12350 SW NORTH DAKOTA STREET-1 i
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-- 12350 SW North Dakota St. --
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INSPECTION NOTICE. �e_1 Q1AeiL� .�
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City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97`223
one: 639-417,r
r�lli
Type of Inspection11u -
Date, Requested Time PM_-�� -� '�rZr�l"`—P.M.
Address _._ Z L2 3 S _d f �L Permit #Y*�'' —
Owner_ _ _ Lot #_
Builder
The following Building Code deficiencies are required to be eorreated:
w
s
Presented to Ann►oved
Inspector
❑ Disapproved
Datel Z
CALL FOR RFINSPFC.TION
0 YES f-J NO
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INSPECTION NOTICE KFY 0 vFiz
City of Tigard Building Department
P.O Box 23397 -�
Tigan', Oregon 97223
Ph me: 639.4175
Type of Inspectio
i
Date Requested ��- Ti -e A.M.
Address _.��352� �-S�✓ -_�/. �!�T�_ f'errnit ;# /
Owner_ _ _ Lot #E
Builder__.__._____
The following Guilding Code deficiencies are required to be corrected:
Presented to _ _ Approved
Inspector „_. 1L}Disapproved
Date
CALL FOR, REINSPECTION
LS YES ❑ NO
et se ary e� e� A
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
ZType of Inspection Q _
Date Requested—Z-0 Z 7=tZj Time A.M. P.M.
Address v �1 -e+e�gPermit #- �J
Owner__. Lot
Builder
The following Building Codb-deficiencies are regeired to be corrected:
P.esented to �//
-- l.! Approved
Inspector �
p r� ❑ Disapproved
Date _ l� ) ' 7
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 'TIMI60P1jEP/LX1 M P.M.
f'
Address Permit 0
Owner Lot
Builder
The following Building elide deficiencies are required to he corrected:
cor
Presented to ------ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES Ll NO
mw�'W
INSPECTION NOTICE_
City of Tigard Building Department
P.O. Bcx 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 71me Z� P.M.
`) 3 �� Permit *S1 Il5 QQ
Address __ - _—
Owner - __---���(�11.'� Lot �
Buildef
The following Building Code de4iciencies are required to be corrected:
i
Presented to _ _ �+-pproved
Inspector J -_ _ �_ Disapproved
IMP—
Date
CALL FOR REINSPECTION
I-D YES C.] NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
4 Tigard, Oregon 97223
Phone: 639-4175
o'
Type of Inspection �r0^' V` ;L-- �• S
Date Requested /Timey�A.M. ___�_— P.M.
Address
1 �U�i�/_�nr7�1 r ko fig 3–/'e. _ Perm;t
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
7 /
DS
Presented to ❑ Approved
i
Inspector / U Disapproved
Date
CALL FOR REIN ECTION
❑ YEQ 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time P.M.
Address '_n _ mit #—fL1Lc�
Owner,,,-----
BuilderThe following Building Code de ciencies are required to be corrected:
Presented to _ Approved
Inspector ��� ��
❑ Disapproved
Date
CALL FOR REINSPECTION
YES n NO
asst ww .. ws � aw
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
�+ Phone: 639-4175
Type of Inspection _--- s�-- �2�'
- Ti M. P.M.
Date Requested_�� ✓ --
/,;;;? ermit
Address s
Owner _ �— ----------�.____.
Lot #
Builder -
The following Building Code a iciencies are required to be corrected*,
Presented to _ Approved
Inspector; U Disapproved
Date --
CALL FOR REINSPECTION
C] YE• L.] NO
� an sssr t srss t � w.
INSPECTION NOTICE /J
City of Tigard Building Department
9 9 P
P.O. Box 23397 G/
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ,f<:e'�id � - -------
Date Rcquested /–v/ ' — Time A.M. _P.M.
Address 1i ��_ 1�–��� " _s Permit #- p�q
Owner----__ — _ — Lot
1
Builder
The following Building Co deficiencies are requ.red to be corrected: f
-�_
Presented to —_---__ _ _--- _— Approved
Inspector I Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
CITY OF T'GA RD
.). : 93jPk:J4M1T NiBU8300
CITY 0F LARO
COMMUNITY DEVELOPMENT DEPARTMENT
DATE :I'SSLJE:D: a/ /I/CI9
13125 S.W.Hall Wyo..P.O.Box 23397,Tiop.d,Oregong?=(503)639-1175 PR I'M PMT ,NO 1391.500
�OL
:4 DD
AI4-. 35
:SS : 120 SW NORTH DAKOTA s'r
VAX IIIAP/LOT isi. :?SACH '(1900 SUB: ANTON PoAK L.T : 11. DK :
LAND USE: P7PD
I-01 51ZE: V AI LIA*Y':I'(:)N: $ 71 ,,(48-1 5E'113ACKS
F14ONT : 20 PEAP *
WORK CLASS : NEW DW1:::I L. .UN:E T S LEFT : 3 P1G,I+T* : 1;'.i
I-ISE TYPE: SJ:N(.3#LZ 1::'AMIL.Y 190. BEDROOMS : F:"X,y . WAI I,
(:'ON ST . 'T'YPE: VIN NO OATHS : 2 N , S EK W
C)G(:;IJP. (:-114P. P3 PROT . 0PEN:LN(*,,S :
(:)CCU!-'' -I OAD N S W
TOTAL- AREA : 1573
NO - STO A 1:LS 1. 1.ST : 1.573 POOF GOWST: C F334E r4r--.-1'7
1.8 r.?ND . AREA SI:PAPP PATED:
3RD: OCCUP. SEPAP7 PATED:
ME Z ZA N:I'Nl7 DA%r-:M' T
FL.Oup LOAD: (to (.'-,APA(.A:-*.': 440 FIRE SPPKLP'? AI...ARM'?
FLOW((*.,I::,M)
1-11L.AT TYPE.. GAS corm.?
P1 oN (.*,I--IF,;:(':K
PI:::MAI41(5 :
REISSUE. OF NO.
LAST W-KISSUF..:
PEE!:i :
0 PEPMIT $31q9 . 00
W
N 1:'ILAN PF-:V3:EW
E F1 F41:-: DI--'P'T
R S'T'ATE:: TAX
OTHEP
C oorisr--:Y JACK Viiii.LOPMENT CHAPGES :
0 SOC(STORM) 111 K'?.15 0
N DOP5EY HOMES SILK"( I
T $600 . 00
R J.62.51.F5A:IAK TPLE '111E PACE P DC 1#1 r.?!`5 0 0
A c:1l-4pqc111 r.,J. by ril- 97045
C PREPAI,1'.) < $100 . 00>
T PHONE (503) 656 615 0
0 PEUT.51PATION NO. 475!50 TOTAL, $-1. ,593 . -,4()
R
I
nEcE.tPT NO
This permit Is Issued subject to the regulations contained In Title 14
of the TIVIC. State of Oregon Specialty Codes.zoning regulations 41`1401141:-J) INS PECTT ONS
and all other applicable codes and ordinances, and it is hereby FOOTING SEWED
agreed that the work will be done in accordance with the plans and FOUND A'1'3:(:)N WAI L WAIN UPATNI:i
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POST & 13F-AM WATER L.TNIF.:
covenants Contractor and subcontractors shall have current city 1.11...F3.UNDEPSI AR C.IT Y A I'-,P P H SW
business tax permits. This permit will expire and become null and FINAL
void if work Is not started within 180days,orifwork Is suspanded or
abandoned for a period of 180 days any time after work has PI D . 11.11POUT
commenced, It shall be the responsibility of the permittee to assure VPAM ING
all required inspections are requested and approved frl.'PEPLACE
(.',AS I..JISIrn:
INSLIL.ATION
GYP- SOAPD
Per/eSignature
Issued By A:39..-417
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRiBED ABOVE
CITY OF T16 A k11:;:WEN PEPM-.I:T
CITY PE
'PKUT NO. : Sl:'13911,51::'1391.1,.:5oRD
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COMMUNITY DEVELOPMENT DEPARTMENT 011010N
13125 S.W Hall Blvd..P.O B..23397,Tigard,Oregon 97223.(503)6394175 DAI'Lp T S S Ul!-,0 44 89
%JO0 AL)URF_;:FiS : 11-2350 SW NOP'n-i DAKOVAUSA NUMBEP 39009
T*AX MAP/Lur 15 1 34CH Z1900 !:�0 ff? : AN VON PARK
LAND USE : P*IPI)
L.01 S,.I:zF.*. :
SE.'CIA:ON: 341 1 W P . 1.!a RNG: 1w
WUPK CLASS : NEW
I-JSF:
'Thc) opp'lA.0alit agir'o)eli. tel With
fikold (.).p the lin J.fincl
)OW411"IlLge Agency Per'"I" J.P() claysi -Pram tviit..? 'I'lle t 3tal.
:J..F 1,110 1.)er'ln:'-t 4xxP11"Offi . They Ayeric,y cic)ep;
a n t e e,
the ftf,!a.4Ar(ac!q ci-F the lac.uL.t.iall cl-p th(*!� !1;icl611 laewel, later-a1inI-F the"
Ott the l
J.1ligir.aler, Intla.11. prc)mpc?(:,t 3 fqjet J.,
60.1 (111.1-c..cr tJI.011ift +I..(:)In the • Ila t ISO Iaafttw(i , tht..') iflsitm 11fer. %hall
Pli-11-ChIlLfle HL "I*iiip und Fii(:ie Per,init a,iff tho.-i A(lericy w:[,I.,I. :j.jlStjjj:I.,
TN5*T'AI_I_. 0011 DING SEWEP IMF KI-4VIOU S APF.;'A
F 1XI'UNE UNITS :
IF.:'NAN'Y'
DWEI LING UNI'T'S
LN0 .
0 F I.X S
FIL Y
w DORS
N PEPMT*t
00
E :1.6231 5 AJAR 'T'PEE T'Pr1r:IA(:.I;, *
R CONISIrt-1-TION GIV)'.GlE P!10oO
C)r, I INE I'AP
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01 H1:.:*14
0
N 1:)U F4S E y "JACK
T DORSEY HOMEci
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A 16231.!� ('.)AK 'Tr4EE TERRACE
C Of-egall (-ity Or 970A5
T
C, IDI-40NE (503) 6.56---6,0450
r4EGV3TPA1*T(JN* NO, 4'75:j()
285 .
This permit is Issued subject to the regulations contained in I itle 14 RECEIPT NO. /070 L/C-32
of the TMC, State of Oregon Specialty Codes,zoning rLiulations
and all other applicable codes and ordinances, and It is hereby NEQUIPFU) IN5r)F:_X,*T'1ONG
agreed that the work will by done in accordance with the plans and NOUGH--i IN
specifications and in compliance with all applirable 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 I?work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the per mittee to assure
all required inspections are requested and approved
Permi ignature
Issued By 0-4
I':'br4 _jJN7,F,—Frj-jON-e,
39- q I rr�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
EELARMLPIIKKN MM ——� �M�
CI Y OF T I GA RD (C17 Tilli PERMIT NEi O.
O61
COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 L)ATISSUI ED: 4'.1
ADDRESS : 3.2350 SW NOP11-11 I)Al<(:),rA Gt'
`FAX MAP/L.01' 1.51 3AC116 11900 SUH: ANT(:)N PAPK F31<
I AND USE; P7PD
1 01 SIZE:
I'VEM: NO: N(*.):
WORK CLASS : Nl:_:'w WATER CLOWT' 2
tJGI--"- TYPIE : $INGL.,*:: FAMIL.Y URINAL BlKn—ow PPVNIA
C(INS'T . Y'YPI--:. VN I AVOPAI'My 2 144AP PIP41mr-11
(XICUP .GPIP. : 143 *TUD Sill-40WER 2 GRII ASF. 'TPAP-IS
DIGHWASHEA J.
GAPBA('M 11011WIJISAI 1. 1
NO. STORIES : 1. WASHIM.', Mo (JirNE
WELL .UNITS : I I AUNDPY 'T'RAY 1:31...1:)(. DPA:I:N ( D.0.)
FLOOP DRAIN
SINK 1 5i 1= (FIA
WAI E 1:4 HE.O.YTEP 1. 15*1*('.)PH/P(),I.N (F T
PEMPIKS :
Cullti,amtar nimber
0
W I)ORSEY JACK
N -y'rJ4r4(
E .1 6P31. S - UAK -i r4F-.:E
R Cll"0f1011 cA.ty
SIA11. 'TAX
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This permit is issued subject to the regulations contained in Title 14 P E.'C E:I P r N(:). -3
of the TIVIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances• and it Is hereby REQUIRED INSPEC-T—IONS
agreed that the work will be done In accordance with the plans and F`1-8- UNDERSLAF.)
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive POSI' & 14FAM
covenants. Contractor and subcontractors shall have current city WA1*I:.;A*Z I TNF:'.
business tax permits. This permit will expire and become null and PLR . TOPOU7,
void if work is not started within 180 days,or if work is Suspended or IWI,N DRAING
abandoned for a period of 180 days any time after work has I—I NAL
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Perml Signaturr,
Issurd By
3-9-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBEU ,4BOVE
Cry4trLwMEC-HANICALCil"Y"OFT'VA CITCO
OR
COMMUNITY DEVELOPMENT DEPARTMENT (1160141 PEPMI T N(' ME13915Z49
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-e175 17�)
PWI.'M. I:)M'T . N0. 891.1500
JOU ADDRESS : 1.2:3 30 15W NOI'-',,Y'H l.)Al<(')TA G'T
'TAX MAP/1-01' I.S1. .34ICB e1900 !A.ffil: AWON ll(NkN LT : 1A. 13K .
I ANE.) (.J!,*iF. : P71.1.)
1-01 SIZE.:
T Y,I:::m N(:) NO
WC)PK CLASS : NI W <:1.00K 1. A:EW HANDI-P <'.; 0
USE 1'YI:-'lE; 15IN(;',l V.1' FAMILY F-UVINACIL.'. 1.00K+ AIP HANDI 14 1.OK
CONS I .TYPE: VN F'.VAP . ('.100I E,P
OC CUP GPP. FIF.A FEP W-N TF*AN 3
Vl;::N'I* VEN I' . 5 Y(i-I r-.::M
IFIL WCOMP C31.11:) 1-11001) 1.
RI-H/CIJIMP 3 :1.''511F) N(',1Nlk.:'.PA*T0P(DOM
UNITS : 1 15 5 'INV01-11) TN(', .'NATOR(COM
I YVE GAS 30-30HF) REPAI P UN.I.'T 1:5
MAX . INPUT RL.P i 50+I-II
F ]Gild: I:)MPW: '-ll
(*..',A5 O1.1ILL'T1':) 1,
r-ow PnT..7,iT?
I*W.MAPI<b ;
rte(-eel cantraCtar 111.4mlIcAl'.
O
W F.F:"ES
N DOPSEY JACK PFAM11, $10 . 00
E
R 1.6231 S .OAK 'rPEE TERRACE, PLAN PF.:V:I'F.'.W $1.0
c)I,cii q .1n c,J.t y or F:,.I:X,y URF-'.S $30 . 50
S'T*A*1'1::-' I-AX $P . 013
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This permit is Issued subject to the regulations contained in Title 14
of the TMC. Slate of Oregon Specialty Codes, toning regulations NE11--IP'T N(i /0L f0AP3Z
and all other applicable codes and ordinances, and It is hereby .....• • .........
C) r
agreed that the work will be dome in accordance with the plans and 14F.IQUISPEC-1
RED IN -1 Ni
%perifirations and in compliance with all applicable, codes and 00*4`6 I..'.I:NE
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have cur,'ent city PD5 T & HEAM
business tax permits This permit will expire and become null and PLARA-1—IN
void it work is not started within 180 days,or of work is suspended or FT NAL
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
Per M/,,Signature
Issued By
SEPARATE PERMITS REQUIRED ABOVE
CIIYOFT167ARD � PLAN CHECK APPLICATION
cmorncrw PLAN CHECK !1 ',( /
COMMUNITY DEVELOPMENT DEPARTMENT . 1 PERMIT 6 -
�Trnsw.w�er.d.P�o.e�us�r.TVea ofvv^srm.cs0l63"rr5 C �k DATE ISSUED
•1
�3 S S, W. /Ve►/j _ r l w S�
TAX MAP/LOT � 4 C B 0("o
TOO ADDRESS:
SUB: ,�/I IC ��+r/ � LOT: // LAND USE:
VALUATION: S
OWNER ,• �. , SPECIAL NOTES
REISSUE OF:
Nom: `- LAST REISSUE: _
ADORESS: FLOOD PLAIN/
SENSITIVE LAND:
PHONE: gppROVALS REQUIRED
PLANNING:
UONTRACIOR � _ ENGINEERING: _
NAME: YiC'RSLY _ /O/YES /�� FIRE DEPT - ---- -
AOORESS: /G 2 31 S' Gm/1 T 7r i r
'!r o o• (:�� ��� --, ..._. OTHER: _ - -- --
ITEMS RE IRE '
S Cs_ (� � s'C' ` A C3 � �S S b �- O
---
LIST/SUBOOKMACTORS: '
ARCH/ENGINEER BUS TAX:
N AME: c/A C L70 E'S F Y -- CALCULATIONS: --
TRUSS DETAILS:
ADDRESS: _ PARKING PLAN:
-- -- LANDSCAPE: PLAN:
PHONE: -�,�-;-7--L— OTHER: -
/7u/ /1
COMMENTS. ?� - �1, .J► i F i , i t I)� � r_L(c"k�i � c CL /.
/11 a�
PERMIT H ACCT N DESCRIPTION AMOUNT AMOUNT P0. GAL. QDUE
n q /, 10-432 00 Building Permit. Fees
10-431 00 Plumbing Permit: Fees
r r 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) � �S
Building _L�• 5/
Plumbing
Mech
10-433 00 Plans Check Fee '
Building _.�1G- 00�. -
Plumbing
Mech _0 1
F111-S-1- 30-2.01 00 Sewer Connection
30-444 00 Sewer Inspection -��- ---- - -'�S-
51-448 00 Street :,ystem Oev Chargr (:OC) (0 0 4_
52-449 00 Parks System Dov Charge (POC)
31-450 00 Storrs Orainage Syst Oev Chr-q (SSUC)
10-230 09 TRI-0 -- -------- ----- -
10-230 OG Washington County 1 --
10-22.0 00 Amart/Wedgewood �
�-5�
1 u1 nE ''-may ___/ _!
RLC It �-�[='�
A�P%> N SIGNATOR
i
Received By: �2� � ----_--- Ua tc Received:
cn/31,971-!)HP =