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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
7
Date ^due/s/tad_ u-�— ----- Time_ __X_- A.M.— _ —P.M.
Address is s-2 SGU X'e-,",' Permit
Owner---- - - — Lot # -------
Builder
The following Building Code deficiencies are required to be corrected:
ob
Presented to ^. Approved
Inspector J __—
��� ❑ Disapprovau
Date
CALL FOR REINSPECTION i
O YES O NO
INSPECTION NOTICE
City ol, Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --------
Date Requested Time A.M. P.M.
Address Permit
Owner Lot
—
Builder
The followint, I jolding Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR RVINSPFCTION
YES IA NI)
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
c�
Type of Inspection __ _ �e �) Cj
C
Date Requested_�. ( 3.._ Time A.M. P.M.
Address 5Z1_ _ _- __-- _-- Permit ((' cL
Owner Lot
Builder _�—
rhe following Building Code deficiencies are required to be corrected:
Presented to -_ _ ❑ Approved
Inspector ❑ Disapproved
Date. rL—
CALL FOR REINSPECTION
❑ YES ❑ NO
W mF'jWJLwes
ow
INSPECTION NOTICE
Ci•y of Tigard Building DepartmeO
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
TVP( of Inspection
Date Requested
A.M. P.M.
Add-ess Permit
Owner Lot
Builder
The following wilding Codr• defici,.m,cies are required to be corrected:
Presented to
Apprcv@6
Inspector ❑ Disal'Proved
Date
CALL, FOR REWSPECTION
❑ YES [A No
MEA."HANICAI Pr PM
Ci ®F TIGA RW "PKIT NO. : HEA381101.
(CITYOF rWO DA'TE': V-ALIED: 6/ 7/68
COMMUNITY DEVELOPMENT DEPAPTMENT Of1O0N I-ARIA. PMI .NC) . 881099
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4'116
ADDREi!a 10659 SW KIENT, Cif
AX MAr)/j_(*)'j* 2!il 130AA 3500 SUB: DUVE-0 LAND]ING' L.J : 74 DK
1,111-m: NO. Ni l
IAj()I�j j< CA A55 : NEW 1--i[JANAGE' <100K 1. AIP HANDI 1:4 <:1.0
'rYF)I::* : !iillft!Gl E.: NAMIL-Y 11:1.44NMIE: 1.00K+ A111 HANDLA 10K
VN F�LOOP VAJANOU-- 11;-:VAP. LX11101 E P
(IIICCUP .GPM . - A.3 HEATEA VENT' 1: AN
V L"NT VEN') . Te'S 11.'M
Ell IPI/GOMP) <31-IF) 111(10i.)
NO . "-013PIES : P E.1-11I/CC]IMP '3-1.50::1 TNC'1NE:AA1T)R(00M
DWELL— UNITS : J, R I PiUMP 1-1-5---30HID 1 N(7,I NER0TOR MUM
1-11R'LTYPr-.: (,1A!5 Ell P/11AMP 30 501-4P REPA.IJ4 UNITS
MAX . JAPUT 50+11-4p OTHKA
FJAE DMIN457 F):1TF)TNt.-, OUTLE11:-)
I-11C.11-1 PFU::S!-J1(
I-OW PPESSI?
MAI L.I E,F4 JAY FIE44M11 111111.U . 00
0 P cl . B 0 X P,3 9 1. 1 1-AN HF:V I I W It:I.1. . 63
W
N YJGAP0 01:11 97PP3 $36 .50
E PHONE. 11,103) 6044-75413
R 51,611iI TAX P 33
"Till R
C HEATIN!
0 HEKDTN' !:i
N
T 94!i NW
R h:1.1 1.iii.I.-)(.-I I-,ci u r 'x'71.P.3
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C 6/18-411.59
T NO . 11*72:1.1.
0
r*A'FJP'1' N(:1. , / 7
This permit is issued SUbject to the regulations contained in Title 14 pr,:.(Ajjj,-
of the TMC. State of 0 egon Specialty Codes, zoning regulations
and all other applicalrie codes and ordinances, and it Is hereby
agreed that the work%ill I oe done In accordance with the plans and )51' & BEAM
specifications and lit compliance with all applicable codes and POIA3,11-1--lN
ordinances The sal,ance of this permit does riot waive restrictive F:'T NAL
covenants Contractor and subcontractors shall have Current city
business tar permits. This permit will expire and become null and
void It work is not started within 180 days.or If work is suspended or
abandoned for r period of 180 days any lioie niter work has
commenced It shall be the responsibility of the pormittee to assure
all required inspections are requested and approved
.� 4
K 4 14
P Qe;r rn I I/-4i i, afore
01...1... F:(v, 1N!iPE:(—rTON 6,39-41175
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ILL9WAamW
AL--KRM
PEPM1 V NO . : IME80- 1:11.0'c?
C'7Y OF TIFA RD DATE 3:55L)ED: 6/ *7/k3i:I
CITYOFIIGFA$tD PRIM. FIMT.NO. BB1099
COMMUNITY DEVELOPMENT DEPARTMENT CGIGON
,...1(,)E3 INMff
�
,t:ftVIV ?Ia.(50:3)639-4175 IAA NUMBER 035913
TAX MOP/1-01 ati.- J-"ifinfir) 'vnoo DOVER L,ANDTN(*., 1...'T : ISI 1:.31< :
1 AND USS.: r4le1 . 5PD
I OT 4`51ZE :
SECTION: 1.15 Y*wl:, . WNG 1.w
WORK CLA55 : NEW
U15E TYPE-. : SINCA E FAM]A Y
(he 1.1pplicNiki-It lill'.11,eeiii tri eninply with HIAA larld
Sewel-age Acl a 1-1(-.'y . The r)erwit expir,e% 1.00 (intipli 4?rnvn the claw.'re :116timlecl . 'Titre tcltal.
atinrltilit il)is.id will. be JAI the pal-Illi. (, The Aglyarlc!q c1cle,111; ricst 541.11FLI".-
litritee acxkwac.,y (341 the 1(3cnii,ti(3rt c)-F 0-1(o !icicle? inewei, luttc.±r,Kbii . UP the larawvnl ii!i
rent lcwsi.tecl iii.1, the givell , the) tahlal]. .3 Tchc.-)t :I'll
is.1.1, dir-e(-.titinin fir-cim ther c1l.ifitatric.!im sjiverl . 1:41 n(it, wcl taLl.11.01.,
Inil-r-Alilmliffil N& "TaLp liLricl Sichr., piffivinit akll(!l the Agwric'y W11.11. :1.1.1 fil t 14i'l.I fit 11,111,C!I RIA.
INSTALL . TYPE.: : EIU T.I DING SIEMER
F-70CFkARE HNFF�i
DWIML..L..TNG UNITS 1.
NO. OF 131 D 0 1,
r-WrV CL -J
'JAY IDERMI'T
p . 0 . 1:510X F.3 P 9 1 (:,(:)NNE(.'*T'IC)N CHARGE $11. :1.00 00
W 0 11 GAI40 OW 9722LINE' 'T'Arl INSTALL, .
N 1-�IHONF (11303) 61194-- '75413
OTHE-P
M11 I. JAY
C .JAY MI.I.A.E311 1:41AIA-UrEP
NP . 0 . P(:)x P-Jr.'191.
T 97 F.).2 3
R
A
C 171:.11.15174AT TON NO :!501.09 00
T
0
R PEC,EIPT NO.
REQUIRED INSPECTION5
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 is hereby
agreed that the work will be done in accordance with the plans and
specifications and in comp lance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shaft have current city
business tax permits. This permit will expire and become null and
void It work is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 dnvs any time after work has
commenced. It shall be the responsib0ty of the permittee to assure
all required inspections are requested nd approved.
Permitt nature 1 "01F 6
., 11 ( ' 1
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCr4IBED ABOVE
PLI ' 481NG PI-':RM11
W. ; PL-88:1.1.00
CITY OF TIFA RD
CITYOFTWAltD DATE XSSUED 6/ 7/88
02100
COMMUNITY DEVELOPMENT DEPARTMENT T. 881.099
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
71-49". ':1 � I.()6'Y)i !:)W E 1::.N I !:j I
'TAX HAP/I.ni PSI. V5AA 3500 SUD : 1)(:)VF-**P 1-.ANDIN(*-'p IZI HK
I AND 1,11A PAJ. "SPC)
01 SlZE". ..
1:'r EM NO
WORK (:;LASS : NEW WA'TER CLOSET* 'T*PAP
USE 'ryl"'E - :S 1:N C."#11 1*:.* I`*-'AM:l:I...Y LIWENAL 1.41<1::'[-()W PPVN'TD
(:'0NS'T' .TYF)11.: : VN I A V 0 A A- 'T*0 A Y q 1 PAP PRI'MEM
1.13 1118 SHOWER 3 1"PAP!.-i
DTSI-IWA- SHF'.:P :1.
CiAll-W'.)AGE'. DISPOSAL 1.
N(') . !:i*T'0A1E:S : IR WASH'I.W., MACII-11NE.' :1.
DWELL . UNI'T'S : 1. 1 AUNDPY *TPAY Of 06- DHAIN (01A
F"I-0(7Ft l)AA:EN
'.51NK 1.
W A 1'1-:;:P 14 F-::A,r 14-,P
%.JAY PEXIMI'T tkie.1'7
0 INIX f2&?911,
W
N TT A Pit) Ow 197pes Fl X*T'UI;d-':S
R E 303) 684 7.-Jq,-j
0-TH E P
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T k0X 2*30%2115
R t i(I ek I-(:I ur, 97iJR.3
A
C 1:'AH(:)Nr:: (50.5) 6841-66P6
T NO. 301:170
0 !'i 41 .08
R
RI-ECUP'T' NO.
This permit is issued subject to the regulations contained in Title 14 T)
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it is hereby PLH LINDEPSI-AN
agreed that the work will be done in accordance with the plans and P051, & 011--Am
specifications and in compliance with all applicable codes and WA1 L.14 1 :CNE:
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
bURIness tax permits. This permit will expire find become null and PATN [A.-WINS
veld 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.
Permitt gnature
INSPIE-C'11*10N 639--41
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
BLVEL.UINGO PERMIT
PEAM11' NO, : BU881099
CITY OF TOGA RD CITY0FTWA0
COMMUNITY DEVELOPMENT DEPARTMENT ONFOON 7/86
13125 S.W Hall Blvd..P Q.Box 23397.Tigard.Oregon 97223.(503)6394175 PA.T.M . 1:)M*I* .NO , 6811,099
JOB ADURESS : A.U659 SW KE.NT I-)T
TAX MAP/{..OT 2SI. 15AA 7x111100 SLJF: . L)OVER I AN 1)1 N L.1 :7,4
CITY
o:—jT
ARD
LAND USE : N,411 5PD
L 0 1 ST Z E VAI...L)A*1'1(:)N 82.101.'14 SETBAC'KS
F'PONT : 20 PEAR: .7
W014K CI-ASS : NEW DWEL.L .UNIT'S :1. I-EFT: 6 1:11 G'HT : ,5'7
I-1!-51K IYPV.:: . S1NGI.J.:: FAMTLY NO. REDPOOM5: a EXT WALL EX]INST:
GONST . TYPr-.'. : VN NO. BA 1'1-1$ : J N 5 : 1--:: W
CK"Gli-11P . F43 PPOT .OPE N1N(.#5 :
OCCUP.LOAD N S E W
TOTAI A W F A :L 838
NO. S IT)P T F"!'-; FA IST : 996 I*L,()()F, U)NST : C FIRI-H' PET?
H[:*A'GHT : P.0 RND: WUR APEA SE.VAR"? RATED:
13ASEMENT7 31411): '4X:, ;UP . SEPAR? P A T 1'.-.1)
MEZZANINIt.i"? BASEM I T,
FLOOR I OAD : /10 GABA( :M 1120 1* :[,':)E $PPKI..P? ALAPM7
FLOW(GPM) DETF-*.'C,*I'7 YlLiKS
J
VII-AN (,,Hfi.'[,I< BY : I-],Y.
1'-A:::MAQKS
PEX.SSUE. OF NO. 87026M
LAST REISSUE
I
0 (;::R JAY IT $382. 00
W
IN BOX 83P91 PLAN Rk:V1'E'W $410 . 00
E T:I: A r.1 1:) OP 9,1 R 3 PJRr-.: DEPT
R
PHONF.i. (503) 614A-7.543 S"I'AlT., 1419 . 10
OTH(-,:P
C l*)F-VE:LOPMI-.".N*T' CHAWCES:
0 M I IJ EP JAY 450C(S'T'ORM) 111250 . 00
N ...JAY mti...lt..ru4 5 DGI 4 S T PI:-:F. 1 $600 . 00
T
R P . 4.1 . PDX $E!50 . 00
A TT t3A 1.4 D OR 97 P.P.3 PPLPA7:1) < 11111410 , 00>
C
T ( '503) 6SAI--7.0544:3
0 NO. ',A03.09 TOTAL. : $1 1'74119 . lei
R
NO. 5 -7
This permit Is issued subject to the regulations contained in Title 14 _._.._.........._....._.........._........._...„_......__.. /
of the TIVIC. State of Oregon Specialty Codes,zoning regulations Q k.11.11 4 F.,.:0 1.NS PlEC"I'l,UNS
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and S f X1,1'1;1'1
specifications and In compliance with all applicable codes and WAI I PAT.N DPATNS
ordinances. The issuance of this permit does not waive restrictive HL'.AM WA'1144.14 LJNE
covenants Contractor and subcontractors shall have current city PI 13 , t.]Nl:)F':*.nSl-.AB (-.'I'T'Y Ar)Pl:)(',H/SW
business tax permits. This permit will expire and become null and 51-A” F*I'NAI
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 FN..B . TOPOUT
commenced. It shall be the tesponsiblilly of the permittee to assure FA AM 1.N(:3
all required inspections are requested and approved. V-131EPI ACF-:
L.A 5 1-1 NI-•:
:1 N S LI L ATT.L)N
GYP. BOARD
P t In It t natufo
t 9 0 9
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W,-A
■w r war �sr r� Ar �r I
C17YOFTIFARD'- PLAN CHECK APPLIt:ATIOir
PLAN CHECK M
CMOFTIGARD� PERMIT N
COMMUNITY DEVELOPMENT DEPARTMENT oaf / DATE ISSUED _
19125 SW FWI Blvd. P.O.Box 29997,Tig",Onpon 97221 509 4178
JOB ADDRESS, 06 S I, = r KF''1 I S TAX MAP/LOT,
SUB: _ t)9 Vev LOT: _�`?` LAND USE:
VALUATION o _
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: _ _ LAST REISSUE:
FLOOD PLAIN/
_ SENSITIVE LAND:
PHONE: _
APPROVALS REQUIRED
CONTRACTOR r� I PLANNING:
NAME: S� / '>cr ►7 d L ENGINEERING:
ADDRESS:
N6 ' I56 -X ��3r� — FIRE DEPT
O� C(7� OTHER: -- —_—
PHONE: To �y `TS`(.3 - ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX:
NAME: _ CALCULATIONS:
ADDRESS: _ _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN
PHONE: OTHER:
COMMENTS: _—_�� ` P 0 711
P RMIT k ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
0 10--432 00 Building Permit Fees Z
1 r' 10-431 00 Plumbing Permit Fees 1 To
10-431. 01 Mechanical Permit Fees , p
10-230 01 :Mate Building Tax (5%) d�,
Building //, /4-
Plumbing 7. 3s; _
Mech _ 2, ,;
10-433 00 Plans Check FeA S • is �� -�
Building _ Liu =- --
Plumbing
Mech
30-443 00 Sewer Connection (20%)
30--702 00 Sewer Connection (80X)
30-444 00 Sewer Inspection
51 -448 00 Street System Dov Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC) _
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chr•g (SSDC)
10-230 09 1RFD (95X)
10-435 OU TRFD (5X) _ --
10-230 06 Washington County Fire N1 (95X)
10-435 00 Washington County Fire N1 (5X) —
10-220 00 Amort/Wedgewood ---
TOTALKy =L4
REC N
f?PPI Cr:AN1 SI �N 11�_• - — ._______.-------__-_--
Rereived By : �-- Date Received : �_