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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspoction � –
Date Reque eta Q ^(�Time/—_- A.M. {�P.M.
Addressti � ` Permit # C
Owner_ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
T
i
Presented toApproved
Inspector _ � ` r _ -Disapproved
Date ---
C.UL FOR REINSPECTION
C-J YES Cl NO
l
r
CITY OF TSA
� RD MITLNO. : PERMIT,�r�w1�, PERMIT NO. : PU89240'�
CI7Y OF i16A%PIM.PMT.NO.
COMMUNITY DEVELOPMENT DEPARM:k,,T °" -
TE ISSUED: 11, 28/By
13125 S.W.Hell Blvd..P.O.Box 23397,Tiger j,Oregon 97223,M31)639-4175 892409
JOB ADDRESS: 9834 SW KAHLF ST
TAX MAP/LOT 2SI 11CA SUB: TAMI PrARK LTii2 BK:
LAND USE: R7PD I
LOT SIZE: VALUATION: E 75.048 SETBACKS
FRONT: 20 RFARr 5
WORK CLASG: NEW DWELL.UNITS: 1 LEFT: 6 RIGHT: 17
USF TY-"E: SINGLE FAMILY NO.BEDROOMS: 2 EXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: 2 N: E: E: W.
OCCUP.GRP. : R3 PROT.OPENINGS-,
OCCUP.LOAD N: S. C: W:
TOTAL AREA: 1600
NO.STORIES: 1 1ST: 1600 ROOF CONST: C FIRE RET?
HEIGHT: 18 2ND: AREA SEPAR" RATED:
BASEMENT? aRD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 436 FIRE SPRKLR? ALARM?
FLOW(GPM) DETECT? YES
HEAT TYPE: GA3 HDCF'.ACCESS? CORR?
PLAN CHECK PY: r1t
REMARKS:
need trIISS SpeC REISSUE OF NO.
W_ �`---- ---- -- LAST REISSUE _
-T---------- - F EEG• _
Al BRISTOL JACK PERMIT (361.0®
N pa BOX 84 PLAN REVIEW $231.65
r�
west Linn or FIRE DEPT
STATE TAX $18.05
_ OTHER
C DEW LOPMENT CHARGES:
C BRISTOL JACK SDi(STORM) $250.00
T BRISTOL HOMES SDCrSTREEI) $600.061
R Po PDX 84 PDC(92 ! $250.00
A
C west linn or 97068 PRJ"dAID < $100.80)
T PHONE (503) 633-6640
p REGISTRATION NO. 999 TOTAL : $1,613.70
This permit Is Issued subject to the regulations contained in title 14 RECEIPT NO. lt)6
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIOits
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and FOOTING SEWER
specifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances. ThN issuance of this permit does not waive restrictive POST' R BEAM WATER LIME
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and PLB.UNDERSLAB CITY APPRCH/SW
void if work is not started within 180 days•or if work is suspended or SLAP FINAL
abandoned for a penod of 180 days any time after work has PLB.TOPOUT
commenced It shall be the responsibility of the per to assure FRAMING
all required inspections Are requested and approve FIREPLACE
GAS LINE
INSULATIOM
— - GYP. BOARD
Pet miftee Signatyi��
Issued By '� 639 417-S
,--'SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBEJ ABOVE
r MECHANICAL PERMIT
CITY OF TIGARD
mw cERM.[T N0. : ME892469
COMMUNITY DEVELOPMENT DEPARTMENT WHOMD TE TSSUED: 11/28/89
S W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(503)639-175 I M.PMT.N0. 89240?
JOB ADDRESS: 9834 SW KABLE ST
fAX MAP/LOT ?.SJ 11CA SUB: TAMI PARK I.T.-2 EIK:
LAND USE, R7PD
LOT SIZE,
ITEM, N0, NO:
WORK CLASS, NEW FURNACE (10INK 1 AIR HANDLR (10
USE TYPE, SINGLE FAMILY FURNACE 1809+ AIR HANDLR LINK
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : R3 HEATER VENT FAN 3
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD 1
NO.STORIES: 1 BLR/COMP 3--15HP INCINERATOR(DOM
DWELL.UNITS: 1 BI_R/COMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+14P OTHER
FIRE DMPRS) GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS?
REMARKS:
need contractor number
FEES:
O BRISTOL JACK PERMIT $10.00
N po BOX 84 PLAN REVIEW $10. 13
iE west Zinn or FIXTURES $30.50
STATE TAX $2.03
OTHER
0
N
T RUMBOLD H:NG. AND AIR
R 2005 5 BEAVER CREEDK RD
C oregon city or 97845
T (503) -
R REGISTRATION NO. 1476 TOTAL, $52.66
RECET.PT NO. /O(0jC/
This permit is Issued subject to the regulations contained In Title 14 ------.--------------
of the TMC, State of Oregon Specialty Codes,zoning regulations REOUTRED INSPECTIONS
and all other applicable codes and ordinances. and It is hereby
ai reed that the work will be done in accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and POST 8 BEAM
ordinances The issuance of this permit does not waive restrictive ROUGH—IN
covenants. Contractor and subcontractors shall have current city FINAL
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 responsibilit Pf the permittee to assure
all required
^^inspections are requ d approved.
Permittee n
Is9ued rpt t FnR_INSP_ECIIOH..b39TAI7.5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
aMlmmj a1 O
CI'T'Y OF T167A RDSEWER PERMIT
PERMIT NO. : 54�890470
cn 6116Aw
COMMUNITY DEVELOPMENT DEPARTMENT °MO°" TE I'., ;UED: 11/28/89
13125 S.W.Hall Blvo.,RU.Box 23397,Tigard,Oregon 97223.150,11839-4175 I M.PMT.N0. 892409
JOB ADDRESS: 4834 SW KABLE ST USA NUMBER: 39126
TAX MAG/LOT 281 11CA SUFI: TAMI PARK LT:2 BY,:
LAN4 USE: R7PD
LOT SIZEI
SECTION: 11 TWPI 2s RNG: 1w
WORK, CLASS: NEW
USE TYPEI SINGLE. FAMILY
The applicant agrees to comply with all rule, and 'regttlations of the Unified
Sewerage Aqency. The permit expires 120 days from the date issued. The total
amattnt paid will be forfeited if the permit exr,ires. "The Aqency does riot quar-
Antee the accuracy of the location of the side sewer laterals. If the sewer is
not ionated at the measurement given, the installer shall prospect 3 feet in
All direr-tioris from the distance given. If not so located, the installer shall
pttrcha,,e a "Tap and Side Sewer" Permit and the Aqency will install a 'lateral.
INSTALL. TYPEI BUILDING SEWER IMPFRVTOU AREA:
FIXTURE UNITSI TENANT TMPROVFMENT:
DWELLING UNITSI 1
NO. OF BLDGS. I 1
o FEES:
W BRISTOL JACK PERMIT $35.0GT
N po BOX 84 CONNECTION CHARGE $1,250.00
R west linn or LINE TAP INSTALL.
— (1 T HER
0 BRISTOL .JACK
N BRISTOL HOMES
R po BOX 84
A
C west lien or 97068
T PHONE (593) 638--6640
0
R REGISTRATION NO. 999 TOTAL: $1,285.98
This permit is issued Subject to the regulations contained In Title 14G ______ ___ RECEIPT N0. /may
of the TMState of Oregon Specialty Codes,toning regulations REQUIRED INSPECTIONS __._ __ l V
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plans and ROUGH-•IN
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 r ted and approved.
Permittee SI- I
Issued By E t1Fi INSG'rT:�7-UN b.1�1-417
SEPARATE PERMITS REC UIUO FOR WORK OTHER THAN DESCRIBED AF30VE
Wane an[ aas MEN W as ar xaxr
CITYOFT11FA PLUMBING PERMIT
cmtm ERMIT N0. : PL892468
RD
COMMUNITY DEVELOPMENT DEPARTMENT E TSSLIED: 11/28/89 !/
13125 S.W.Mall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 I M.C'M T.NO. 892409
JOB ADDRESS: 9834 SW KABLE: ST
TAX MAP'LOT 2S1 i1CA SUP: IAMI PARK LT:2 BK:
LAI4D USL : R7PD
LOT SIZE:
ITEM: 110: NO:
WORK CLALS: NEW WATER CLOSET 0 TRAP
USE T)PE: SINGLE FAMILY URINAL 6KFLOW PRVNTR
CONST, TYPE: VN LAVORATORY 2 TRAP PRIMER
OCCUP.GRP. : R3 TUb SHOWER 2 GREASE TRAPS
DISHWASHER i
GAF;BAGE DISPOSAL 1
N0,STORTES: 1 WASHING MACHINE 1
DWf:LL.UNITS: 1 LAUNDRY TRAY BL.DG.DRAIN (DIA
FLOOR DF'i4 h!
SINK 1 SEWER (FT)
WATER HEATER i STORM/RAIN (FT 1
OTHER
REMARKS:
need contractor number
FEES:
W BRISTOL JACK PERMIT $117.50
N pc BOX 84
E
Fl west linn or FIXTURES
STATE TAX $5.88
OTHER
C
0
T MODERN PLUMBING
A POBux23397
C Tigard OR 97223
T PHONE (503) 639-3791
R REGISTRATION NO. 181 TOTAL: $123.38
— I
RECEIPT NO. /O(r, 3&il
This permit is Issued subject to the regulations contained in T Ile 14 ___________________
of the TMC, hate of Oregon Specialty Codes.zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and It is hereby
agreed that the wnrk will be done In accordance with the plans and PLB.UNDERSLAD
specifications and in compliance with all applicable codes and POST R BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city PLB.TOPOUT
business tax permits This permit will expire and become null and R4�IN DRAINS
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 FINAL
commenced It shall be the responsibility of the permittee to assure
all require ions are requested and approved
Permitlee Signatuie
r
Issued,W� ,Y -- ALL_F-_OR INSPF-010N 539-417
G. SEPARA E PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
as �n +is nrs w w � ws air
CITY OF TIFARD ,,,, 2I/ unorncaND PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT � °w'°°" PLAN CHEC-A N
13125 S.W Ka Blvd_P.O.Bow 23397.Tlgwd,OmVon 97221.(503)6394175 PERMIT N 1
DATE ISSUED
JOB ADDRESS: t, �a _ TAX MAP/LOT
SUB: /(fl YL-, L01 : -• _ LAND USL: _ -
VALUACION: Qt .' _
OWNER SPECIAL NOTES
NAME: / 7 2 c� a�� `""` T _ REISSUE OF:
-
-- -fs'z�_1 ----
ADDRESS: -- - LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: ._
APPROVALS RE9UUI RED
CONTRACTOR _ PLANNING:
PJAME:
ENGINEERING:
ADDRESS: -1 E' �- Q" __ FIRE DEPT —
�U`, OTHER:
PHONE: _ 6 v -71R/- S - ITEMS REQUIRED
BUILDERS BOARD N: �_ EXP DATE: -�-- LIST/SUBCONTRACTORS:
BUS TAX: _
ARCH/ENGINEER _ GALCULAfIONS: — �-
NAME: //� - - e-y-
ADDRESS: as- _ TRUSS DETAILS:
- jG� — OTHER: ----- - -•--
PHONE:.
COW11-NTS: --
SUBCONTRACTORS: PLUM®v"or h
`�C.F L �t L _3`? �1� ME_CH
PERMJT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10--432 Olt Building Permit Fees
1 G' 10-431 00 Plumbing Permit Fees 1 17-1
j T
10---431 ()1 Mechanical Permit Fees
10-230 01 State Building Tax (5X) 5`
Building
Plumbing
Mech .2.0 3
10--433 00 Plans Check Feed
Building 3c/• G —
Plumbing
Mech
30--202. 00 Sewer Connection _Ie 5 U
30---444 00 Sewer Inspection " __ }
51--448 00 Street System Dev Change (SDC)
52-449 00 Parks System Dev Charge ([,DC) -'t1 -
31-450 00 Storm Drainage S,yst: Lev Ch 'g (SSDC)
10-230 06 Fire
TO I AL
Rr-C N
APPLICANT SIGNATURE
t
Received By: _ — Date Received:
cn/3587P/18P
! ! ! ! ! ! ! ! ! !
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 "J
Tigara, Oregon 97223
Phone: 639-4175
Type of Inspection .-..
,
Date Requested,—,?,
equestedTime A.M._ P.M.
Address —l' (. G�. �_ Permit
d
Owner�,
�- Lot # –
Builder
The +oll6wing Building Code deficiencies are required to be corrected:
Presented to _.__ —__________.__ _,.,-� i4pproved
F1Inspector ______ �_---_— -----'—• u Disapproved
Date -----
CALL FOR REINSPECTION
❑ YES 0 NO
as ism ■w sssi �. .. ra sw .w
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested TIMR A.M. _P.M.
Address c. Permit
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector —_ �_ ^^^•••
- - - -- — �_� Disapproved
Date
CALL FOR REINSPECTION
O YES NO