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INSPECTION NOTICE
City of Tigard Building Department
P.O. Rox 23397
Tigard, Uregon 97223
Phone: 639-4175
Type of Inspection
Date Requested l Tlme q,M, p,M,
Address J �� �[.-l:t„1L Permit #'Uo '7'
Owner Lot #
BuildeF
The following Building Code deficiencies are required to be corrected:
F
-- -- � _ 232 "1 1 -
Presented to —�_
F, Approved
Inspector --'- LI Disapproved
Date -_ _ - r� �.z 1 U
CALL FOR REi NSPECTtON
f❑ YES �] NO
w s w >•r w .s gar w wt
------ --- ---___.---- ---_-_ E31_l:1:1...1:7:1'Nl3 r)E:Rid:):T
CITY OF TIFA RD PF r1MI r NO. : BlJf313t7h'7r?
CITVOF 1IGARD
COMMUNITY DEVELOPMENT DEPARTMENT °°'°°" DATE:: I:r:)aI : /I/19/1:((3
13125 S.W.hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.1503)639-4175 PRIM. PM'r .NO . 1300672
ADDRE:'1:;Sa : 10553 SW KC::NT' Sl'
'TAX MAI•)/1 (31- 2SI 1.50A 41.00 ri1.JE3: DUVF:R LAND 3:NG: LT' : 60 HK :
1_.(:)1 SIZE:—. VAL UATU')N : tg 71 ,600 CiFE'TBACKS
F RON'C : 20 WAR 6
WOW( C,:I...ASS . Nr:-.,W DWE't...L. . UWTS : 1 L.F-:1, : 6 1:11GHl' : A0
LJ�iE: 'TYrIEK : SIN( I...E: FAMILY NO . HE:UROOMS:i : :3 C.XT' .WAL.L.. CONEi'T' :
(-'G)NS:i'T' . 'TYl'.+-' : VN NO G3A'rl ly : 3 N:NR S : 1-: : 4J
0( ( 1Jr) .13110. : R3 P1401' . 0PF-:NTNG i:, :
(:C,UJIr) . LOAD N : 51 : I.' . W .
NO . S'T'OPT.ES : 12 151 : 064 ROOF CONST : C F XRF: RE:r 7
HE:I(3L1'T : 20 'ND: 71:16 AlI A SE:PAR7 RATE:C)
PAGr-"MENT7 :' PD : OCCl.JP. smr-AP7 11A'rE'D:
Mr.-.Zi'AN1:NE:. 7 DAriE::M T
11_001.4 (')AD : 0 G'.APAGEi. : 409 FIRE: 1*5PI1KL.R7 ALARM'?
FLOW(Gr)M' DE TE::C'T"7 YE:5
1••IEA'i' TYPE: GAS 1-II:)(:1'' . A(::(::F''a!;'7 CORR'7
PE::MARKS :
r1k:.I!:iSUE lir•'' NO . 880622
PET.1,SUE-K
O M:;:1...1...E'1:4 ..JAY PE:IIMI'C 111113A9. 00
W r1 . to . BOX ?;;i'ri':I. PLAN Pl-i.V'T F W $Ao . 00
E 'T".L(3A11- D (:)R 97P23 FIRE-"". Dl-"XII'
R Pli- INEK (!503) 61134-75A3 STATE TAX 1b17 . /•I,".)
(:)THE:rT
-------.-.------------------_._ ...�__ DEVF-:L..OPMEi:N'T UHAJII[Ai:Sii
C MIL.LIEP tJA`r' SDC t S"T 0PM) 1t1r.:'50 . 00
O
N .JAY MIL..1._E:r7 BLL 1A..DF:R SDC l STPEE'T $4600 . 00
T 1:) . (3 . BOX 23291. loDC(*2 1 $230 30 00
A 11..c:,Ar4c: OR 97223 r)r),:::rAa1, < 1140 . Oo>
TC NH(3NE: ('.::03) 681-7543
O RF:WE STRA T .1.014 NO . 30105 1'C)T'ON1... : $ 1 466 . A3
R
-- ----- - --
WCE:I rT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, toning regulations RFG(UIRk:D 1:NSPF:C'T 1ON5
and all ots,er applicable codes and ordinances, and it is hereby F'C)(:)'T':I:W, :3E:WF:r1
agreed that the work will be done in accordance with the plans and F OUNUA'i 1:ON WAI... r1AIN DRAINS
specifications and in compliance with all applicable codes and POST' & BE::AM WAIT-ii:R LINE:
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city F?Lk3i •UNOF.II'.aL..Ak'1 CITY APPRC!1/f5W
business tax permits. Thl• permit will expire and become null and SLAB f• INAI...
void If work Is not started within 180 days,or If work is suspended or 1'JI_B . TOP(U1,
abandoned for a period of 180 days any time after work has F'RAMIN(3
commenced It shall be the responsibility of the permittee to assure FT.
all required Inspections are requested and approved.
GAS L.1:NF
1 I:NS1.11...AT"T0N
! G,YL') . BOARD
Per tee urls
COLL- FOR INSPECTION 63v/-4175
IssuedBy -_--.-- _ __.____�-...__.- _ —_
�' EPARATE PERMITS REQUIRED rJR WORK OTHER THAN DESCRIBED ABOVE
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PI_.lJME31:N(n I�ki::RM:I'T•
CITY OF T167A RD PERMIT NO. : PLIE3806 3
CITYUF T16AItD
COMMUNITY DEVELOPMENT DEPARTMENT DATM PM'Y*I.JNO. 4/:L�i1/Htl
13125 S.W Hall Blvd_P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 PRTM.M. PM'T' .V(7. 880672
,.icaR A17i:,Pii:� Fi1.055:3 SW KtvN•r ;•r---------- --. __.__— �
'T'AX MAP/1...(:)•T P..!ii?. :1.,"!~ 41.00 SUB: r)(aVF R LANDING L.'T' :i:)O Bl( :
I...01' !ii T r I-.: :
TTE:M: NO : NO:
W01:M CLASS :: NI:i:W WATIc P C.;L..I015EET ;!S TRAP
(.J5EK 'T'YPLE : ; •1'':L_la: FAM:I:I...Y UP TNA1... 1310i1...C)W PRVN'r1
CONST . 'T'Yl L.AVO1:4ATC.)PaY 3 TPaAP PWIME:.Pa
OCIC'I.iP .(SRI TUE3 'ail OWE::R 'r.'•_' f'44F-Ar_rl TRAP13
D 7!ii HW 051••Ih:P :1.
C:AP BAC.L I:)T.!:;P05Al... 1.
NO . !ii'T(.)1a:TI.::S : 2 WASKENC; P1A(:FI:I:NIii: a.
DWlwl...L. . LIN ITS : 1. 1...AUN11PaY 'T PAY E31...DG. DW411N (I:)1.A
FI._OOPa DNAIN
SINK I S l'W WE::1'a (FT)
WATER HF.A'T'E::Pa I. !:i'rC)RM/PA.CN (F'T' :I.
C)THE:R
11li::MA11K!:i :
i
C, MILLE A JAY PFU M T 1,
N P•*. 13C)X is?:3 r.:?91.
E T r.f;,ARD OR 9,7223 F 1:X I U Pf.::S
R PHONr:: (!W3) 604 '/!'143 !:i T'A'T F'. TAX
01 HF P
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O KFN WAT rlii P{._L1Mr3T.NC.., /
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At I ga►r,c:I I:Ii" rJrri?i:? 3
T I��i• ONE ( "503) 6eA 6626
O IZF:::C;:I: i'T'RA'T':C(3N NO . 50111-1171:1 TOTAL :
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W-CEKIPT NO .
This permit is issued subject to the regulations contained in Title 14
the TMC. State of Oregon Specialty Codes.zoning regulations RE(;UIPED INSPE'C;'T'.T.ON5
and all other applicable codes and ordinances, and It is hereby M.S.UN0E::RSL.A8
agreed that the work will be done in accordance with the plans and POST R k3EAM
specifications and in compliance with all applicable codes and WATT.1 LIME.
ordinances The Issuance of this permit does not waive restrictive
cover-ants Contreotor and subcontractors shall have current city 1•�L.13• Tt7PrCJl.l'r
huslriess tax perrllts This permit will expire and become null and RAIN DRA:LNS
vold If work is not started within 180 days,or if work Is suspended or F I NeA-
abandoned for a period of 180 days any time after work has
pommenced.It shall be the responsibility of the permittee to assure
nil required inspections are requested and approved.
Per .4mi ire
iss!ed By C:AL.1_ FOR INSPECTION 1 39-417':5
-7�. ---
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'17A RD PrU.N . PM*T .NO . f:
C FIT Y V%FWARD
J09 ORIGON
IPM 7%tRT
P 6 o aid#U
_(50
F3 a X ImEd Y ')�ENT
94175
0
MA 1 -LW-V LR--LA
LAND USE .
LATI* SlZE :
I'T'EM: NO: NO:
WORK CLASS : W-EW FIL)PINIACE (100K I. A:I*R HANDLP 0.0
S.ENGLE P-*AM"I'l Y FtJONA(.E 10OK-1- A1.1-4 HANDLI:4 1.OK
CONST' .'TYPEK : VN F1.1114NACE EIIAPB. ("001-144
OCCUP. GPIP, . R3 I-IEA'rE:I:1 VE'N'T' FAN
VF.--.N'T* VIEW . "*YS'1'1*.-.M
BL.P/COMP <3HP HOOD
NO. 51'OR11H.S . 2 011.-R/COMP 3 1.5HP 1.N(.'1NE::PA'T'OI4(DOM
UNITIi : 1. T.N(*.;TNr.:.PA'I'nP((*.,OM
P I-.*: L"AS 1311A2/COMP 30-501"IP PEPIA11:4 UNIJ'S
MAX . INPIO'T' "50.4-1AP 0,11-IEP P.
F: 1PE DMIOPS'? (' 1P3:N(.'.', (.)LJI*l V:'T!--, 1
14'T.('.'H PPEFJG'?
L..OW Pr4fL--t.1-5'-?
FEES :
dAy PERMIT-
---
P . 11 . BOX 23291I:-`LAt4 P1
EV
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TGADD up 97243 r:l:x*Y'unw'.N
W PHONL (!50*,'') 684-7543 51WTE I'AX
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P(JW.J41
-11-41E,1)T N I S_ "VAl:1LNG-
PA,`.1 14W 231.S'Y'
0
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T PHONE (.503) 6,418 11'59
R
A PEGIS114ATION NO. el7t.21.1, 'rOTAL:
C
T
.0 RECII-IP'T NO.
REQUIFIED I.NSPE-1-11(31SIS
this permit is issued subject to the regulations contained In Title 14 GAFr-3 L I N 1:.:.
of the TMC, State of Oregon Specialty Codes,zoning regulations POST DEAM
and all other applicable codes and ordinances, and it Is hereby WAR'44 1N
agreed that the work will be done In accordance with the plans and FT NAI
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 assure
all required Inspections are requested and approved
CAL.L. FOP TISISPEC'I'TON 639-411175
perm)hwSig
f"114
Issued Byi � ��
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WW-ALE-WALAW-AW--JII1II1II1R—=!UKMMERA
PEMM11,
PERM1 T* NO . SE600676
�'.f.YOFTIFARD
CCITY OF TWA RD
DATE: 00
COMMUNITY DEVELOPMENT DEPARTMENT 1'.)14 T.M. PM T .NO . BB067P
13125 SM Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)339-4175
J('.)0 ADI)PIF'SS : 10553 SW KE.N'T ST USA NUMBER: 35130
'TAX MAP11 (:)'T RS1 15AA 41.00 DOVEP LANDING LT:80 F31K
I AND (JSI:,-_ :
15 F(,-T*11:0 IN 1.3 'T*WP : 'F?is PING 1w
W('.)FIK (::LASS : NEW
UF,r--' 1*YIA:' : KUNGLE.- FAKELY
iu.(jr�eic?in to cxnmFl7.y Witt) M.A. vi.rid
.
Ageric.,y . 120 clittlAIR .1"l-illn ti-l", chatr4
iii,M o 1.11-11, V)110.(J W J. 1.1 be t[ %p exlaA.i-siw . Aljoaric-ij
aknto.e tilvA cif tl•140- J.cic:'M.t J.till 1:),I? ti-Ifi.) Iiiicle qlctw*-r- lsit.ter-tio.1ft; . T.-F ttia ine.kporpr, J.in
:1 c)(Nattiocl flit tl-le± Cji.veri , tliie 3 -rcmVilt in
M.A. 1. (1 J.I- t i cl 11111 -F 1-(.3 in t 1-1*?, ci:1.ill t ot 1-1 C'-tv? V'I:t V Im 11 . I-I c?t N31:1 3.ri 0 lit t 0.(1 . tIrlep i 1-Im tick].lar, %1fit.1.1
;!i.ricl !:;:Ldv,± Sleiw"W' P91111"1111:1A Milli tI)(--! (1gVllctj will. :1.rittitni.11 a lattcer-w.:L .
TN"G�- L--. 'T'YF)E :--- -ATJTLF)J1. IMPEPVTOUS APEA:
FIXTUI:W UNIP5 : 'Y*F.NAN*T* :I:MF)P(:)VF-:ML-"N1'
DWITI I :I:N(., UNI'T'S
NO- (.)V' 1811 D(.,t-i '1
0 MT I I E.,F1 JAY
W 1-) 14 0 X 1 R 91. GONNECIJUN CHAPUE
N '1'1('.,'APD L)P LANE. INS'TALL
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(YT HE::
C M I L.L E P JAY
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N JAY M.T.L.A.-EA BUIL-DEP
T P , (:) , BOX P329:11.
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A 'TT GA 11 L) 01-1 97223
C PH111MR (503) 6B,4-7543
T
0 r4lEGISTkATION NO . 30109
1 RI PECIE:T P I Nrl .
This permit Is Issued subject to the regulations contained In Title 14 FIE-QUTAIED TNr3PE:('."TT(".)Nc-i
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and 11 is hereby 14OUGA-1—TN
agreed that the work will be done In accordance with the plans and
specifications and In cc,,mpliance with all applicable codes and
ordinances The Issuance of this permit does no!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 assure
all required inspections)are requested and approved.
,A# . --,
Per;�?
Issued By ) A LALCTO
L. 1-UP INSPETN
�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGARD ® PLAN C K&CK AIPLICILTION
COM MUNRY DEIIELOPMEW DEPARTMENT ��"� PLAN CHECK i �/-
1u+256%v1YBWdPAX SION" +.nawa•cw.QMM PMaw1n PERMIT
DATE ISSUED
JOB ADDRESS: _ , _, _ TAX W P/LOT -_-- —
SUB: LOT:_ LAND USE:
VALUATION: SETBA(F.S: FRONT: REAR: LEFT:_ RIGHT:
WORK CLASS: HEIGHT: _ _ TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST: �r
CONSTR. TYPE: HEAT TYPE: 2ND:
OCCUP GROUP: _ DWELL/UNITS:— 3RD:
O^�UP LOAD: - NO BEDROOMS: p.AMENT:
N) STORIES: NO BATHS: GARAGE.:
L[P SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
RANG: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAIL:
FIRE DEPT.: i FLOOD PLAIN/ CALCULATIONS:
OTHER, � SEN LND.: TRUSS DETAILS:
��- PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTM:
COMMENTS:
_76—c-T-1 DES .PTION
OWNER 10-432 00 Building Permit pees
NAME: 10-431 00 Plumbing Permit Fees •"c}67 -3
ADDRESS: 10-431- 01 Mechanical Permit Fees
10-23001 State Building Tax (5X) ;t
10-433 00 Plans Check Fee � S
PHONE: 30-443 00 Sewer Connection (202) 2�Z,,7
30-202 00 Sewer Connection (80X)
UONTRAC:OR 30-444 00 Sewer Inspection
NANEt� .�� ' , .51-40 00 Street System Dev. Charge (SDC)
ADDRESS 1,52-449 01 Parks I System Dev. Charge (PDC)
52-449 02 Parks II System Dev. Charge: (PDC)
31-•450 0 G Storm Drainage Syst Dev Chrg(SSDC) t -
PHONE: 1.0-230 09 TR.FD (95X)
---
10-43500 TRFD (5X)
ARCH/ENGINEER 1.0-230 1.0-230 O6 Washington County Fire Il (95X)
NAME,: _ 10-435 UO Washington County Fire I1 (5x)
ADDRESS: 10-•220 00 Amart/Wedgewood
TOTAL
PRONE,
PREPAID
RFC 0_---— - -
B ALAN C E W,-r;
ASPLICANT SICNATU'.E _.
Received By: Date Received:
+sa � � � +t ■s ia�r wr Jnr
i
CITY OF WARD N o. 31229
13125 S.W. HALL BLVD. c� \
P.O. BOX 23397 Date_`1
TIGARD, OR 9722'3
L; _ � J,. t
Name
Address
LotH Block/Map SubdlvisionlAddress
Perdg. Plumb Cash Check
Sewer -' —
Other Other Rea. By
Acct. No. Description ~Amount
10.432 Building Permit Fees
10.431.600 Plumbing Permit Fees i
10.431.601 Mechanical Permit Fees
10.230.501 State Bldg. Tax _
10.433 Plans Check Fee
30.443 Sewer Connection
30-444 Sewer Inspection _
51.448 _ Street Syst. Dev. Charge
52.449.610 Parks I Syst. Dev. Charge
52.449.620 Parks II Syst. Dev. Charge �`-
31.450 Storm Drainage Syst. Dev. Charge
10 430 Business Tax
10-434 Alarm Permit
10-227 Ball
10.455- Fines - TrafficlMisdlParking
10 230- CPTA TrafflclMlsd/VIC. Asst.
1U-456 Indigent Defense �—
30 '22-40 1 Sewer Service/USA
30-122-402 Sewer
Sewer ServicelCity 30% -- -�
30-123 Sewer-SevicelCity Maint.
30-125 Unmatched
31-124 Storm Drainage W�
40.475 _ Bancroft Prin. Pymt. --
40.471 Bancroft Int. Pymt.
TOTAL I
DEPARTMENT COPY