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rub; MAY
�,,�r'►����he�t�u-� �ttt��+'' �U�.,; ��4��+�tiJn� � sS
INSPECTION NOTICE
City of Tigard Building Department
Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Yypu of 'nspection
Dute He 4ukisted ZI 7 r,me A.M. P.M.
Address Permit
Ownei Lot #
?wilder
the following Building Code deficiencies are required to be corrected.
Presenter) to Approvpd
ln3ppctorely- U Disapproved
Date
CALL FOR REINSPECTION
❑ YES Ci NO
INSPECTION NOTICE
City of Tigard Building Departrient
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection .��.��L .L --- ---- ---
Date Requested ' Time A.M. P.M.
Address
Owner_.... —. __ Lot #�,
–---
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ❑ Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
O vss O No
INSPECTION NUM":
IG
City of Tigard Building Department
r.0. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Impection /a � /�✓ �J
Date Requested / �7'— Time A.M.______.__P.M.
Address !_ T`9 _ , __ Permit # �L
Owner _ Lot #
Builder _ ��7Us The following Building Code deficiencies are r9quired to be corrected:
Presented to
-- - �4'�pry►a�ed
Inspector Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
P,
EJUILDING P)F-:PMI'T
CITYOFTIOARD I:lr-.:PM:I:'Y' NO. , 131.11391 141.
C"YOFTMAND
COMMUNITY DEVELOPMENT DEPARTMENT
DA'TE. ISSUEJ.). 6
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175
P M. i-1111111'r .NO @1011
JOB ODDRI„:Sli : 10463 SW *TJ'TAN L.N
'f AX MAP/1-0'11' P51- I-ABB 12000 SUB : SWANSON I T : 61. bK :
LAND tJ5E: RIPPE)
I ca VAI UAIJON: $ 57 ,30c) SE1*8ACK5
F PON*T* : E20 REAR: 5
WORE' CLASS : NEW DWELI... .UNTT'S : I LEFT : I RI( H*T : Z!
U5E 'I'YPE : SINGI-F FAMILY NO . BEDROOMS : 3 EXI' .WALL. GONSI' :
(:.ONS'(' . 'TYI:)E : VN NO. OATHS : H N: 5 : E . W
GPP . . P3 PPO'T .OPENINGS :
OCZUP .LOAD N S : F-., ic
TOTAL.. APEA: J.2/10
NO . S111PIES : I 15*T*: IRAO WOOF (*,ONS T : C F*1PE PET7
1-4V,::.E(*.#I-I*Y' : P-NL, : AREA RA TED:
I3ASFMr-.'.N't7 3RD OCCUP . SI:::PAP7 TSA'T'ED:
MEZZANINE7 HA95EM' 'T
r-A OOQ LOAD: 40 G(-)RA(.vE. : 400 F*IISE: SPPKLP7 ALARM`(
FL OW(GPM) DETLICI 7 Y E.
I 1-116A I' 44Pr�..! G A 44lVcA*--4tt.1�, --
V-11-AN CHF.-ECK !,iY : I"I'll,
RUKMARKS :
$15 Fnr re'd 111•te c!c1l;)y r7E:1sst.w OF NO . 880956
LAST' REISSUE: 881290
V1 lit EAK M(:lNGAN 11111307.00
N PLI i.-qOX 68,3115 PLAN PI"-,.VIr-.:W $/10 . 00
E
R lit I cl 1.1;3. cir 97007 603,15 FIRILK 1H."PI,
PI-it.)NE' (503) 684-6606 1i TA'11* 'TAX $1!`5 ..3°5
1 01+41114
C DEVIii'l OPMEN'T CA-IAP(.,F.9i,
0
N B L E'A K MOPGAN SDC(ST5
ORM) $20 . 00
T I I'll'AN IN(..". . S D C 115 I'PE:E'T ) $600 . 00
R
A PO BOX 611.;I
3,5 P1:)(;;1111112 1 11111e50 .00
C ALOHA OR 97007 68345 PREPAID < $80 00)
T
0 I.."FIONE ( 503) 684-6606
R [ MCI. *.30,5-58 11YVAL : $1 ,397.35
This permit is issued subject to the regulations contained in Title 14 I:*-.C.EIPT NO .
of the TMC. State of Oregon Specialty Codes.zoning regulations .............
and all other applicable codes and ordinances, and Q is hereby PEQUIRED J*N!'-.vI:)ECT1!'.1NS
agreed tl-it the work will be done in accordance with the plans and FOOIJ N[4, S L.-W E W
specifications and in compliance with all applicable codes and F(:)LJNDA'1'3:(')N WAI I PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST & F*-.AM WAI*FR LINE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and 111-13.UNDE-PSLAB ("I'll'y APPACH/Sw
void if work is not started within 180 days,or if work is suspended or ,�I A I) F I NAL
abandoned for a period of 180 days any time after work has PL 191 . TUPIIATT
commenced. It shall be the responsibility of the permittee to assure FRAMING
all required inspections are requested and approved r�I REPLACE
GAS LINE
-ENSUE_AT
Permittee SiGYP , HOAPO
gg �rp
1- 4ued By�
CAI...L.. FOP INIJ-`FI—TION 639-0117!7)
SEPARATE PERFI411TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T'GAiW SEWLA PERMIT
PErRMIT NO . : SE1139:11.184 t
COMMUNITV DEVELOPMENT DA-PARI I AENT OR"" DATE ISSUED: 6/ 6/09
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)i39-4175 PRIM. PMT .NO. 091141.
JOL4 ADDRESS : 11.04163 5114 TITAN I N USA NUMBEA; 37530
TAX MrIP/1 01' 2S1. I4PF3 :11.2000 1511_11113: SWANSON GI.A::N I T : 61. 1:31<
LAND USIF-i. : VV.21-4)
: 141 TWP : 2111 PNG: 1w
WORK C,L.ASS , NEW
USE TYPIE.: S'.I.N(IA-*_' 1::'AM:I:l Y
'TI-le RV)F)I:I.C4Lnt aigr-ec#si tf, a13mil)1y w:Lth al.]. I'-Lj:I.Cj'I; a,"cl
Agoncij Tl-iv- permit le'!O daym fi-ciin (:IaLte
pi:l.icl wj.1:1. 1-.)Z- for-feitecl if I'l-le 1:'er'lnit 'T'he A(Ifmncy clne!:i riat git.tar.....
iitritee! thva af Mv..? IocaLtiari (.)f tl,,(m Itii.de t.;ewc?r- IaLte?r,al.s . If -?.ric, iaewr.:?r i.%
1-11:11t Il:lC'RktCi*CI Ut tl-le! cl:i.vorl ' thII,"I inratni.3.3.1vi!r. 1111-1al.1. irl
fl-alft tl-l*# givorl . Tf not %a lcic�itktelcl ' tI.1" j.rIti;tiit]A.oar
[Kil"Chiliffie. HL "Till,13 11LIU.1 Sidt.1 Slowliel", 1.4"I.-InJ.11, i4lid tl'IIP WJ1.1 a 1.ilk
INSTAI L. . TYPE : r3(.J11 I BING SEWER IMPI:NIVIGUS A14EA:
FAXTURE UNITS : TENANT :I:MPr4OV[-'_MI:::M1' :
DWELLING UNITS :
NO. (:)I::, MAXIM . 1.
0 PERMIT 111111135 . 00
W
N 1:)a HOX 6835 (:11ONNEM'I(:)N (,HAAGE. 111111. 1 1.00 .00
E ittl a h ta or- 197007 6835 1 rNF.:' TAP INSTALL.
PHONE (503) 604-6606
C
0 1:.31 1.;:.*.A I< M(Jn('.,AN
N TITAN PP0;)FI*TI**.I:I-::S IN(:, .
T
R PO ROX 6835
C A Al..C)I--IA OP 197007 68A')
T (303) 6111:14-6606
0 PE(.31:15TPATION NO, 30,15,156 *r(.')I*AL. : $I ' j.3's. oo
R
RECA-i:IPT MI.
This permit Is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRF-1) INSPEXTIONS,
and all other applicable codes and nrclinances, and It is hereby RC)IIUH- 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
husiness tax Permits This permit will expire and become null and
void if work is not started within 180 clays,or if work Is suspended or
abandoned for a period o! 180 days any time after work has
commenced. It shall be the respunsIbIlity of the pe—.1iiee to assure
all required Inspections are requested and approved.
Permittee Slgn?liu�r;
Issued By: N Llr_r'T I UN
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PL.LJM81N(.-; P[*-*.:I4lM'.I'A'
CITY OF TIGA RDOFNO . : 1:4091.1.1134`2CITY TI
COMMUNITY DEVELOPMENT DEPARTMENT 011100H DATE ISSUED: 6/ 6/114(9
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)539-4175 PPIM . PM*T' .NO. 8911.A1.
JOV-4 111: UNE.55 . 1.0,e463 W 11IAN LA
TAX MAP/1-01' 21:0. J.d1HD :1.i-.000 SpUb . SWANSON GLEN i-.T : 61. F3K :
LAND USEK: P 12 1:1 0
LOT SIZE:
11 EM: NO: NO :
'I OL
WOPK CLS
AS : NE:W WATEP 5FT 2 'T'RAP
USE, TYPIT : SINGLE F-AMII Y URINAL.. BKF*I.-OW I:)PVNTA
(:,'C)N!:i'Y* .'TYI:)E'.: VN LAVORATUAY i2 TRAP PPIMEP
("It"(11UP .G111P . : P3 TUH SHOWER r? GREASE". 'T'RAP9
DI SHWAGHEA 3.
GARI'JA('.-')E DISF"OSAL 1.
NO , STORIES 1. WASHING MACHINE.' .1.
DWELL . UNITS 1. LAUNDPY TRAY BLDG . DRAIN (111A
FLOOP DRAIN
SINK I SIEMER (F-T)
WATT.R HEM 1. STORMiRAIN (FT I.
OT H E'.I
HL.MORKS :
0 Bl-.F.:'Al( MOP(*.,AN PE P1f1J*T $11.17 . "'.110
W
NIyt3BOX 6835
E 1:0,1:)1-)ht Ill., W007 F'IXTUPES
R F,HONE (303) 60,41-6606 STATE-.' TAX 111115 .8(3
C
0 WATTS KEEN
N KEEN WAT*rs I:)L.UMH*I'.NL-,
T
R 1:100 BOX 2,15092115
C A t1.g0LI`CI cir, 97PP-3
T PHONE (503) 61131 6626
0 NO . 50078 UUTAL 1111 .3 38
R I — I I:IE(:,E:11:)'T'
This permit is issued subject to the regulations contained In Title 14 - - - •-•--••••••-•••••......••
of the TIvIC, State of Oregon Specialty Codes, zoning regulat!nns j:)rj3I.i:r
. M-40.) INS W41,11:(:)NS
and all other appPicable codes and ordinances, nnd it is hereby FIL.B UNDEFISLAB
agreed that the worx will be done In acco:-dance with the plans and
specifications and in compliance with all applicable codes and POST & I.1r-".AM
ordinances The issuance of this permit does not waive restrictive WAI*r-.'I:) LINE.
covenants. Contractor and subcontractors shall have current city PI-S. TOPOUT
bU31ness tax permits This permit will explr( -ind become nul, and 1.)AIN I)RAINS
void It work Is not started within 180 days,or I work ISsuspended ur 17!*'r.IN A L
abandoned for a period of 180 days any time aftor work has
commenced It shall be toe responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Slgn�, F 4
Issued By VAL-14 INU-1 WE""I''r UN di-59
SEPARATE PERMITS REOUIRED FOR WORKOTHER THAN DESCRIBED ABOVE
CITYOFTIFARD MECHANICAL- PE'R M-1: 1-
PEPIMIT NO.
CITYMMAND
COMMUNIT I DEVELOPMENT DEPARTMENT 0410014 DATE ISSUED: 61 6/09
13125 S W hall Blvd.P 0 Box 23397.Tigard.Oregon 97223 1503)6394175
1:>1'1IM- PMT .N0.
•
(-1 X M I)P 5 J. 1APH 1.2000 SUIS : SWANW:)IN
IEN
I.-AND USE : 6:1. BK :
I-01, SIZE :
J01:1 ADDRES5j : 0'(163 SW "1 .1:'T'I)N I N
WOAK (A-ASS ; MEW ITEM: NO: NO .
F'UPNA(.'I:-:* <100K I r-11:144 HAND1.14 <10
'-15E TYPE: 5INGLAn. F'AMT1 Y F-1-JANACEi: 3.001<+
CONST . *I'YPI-.: : AIR HANDL-11 10K
VN F1.00A FUr-4t4ACA'.: L.:'V A P.(*,
C)CICLIP . C"Ar.). 143 1-WEATEPI '001 FJ4
:TENT FAN ,3
Vr-.:N*r VENT . tYsi*i--.m
NO . B1 .14/cOmp HOOD
81 R/(:"(:)Ml:) INC.INF:.'P(-�-rOj:j(Dom
DWI:'I I.- - UNITS : 1. I3L.A/(7OMj')
Flh�L TYPE C"A S . INC—INEPAI OP(COM
HA X . INPUT'* F:1""COMP 3()----!50HP Pk-*:PAIP LJNI-1 '-q
FIRE DMPRS'? 50-f-HP OTHEA 2
CAL.) '"IPIM-3
HIGH PPEss ? I
I OW
NEMAPKS :
0 1A1-EAK M 0 R(3 A N PEP 1'T'
W
N Pa ROX 6835 1--JI-AN PE-VIEW $1.0 . 00
E n101'..L 01" 97007 6833 PIXTUPE*s $1.0 . J.3
R PHONE.:' 1-'503) 604-6606STATE TAX $30 .50
$2. 03
C
0 C
0
N FWL.L.. HEATINL,' INC .
Il A 77 A A
T
R 15 55 0 SE: OIAZZA AV[:;-'
L i
A C1..A(;'.',l<AMAF.-i
C OR 9,70j—Hii
L
T 1:'-HONE: ::i0.3) Lm 41.3. 9,q
TION N
OR 14:1"It"144ATION NO. IV4-1 TOTAL :
L-- _ 45P- - •66
This permit is issued subject to the regulations contained in Title 14 14EX,EJ PT NO.
of the TMC. State of Oregon Specialty Codes, zoning regulations j:;tF..(4LjI
and all other applicable codes and ordinances, and it is hereby .4 U I N G Pr--: N Fj
agreed that the work will be done in accordance with the plans and L-INE.
specifications and, in compliance with all applicable codes and POST A BEAM
ordinances. The Issuance of this permit does not w9ive restrictive PC)U(A+--:1 N
covenants. Contractor and subcontractors shall have current city F T NAL.
husiness tax permits. This permit will expire and become mull and
void if work Is not started within 180 days,or it work is suspended o,
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all requited inspections are requested and approved
*
PermitteeSi lure
AS nature
Issued By IN 5 p r
SEPARATE PERMITS REQUIRED FOR WORK 0 FHER THAN DEMRIBED ABOVE
�\ a PLAN CHECK APPLICATIONCITY OF TWA p
r��orncacn PLAN CHECK N _ 1\
COMMUNITY DEVELOPMENT DEPARTMENT �, o..a P1 RMII N
131255W.#jAHwd_P.o.Hoa23nT.Tigard.ore n9rM.(`'4])G•79-�tTa �/J DACE ISSUED
1 i AX MAP/LOT
JOB ADDRESS: J ^� LANG USE:
SUB: _ LOT: -- —
VALUATION: OcS -
SPECIAL NOTES
OWNER
__ REISSUE OF:
NAME: '`� �- - I-AST REISSUE:
ADDRESS: r c) FLO00 PLAIN/
SENSITIVE LAND:
PHONE: --
-- APPROVALS Rc UIRED
PLANNING:
CONTRACTOR ENGINEERING:
NAME: - '�--'-----` _ FIRE 0f ''T
ADDRESS: - OTHER-
-_ ITEM:: R_ EQUIREO
11—IST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: -
_ _ CALCULATIONS:
NAME: - - TRUSS O-TAILS: _
ADDRESS: _ -`--- — PARKING PLAN:
- ---- — - _. --- LANDSCAPE PLAN.
- - - _ - - OTH[R: ---
PHONE: — r
C."ENTS: '��'f CI rl 11 Mi -5�i>
PERMIT H ACCT N OE'j;CkIPTION A�M_OU�NT� AMOUNT PD. GAL. DUE
10-432 00 Auilding Permit Fees
_1_L_�
10-431 00 Plumbing Permit Fees ,/r SCS
_ 10-431 01 Mechanical Permit fees
S�
.2
- 13-230 01 State Building T=x (5X) _� , —�-'�-
Building /5.3 S --
Plumbing
-
P1umbing1►_--
Mech
10-433 00 Plans Check Fee
nui.1ding0-1: S
iR�//ice• t�fyl
Plumbing
Mech
30-20' 00 Sewer Connection fiU
30--444 00 Sewer In3pec.tion --
- -- 51-448 00 Street :system Dev Charge (SOC)
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg (SSUC) 1 �'S0
10-230 09 TRFO --
10-230 OG Washington County Fire N1 (95X) -
10-220 00 Amart/Wedgewood
IOTAI - -_F --
'EC N
APPLICANT SIGNATURE '^—
Received By: / Lim - Date Received:
c:n/3587P/18P