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1
INSPECTION NOTICE
City of TigP,d Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 i
Type of Inspaction
Date Requested__ _--�1 Time_ A.M. P.M.
Ads rens _
_ - � Permit #--JCZ��3 7
Owner -------- = ---- -- ----- - Lot #_ 'At,1`rT—
_�� ��
Builder
The following Ehiildinq Code deficiencies are required to be corrected:
,
IN— Ado -AVok—
r _ —
Mir
Presentee to — _ �pproved
Inspector _`-/ ✓�� Disapproved
Date --- --__--Lt" 7y.'
CALL FOR R UNSPF,CTION
YES C1 nIo
INSPECTION NOTICE
City of Tigard gilding Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time— A.M.—P.M.
Address
f,—>r�Lj Permit
2.1
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Y
1
Presented to -Approved
nn-
Inspector 1 Disapproved
Date
CALL FOR REINSPECTION
0 Y E IS EJ N
w
CIIYOFTIFARD
BUILDING PERMIT
LjOFPERMI'T' NO. ElUfJ91.1:37
COMMUNIT" DEVELOPMENT DEPARTMENT13125 S.W.Hall Bl%a. u.0.Box 23397,Tigard.Oregon 97223.(503)6394175DATE: ISSUED . 6/2 1./89
,101:3 ADDRESS : 1.01441 SW T'IT'AN LN
'T'AX MAP/L..OT ?53. 1ABB 11900 SUD : SWAN!:ONS G I�;N LT : 60 BK :
L-AND USE: R1.2
1O SIZE:: VAI._UA'T:L(:)N: !l 59 ,288 �iET8ACKS
WORK CLASS : NEW DWELL .UNITS : :l LF F-T : O PIGH'T' : 30
USE: TYPE . SIN(:.LE:: F'AM1.1_Y NO. BEDPOOMS : 3 EXT . WALL CONST
CONST . TYPE: : VN NO. BAT'HS : :3 N: S : E : W.
QCC'UP. GPP. . R3 PRO'T' . CIPENING;S :
()C CUP. LUAU N: IS : E: : W:
TOTAL AREA: 1289
NO. S1'C,1:)IES : 2 1ST: 703 POOF' CONST: C F-IRE RET7
HEIG,H'T• : 20 2ND: 586 AREA SEPAR 7 RATED:
BASEMENT'? 3RD: (:)l::(;(.1P . SEPAR7 I1AT'ED:
1 ME :l;~;'.ANINL•::7 BASEM'T
FI—OOR LUPiD: /10 C;AITA(+F:: 400 FIRE SPRKI_.R7 A.LARM7
FLOWIGPM) DET'ECT7 YES
PLAN CHECK H t . o] t
13C::MARKS :
REISSUE OF' NO. 6.116:33
LAST 1.7E ISSUE: 891140
FEE'S
W HL.EAK MORGAN PERMIT $31.14 , 00
E :�Il Pox f 93� P1 AN RE'V:I:EW �.clq . A()
R PiiL..OHA (:)R F'IRI::: DEPT'
S'T'ATE: TAX $115 . 615
OTHER
C DEVELOPMENT CHARGES :
N HL..EAK MORGAN SDClSTORM) $230 . 00
T TI I AN PRLIPERTIIES INC: . SDC:( ST'pE'E'T') $600 . 00
P P(:) BOX 6835 PDC(4:2 ) $250 . 00
C' AI...OHA OR 97007 6835 PPEPAID < *80 . 00>
r'HONE. (50:3) 68,e4--6606
li r7E:GI!:i T'IIA'T ION NL . 30,530 TOTAL: $1. ,388. 6.5
This permit is issued subject to the regulations contained in Title 14 17E-CE•I PT NO •
of the TMC. State of Oregon Specialty Codes. zoning regula!ions "•""
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPE:CTI:CINS
agreed that the work Will be done in accordance with the plans and F C)(7T'ING SE*'WI:R
specifications and in compliance with all applicable codes and r-(:)LINDAT'ION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city POST & E3F.::AM WATE:CZ LINT
business tax permits This permit will expire and become dull and PLR .UNDEP",nLA11 CITY APPPCIA/SW
void if work is not started within 180 days,or if work is suspended or SL.AE3 F'I NAL
abandoned for a period of 180 days any time after work has PI-13 .
commenced It shall be the responsibility of the permittee to assure F'RAM.l'N(�
all required inspections are requested and a 1preved
F.T.REPLAC,E
CTAS L'CNE
INS(.)L.A'T ION
Permittee Sigr1'ature
GYP. BOARD
Issued 5y
I /A .r _-I.- T"M--T`Nli1gECT�iL N—h:35+-41
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A90VE
SEWEP PERMIT
PERMIT NO . : SE891177
CITYOFT167ARD
SMOFTMRD
COMMUNFY DEVELOPMENT DEPARTMENT
13115 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 DATE ISSUED 6/21/89
----LL
'JOB ADDPESL 1.041/41. SW TITAN LN USA NUMBER : 37545
TAX MAP/LOT 2S 1.41E E3 1.1.900 SUB: SWANS ONS GLEN L-T : 60 F)K :
1--.ANU U'SE : R12
LOT SIZE:-' :
SE.Cl-ION: 1.A TWP: 2% PNG : J.w
WORK CLASS : NEW
t.JfiF- SINGLE 1*-"AM:I:L.Y
TItira Lappliczant. iagr,(ees; to COMPly With 00.3. r'1.1I1F!!N i1tr)d of I.he U n:i T:I.e cI
5c.-woria.Spo A( rriicy Thfe perml.t iaixpi.r,e�is 120 (i.ayli;
fir,oin thce chate J.s The. tiita'i
Intlescl .
illL111101.11l't, r)EL:i.(:l Wil.:1. la Fr 7t3r fwli.ttaci i f tl-ire! pl.-armi t c-xp:i.i--*l% . Th1w Arlanc y (JiJeq; rint
ill1t6t* the i&CrCLtr-iac-y of the Ic1t.�aLIA.C11-1 of the? !10.clim %ewor. Int.t.ii-1-i9As If th(a 1:1ewc,11, j.%
!:;tJ13J'J Pr'CJ!!JPe(:'t :3 f"et :i.
Fit tl-lc-� mew fit,(1-cmillF.-Irl t giveiri sa
t,h*? int '1.1i� .1*? rt
direcAiuma fr,c)m th(* If 1-irlt $0 l.oratutcarl , the *1Li19:T,i&.'1.1.c-%r- i4hal'l
Purr hxl .e! PL "'LiLp aLrid Side Siewer" Pivi-init itarid the Ai;leiric�y will iria;tiall, in.
INSTAI-i- . TYPE RUILDING SEWEII IMPERVIOUS APLA:
FJXTLJAF-* IJNITS : TENANT' IMPROVEMENT :
DWELLIN(., UNI:Tfi : I
N(.) . OF' SLUGS .
0 FEES
W M 0 P G'A IN P E:'R M I T $135 . 00
N
E BOX 6835 CONNECTI;-1N CHARGE $1 , 100 . 0()
R ALGHA OR I INE TAP 'I:NSTALL- .
OTHER
C
0 MORGAN
N
T T:VTAN PROPER'T'IES INC .
R
A PO BOX 6835
C Al OHA OR 97007 683,113
T
0 PHONE. (503) 6EV4-6606
I R I RF*:CI5*T*PATION NO. 30!358 TOTAL : $1 , 11.35 , 00
This permit is issued subject to the regulations contained In Title 14 RECE I PT NO .
of the TMC, State of Oregor. Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby AEQuIprr) TNw)ErTIONS
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 nc)t waive restrictwe
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?0'igdRlLJrV
Issued By - -10--
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MElt.".4-1ANICAL PE114MI-T
C17YOFT167ARD —4�-11,1 1*'F*IQM*I.*T' NO . : MEN911.76
r.I TYCF 7WAFM
COMMUNITY DEVELOPMENT DEPAR-,ME JT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97271.j;vjji 639-4175 DA'TE I SSUED 6 21 09
— P141M RMI-NO 1.1 -1
,JOEI AD014ESS : 104141 SW T]*TAN LN
*TAX MAP/l..U'r 25J. 1AVB 1:1.900 SUB: SWANSONS GL.EN L-T e0 B K 1
LAND LISE : P12
L.O'T 51ZIE :
j"TEM NI) NO
WOWK CLASS : NEW F'UPNA(,E <1.001< 1 A1P HANI)LA4 <1.0
USE 'TYPEI : SINGLE 1::'AMIL.Y F*LJPNACI::: 1001<4- A3:R HANDLP 10K
CONST.'TYPE : VN FLUOR F1JPN EVAP.CX)OLEP
OCCUP. GPP. : 143 1--IEAI*EP VEN'T FAN 3
VENT' VENT . SYS!*ElM
BLP/(,'OMID <3HP HOOD
NO . 5TORIES ; 2 BI--P/COMP 3---t5HP INCINEPATOP(DOM
DWELL .UN11'G : 1 911-14/COMP 15-30HP INCINEPA'TOP(GOM
FUEL 'TYPE: A S EILP/COMP 30-50HI*.) PLPAI:P LINI'TS
MAX . INPUI* BLR/CIOMP 50+HP 01*HEP P
FIRE DMPPS? GAS PIPING OLITLEA'S
HIGH PPEESSI?
L, uw w iir-ss:?
PEMORKS :
L
o
FEES :
W BLEAk MORGAN PERMIT $3.0 . 00
N 1:)C) D 0 X 6 till 3 V5 PLAN PEVTEW
E $10 . 13
R ALOHA OFT FIX11JAES $30 .50
S*T*A*T'F-' 'TAX $e. 03
C
0
N
T BELL. HEATING IN(: .
R
A 1-5530SE PTA7ZA 041,1111-
C U A(: KAMAS OCT 9701.15
1,
0 PHONE (303) 2413-111.8zl
R S'T*PA*T*TON NO . 4T-q1
11113e. 66
This permit is issued Subject to the regulalions contained in Title 14 REG 'I P T NO.
of the TMC State ( Oregon Specialty Codes,zoning regulations
and all diner applicable codes and ordinances, and It Is hereby PEQUIREM T.NSPrECTIONS
agreed that the work will be done in accordance with the plans and GAS LTNE
specifications and in compliance with all applicable codes and POST REAM
ordinances The Issuance of this permit does not waive restrictive
cr,ienants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and F I NAL.
void if w.)rk 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 resporlsihility of the permittee to assure
all required inspections are requested and approved
Permittee Siglntu,,
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
77 P1 UMBIN(., PEAMIT
CI-Ty OF Tr17A RD C I T 14-0,F 4YM 0 Pri-iSMIT NO PL'891.17'.5
011114M
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 6/21/09
13125 S W Hall Bivr 13 O.Box 23397,Tigard.Oregon 97223,(503)639-4175 PR1tj- PMT Nn- fag 1 1-.4'r
JOB ADDRESS : 1.0AA1 SW TITAN I N
1'(*-)X MAP/LOT "2S 1. :1.AIBE3 1-1-900 'iUB: SWANSONf-ii GL.E'N LT : 6G BK
LAND USE : P I'd-
LOT SIZE:
I TEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE : SINGLE FAMILY URINAL Hl<l::'I-.UW Pl4VN'T'PI
CONST . TYPE : VN LAVURATOPY 3 144AF, Pr4IMF-.:A
OCCUP .GPP ' : P3 TUB SHOWER 12 GPEA!iiE TRAPS
DISHWASHER 1.
(.'-',ARBAGE DISPOSAL 1.
NO . -� T 0111E S : 2 WASHING MACHINE 1.
DWELL UNITS : i LAUNDRY 'T PAY 1911.00. DPAIN (GIA
FI-0014 DRAIN
SINK 1. SEWED (FT)
WATER HE'ATER I 5TOPM/PAIN (FT t.
OTHER
0 $
W BLEAK MOAGAN 1.)r--':P P i I T
N PO BOX 6833
E
R ALOHA OR F I X k j P E(5
STATE TAX
OTHE-14
C
0 WATTS INEN
N
T KEEN WATTS PLUMBING
R
3
A PC) BOX 20923
C t-LUF.Lr*d nr- 9722.3
T
('?HONE:HONE 11,503) 661-6626
R PEG ISTRATION NO. 5011378 TOTAL: $139 . 13
This permit is issued subject to the regulations contained In Tide 14 .T 140.
of the TMC. State of Oregon Specialty Codes,zoning regulatiors
and all other applicable codes and ordinances And it Is hereb; REQUIRED INSPECI-TONS
agreed that the work will be done in accordance with the plans and M9 UNUEIISLAR
specifications and in compliance with all aprWcable uoden and I PO4LT & DEAM
ordinances The issuance of this permit does not waive restrictive WATI:J11 LINE
couenants Contractor and subcontractors shall have current city
husiness tax permits. rhis rerroit will expire and become null and PLB . TOPOLIT
vuid it work is not started within 180 days,or If work Is suspended or PAIN DRAINS
abandoned for a oetiod of 180 days any time ifter work has FINAL
commenced. It shall be the responsibility of the pe-nittee to Assure
all required inspections A19 requested and approved.
Permittee Sig
Issued By 14_ CALL FOP INSPECTION---6-3-9-41—75
SEPARIATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE'- ABOVE
i
CITY OF TIGA'
RD PLAN CHECK APPLICATIOhi�
PL-AN CO{ECK /14
COM.",41 41TY DEV=LOPMEW DLPART1t1ENT PERMIT H
11125SW-lewffBWd-,P_O-[lue?1197,rtq,�.��.�a+s�.'z�.e�u)�.sv���s DATE ISSUED
JOB ADDRESS: /�)�/�( S W •��' (e .vi AX Moo/LOT
= LOT: (An LAND U�r-:
SUB: .-�: L c r r"�c�� l` _ �d�21LS... -- --
VALUATIOA: .i t ZB�' SPECIAL NOTES
OI,,1NER nn
REISSUE OF:
NAf1E: _—_
xiE: S• LAST REISSUE:_ _
— 'ii-T AWRE
FLO00 PLAIN/
SENSITIVE LAND: —
PIi0I4ELl APPROVALS REQUIRED
PLANNING:
CONTR(rCTOR
- '� v1.c� ENGINECRING.
NAME: v
NAMADORES:';: �' FIRE_ DEPT i
5 _ OTHER: -_------ ---
-- ITEMS RE41UIRED
PHONE: --- - -- --
- LIST/SUBOONTRACl"ORS: _-
ARCH/Cf ,'.RE BUS TAX:
NAME: _-- CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
--- - - -- LANDSCAPE- PLAN: ^_
OTHER-
PHONE:
COMMENTS: 1 .e C—L
BAL. DUE
PD.
PERMIT M ACCT b DESCRIPTSON AMOUNT AMO � -,
10 432 00 Building Permit Fees � r —�--
_ 10--431 JO Plumbing Permit Fees
— _ 10-431 01 Mechanical Permit FeesU `� 5
10-230 OI State Building Tax (5%)Building
Plumbing
Meeh _ .7 1
10--433 00 Flans Check Fee
Building h�6 -
Plumbing J -.
Mech _ D
30--202 00 ~ewer Connection - DD __-_.— / oU 30--444 00 Sewer Inspection _ --
51-448 00 Streat System Oev Charge (SOC) a
52.-449 00 Parks System Oev Charge (PDC) _ SU
31--450 00 Storm Drainage Syst Oev Chrg (SSOC) -
LO-230 09 TRFO --- - - ---- ---
10-230 06 Washington County Fire #1 (95X) _
10-220 00 Amart/Wedgewood -
1 OTAL 449
REC N /
APPI-ICANT SIGNATURE ) �?
Received By: t/ _— Date Received: -
cn/3587P/18P