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INSPECTION NOTICE
City of Tigard Building Department
P.Q Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection �` tG,fi)
Date Requested // c-'� j--2y`' ` O j / Time A.M. P.M.
Address ���/ to 7` &'-- Permit # Z Ga
Owner _ Lot #
Builder_
The following Building Code deficiencies are required to be ed:
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_.4Lo-hc__ � CCv- C0007- L,6,3
K Z PJ_l
Z 2,-4 All
Presented to __— Approved
Inspector _ 7 _ / [ Disapproved
Date 1 L 1
CALL FOR REINSPECTION
❑ YES (J NO
in
IR)ILA)ING PEPMI'I'
CI7YOFTIGARD1:444MI. T NO . DIA39200-1
6L
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd-P 0 Box 23397.Tigard.Oregon 97223.(503)6394175
JOR ADDAF*SiS : 1046F, SW KFN*T I.-N
I*A- X MAP/L-01 e.'!S:L 1488 i2li'.100 SUB: L`iWAN1i0N GLEN LT : 69 DK :
L.ANI.) LKX : 111.21IDD
I VALUATION: 111 65 ,075 SETVIACKS
F-"14()N*r : 20 REA'.—• 7
WORK CLASS : NEW DWEI L .UNII'S : I L E F I' : 6 N"[GH'T : r..'.0
U511-H 'TYPE : 15INC31 E. FAMILY NE) . BEDPOOM5 : 3 EXT . WALL CONSI' :
C0NS,r . 'ryPi::1 : VN NO . 3 N: 5 : E W
OCC UP.L.,pp : C43 PAUI . OPENINGS :
CK.N.111-11P.LOAD N S W
11:11TAL APE.A . 1.4:34
NO. (5*1*01111TES5 . 1 1.Z434 POOF CONST : C F,Ipr-.,. PF-K1"7
HF.3:C"I.-IT : 20 2ND: APEA 5EPAA7
HASEKKNI"? :TWD: 0(.3:11P - SF:'.I'AP? PAIED :
MIF-77ZAN It., HASEM' 'T
FI..()0A I (3r'll') 40 G'APAGI;.: : 396 FJ PE SPRKLP? AL.ARM?
F'I OW(GPM) LAKII.-J"'T"? yl:si
11 F A4 F Y P E'*--* SAS 11131(�P , AEK—i r
I::'LAN CHECK DY : vlt
rtl:::1Sc5LJL' OF NO . 81,403J.P.
LAST' PEISSLJF-': 08031.6
0
W HL" AK PFF11M I 1* $331. 00
N0
PO B 0 X 6 8.5 15 PI AN F4F-'.V:I:F.W $40 . 0
6.1 C-1-4A ()1:4 9700J P r-- 13 F.I T
PHONE (503) 68A 6606 51*A'I*E 'T'AX 6 , 5r.�
C DEVELOPMENT CHAPL'IF:S :
0
N 1:'11.1-'AK MOPU.,AN 151)(7(STORM) $250 .00
T 1 :1. IAN N('; . GIA"(STPEFT) $600 . 00
R
A PO BOX e183P.1 PDf"11*2 *250 .00
C O 7 3
P 9007 68t) PPEPAII.) < 111410 . 00)
T
0 F"H117INI"-. (503) 68A-6606
RI RE GIISTRAIJUN NL). 30.'138 TOTAL : $I I A417 . 55
This permit is issued subject to the regulations contained in Title 14 r4r.--.(-EIP-T' No. 1610,36
of the TMC, late of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and It Is hereby I.NrPE(."T:I:ON!5
agreed that the work will be done in accordance with the plans and S E W I--P
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive I:"0LJNI:)A*rI0N WAI I 14AIN DPAINS
covenants Contractor and subcontractors shall have current city PtY10, A "LAM WA1'E:R LINE
business tax permits This permit will expire and become null and PI-9 .LINDt":PSil Ab CrY APPACH/SW
void If work is not started within 180 days,or if work is suspended or SI AP
abandoned for a period of 180 days any time after work has PI 13 . 1,01:101.11,11
commenced It shall be the responsibility of the permittee to assure U!PAM I N(.,'
Fill required inspections are requested and approved 1711:11F.i.P11 ACE
G'AV) LINE.
[N4jl,JLA'tI0N
Permit-ee Signature C GYP . 80APD
Issued By 1 -C
- 00 INF44 T-1.0N 639-11-7,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TI67A RD `yF•.WI::.4t PrERMIA
1-11:EAMI'T NO . SE062007
CI
COMMUNITY DEVELOPMENT DEPARTMENT 1.0/10/08
13125 S.W.Hall Blvd.,P.O Box 23397,Tigard.Oregon 97223.(503)639-4175 .41 M . PI'l T NO (Ni.* O U .1
,.JOB ADD1;'4E7$G : 10A65 SW MEW LN
III-)X MAP/L.Cff 2T)l JABB 1P800 SM'.4. !:iWOWAAN 11-1 . 69 H,-,
LAND USE � A1;.,?P0
LOT SIZE:
SECTION: IA 'TUP : 241 PNG: 1w
WORK LA-ASI.-ii : Nr.*:W
I ':)E: SINGI E FAM1:11-Y
%1 at ji)P I J.c.,lit I 11'. 61 g I"IF:)(41 Hi t,cl c.,c)M 1:):1,�4 w J.t 1-1 411.7.:1. 1-Li:1.e ii; at ri(A r-e. t.i:1 6VI,:1,1.11191 1.)T -t.1-1F.R L ri:1.41:1 6 0
I'l-M) Pel"Mit eXPI-1-001 420 cliltyis -Fi-cIm ti-ie claLt.4i ;Lmlfit.led . 11"Iffs r,43 tal.
41c)r—P4i.-3Av-rI :i.•F Lhe ciclesi I-1 cl 1, 9 t.1 lit I
Iltrit.00 (:If the :03cati.c3ll 43-11! ti-Ica laide 0.10 %ew*-'I- i-fa
licit, I.A.1w j:)r-(vnj:)eC.A 3 fiteet. an
di.I-(0C'ti(3rI% 4`1`91`11 t-l-le T-F rMt %c) IricavLeti , thivi, i.i1stat.1.1el' Ifl-IM11.
pi.ii-(:ilinme lit "Tntl:) mrici S:1.cle '.iewei— Pirm-ini.t ral-W 'Ll-le, ff)- gir,11-11CY WiJA, :1.1-11h1AL11. lit 7AHAW,41"A1 .
IN!YrAI-L . 'T*YF)F-:: BUILDING EWE lilPi-iAVIOLIS APE A :
LINIIA'S : *TENAN'T IMPNOVEMEA1
DWELL-ING UN11*45 : 1.
NO (.,)F; FJL.0(*.�1!:; J
0 BLEAK PIERMI'T 111:.45 00
W
N PO BOX 6935 CHARGE 10 0 . 00
E ALOHA UP 97007 6E.135 I 1NE *TAP INS TAI.A... .
R PIHONE. (503 ) 60*1 6606
('YTHER
C
0 BLEW< M 0 1:4 A- IN
N 111 TAN PP0PEP'l1A--,5 INC ,
T
R 1:10 BOX 603.15
A MAMA ON 97007 6H-3,15
C
T PI-40NE 11,503) 6841-6606
0 P1--'XA.S'TP6TIC)N NO . 305,"M 'tUTAI..: $1 , 135. 00
nc-crup'r NO.
This permit Is Issued subject to the regulations conte ped in Title 14
of the TMC. State of Oregon Specialty Codes,zoning wriulations
and all other applicable codes and ordinances, and It is - ereby POUGH—IN
agreed that the work will be done in accordance with the plans,-.nd
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have Current city
business tax permits.This permit will expire and become null and
void if work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to 1:,sure
all required inspections are requested and approved
erril
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
low
CJT�� PLUMBING PEPI:11'
C17Y OF TIVA RD (Cl 7�1�ARD PERMIT NO . : PLOGeO05 V11,
COMMUNITY DEVELOPMENT DEPARTMENT
1310 S W HAI MR MD.Box 23397.Tigard,Oregon 97223.(503)639-4175 DATE ISSUED: 3.0/10/Cat:)
I;M . 1-111111F . (3(3LA0-0-+—
JOB ADDRESS : 10465 SW KENT LN
IFAX MAP/LOT 251 14BB I.P800 SUB: SWANSON LT : 69 BK :
I AND USE: AJJ'!PD
LOT SIZE :
ITEM: NO : NO:
WORK CLASS : NEW WATER CLOSET 21 'T RAF,
USE TYPE : STNG1 E: I!:'(.)M]:I...Y k.)PINAI- BKF'LOW PlIVNI-vi
CONt'i'l TYPE VIN LAUORAIORY 3 TRAP PAIMER
0("C'UPI -AA-111 : P3 TUB SHUWER d GREASE TRAP$
DISHWASHER :1.
G'AP8A('.,1 D15POSAI :1
NO . STORIES : I WASHING MACHINE I
DWEL I... .WN ITS :11. LAUNDRY TRAY BL.DG. DRAIN ( DIA
FLOOR DRAIN
SINK I SEWER IFT)
WATER HEATER I STORM/RAIN IFF
OTHER
"l-MAPKS :
0 FEES :
W OLEAK MORGAN PEIRMIT $132 . 50
N
E PO BOX 68Sb
R ALOHA 1:11A 97007 6035 PIXTURES
PHONE.: (503) 61134-6606 STATE TAX $6 .
— OTHER
C
0
N WATTS KEN
R 7 KEN WAITS PL UMBIN(.-';
A P0 PDX 23092!"
C tignrcl or 9728'3
T
O PHONE-' (503) 60.1-6e,?6
IRI RENT STRATTON NO . .50877) TOTAL.. : $1.39 . 1.3
This permit is Issued subject to the regulations contained in Title 14 Rum i r r NO
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and R Is hereby AE-QUIRED INSPE.I.-T TONS
agreed that the work will be done in accordance with the plans and I PLO UNDEPSLAB
specifications and M compliance with all apphcebW codes and POST I REAM
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city WATER I.
business tax permits. This permit will expire and become null and PI..a. IT)POUT
void if work Is not started within 180 days,or if work Is suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work has F I NAI.,
commenced. If shall be the responsibility of the permittee to Assure
all required Inspections are requested and approved
05
Permittee Signature
C—
Issued By 01'El
619 -1111 13
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Mil
=am
MI.:.CHAN J.CAL. PILPM.1, I
ITYOFTIGrARD
(C-ITYOFTWAIV PF.-."RMJ:'T NO, MI:'.(3E:12006
COMMUNITY DEVELOPMENT DEPARTMENT 01100141
13125 S.W.Hall Blvd.P 0 Box 23397,Tigp,d,Oregon 97223.15031639-4175 1 IraSUED: 101:11.0/1M
-.0313 ADI)PIESS : 10465 SW KEN'T' L.N
i'(.)x mAr)/LOT 2SI. 141191F.' :,.2eoo SUES: SWONSON Gl...[--:N l.'1 6 r.d<
LAND LME : WIL 2 P i:
1-01 51Zr~:
NO:
W(:)PK CLASS : NEW FILIANAGE (1.00K 1 ATP FIANDLA <10
USE TYPE' : S11SIGNI-E 1::*AMI:I..Y FUPNA('.I'-. 1001K+ A1P HANULP 10K
CONG*T 'I*YPI::: : UN FLOON FURNACE EVAP .MOLER
P3 I-IEA*T'I'.-:P Vt-':'N'r FAN
VEN'T VEN'T . SYSTEM
1311-P/Culimp <3HI:1 HOOD
NO - !'01:11PIA"'i :
B1-.A/C,')MP 3 1.,'.'1(••11•" INCINEMATOR(DOM
OWELL .UNI TS I IRI--A/(:AJMP INCTNE'14A'T*OP- (.*"OM
I IJEL 'TYPE 0 A F-5 131 Q/ "Omp 3( -501-*-, PEPA:EP UN:I: T'5
MAX . T.NPI.J'Y* W.-R/CUMV) 504-1-11P O'T'HER
GAS-) PIPING OUTLETS
IT
F21::M A 1:1 l<Iii
W IFII EIAK MOM"VAN PFPM1*1* $1.0 .00
N p)(:)
E H 0 X 6 W3.".) FILAN PEVIEW $1.0 . 13
R ALOHA 0P 9*7007 683M FAXTUPIES $30 .50
PHONE: (50'3) 68dl 6606 STA11. I*AX $2 . 03
C
0
N
T
R
A PTAZZA AVE.
C CI ACKAMA 43 0P 97 0:1.
T
0 PHONE ('503) V413-41.801
"' I I4FT-,):S'IPA'T1ON NO . 111417 TO'TAL : $52 . 611",
This permit is Issued subject to the regulations contained in Title 14 P r---c I is PT NO.
of the TIVIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby P I—*Q U 1:1:4 1-r.) JNtiPr-'C'r:j:(')NS
agreed that the work will be done in accordance with the plans and CAS I INE
specifications and In compliance with all applicable codes and
ordln,.4nces The issuance of this permit does not waive restrictive POS*T R 61E.AM
covenants. Contractor and subcontractors shall have current city POUGH-1N
ousiness tax permits This permit will expire and become null and F"1;NAL
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
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Pertylittpe Signature
Issued By
I. FOP TW-1rJRC'T I ON 6.39 41.'7"1
SEPARATE PFRMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTI-67ARD
PLAN CHECK APPLICATION
COOWTWNARD PLAN CHECK N }
COMMUtdITY DEVELOPMENT DEP'AATMENT OREGON PERMIT N
131225 SW HW BAKE. P.O.Baa 23997.jjgWd,0^,pon 9722:!(5W)630-41?S
DATE ISSUED
JOB ADDRESS: � G �� G�� �`Y'' TAX MAP/LOT 1,q L?/3 �a u
SUB: LOT: - -- LAND USE:
VALUATION:
OWNER `- SPECIAL NOTES_
NAME: — �/� C(i _ - REISSUE OF:
LAST REISSUE:
-_ FLOOD PLAIN/
PHONE: ,, __ _ SENSITIVE LAND:
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: C� .. j ENG::NEERING:
ADDRESS: � ry —'
--- — TIRE DEPT
OTHER: —
PHONE: _ ITEM. RE UIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: __ _ CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
---- - LANDSCAPE PLAN: -
PHONE: ---- -- --_��- —
OTHER:
COMMENTS:
PERMIT ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
b F:206 10--432 00 Building Permit Fees AM1, oa 131,. ,_
10-431 00 Plumbing, Permit Fees -132.5 � 1.32. 50
Sk 00 10-431 01 Mechanical Permit Fees -Ve.-So ,j/&. s7
10-•230 01 State BuilHng Tax (5X)
BuiIdirg
PIumb.ng (r ?
Mech �,c-
10-433
10-433 00 Plons Check Fee 6-1
Bu lding -_ 4/D 13
Plumbing
Mech
.ZUO 30-202 00 Sewer C,)nnection
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) pIJ '- a•a
52--449 01 Parks I System Dev Charge (PD(,)
52-449 02 Parks 11 System Dev Charge (PD!,') a 5
31--450 00 Storm Drainage Syst Dev Chry (SSUC) ,SO
10--230 09 TRFD
10-230 Ob Washington County Fire #1 (95X)
10-220 00 Amart/Wedgewood ark "-
r a TOTAL L��1 tl7 7 q..3 y
RFC # .LZ--
APPLI ANT SIGNATURE
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Received Ry: _ 1J ��� Date Received:
ht/3587P/19P -- -