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LNPEM ION NOTICE
City 0 Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested LIE_— Time A.M. P.M.
Address
Permit
Owner Lot
Builder
The following Buildin(i Code deficiencies are required to be corrected:
Of
ra—
Presented to El Approved
Inspector IX--L / e [-
'7--Date _ W) ---- 4'ffisaliproved
T
CALL FOR REINSPEC.".10N
0 YES F-1 NO
aC � �.A �, s� A� A• s� M rssi
h
INSPECTION NOTICE �
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone;,639-4175
Type of Inspection — �-
r
Date Requested _ f Time - A.M.-P.M.
Address �3:�ermit #
nwnrr
(dClC.lh —
iger
1 he following Building Code deficiencies are required to be corrected:
)MCL irk,
___-- -CA-UTQ f C- C)r c 10 o z
R z� lRPo 5N
PresentedrCA
t —� Approved
Inspecto [] Disapirroved
Date -- -__
CALL FOR REINSPECTION
❑ YES 0 NO
ass► si ase aor a. ss sssi st aaar
INSPECTION NOTICE
City of +ig Building Department
P.O.O Bax 93397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requn;ted_ y, �-✓ //-/�[�- — Time --,A.M.-- .—P.M.
Address _�, �� �? !l/]1�.G•/K� ._ ___ _ __ Permit # `�3
Owner _ _._._..__ /' f -_.__. _ Lot # _—_-^_—
B iilrler ------ ---- ----
1'ie following Building Code leficisncies are required to be corrected:
✓.vim 2—.g'jr0se 7' 4W V-,r e v E'h'
Z..� /��:-•��s'GaEr' it��.E' �N� s o Ste.c.,�i'lf=�2 raF,.�c..
�T
('resented to Approved
Inspector '� — _.. rC- —_---- y� Disapproved
Date
CALL FOR REINSPECTION
.?–1 YES ❑ No
CITY OF T I GA RD PE11MIT NO. BLJ8e0251
CI FY Or TIGAND
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd..P.O.Box 23397,Tigard Jrt gon 97223.,503)6094175 PRIM. NMT.NO. 113(30e51
J013 ADD114111'15S : 13143 5W KA, i41E0'�Nr--" 5T
X MMAP/11..(0.1MAP/11..(0.1I(IAR 710 0 SUR : MOPNT.NG, 1 1.V LA' 1.00 Vil K
I AND USE: PA . 5 PE)
L'OT SIZE ; VAI-.L)A-IJON 1,1.0 ,02zi SEKTDACKS
FRONT : eo REAR: 9
WOPK CLASS : NEW DWELL .UNI 1*5 : 1 L EFT : 1.0 RIGHT : 39
USE' *TYF"F : 5J:N(.;L1`: FAMI-I Y NO 8F1)I-1O0N!:i : 3 EXT . WAL.L.
CONS r . 'rYPE: VN NO, BATHS : 3 N:NR S : E W :
(A"XIA-il'o . (".34P . : V43 PPOT OPFNINGS :
0C(*.',kJP.LOAD N : 5 : 1 W :
I OTAL APPA
NO.STORIES: I ST :1 1 VIi ROUl" CONST : ('.1 FI PC" PF--'T7
Hf.::I G HT : PO RNI. :Lr 30 AREA 5F.-'.J-*AR7 r4AIRD :
BASEMENT7 3nD OCCUP. GEPAP7 14ATEL) :
MEZZ0NTNI:.:7 HASF-.:M IT
FLOOP I OAD: 1%) A r A I.:. BAB F-r PK SPPKI P7 AUNPM7
i•'IAIW(GPM) 1'.)ETEC17 'y1-.S
H Oki TYPE _GA`?
1){..AN C.11-11E.CK BY : r*:I.t
REMAPIKS :
rleaecl tlrt.11aflt Nipec.1 PFV:0.�AA. OF' NO .
I AS r 3:5 13"IJ E
0
VV CLARK MARTIN PEOMI 1' 10 16 3
N pct BOX 1.68 VII-AN IIIP9Y
F
R alfurcra 9700e
1-440NE (503) STAI+ I AX 111013 , 03
OTHED
DEVE.1-OPMF:N1
0 Cl...AAK MARTIN SOCIISTORM) 41:.:'.:50 . 00
N
T FAM I I Y HOMES OF AMF.J41Ci1 SOL(%TPFF.;*1'T) 41600 . 00
R Pn ROX UPS NDC;(*1 *250 . 00
A
C C)1-• 9foor.,7 V)PEr.)AID '111.0() . 00>
0 T PHONE 1,503) 678--1131?
REGISTIFIATION NO. 211PAO I'OTAI 3, 78e.Em
This perrim is issued subject to the regulations contained in Title 14 RECE I PT
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it Is hereby HEQUIAED INSiPEC-TIONS
agreed that the work will be done in accordance with the plans and FOOTT,N11; SEWEP
specifications and in compliance with all applicable codes and r- OUNDATION WALT.., r11AIN DRAINS
ordinances The issuance of this permit does not waive restrictive P090" & F,;IIL'..AM WA'I*r-.'.r4 I-I'NE.
covenants. Contractor and subcontractors shall have current city PLS .LINDERil-AR CITY APPPCI--1/9W
business 1p-, permits This permit will expire and become null and
void It v ork is not started within 180 days,or it work is suspended or SL-,A8 FINAL
aband(ned for a period of 180 (lays any time after work has PLS . TOP(JUT
com,,,raced. It shall be the responsibility of the permittee to Fissure r:"AM INU,
all rec wired Inspections are requested and approved F I REPLACE
GAS I INE"
• INSULATION
Perm tte6 ,signature
lqsi,id '8y: uAr-l- F OR I TO T"5
SEPARATE PERMITS REOWRED FOR WORK OTHER THAN DESCRIBED ABOVE
T NO . : Mr;A300253
ITYOFTIVA RDr�E::rIM:r.ClTi&I. DA1 L*. T,!ii St JED
YOF, 1)
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON PPI.M . 1:'•IMT .W.I. elhi0p,31.
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175
J013 ADDPEF-iiS : 131413 VW KATI-4EP1Nr:;-. 51'
MAP/I 0 T d1WH 71.00 5UH. MOPNING, H11 I. :1:V LA : :1.0:) 13K
t AND LHA-'.
I OT S 1:Z
ITEM: NO : .4.0 .
W00K CI ASri : W:.W FLIAIJACIH: 0.00K A11:4 HANIA-1:4 0.0
IIJSE': 'TYPE: 5J:NGL.E: FAMIA-Yr-:*t.J1.1NACE 100K+ 1. AIP HANDL11 10K
GON51' . TYPE: VN VI-01(]1*4 F1JV4NA(',F . (:"00LA.::P
Ocll',UP .Gpp. : P3 1--lEATEP VENT* FAN 5
VI INI VF.:'NT . F.-:M
1.3(...rC,0 M P 131.4 F." HOCA)
NO. 5TORIV:5 : R. HL R 11*10MI:., 1-1,
5HP I N('--.l:Nl:.:J4A'T0P(DOM
DWELL,.UN:.'TS 1 01 WUIOMP 15-3011-11P 1N(: T NE';*PATO P(
14111-U. I"YPI-;. GAS KIL.WCOMP 30-.50HP REPATP UNITS
MAX . INPUT rill-A COMP 50-044P UT H E P
1:: 1:1:41H. 1'.)M P 1:1 Lil I? OUTIA.Vi J.
HIGH PPE.55.?
1 Ow PPEL-15.?
PEMAVIKS :
C;1-,ARK MAPTIN PEPMT.T 14:1.0 . 00
W P(:1 BOX 1.68 PL-AN PEVTRW 149.
N 11111.11.1rara Or 9700P FIXTURES Illi 9 . 00
E
R PHONE. 115 0 3 1 67W 1, 3TE,19 STATAX $1 91VI
OTHER
G MATTSON-Ht)CHES
o MATT SON-HUGHES H1140.
N
T P(3 Box Pit
R wagle crook or 970,'.*-,;�:�
A
C PHONE ("50 31 637-35P.P.
T PEGISiTRATION NO. A699e.-2 TOTAL.: 0150 . 70
0
R
- NO.
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes. zoning regulatl ns
and all other applicable codes and ordinances, and it ;s he, GAS LJNE
agreed that the work will be done in accordance with the plans POST A BEAM
specifications and In compliance with all applicable co(Js di- ROUGH—IN
ordinances The issuance of this permit does not waive restrictive F I NAL.
covenants, Contractor and subcontractors shall have current city
business tax pqrmits. This permit will expire and become null and
void If work Is not started within 180 days,or if work is s ispended or
abandoned for a period of 180 days any time after work has
commence,' It shall be the responsibility of the permittee to assure
all required . qpections are requested and approved
Permittee ignature
CAL.L. PrOR INSPErTTON 639 1
iss-:,,d Sly
)SEPARATE PERMITS REQUIRED FOR WORK 0`1 HER THAN DESCRIBED ABOVE
CITY CSF TIFA RD PAIM - Ph .Na. 880231
.-nmiT Na !-.-sEU(30234
CITYO TIGAIM, T U�SUE:0 r
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397.Tip--d.Oregon 97223,(503)094175
J0113 ADOPEKSIS : 1'31.A13 SW KATIALPIW': ST USA NUMBEP: 349624
JAX MAP/1-01 2 ;.I. /W*l 71.00 !il Jin . MOCINING 11-411 L. TV 1-1* ' :1.00 I: K :
I AND USE:
1-01
SE:-*CTX(:)N : d4 TWP : 2s PNG: 1w
WC11--4K CLASt"i : NVW
1.)(5-1:-.. TYPE : SING'LE FAMII Y
tri rli-ifcmn viricl of thc:! Urlificacl
AgV.qrlC".y The pn#i,in:l.t oxpir-ew 120 (Jays from the date iiallmed . '1410 t0t,7AJ.
WA .I.]. hie! J + thcl 1'hca C14:101% n1 t. 4,14.131--
thO. IlLCN.'IJI`0L('y I.-If th41 10CMIL-tA1,111 0f thje HIJAR I.aUDI'l11,1is . If thv.�
liol. Icllc�rd't(ocl 4111, (;):Even , thcd
all dir0'*C!tirjrIu; -171"611n thon 4.jiv4an . If riot so lor...'ated , tl-i*-# irlst1t'.1.1er whilill
pLir,chaiiiv a —rilkp It r1 r.1 !;iclo S(ew*111"' I'rr'lnit 111.11cl "Ale Agic.-Iric'y WJAA. :1.I-Ils till.).:1. ill
-JM
V .1-MP1-':-nVIAAJ!.i ARE
UNI 11L�j Ili;.NANT
r—I:)WEL.L.ING* UNITS : I
0 . OF." "I...1: GS ,
FEES :
CL.ArIlK MAPTTN PERMIT' !H.1"i 00
O
W po BOX 169 CONNECTION CHARGE- $1 , 100 . 00
N 9)00" 1-111414' TAP IN51'Al-I... .
E
R PHONE ( 503) 6-713. if.i 3 lo
011-ir-'JI
I
C Ct.AAK MARTIN
O PA1111 Y HOMEL.'s 0F. AMFr4"c,(-)
IJ
T 130 BOX 168
R fll,Lh'LIr'#IL or, 97002
A
C PHONE. (503) 6'78-1139
T Pr-i"t',190411ATION NO . 21.960 J, 1.-'vn
0
R I
PECE I PT NO.
This permit is Issued Subject to the regulations contained In Title 14PEA41L)T PE'.1) INSPECTIONS
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It 15 hereby 1.N
agreed that the work will be done in accordance with the plans and
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.
Permittee Signature
Issuad 0y, CALL FOR INSPECTION 639-417".1
S/PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIVA RDfala:faMl:�r NO . PLBBOP-52
g7W ItD
CITYOFIWARD
COMMUNITY DEVELOPMENT DEPARTMEN r 0111100" 1.)P 1:M . P MT .N(:). a a 0 P—05 1
13125 S.W.Hall Blvd.,P.O.Pox 23397.Tigard,Oregon 97223,(5031639-4175
J013 Sw 1<4%;"4t4JM !;,.I
'(()X MAP/I 0 1, 7100 51319 . MONNIN(, 'I V I. 1 :1,00 I3K
I AND
1 04, SIZE
NO NO:
WL44K (::LASS : NF.W w(YTEP 3 TRAP
USE TYPE : SINGILL-K FAMILY U11INAL BKFLOW PAVIN11141
CION51 . TYP ' VN L AVOPAI(44Y 3 TRAP PRIMF14
()G'r'UI::'. GRP. Fa3 TUB SHOWEP 3 GREASE' TPAPc5
GPARBAGE IXIISI:''OSAI I
NO . 51,01111F.::S 2 WA- *�HJAG W1(J-11.14f: :1.
1.)WF-.A.A.., .UNITS I LAUNUPY TRAY 1. 13 1...D 1)14 A*1 IN (1:):r A
FL-001:4 TRAIN
SINK 1, Si EWEP (F-1,
W I IF A I F1 4 1. S'T 0 P M 14 01 J,IN (F- 1 I.
O'y*l-lI:.A:4
PEMAPIKS :
FEES:
CLAW MAITTAIN PE--PMTT ";.I lel't 150
0
W Pu
N ill `9700i'-! i:'3.X'T1. PES
E
PHONE (503) 678-1139 STATE TAX 111117 .38
OTHEA
SANDNI.-.:SS 8 E'N
0 CANDY 1:)I-.LJMBIN(.-,
N
T 805 NE ATH
A
A
C PHONE (503) (.?95----55.23
T PE(.'vISTRATION NO . TOTAL : 1p 1.15 lei .8(:I
0
PECEIMST NO.
This permif is issued subject to the regulations contained in Title 14 REQUIRED INSPECT*I'C')NS"*"*"'-*"""*'*'-'-"'*"""-"*'-
of the TMC. State of Oregon Specialty Codes,zoning regulations PLA .UNDEP31 AP
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and POST a BEAM
specifications and In compliance wilo all applicable codes and W A'11 F.rl I T N Ei.
ordinances The issuance of this permit does not waive restrictive fill H . Topaur
covenants Contractor and subcontractors shall have current city 1:4A- IN DPAINS
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 F I 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 SIgnstLire
CALL. FOR INSPECTION 639--111.7.5
Issued By:
SEPARATE PEPMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIIYOFTIFARD PLAN CHECK APPLICA ION
CITYC�f TWARD PLAN CHECK / J l'
COMMUNITY MELOPMENT DEPARTMENT oeooN
1312S 8W Nan dad.P.O.Sue 23307,T%MW,Oregon 91 (603)6304176 PERMIT6-Y0,-;R
— DATE ISSUED
JOB ADDRESS:
TAX MAP/LO'T -5
BUB: . , ;ii LOT: jC,0 LAND USE:
VALUATION: DUBS SETBACKS: FRONT: �-o _ REAR: 3 `I .-'FTRIGHT:
—�—
WORK CLASS: HEIGHT, TOTAL AREA:
USE TYPE: FLOOR LOAD: _ *�U 1ST: /i
CONSTR TYPE, S HEAT TYPE: dpT p�,..p 2ND: f 3 U
OCCUP GROUP: - _ DWELL/UNITS JRD:
OCCUP LOAD: NO BEDROOMS: --3 BASEYZNT: _
NO STORIES,. ?c NO BATHSt GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF:w LIST SUBCONTRACTOQS:
ENGINF.P.RING: LAST REISSUE:_ BUS TAX:
FIRE. DEPT, : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
IANDSCAPE PLAN: _
PLAN CHECK BY: _ OTHER: _
CCT 0 DESC P iON AMOUNT
OWNER 10-432 Bnilding Permit Fees S x.54
NAME: r-,xw,/y hlyr►�rf a �4.+>cr,CQ 10-431-600 Plumbing *ermit Fees
ADDRESS: ,�� x ,, N 10-431-601 Mechanical Permit °ees < 1. G
�cG7a) a o! 5� 7u o.2 10-230-501 State Building Tax (5X).13,03 + �•35�` -2 3
1 10-433 Plans Check Fee 7 9`f 3 4 5.7'r s 'yo C';
P1.ONE: 30-443 Sewer Conuectinn (202)
30-202 Sewer Connection ',90%)
CONTRACTOR 30-444 Sewer Inspection t� -5 _
NAHE: ,f o ,¢r,�cy«-x.51-448 Stro-et Systam Dev. Charge (SDC) wa 6,
ADDRESS: j1,�j 60 6y r•52-449-6iO Parks I System Dev. Charge (PDC)
_-� r�n.rraT r�9;•vc:2 'Z-449-620 Parks II System Dev. Charge (PDC) � - -
31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE, 10-230-505 TRFD (95X) $
10-435 TRFD (5X)
ARt.'H/ENGINEER 10-230-506 Washington County Fire /1 (95X) s
NAME, r� F �� �G. 10-435 Washington County Fire E? (5X)
ADDRESS: /.,r / S, c; 5 .r��' >r, 10-220 Amart/Wedgewood
_
3'?e,eer b
A2 c.f d h.fL- urt l 7 o�S'
TOTAL y,3
�J �/3
PHONE: G s /9 PIP
PREPAID
mZ t<. c�tY�a S RFC 0_���/
BAIANCE DUE R 3. q-3
APPLICANT SIGNATURE Q
,� Received By: Date Received: