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INSPECTION NOTICE
City of Tigard Building Department
1'.0. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ / —�� - p-�-- 7ime.�_A.M. G P.M.
Address ,L ���--may �"�-'�-�1 Permit
Owner — -- f,��l-'-- - -�— -- Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ _ Proved
Inspector L_I Disapproved
Date
CALL FOR REINSPECTION
YES CJ NO
FW
INSPECTION NGTICE
('!,,y A Tiqwd Building Departrrent
P 0 Box 23397
Tigarc.' Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested
-s
Address —jI Perm!'., kt�"A
Owner Lot
Builder
— --- / /6`�'-- �� /l�_��f ��_—. --
The following Building Code deficiencies are required to be corrected:
L)
C1 "V op C,Llvj�
C–
Presented to Approved
Inspector k VNIUMd
,
Date Z
CALL FO.'i REINSPECTION
Ll YES 1:1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 113397
Tigard, Oregon 97223
Phone 639-4176
Type of Inspection /`e ( '<
Date Requested '- ' Ti f P.M.
Address Permit
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented tolJ Approved
Inspector ---J/'��'_
C —...—_ L1 Disapproved
Date ! l' �
CALL FOR REINSPECTION
❑ YEd ❑ NO
�a
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3391
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
nate Regvested.
"-f— Time_� A.M. _P.M.
Address _. 3 Permit
Owner Lot #
":,ilder , �7
The following Building Code deficiencies are required to he corrected:
Presented to �,�,/
� - - [J Approved
Inspector
bisepwoved
Datu
CALLLF' OR REINSPECTION
LJ YES ❑ No
ffow FW
INSPECTION NOTICE
G:,ily of Tigard Building Department
P.O. Box 23.397
1 igard, Oregon 97223
Ph.-,ne 6?9-4175
Type of InspectionDate Requested—Requested. _ Time __x A.M. P.M.
i
Address Parm+t
Owner _ _,. Lot #
Builder
The follow;ng Building Code deficiencies are required to be corrected:
2� .
_ •,cam, / � `�,.�-t2�
GL`s L..r-. G.�-�U (�• �a�fJ i 2w v�/ /Q
Presented to Approved
Inspector _• L7 Disapproved
Date '.. -
CALL F'U...REINSP TION
E8 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ... ?� —
Date Requested U Time A.M.!—P.M.
Address _
''� Permit
Owner Lot #
BuilderThe following Building Cude deficiencies are required to be corrected:
Presented to CJ Approved
Inspector � l! = --_ ❑ 0111pproved
Date 14 .-A� _--
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tiga;-d Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Ti me A.M. P.M.
Address ._ 12a 9-L
5 A.)-- vezo. — L V� Permit e--9
Owner Lot
Builder
The following Building Code deficiencies are required to be corretted:
Leg
J9M ------
4V
Presented to Approved
It-spector Disapproved
Date L
CALL FOR REINSPECTION
0 YE9 ED No
INSPECTION NOTICE
Gity of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested L l Time_ _ A.M. �. P.M.
Address � ,�f�� Permit # 6� V
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
PresenteJ to — _ _ - Approved
Inspector f Disapproved
Date
CALL FOR RF'INSPECTION
Pel YES LLQ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175 r,
Type of Inspection
Date Requested ____.._� 7 Time _ _ A.M. P.M.
Address _. ~ �� _ Permit #)J--Z Z
Owner Lot #
Builder
'The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector Disapproved
Date r �' Jq -
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTiON NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
0 l
Tape of Inspection
Date Requested I _.� Time A.M.
Address Permit
Owner Lot
Builder ��--- — —'- tea --- -The following Building Code deficiancies are required to be corrected:
�� .���� �a.-r ter.• �
Ct3• .r r �r �. ,� �J� Y.( f�,.,,'t�f✓,,...-,.c�.t,-L1 �t---.� '�"'-
Presented to _ LJ c�
Approved
Inspector ❑ Ditepproved
Date 7-- �-
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
J `�/ City of Tigard Building Department
✓ P.U. Box 23397
� Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested - Time �.A.M. P.M.
Address - �._ _ _ Permit # .Q
Owner_ Lot # _
Builder --ILIT f
The following Building Code deficiencies are required to be corrected:
Yj
p
01
r
--- — --.�! ,1.�•-�. LytC�V-div-1�,<< �t.�,.�.
Presented to Approved
f
Inspector - ---- ---_---_-__----_— l°� Disapproved
Date
CALL FOR REMSPECTION
0 YES ❑ NO
---- --- HUT L..DING L'tikRM:1:T
CITYOFTIFARD �CITv,�NARD PEM11' NO. : EU890801.
UN600
COMMUNITY DEVELOPMENT DEPARTMENT \ DA•rE:: 7:S51JE.D : 6/20/1:39 V/
13125 S.W.Hall Blvd-P 0.Box 23397.Tigard,Oregon 97223.(503)639-4175 p{T I M . PMT.NCl . t��?0t301.
%.JOB ADDRESS : 131%_'1 5W TAME.E20i LN
'T'AX MAP/LUT 151 33DC 15100 SUB : VIL_I..:CAt:•;I:: Al" 5UMMF"R(_AI<F: PARK LT : 6 BK :
LAND USE: : R1PPO
1..0'T ST Zr:::: VALUATION: !6 06 ,13P1. SEI BACKS
F'RONT': 20 REAR
WORK CLASS : NEW DWEI...L L . UNITS : 1 LEFT: "i RIGH'T -'IA
USE 'TYPE: SINGLE FAMILY NO . 1:3LOPOOMS : (•1 E:.XI . WALL (:;UNS'T :
CONST . 'TYPE: : VN NO . 13A1'HS : P. N : S : E: W:
UCCUP . (3PP . P3 I:4413 T" . OPEi:N'T'NUS
OUCUP . 1_.UAD N : 5 : E: W:
'TU'TAL. AREA: 1.516
NO . S T'OPTE.S : 1. 1.S'T : 1.51.6 ROOF CUNST' : C: FIRE RET7
18 2ND: AREA SEPAR i RATED:
13ASEMEN'T7 3RD: OCCUP. SEi:PAP? RATED:
1`1E::7:ZANINE7 BASEEM'T
F'L.00R LOAD: 410 GARAGE : 420 FIRE SPRKLR7 ALARM':?
FLOW(GPM) DI---'T 1-:*CY7 YF:S
HEAT 1' fPE: GAS HUC:Io. ACCESS? CORP?
PLAN CHECK BY! r 1.t
1�2E:MAF2K5
REISSUE OF NO .
LAST I'IEISSWE
FEES
O MORISSE:T'TE I3ON PE:RMI'T• $39-1. 00
W
N PC1 BOX 1.9524 PLAN PEVT..E::W $;'_"56. 10
E p o r•t i nt n(i a r FIR 1:: DEI-XT
A
!:i T'A'T'E: 'TAX $19 . 70
O'THE P
C DEVE:LOPMEN'T CHARGES :
O M()PI.SSE:I"T'E DON SOC 1 Sl'ORM) $250 .00
N DON MUPISSE:T1'1-: SUILI:)E-E-RS INC:. SDC(ST'RE;ET) 91600 . 00
T
R per I:lOX 19,52A PL)t: I d1 1. ) $2!10 . 00
A part:l.ekncl or 9'7r 1.9 PREPAID < $1.00 . 00>
T PHONE (1503) 2,14-93141
R REGIS-1-PA-TION ,!r '. 35533 T(:)1'AL: •1 ,6699.80
RECEIPT NO . /ay„�t��
This permit is issued subject to the regulations contained in Title 14 _-...._..________.._......_....._..._.__...___
of the TMC, State of Oregon Specialty Codes,toning regulations RE:(4UIRE:I') INSPEC'T'IONS
and all other applicable codes and ordinances, and it is hereby f"UCJT'ING
agreed that the wor, All be done in accordance with the plans and
specifications and in compliance with all applicable codes and FOUNDA11J'N WAI..1 RAIN DRAINS
ordinances. The issuance of this permit does not waive restrictive POST 9 BEAM WATER LINA
covenants. Contractor and subcontractors shall have current city 14-8. UNDERSC_AR r"Il'Y APPRCH/SW
business tax permits This permit will expire and become null and SLAV 'INAL
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 PLR 1(JI'OUl
commenced. hall be the respo Ity of the permittee to assure F VIIAMING
all reTnsions are requ sted nd approved. FIRE:PL.ACE
(,',AS LINE.
�: I:N AJII-A'T I ON
Cyr) . BOARD
Perme
issued Oy: _ (;Al-l--F-114114 Vr 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i:,E:nmrr NO . : SE89081.8
DAI*E.- ISSUEL) i 6120169
CIT�'�� �'��� CCITYOjF�TK��-ARD r.pim . rym'r . NO . 890801
COMMUNITY DEVELOPMENT DEPARTMENT 0410004
JOB .22p,.W3)6394175 A
. .3 14"
.Jigaftlilq _ K US NUMBEA : 3 75,eW
1-AX- MAP/LUT FITI-7 M11—Ty.."11-My SUM F KAI AI(F—PA-P—K ---1 T —6 1-:31<--
LAND USE: RIPPE)
I (JT li-i'EZE :
1:0::XTION : 33 T WP 1!:i PNG : 1w
W0141K (::-ASS : NF.:W
USE TYPE : 51AGLI11- I-"AM.I:L.Y
rhe a1:)1:)3Axant to WJ.th al.l. ri.chwm i..trid of tI-ielJri:kfJ.e(:l
S"We?1--agcA Ag(-I-Icy . The.-� 1:)(erini.t e.xl:)j.re.!n 1(20 da tit from thfa clatct i%%ued . I'he total.
alnot.1rit wil.:; bF# j'4' the. 'Tti(nAclaricy sloe II nil C11.1ar-
ant(eii- th" ac`citra(::y (:)4' thci� loc!ill.tAcal of tht� 1:iicloillawer lattel-laDri . 1-f tl-livp !qewer J1.%
not Icic'atv�?(J al, thr re.Inc..,lit 9:Lvfer) , tht:.-+ :h-li;;taJAer l:)roiaper.-.t, 3 -Fr,,et :in
diroc.tior.::; frc)in the give-!i-I . IT I-loi. %o 1.0oate.d , tl.)(-x
a allcl Sciswkor" Porinit niicl thcrlc�ctrlr.-y w:1.1:1. J.rivitatl.]. 0,
INSTALL . BUT I DING SEWEP APEA :
44:11111416 UNA;'Pii FFMAN1,
DWELLING UNIT!:i : 1.
NO. OF
E. -STT T
p(:1 r3OX 19524 (.,ONN1F.'.("1'l.0N ('1HA1:K*-.E'.'. VI. ' 100 00
r)I.)r t 1.a 11 d LANE.:* YAP TNSI'Al L. .
W
N
E
R
MMISSETTF.": DON
C DON MOPTSGE'T"TE BUILDEA15
0 pia BOX 195V'el
N F)a r t'l.m.n d or 97P1.'P
T
F3 PHOW. ('503) 131.41
A
C G
RE. V41RA- 03
11N NO . 3533CYTAL : $1. 135 00
T
0
R RECEAP'T NO .
PE-'QLJ-1r1E:-t) INSVIEL"T'JAMS
This permit is issued subject to the regulations contained in Title 14 T N
of the TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby
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 subr.ontractors shall have current city
business tax permits. This permit will expire and become null and
void It work is not star led within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It all be the responsibility of the permittee to assure
all required in a ions are requested approved.
Permittee Sign tire CALL 1:--UR INSPEUTION 639-4175
Issued By-
SEPARAI E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PEMIT NO . : ME-89091.7
DATE:- IS51-11ED : 6/20/439
CITY OF TIVA RD CITYOFTI 7 PI:11M . PH"I' .NO. 890801
VA
0010ON
COMMUNITY DEVELOPMENT DEPARTMENT
,JO F3 nffhWIdAElvd..f;9.J3p 3397 JIgaVqQMfflK22@',.W1)639-4175
TAX
ITI TAGE AI SUMMEPI-AlK K L.T E)K MAPfLUT 151. 3315 C U-)T-U6
LAND LISE: Al2PI)
LOT SIZE:
TTEM: NO : NO:
.1. A144 HANDI-P <10
WORK CLASS: NEW F:'LJPNAC;L < 100K
USE TYPE: 5INGLE FAMTLY FUPNACP*.*. 1.00K+ AIP HANDI 1:4 10K
CONST .TYPE: VN EVAP .COOLEA
(:)(.'CIJP .GRP. P.13 VF.:N'Y* FAN
VENT* V E 1'41* YST E M
DI-PICL]IMP <31--ii-) H(:01)
NO . STORIES : 1.
.11'NCI NE'RATO R(DOM
DWELL .UNITS : I 1-31-II/COMP, -15-3011P ]*.NCINEFIATOR
1;:-UEL TYPE (.,A5 .30 REPAIR UNITS
MAX . INPUT' ()•TFIEP P
F-1171E DMPAS7 GAS P'1P1N(.-, Ot-III-E-iS 1.
HIGI.-I Pr4I':'S)57
LOW
141i;;MAWKS !
LXJN PERM31 *10 .00
11 r.1 MIX 1952d4 PLAN REVIEW $8. 63
c> 1:1r3r t I uk 1-1(1 ci r, FIXTUPES ;.',q .SU
vV
N STATE TAX $1- 73
E OTHER
R
C BELI... HV.:*A'T**I:N(.*, INC.,
0 1.355MAL.: PIAZZA AVE:
N CI A(*,KAMAI*.i OR 9,70:1.5
T
R PHONE. (!-.')03) 2/43-- 1.18el
A NO. 017 T D TAL. 111114141 .86
C
T
0 NO .
...................
REQUIRED IN5I:-+-'(',TJ:ONr3
This permit Is issued subject to the regulations contained In Title 14 GAS LINE
of the TMC. State of Oregon Specialty Codes.zoning regulations POS T 6 REAM
and All other applicable codes and ordinances, and It is hereby ROUGH T N
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and F .I.N04L.
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 "0 dfs ny time after work has
of '80
commenced. It all b the repons�l ty f the permittee to assure
.NII at y
ere(request(d an approved.
Permittee Si ure r11 I I.OD TN!-jPE'CT1ON 6-39-417,5
A
Issued By: e----
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PE PMIT
CITY OF TIGA RDclTyorTlrrawPEP1111:1' NO . : PIL690816
17AT IH: I G S U ED 6/P()/89
COMMUNITY DEVELOPMENT DEPARTMENT ONE P.PPM . PMT . NO . W 0001.
11125 S.W.Hell Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639A175
1 17-33. Sw
TAX MAP/I OT ISt 331)c 1.51.00 STUD: AU SUMMEPLAKE PAPK LT : 6 BK
LAND USE : P 1.2 P 1)
U SIZE:-
ITEM: NO : N('.)
WC PI( CLASS : NEW wATF:-'P ci-osEzi* 2 T1:2AP
USE TYPE: STN(3,11 1::: F:AMA L.Y URINAL.. BI(F*LOW 1:14VINIT14
CnNST .TYPE: VN LAVOPATOPY TPAP PPIMEP
P3 TUR SHOWE11 P.
I:)J:SHWA5HI::.'P 1
GAPHA('.vE
NO . G11.)RIES : I. WASiHING, MA- CHINE: I.
D W F I I- UNI'T'Fi I I..AI.)NDI:1Y T PAY RUN;. DPAIN l D'.1f,
VI.A.'1101-4 DPAT N
Si TN K SEWEII. (F'T)
WA'T'I-*.*P I GT(')I:4M/PA'1N (VT I.
01,14:44
I:U:.:MAPKFi :
_ _J
14011:41551::711-TI.: DON PE PMJ'T 4i 1 1. 1 50
0 1:)(-.)
W
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E Si
R Y*A'1*1-- J AX 00
OTHVEW
C SHOCKMAKEP 1-11APOLD
0 AKE'n ' Fi !'-'I-.UMEITNG
N P(3 DOX el.)()
T
R *-
J� r�
C11Y OF T16AwRD
PLAN CHECK APPLICATION
\M Cfry��ARD PLAN CHECK N z
COMMUNITY DEVELOPMENT DEPARTMENT �.�' PERMIT N `;6 'i C)
13125 S.W.Kpaetwd-P.O.Box 23"7.T1Qard.Or-gon97727.(503163941TS DATE ISSUED
JOH ADDRESS: l �Z S'� T�a'vv►l'(� �a L _ _ i AX MAP/LOT 3:1 DC Z 1G U
SUB: Vi�lv1 v�T �y`n �u`-Lw11�f� OT: _ LAND USE:
VALUATION: I� �- �_
OWNER SPECIAL NOTES
u REISSUE OF:
NAME: 1 t? .!r` ` - ' _-
ADDRESS: LAST REISSUE:
L r: � FLOOD PLAIN/
�~ SENSITIVE LAND:
PHONE: q� - r ?� uY
APPROVAi -, REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: _
ADDRESS: FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: T r. I C I __ CALCULATIONS:
ADDRESS: / TRUSS DETAILS:
- PARKING PLAN:
-� LANDSCAPE PLAN:
PHONE: �+S5 � 01 HER:
COMMENTS:
PERMIT N ACCT N DESCRIPTION ►+MOUNT AMOUNT PD. BAL. DUE
Fvjo Vc 10-432 00 Building Permit Fees 1II 4-. _-- Jc5/ -'"
d1i('2 676 10-431 00 Plumbing Permit Fees // /, 50 _ ilz So
by r 10-431 r': Mechanical Permit Fees 0
10-230 01 State Building Tax (5%)
0uildirig X 11. A)
Plumbing 5'.ST
Mech _ _ /17 3
10-433 00 Plans Check Fee 3 1UU
Building SSG• /[J T
Plumbing
Mech 3
X10 '
30- 202 00 Sewer Connection U
30--444 00 Sewer Inspection
51--448 00 Street System Dev Charge 0110) (pG1"
52-449 00 Parks System Dev Charge (PDI:) o2Sy_ _ 2Su
31-450 00 Storm Drainage Syst Dev Chrg (SS(K.)
10-230 09 1RI-D
10 230 06 Washington County F ire N1 (9`i%)
10-220 UO 0m,art/Wodgewood
IOTAt �l1 3•uy ��iy
REC N
REC N
APPLI SIGNATURE
Received (IV : Date Received: _
cn/3587f/t8f� - -
Y
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