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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
�'. '�►
Type of Inspection r—)/;C,/ J—--
Date Requested 4J- -2 7 A.M. P.M.
Address It 7— Permit
Owner
Lot 4
Builder
The following Building Code deficiencies are required to be corrected:
I L tC-,L , , �-'r L-).O'�L
1-73"
LA n�
Presented to
Approved
Inspector Disapproved
Date
CAL FOR REINSPECTION
F-1 YES ❑ No
1311:1..1:) PEAM11'
CITY OF T167A RD PEPM11' W.) . : BLJ88Rt56
anoFcaRn
COMMUNITY DEVELOPMENT DEPARTMENT DA'Tl'-'-,' T-Stal.-JEA) . J.2/ 115/r.38
13125 S W Hall Blvd.P 0 Box 23397.Tigard.Oregon 97223.(503)639-4175 P T MY'1;41, NO ARP 1 !-1
l.
100 ADDAIESIG : lt.) 1,13 SW KENT 151
f()X MW".1/1-OT Zlir) , 1.1138 1.2900 SUFLI: WANSON$ LA-EN 1. 1 : Y0 HK .
LAND W-.1 : : 121 r
Lill v::rzr.-- : VALAUYT 10N: til N50 ,96-7 SIE-TUACKS
FAUN'T': REAP : 7
W0111< ("LAS15 - NEW DWEI-L. .UN1'P*;; : 1. LE14'T' : 113 PJ:G.H-T :
IISE TYPE : S119GLIT FAM11 Y NO. BI:!.*D1400MG : 3 EX 1' .W01-L. CONS"! :
T VN NC] .I-AA71-19 : P- N: S : F : W
(341:1 - R3 P1401* , I*)PENINGS :
(:)GGUl--, . I OAD N 5 E W
OTAL. APEA: 109P
N(:) . !i 1*01:411:H�)' . I. I.St : 1.09e F4100F G(:)N!5*T I.; FJPE: PHl"?
13 'F-ND APEA CA.-PAP? PA11-M:
3 ll) : "CUF" . SE"VIAR?
r OU PA*TED
Ml:;:Z/AN1NF:*? DASITM''I
F I ('X:1111 I 0AH : '10 GAIlA('A::: : 300 1 SI::,Pl<LP, Ai ADMI?
FI Ow U."PM nN,I'EX,I '? YLAi
[A.-KA.1 1 1
14FJSUJE: 0F NU.
881.53-41
W lio-.186 , 00
N I! IX 6835 W.;.V1J:,W 111/110 . 00
E
R Al OHA 01.4 V 1441::. l'A4I:-*1T
!:il'A'l U. TAX N, 1,11. :30
01
C 14 Vl:::l (.)PMI:;.N*T'
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N inC 151 OPOM) 111211110 . 00
T TA16N I't41 S'1141;1T It *(`i0o . 00
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A POU 60'35 1 hC *42.050 . 00
C ()I tilh , L.",N 9/00/ V-11-11F.PA1.0 < 4140 . 00?
T f `?0i) 604-660ea
0
R 14d I I)N NO ;1,x! '50 '101 Al.. j, el 0 3 0
This permit is issued subject to the regulations contained in Title 14 INOd
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it Is hereby 11IL-QU T TNl:iPl:::(,T I UW-i
agreed that the work will be done in accordanc-with the plans and
1:1 It?TTNC; !iii:::WE 1:4
specifications and in compliance with all applicable codes and F 0I INDA 1 :1 ON W(J-L AAIN I)PATNS
ordinances The issuance of this permit does not waive restrictive P01-0 & UE."AM WA*Y*Ell LA,W'.*.
covenants Contractor and subcontractors shall have Current city
business tax permits This permit will expire and become null and 11.11 UN0E-*::A$L.,AR (1111y APF"W.11110111A)
void it work Is not started within 180 days,or if work is suspended or ti I'AW FANAI
abandoned for a period of 180 days a, y time after work has IIA-1,11 . '111FI(A.1 I'
commenced It shall be the responsibility of the permittee to assure 1*:1:1 AM,1:NG;
all required Inspections are requested arid approved F
G(1I:i LAAF.
RCAPL)
Permittee griatur,
Issued By N9 F-EA",T (IN 6-39—A I V-5
SEPARATE 113VAMiTS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SATWE'.44 PE341111
CITY OF TIGA RD �C'ITYZ- WIARD f':'E.F4M:L-T NO.
0 N
COMMUNITY DEVELOPMENT DEPARTMENT ( 1;LJI-' D : :1.R/ 5 60
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 47223,(503)639-0175
JOH 3.04413 SW KE N'T 1'A' USA NUMFIEP i 036/19a.
FAX MAP/1-01, 25.1 1. 1.41BB J.2900 SUB: GWANSONS (.�A.EN I Tc UK .
LAND i.JSI;.: ; 141.i.
L01, V$17r :
SECTJON : 1.•1 Fwp : 2% ANG: 1.w
WORK GLA55 : NEW
1A5E: 'T*YPF* '..TNGLI"-: FAMIL-Y
tcl cutriply WJAI) aL13.
A94.11-11CY Y'lie p(mr,m:Lt if-gxpi-r-o", 1.P0 c1m.1jili, -PI-13M gp t c)-I.at 1.
10.19L11-It 13410-d WA-3-:1. L)e Pel'ln:i.t tPxf:):11.1-01111 . I'I'le ch.1W.Aw rivit
omt,ech ti-io cif t'he wj.de lRq'1Ww'I- Ilm"'al"MAR; 1f the 140weni" J.ffi
ricit luc;fttod ant -014,? ifll-140.3 3 11-1
*11 dil"ectiallm -Irl"01111 wi.verl . I+ nt3.t. mij lcm-ilted , A.1-10 :1-l-1$1A&11ViW 181-1101-:1-
ar1d tho."? (logf.-aric.'y W11,11. irllu-i'01.11. fit
I M PE
11113 rALL. *rYPE: BUTLOING SI DIVIOL)": APEA :
r'A'XT1.JP1L': LINI'TS : 1t.-.:NAN*1 JAPPOVEME.N'T :
OWEILA ING.-, UNI'T'S
NU CIF Ul DG5 -
EXS :
0 *.35 .
W SLEAK MODC.-AN PERMIT
N po BOX 61 CONNECTION CHARG"olE
E
ALOHA P LANE. IAP INSIALI... .
0 t HI::q
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0 UIJ-:AK MORG',AN
N
T 'T'T*TAN INC -
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A PCII DOX 68.3n
C, ALOHA OR 97001 603')
T
0 PHONE:: (503) 6811 6606
R PEc,�,v.-,-rli:wr:r('.)N NO 30550 r0TA1 oo
This permit is issued subject to the regulations containeu In Title 14 RE(*.*--JP'Y' NO ,
..........
of the TMC, State of Oregon Specialty Codes,zoning regu.itions
and all other applicable codes and ordinances, and It Is her0y 1P4F:Qk.J'1Pr-..D INSPECTIONS
agreed that the work will be done In accordance with the plans and ROUGH—I N
specifications and in compliance with all applicable codes and
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 160 days any time after work has
commenced. It shall be the responsibility of the permittee to assurr,
all required Inspections are requested and approved,
eIrmitt—pe Signature
r.
Issued By
F ON INSPEIL'I'
, 10N 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER: THAN DESCRIBED ABOVE
F)LUMBIW., ME AMA'
CI1Y OF TIGA RD Pr-E-141MI't NO . : IN (311321.83
CITID
YOFnM
OfFOON
COMMUNITY DEVELOPMENT DEPARTMENT
13125 I.M.H ell Blvd.,P.O Box 23397,Tigard,Oregon 97223.(503)639-4175 A,M Pri,r �0 B132115!1
1(: H AIA)PEtiFj : :1.0 1,1;3 SW l(r-.:N*Y* ST
I (IX MAt'l/L.01, esi 1.P900 1,111 !:;W(.)N5(',)N5 GI-EN I.A . 70 LK
I AND
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WORK CI-AS15 : NEN WA'T'T:W CA OtSIT'r 2 'T'R01P
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(:)CX1t.jV,1 . (BPP . 11,3 'TUU 51-40WE'll i2 A.-A-FA5E TDAP15
NO . E-i*7 0 03'Er S 1. (A)ASIATW., M6041NE :1.
1:114E.1 I.- 1.1193''T'Si J. I AUNDPY 'TPAI ki.41-111(.3p I)PAIN (DIA
FLOOP DPAIN
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R NO. 5011713 1111 38
This permit is issued suble(;t to the regulations contained in Title 14 I:IE(:,E*.Er:,'T NO .
of the TMC. State of Oregon Specialty Codes, zoning regulatiorq
and all other applicable codes and ordinances, and it Is herehy
agreed that the work will be done In accordance with the plans and ImILA',. UNDE.W-0—AL-31
specifications and In compliance with all applicable codes and 1:111.0 a 1141EAM
ordinances, The issuance of this permit does not waive restrictive P L.XW:-
covenants Contractor and subcontractors shall have current city j
business 4 K permits This permit will expire and become null and rc I ou'r
void if work is not started within 180 days,or if work is suspended or 1.)P AT N Si
abandoned for a period of 180 days any time after work has i t VA.,
commenced. It shall be the resoonsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature '00
Issued By .- - 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ME-CHANICAl PEPMIT
r-1;7pM:VY' NO . : ME81321-84
CITY OF TWA RD CIIYOFWARD
COMMUNITY DEVELOPMENT DEPARTMENT Off IAON DA"I'lE ISSUED: J.P/ 5/86
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223, 639-4175
JOR ADI)PESS ; 1.0/14-9 tiW KENT 5 1
16X 251 149B 1.21900 Fil,)H: !:iWANSONS (.,,f EN BK '
i-iNl:) USE.:
T I EM: NO:
WOPK GA-ASS : NF'W 1'.-OWNACI:: (100K I AIR HAN1:)L.14 0.0
l U V'AMI I Y F:URNACE 1.001<+ 00'1:4 HANIA 14 1.0K
04 F:*L(:)C)1:4 VU14NACE. LAIA V' . CGOLE14
0(:"ckJP .UPAP . R1 HE".ATEA VIENT r'AN
VENT VEN'T . SYSTE'M
BLA/CIUMP <131-4p HOOD I.
NO. 51*0141IR'S ! I F0..r-;I/C()MP 3-4151-lp (DOM
IWO L .UNT Vi!5 1.5 -301-11:) INCINIEPATUP(C,0M
GAs PEKPAIR UNY15
MAX . INIL"LYT 01 Hr-4:14
I:'JTP1NC.-, OUTLIETS 1.
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W li'41-F AR MORGAN I I:.PM JA'
N BOX 6935 11-AN W.-i'VIEU
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R 101`1 NO , 147
This permit IS Issued Subject to the regulations contained in Title 14 C.11-:'11P.
of the TIVIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby INSPECT 1.(INS
agreed that the work will be done in accordance with the plans and G,AS I—INIE'
specifications and In compliance with all applicable codes and 110!i T' Fir-EAM
ordinances The issuance of this permit does not waive restrictive N 0 L 11'..,1--1 IN
covenants. Contractor and subcontractors shall have current city
bup:,iess tax permits.This permit will expire and become null and F: INAL
void if work Isnot started within 180days,or if work 199-ispendedor
abandoned for a period of 180 days env time after work has
commenced.It shall bri the responsibility of the permittee to assure
all required Inspections are requested and approved
Issued By- r:tv I l'on 'INERT-7-TTON 6',*J(9 74"T 7 ATf$
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARPPLAN CHECK APPLICATIO,'
• ARA PLAN CHECK N /(� t!•;.�_��.,,
t`ONpMtJN[TY DEMOPMENT 06PARY 4�r, . NrA1 PrRMIT it
e»>Mavr�w►M++ �.awf!lA�1.rfd+va�ss 0410411'• DATE ISSUED .. ,.
JOB ADDRESS: >c �N .2� �_ __ TAX MAP/LOT '-� /� �� y00
Still: �Gf✓.d�lY �1��_`.z �_"= LOT: _ l' LAND USE:
VALUATION: -- W
OWNER -�--- SPECIAL NOTES
NAME: -/. REISSUE�OF:
ACIDRLSS: _.. _. --��=r°6 ,. --- - —
LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE � �z..� - ,,r7
APPROVALS REQUIRED
CONTRACTOR PLO"O'NING: ----
—
NAME ` ENGINEERING:
ADDRESS: __ FIRE DEPT _
-- _ OTHER:
ITEMS REQUIRED
LIST/SUBCONTRACTGRS:
ARCH/ENGINEER BUS TAX:
CALCULATIONS:
ADDRESS: _ �___�_ _^__ _ TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN
PHONI —� _ _ OTHER.
COMMENTS: _-.-
PLRMIT H ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees -,2,? _.- ���-'--
, 3 10--431 00 Plumbing Permit Fees ��
10-•431 01 Mechanical Permit Fec;
10--230 01 State Building Tax (5%)
Building 30
Plumbing _;K 8'_
Mech
10 433 00 Plans Check Fee
Building
Plumbing
Mech 3I
„? ? 34.202 00 Sewer Connection
30-444 00 Sewer Inspections
51--448 00 Street System Dev Charge PDC) 4
52--449 00 Parks System Dev Charge (PDCV-) , fiL ___ -5-'
31-4bU OU Storm Drainage Myst Dev Chrg (SSDC)
10-•230 09 TRFD
10 .230 06 Washington County Fire H1 (9'.1'X)
10-220 00 Amart:/Wedgewood
�.• RFC H
APF'l.itZW, T'ii(i TURF
Rr.coived Py _....._ 1 Date Received, __ ��L'`) � 1L►
vri/3rielP/lOP