIT' NO. : BUL-18043:11.
CITY01FTWAR0
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SM Hah Blvd-P.O.Box 23397,Tigard,Oregon 97223.(W3)6394175 1,1� DO I'L- '11.S S L W.D EIR
JOH ADDIRESS : 1.0385
I AX MAP/I-01, 2S 1.J.41BB St.)VsLA 35 B11,
LAND USE : n12plj)
!..CIT S-1ZE' : VAI IJAIJ ON : 41 69,372 SETBACKS
F=PONT 2*7 REAP . 6
WORK (:,LASG : NEW DWEL.L.UNI'T'S : I LEF f 5 '11VA-11,
USE *TN'1'4-: : SINGLE FAMIl Y NO . BEDPOOMS : 3 EXI WALI CON!VT '
(:',ONS,r . TYP1j-- : VN NO. BATHS : 3 N 5 : E W
00c"Lip .G1411P. 14:5 I:.,PO*l* OFAFKNINGS :
(')C('XJP , LOAD N S E : W:
1,(:T.61 A 1-1 F.,A 1.11580
NO. S11)A 1:E S 2 082 1-400F (ONS'V : G PIPE' PEA-7
HE.11',111 . 1.8 690 A 14 E.A r1l::'.PAP'7 RATE D:
11"il A 5 E M L-:.'N*T7 3111) : (It"Cul'). S15:PAP17 RATED:
MEZZANINE*? HASI:KM-1
FI-00A LOAD: 410 G�AAAGE : 308 F":LRF: SPRKI P? Al AFIMI?
FLOW(GJPM) OE'l E C'I"? Y E S
1 +YPE SAS
I,LAN CHECK BY : 1:)cv
P�;.!JSSUln'. OF' NO 7029
LAST P1j:',0;CsL1V 87 0:1.6 6
Wla margatii Pi*-*:Pmrr +1:341.5. 00
N iqw PLAN PEVIEW 111111410 . 00
E
R t:1.gin r cl 131- 972'r.*24 F11PIC: DEPT
PH(Jisil. (503) 68/1-6606 'TAX
'114
OTHE
0 C DEVELUPMEN'Y'
N Al..I--.AK MORGAN SDC,(S'TIL11117110111 $250. 00
T 'TTIAN 1j)POPr.-.*P'1'TI4'5 INC . S UC(S't nE E1* 111101000 . 00
R
A P(:I BOX 6835 PIKE:(*e 11111250 . 00
C looffiver-ttis-i mr, 97007 A(33':i Ppl�:PAI.0 < 11410 . 00)
T
0 PFIDNE (50311 6041-6606
RL : $1. Al OS 0
Pl:':*GTS'7PA'T*I(:J1N NO. 30.558 -J T(I'TA
This permit is Issued subject to the regulations contained In Title 14 PECE:171:11' NO.
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and It is hereby P5QUIRED INSPEUrIONS
agreed that the work will bt-done in a �ordance with the plans and F 001J.NG' !"IEWEP
specifications and in compliance with ill applicable codes and F*(JIJNt)A*rT.(3N WALI PAIN DPAINS
ordinances The issuance of this permit docs not waive restrictive
covenants Contractor and subcontractors shall have current city P051' 9 BU AM WA'/1:R I I NE
business tax permits. This permit will expire and become null and PLB .UNDERSLABI CI'T'Y APPACH/SW
void If work is not started within 180 days,or if work Is suspended or 5 L.AR F INAl-r
Abandoned for a period of 180 days any time after work has PI B . I'DPOU'r
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved 44 AM I NG
1-:1 RE PIL,ACE
GAS (...INE'
r mi m,tee Se"ure ('..Y Il. SOADI)
Issued By �ALJ— FOR INSPEC"TION
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
tarMLn-ULM—EX
C11Y OF TIVA RD '" .C111YOFTWRD N
"IF.-WEP PIF'RMI I
1:-*1I-'.:PMI'1` O" SLI:38': 045,el
COMMUNITY DEVELOPMENT DEPARTMENT 0
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)6394175
I' PIM PKT' .NO . 080A"51
I 3-tI990
JOR AI)DPEt*iS : 1.0385 l:IW KEPT (.J JSA NUMBEP:
TAX MAP/1-6'11' 2S:I.1Z1BV.4 SUB . '11walr.1ilolliti (31el.) 1.1 : "Vn HK :
I ANT') USE : 1-4 12,2 P 1)
I Oil SIZE :
GIRrIJON; 2 TWP : Ill; 11W., . 1w
WOPK CLASS : NEW
USE *T*YPF".- : SINGLE FAMILY
c:(:)Mplij With all
Agency 'T'hel permi.t expil-ela, 11.29 (11;tIvil Tr-clm thel (Juttei) :04%tiol(J . 'T ho., t 4:)t,a 3.
iii,incitint piaid will hol J.-P thfo pmr,init exp:i.1-0111 . 1,11*1 (1clfw% I-Itit gmilti—.-
mriteia the wvni,tr-atcy cif the 3. 1c!4ittlan of the lsidel mewer, latter-a k 1.46 If the viewer im
riot no, the inema�ilm 1,(olliffn lit (.Ji.vell , thei-�) pI,CI1lIPF.,1C,.t 3 Teet 11,11
Lmll dl.rec!tiorivi from the, givieri . 3J itot inc) the iriistaller
41ttr c�hlutaea at "Imp mricl P"Pinit *iicl tiie Acjopncy will iiiiiitall at latteral
I N 5TAI L . 'TYPL : BUILDING' !:5I:;.WI1"-.*R TMM-.:R'JT(:)US APEA:
I!t*TX*TLIPE. UNITS : '11i'MAN'1 TMPVI(')VF-:'MI:N1
II)WELI ING. k.JNrr!'.i : 1.
FUZ.-�15;:7
0
W :'EES
N
E bl e at,I( oncir-gatri PERM11, 111135 , 00
R :1.600:3 la,W :1 OZI t I I C'UNNEC'TION CHAME $1 lejo . 00
97224 LIW'.: 'Y*AF) INSTAI I.-
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This permit Is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon 9pecialty Codes, zoning regulations I NO ,
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and PEOUTPEO YNSPEC11.014S
specifications and In compliance with all applicable codes anJ
ordinances. The issuance of this permit does not waive restrictive POI.GH—IN
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 180days,orlfwor,l is suspended or
abandoned for a period of 180 da" any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved,
Permittee Signature
Issued By L
SEPARATE PERMITS REQUIRED 170"VITIFIR OTHMIMN 015801191ED ABOVE
wn s .w � � air ian ■nr Ons
�1TyOF TWARD PLAN GNECK APPLICATION
COM VIl1NI Y DEVELOPMENT DEPAR,MENT
rf�
�A� PIAN CHECK �
a1256%vwaBlvd P.O.a«x3397.no.na.Oregon 97 (M)6304176 PERMIT
DATE ISSUE
JOB ADDRESS: TAX H&P/LOT_-�
SUB' LOT: LAND USE:
VALUATION* _ SETBACKS: FRONT: REAR: LEFT: RIGHT:
WORK CLASS! HEIGHT: TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST: _
(MR511_: TYPE: HEAT TYPE: - 2ND:
OCCUP GROUP: _ DWELL/UNITS: 3RD:
VXUP LOAD: NO BEDROOMS: _ BASEMENT:
N) STORIES: NO BATHS: GARAGE:
IAP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS MLUIRED
PLANNING: _ REISSUE OF: _ LIST SUBCONTRACTORS:
ENGINEERING- LAST REIS i, L BUS TAX:
FIRR DEPT.: FLOOD PLAIk �— CALCULATIONS: !�
OTIME : _ SEN LND.: TRUSS DETAILS:
�M PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: _ OTHER: -
COMMENTS:
—M
ACCT DESCRIPTION
AMOUNT
OWNER 10-432 00 Building Permit Fees .3
NAME: i .- 10-431 00 Plumbing Permit Fees
ADDRESS: 10-431 01 Mechanical Permit Feet;
10-230 01 State Building Tax (5X)
10-433 00 Plans Cheek Fee �� t� t
PHONE:_ _ 30-443 00 Sewer Connection (20X)
30-2.02 00 Sewer Connection (ROX)
CONTRACTOR30-444 00 Sewer InsOectiou t _
NAME: - .51-448 00 Street SysU-vu Dev. Charge (SDC) -o n
ADDRESS: '•52-449 01 Parka I System Dev. Charge (PDC)
52-449 02 Parka II System Dev. Charge (PDC)
31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: _ _ 10•-230 09 TRFD (95%) $ _
10-435 00 TRFD (5X)
ARCH/ENGINEER 10-230 06 Washingtan County Fire /1 (95X)
NAME: _ 10-435 00 Washington County Fare 11 (51)
ADDRESS: 10-220 00 Amart/Wedgewood
P HGNE:
452-. PREPAID
pt s ( �
-5 ssf4�Cf.5
�',,► - BALANCE :UE
AP-PUCART SIGNATURE '! z
' Received Py:- Date Received: 3 ���