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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
igard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address��GS a' -IL Permit
Owner Lot
Built:,r
.A,
The following Building Code deficiencies are required to be corrected:
el
C Z 3Z S 1
C)
L C 0 ft 00V
Presented to
Inspector Disapproved
Date U.
CALL FOR RFINSPECTION
El Y E S 0 NO
FAIERMIT NO.
CITY`OF TI6A RCS C"YOFMAIM D A* '1'1*.-,'.*'1. T)SSUE1/1 9/HE)
COMMUNITY DEVELOPMENT DEPARTMENT PD.T.M. PMT .NO . 8 80 6 25)
13125 S.W.I fall Blvd..P.O.Box 23397,Tiqard.Ore on 97'.23,(503)639-4175
L--JUhLADUL1F-!i!i., .1,06.UO !iiU -ftl-VLL-�
'TAX MAP/I (IT 2SJ.15(-)A SUB: DOVER Lf'.NDING
I AND USE: P-11 . 15 P1'.)
ll 5.
1_.(*)r
.j 1.Z I,,.: L
VA -UATION: 11111 71 ,600 Sr
F'PONT : 20 REAR: :L E.1
WC)PK ("LASS : NEW DWE*L.L. .UNITS : I LEI-T : 5 PTIGHT 26
USK TYPE : SINGLE: F'AMIL'r NO. EIEDROC)MS : 3 EXT.WALL CONST :
(`(3NS*T' . 'TYPIF : VN Ni:. !.)ATFIS : 3 N:NA S : F-, W :
MX.1111.11) .GPF1 . : 1:13 PROT.OPENINGS :
O(wCUP. I OAD N: W:
0TAl APL".6 1.!51)?0
NO. STOPIF-KS : a IS T 06,e4 POOF' MINST : C F'1:FTE.' PET'?
HET GHT: e.?N 1) '726 APF.-.:A SEP A- 1:17 PAI'I;:*!) :
BASEMENT 3PD:
MF/ZAN1,.'!"-'7 RASEM' 1'
F"I 000 LOAD. 40 GAPAGE : -1109 F*114E. SPI1. 11<1 P"? Al.-Ar4m.?
F'LOW(GPIM) 1*.)'* *L1:,*T7 YES
HEAT' TYPE: GAS xmp-7
-p4—" "WrICK my . PIA
111F-RAPIKS :
PEISSLE OF' NO.
LAST RE.ISSUE
rrT"J -J
MILLER JAY $349.00
0 p . cl . 9 0 X P.3 P 19:1. U)LAN REVIII-KW Illee6.85
W TIGARD 0,4 97 2 2 3 F*111'-4.: DEPT
N PHONE M03) 6144—75413 ST(fil*E TAX
E $17 . 43
P OTHER
I)E-*.:VF"T.OPME:N'1* CHARGES :
Mill I VIM 4- SOC(STOPM) $i.'-250 . 00
G JAY MILLE111 BUILDER SUC(STPEET) ih60G . 00
0
N P . O , BOX 23291 PUCI(11111112. 11 fl;(.'?50 . 00
T T I G A rI I) P 97 f12 P 5 PREPAID < 111100 . 00)
P
A I"IIONF* (503) 684-75A3
C PEGISTPAIJON NO. 301.09 TOTAL. : *1 59:3.30
1
0
R RECF.1 P'T' NO.
This permit is issued subject to the regulations contained in I itle 14 REQUIRED TN9)PEC—T:1ONS
of the TMC. State of Oregon Specialty Codes,7onIng regulations FIXITING SEWER
and all other applicable codes and ordinances, and it is hereby FOUNDATION WAI-L. PAIN DRAINS
agreed that the work will be done in accordance with the plans and r)os,y, & OEM WATER LINE
specifications and in compliance with all applicable codes and PLR .UNDEPSI A r:j CITY APPRCH/Stki
ordinar.ces The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city SLAD FINAL..
business tax permits 'his permit will expire and --como null and PI.J4 . TOPOUT
void it work is not sArl'ed within 180 days,or If work is,uspended or FRAMING
abandoned for a period of 180 days any time after work hrit F'l RE Pl-A('I-
commenced It shall be the responsibility of the permittee to assure (.;AS LTNE
all squired Inspections Are requested Pod approved INSLII A'TT(IN
M)AIII)
PermIse
m ture IF
eer CAL.I.- FTM INSIPF'.CTION
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAMBING
CITYOFTIIFARD PERMIT' NO . . I'll F400630
anooM
COMMUNITY DEVELOPMENT DEPARTMENT DA*T*E ISSUEU : q/ 1.9/09
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175
j(:18 ADDRESS : 10650 SW RIVER DW
'TAX MAF /L-O'T 2SI15AA ilrt-de: 0OVEP I ANDING L,A' . 39 DK :
I.-AND USE:
LOT GIZE:
Wc)RK cLASS : NEW WA'T'T' P GLOSEJ 3 'TRAP
USE *TYPE ! SINGLE FAMILY URINAL UKFLOW PAVNTP
CONSI' .TYI*-)I:-i' : VN LAVORA'TOPY 'TRAP PRIMr-.'.A
OCCUP . ( RP . n3 TUB SHOWEP 2. G1-?EAEE TPAPS
DISHWASMEP :1.
GAT: BAU'V: OTSPOSAL I
tic) STOR'IES 2 WACMINca MACMINE 1.
DWEI L .UNTTS : 1. LAUNDRY 'TRAY Hl-,Dc— 1:)PAIN (DIA
FLOOR DRAIN
SINK I SKWEP (FT )
WAI'Er.l HEA'TEP I S*17CIPM/PAIN (F-T 1.
OTHER
FEES :
W MTI.A.-Ell JAY F)ERMIT $132 . "50
Ep . 0 , BOX 23291
TIc#AI1- D OP 97223 F*TX'TUPES $6 . 63
PHONE (50 3) 6HA-7543 STATE TAX
cITHER
C
0 WA'TTS KEN
N
.T KEN WATTS PLUMBING
R
A Po BOX 230925
C ti.gnritl or, 97PR3
T
0 PHONE (503) 684-6626 TOTAL: 011319 . 1*3
R PEGISTPA1*10N NO . 50878
RECKIPT140.
This permit is issued Subject to the regUldtions 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 nEQLI:rrAF.*.:I:) INSPECTT.ONS
agreed the t the work will be done in accordance with the plans and PL9. AB
sp-cifications and in compliance with all iriplirable codes and POST a REAM
ordinances. The issuance of this permit does not waive restrictive WATER LINE
covenants. Contractor and subcontractors shall have current city PL.B. 'TOPOUT
business tax permits.This permit will expire and become null and
void It work is not started within 180 days,or it work issuspended ot PAIN DFIAINS
abandoned for a period of too days any time after work has r,:*1.NAL
commenced It shall be the responsibility of the parmittee to assure
all required nspections are requested and approved.
Perm e Sit urs
Issued By -T`NSFi—F��—TT—DW 639-4. 7 .
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
NO MEB0063:11.
C11Y OF TIGA RD WYOFTHFARD F-11IR"I. -*)M'T*.NO, (360629
COMMUNITY DEVELOPMENT DEPARTMENT
P(J,"bi�7.fAIkd,@i6ah�23QM31639-4175
I-AND
TTEM: NO: NO :
WORK (','I ASS : NEW F*UPNA(:-'[.'* <J-00K J. AIR HANOI...A <10
USE 'TYPE: : SINGLIF.' FAMXI-Y 1.00K+ A1W HANDL11 J.OK
CIONST .TYPE - VN FLOU)I:l F-UFINACU EVAP.C,001 EP
OCCUP . Gpp . : P3 HEATEP VENT FAN 4
VENT VENT . SYSTEM
I.',41-.P/COMP <3HP HOOD 1.
NO. STOWlES : 2 Bl..P/COMP INCINEPATOP(DOM
OWELL. . UNITS : I BL..P/r-UMP 1.5-30HP 1 NC:I*NEPATOP(COM
F(JEL TYPE GAS BI P/COMP 30-50HP REPATR UNITS
MAX. INPUT HL..P/("C)MP 50+HP 0'11-11EM k!
F:-J-r1E OMPPs7 GAS P ,J1,CNG OUTI-ET15 1.
H1:GH PRESS'?
LOW PPESS7
FEFS :
1AT J,..1 PF-14MT+-
BOX 232 91. PLAN AEV'EEW $10 .88
0 OR 97ee3 FIXTURES $33 .50
W PHONE (30*3) STATE TAX $2. 18
N
E OTHE'R
R
HE'D1 N ROBErAT
TT14t.,
C 845 NIJ
0
N h 111 m b c.)r ci ctr 971.21.3
T
R PHONE:: (!503) 6AH-11.59
A FIEGISTPAT10N NO. A721.1. Tnl'Al.: $56 . 5!5
C
T
0 I PFC'EIP'T NO.
R I --]
REQUIREJ) INSPEUTIONS
This permit is issued subject to the regulations contained in Title 14 GAS LT.NE
of the TMC. State of Oregon Specipity Codes.zoning regulations POST 9 BE-LAM
a.,d all other applicable codes and ordinances, and it is hereby r.1OUGH--I N
agreed that the work will he done in accordance vith the plans and F1 NAL
specifications and in compliance with all applicable codes and
ordinances. The Issuance of this permit does not waive restrictive
covenan!s. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
�old it work Is not started within 180 days.or it 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.
(
P e I In i Sig Y4
e CAl-l- FOP
Issued 3y: 'JA
REPARATF PERMI I'S REQUIRED FOR WCAN" OTHER THAN DESCRIBED ABOVE
SEWEP PEPMIT
C'TY OF T'GA RD PEPM1.1' NO . : SE880631t?
COMMUNITY DEVELOPMENT DEPARTMENT DA1SUE1.
1K ISD: 4/ 9/so
13125 S W Hall Blvd.,P.O.B ox 23397.Tigard.Oregon 97223,(503)639A1 75 �7` PPI.M . PMT .NO. (:3(M 629
J00 ADDPESS : 10650 SW P1VI::*IQ DP USA NUMBER: 35132I
TAX MAP/1 OT 25I1.:'JAA SUB : D0V[:.'k L.ANDING LT : 39 9K :
LAND IJSI;.-*.: :
LOT 51ZI:_-: :
SE(*.',T1(7N: 15 TWVI : P.11; PN(", : 1W
WOPK (.'A.ASS : NEW
USV:: TYPE: SINGI-L-': 1:7AMILY
1.1:1.at t 1.cl r1 o f t1 (.41:1. d
jei,icy Tho 111 J.% 0.X P.I.1,�rft ti; 1*r`2 0 clok t Ill Pr cam t h F.4 cI at t 0 J.III 1111.1 a d 1 h(P t,:l t lit
ilpwipi,iitgr Al, . p ih
akinotint pilvl.cl wil.]. 1:)o Trii-feiitivpcl :L-P tl*ik- par-in1t 1vAxr);i.r,v4i1 . TI-io As.,ls.rrnc,y cicielvi rivit, 1113A1r-
III I'l t e.(.-.4 the., 43 T 1.1-1 :'.o c iR t I ci ri cif t h e 0;J.d o III IVA wc.)r- J.at t,"r,lit 1.I'D . J,. F t 1-1 a 1i;owe,I J.In
licit '11:10m.ts"Id ilit the rl)(,lilt int,i i"esii orit g:I.vc)ri , the %11-iat'11 pi,nispec,t 3 all
dir,octionin from thek (1:08tilinc.-o 91von . If ricit tiic) 1cicatted , than ir-imta]Jer tDhia.11
1.1 t1r•r.�hiusnaa in. "Tntp at"(1 1511.do !:44wol"" Per*rn.i.t atri(i tl-io 0(lreric.,y W:11:11. J1.1-lintill.1.1. at Iiatfer'At.11 .
INSTALL , TYPE: BUILDING SEWER IMPERVIOUS AREA:
I::JXTURE UNTTS : TENANT IMPROVEMENT
1.)WF.::I-.l ING UNITS : I
NO. OF 14LI)GS . I
FEES :
0 MJ`L L E P JAY PIE PM:1 T $313 . 00
W P . 13 0 X *13 P 9 1, CAINNECTION $1 , 100 . 00
N
E TIGARD OP I INE 'TAP INSTAI L .
R
n'T*1-4F--':P
0 C MTI E
L. P JAY
N JAY MILLER BUIAA)EP
T P . ta . BOX P23291.
R
A TT.(.,APD OR 972211
C
T PHONE (503) 686—••'79A3
0 REGISTRATION NO . 301.09 TOTAL: 41i :1.3!5 . 0
R
RECEIPT NO.
This permit is issued subject to the regule.ions contained in Title 14
of the TMC. State of Oregon Specialty 'nriw,zoning regulations Pl:i'QUIPED INSPECTIONS
and all other applicable codes and ordinances, and It is hereby PCILIGH--IN
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 it work Is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any tirne after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved,
Lure
SI S
4
iPerQI e e
S, I,
Issued Ry b _ALL. FUR INSPEC11UN 63941'7b
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
End
4
CRYOFTIGARD PLAN QUKX APPLICATION
ct (S MRD PLAN CHECK
COM MUNtiY DEVELOPMENT DEPARTMENT oaooM PERMIT
1312SsM1WBknLPA.BatMW.T4wd.�AW OW)M41Tl� ���
DATE ISSUED
JOB ADDRESS: -1,z . TAX MAP/LAT _
SUB: LOT:_ LAND USE:
VALUATION: SETBACKS: FRONT:2 p REAR: LEFT: RIGHT:
WORK CLASS: HEIGHT: TOTAL ARRA:
USE TYPE:. _ FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: 2ND:
OCCUP GROUP: DWELL/UNITS: , - 3RD:
O^.t7UP LOAD: NO BEDROOMS: BASEMENT:
N) STORIES: NO BATHS: GARAGE:
z!tP SURFACE.:
APPROVALS RBO'D SPECIAL NOTE'S ITEMS RS IUn=
PLANNING: VIMSSUR OF: LIST SUBCONTRACTORS:
ENGINEERING: _ LAST REISSUE: BUS TAX:
FIRS DEPT.'.: FLOOD PLAIN/ � CALCULATIONS: .�
OTHER: SEN IND.: _ TRUSS DETAILS:
PARKING PLAN: —�
LANDSCAPE PLAN:
PLAN CFZCK. BY: _ OTHER:
COWBNTO:
A 7c U—T I a -! DES(�ON AMOUNT
OWNER 10-432 00 Building Permit Fees
NANRt _ 10-431 60 Plumbing Permit Fees 4,�3�G-'� --
ADDRBSS z 10-431- 01 Mechanical Permit Fees �363 y
1C-230 01 State Building Tax (5X) n
_
10-433.00 Plans Check Fee
PHONBtr—,— 30-44300 Sewer Connection (20X) q;�1.5 31 _
30-202 00 Sewer Connection (80X)
CONTRACTOR 30-44400 Sewer Inspection
NAME: ti .51-448 00 Street System Dev. Charge (SDC) t
ADDRESS: ,52--449 01 Parks I System Dev. t' rge (PDC)
52-449 02 Parka II System Det. Charge (PDC) #
31-45000 Storm Drainage Syzt Dev Chrg(SSDC) ;, _
PHONE: 10-230 09 TRFD (95I) t
10-435 00 TRFD (52)
ARCH/ENGINEER 1.0-230 06 "m3hington County Fire I1 (95X)
NAME: 10-435 00 Washington County Fire /1 (5%) t
ADDRESS t 10-220 00 Amart/Wedgewood �
TOTAL
PI1Gk
PREPAID r
RITC 0
BALANCE DUE S
APPLICANT SIGNATURE
Received By: Date Received: