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INSPECTION NOTICE
City of Tigard Building Department n
P O Box 23397
Tigard, Oregon 9722.3
Phone-639 075
Type of Inspection _ c�C
Date Ror uested_ /� 26- 9 ( Time—__-_ A.M. P.M.
Address IJ 1,,, Z-2,Lt YS�t1A - Permit # 200b-
Owner
VbOwner oe& j'� T-.T _ Lot
Builder 7
Thu following Building Code deficiencies are required to be corrected:
6047 deZY- 17-, r -- _-- - ---.
--
Presented to — 9-Approved
Inspector Disapproved
Date
CALL FOR REINSPECTIO
0 YES ❑ NO
.�v
�.zltaom�►h oaun�y-, o�e,so>�
Date-_.
WHILE YOU WERE OUT
M .-- - _. ----- - ---
of d f.2i=_ c�eL�E ��
pmn• :7 57
TELEPHONED PLEASE CALL
RETURNED YOUR CALL WILL CALL AGAIN
WANTS TO SEE YOU RUSH
its�..; ; ,� ► :
. ....--- od- 5; Al Bye
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E11WILEF
CITY OFT167ARDULJ3:I—DTN(.v' PE'.RMIT
C17YOF'TWARD 1--A F*.*A 10111. NO. : Bueeeooe
COMMUNITY DEVELOPMENT DEPARTMENT 0916004
13125 S W.Hall Blvd.P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 DATE--' 155iUED: 10/;.?/1/M3
PI-4 3:M. PMT .NO . 1[36�.'-2000
JOID ADD14-ESS : 152*39 SW 7+4LInS'T'ON I N
TAX MAF:,/I OT 251 IA*-?CA ASHF:01:41) OAKS) 11 HK
1. AND USIZ : P*7
VA I UA1']:C)N : $ '7:1. ,-1°10 5F:1*18A[1 K i
1::'R(')N*T* : .?0
WOW GLASS : NM DWELL. .UNIA'S L.E*F"T : 10 PTGI-1*T* : 30
USE;: TYPE: : S1.NGLK:. FAMLY NO.BEUPOOM5 : Y. 1::-Xy, WALL. ("OW'i'll
UMS'V . TYPE. VN NO .BATHS : 3 N 1;:: : W
(31PP . W3
OCCUP . I-OAD N
1AJ
'TOTAL. AREA : 1.5190
NO . STOAU:'S . 2 I.ST : 86el PUMP-- CUN5'r C.
I-Ir-AXAIT : PO PNJ : '726 AREA SP-PAWe RA'Tk;*D ,
31110: O(A71UP. SEKPAR? FIAT ED
M1:;:ZZ0N1NF-.*? E)ASk:'M'*T
1 ()AD : q 0 GARAGIE: /400 1:711-Alk: SPAKI `47 m
FLOW(04)(4) D1=,]LL-1" YLG
iF�A+ +yPVF a NJ 1 lbeP MCMT11 1*7 CORR
PL.AN UA-11EXK HY. r-11, i,
R F.:M A Q 103
PI--:E5SLJI::: OF NO. 08187!5
A
0
ES
W FF .
N WE I I F P JAY PL:PM:UT, 111113419 . 00
RE --
P 4:1 BOX 23eSO J. PLAN 14IF:.'V:I:EW $1110 00
r T.GA P D I)I.L:P,T*
STA11K TAX $1
OT HFP
0 DF--:VFI..L)PMEN*1* I.HAA(*..ES :
N
T MT L.L.F.,P JAY S
R JAY 11,11.11-11 F.34 P01I.AJU,141 IiIX"I G*T,Pri:E*T 1 $600 . 00
A I1GX 23i291. *�.?5 0 00
0 r)A 97 3 < 11111/10 . 00)
R (503) 6HA
NO . :4304.09 —j 'TOTAL. $1 ,A166 .A5
This permit is Issued subject to the regulatOns contained in Title 14 Ar-MEIPT NO 61
of th,TIVIC, State of Oregon Specialty Codes,zoning regulations
and till tofhet applicable codes and ordinances, and it Is hereby
Agreed that he work will be done In accordance with the plans and PF-QUIRF-N) 1W.iMUTAXIINS
spec if loat ions and In compliance with all applicable codes and F 00 1-1 N('.., SEWF'k
ordinances The issuance of this permit does not waive restrictive 1::*OLINI:)AT*J*ON WALL PAIN DPAT.N,:
covenants Contractor and subcontractors shall have current city POS'll, & DE.'.AM WATIF11 L.TNE'
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 PLO LINI)FEPS1 AB CT'rY Al*)PR(:'H/SW
abandoned for a period of 180 days any time after work has 511-0*3 FA.NAI
commenced It shall be the responsibility of the permittee to assure IN•..4 11311-101.111
all required inspections are requested and approved. F PAW:N113
F T PE--PI ACE
J:N 15
PQ I t 69 nature BOARD
Issued By ---
639 /41.7 5
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE
CITYOF TIGAR®
5VIAIEP PE.JM1 T
(cITYOFTIGA!k� l-:+:*k'M ;* 1* NO .
ORIGON
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6194175 10/e?1I 140
ADUPEESS : 1."5239 15W I"HURSTON I N USA NUMOEP : 0.'96A7A
VAX MAP/L.01, 2t-il Jl
FOPI) OAKS 1-1, "1 HK
LAND USL: 111
L.01,
GEXTIMN:
WORK CLAWS: NEM
USE' 'rYPE : lilISIG'LE: FAMILY
W-1t,l1 P11:11. I-I.Ilvpm iii'l-10 tA.1a 11 In 1.)-r tl1rr Ll I IJ. H.of
Thes.- pt.'7?l-'MJA 1.2.0 dayl�i +1"('Jm t-hGA dill,tu wta.l.
The) AiIt.iur
clo"m nut,t.
arltfafm thwe tplwa 1.c)ci9,tA(3r1 u-P thco midlo wk-+WGPI` 1IR-t-Ul'i"Ito T tf-l- fliewell.. ils
I I cl 1, :1.(:1 C.:K 1,V)(J fl).t t in(I,?la in 1.11,*ft M(a I 11, Q:1 V*e I 1 1',1)Id :1.1-1 to t I&T 1.vp I, %I I all '1. 1:)1,1.)t i 1:)".C.:1, :1.1-1
a I I tj J.r•6n(,-.t t,J.o ri is Pr•c)rri t'hr.rii (Jitai;.Avric�io :I:•r rl(3t stj Ic-ir:�ntoW , thro
F)Ltr-c.:h#i,!ww.a n " I'litp 1411CI Siric')
1 'l'MF-*.I-tV10LJS APE.A .
INIC5 TAI.-I.- I'Y P E: BUXI-01W., 'AMEAR
F i JUPE.' UN:1.1'5 : :I'MV)POVEMENT :
MCA..I lNG UN.'UTri: 1.
NO. OF
0 FF ES :
W
N 1,113:11 LEA JAY PEANIA,
E P - BOX 2,312.91. (:,0NNr::(."T10N CHAPUE. $1. 1.00 . 0t)
R TAP I:Nz-i*TAI1— .
OR 1-1 N I.".-:
OTIAEF)
C
0
N MILA E'A JAY
T
R -IAY MILA EP 131111:1 DEP
A
C J:) . " . BOX PM; 191
T TT("nOPI.)
0
R TOTAL.: $1 1 xM
This permit is issued subject to the regulations;.untamed in Title 14 F4FX',EJ;)1* NO
of the TMC, State of Oregon Specialty Cores,zoning regulations
and all other applicable codes and ordoiances, and it is hereby INSPECTIONS
agreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable codes and 17(IIJfnH- CN
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(4ays,or it work is suspended or
abandoned for a period of 180 days am,
, time after work has
commenced It shall be the responsibility at the permittee to assure
all required inspections are requested and approved.
-o
Permit fe^gnatute�
Issued By
(.ol.l- FOP IN5PE.C."110N 639 4J.'7.5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABIDVE
CITY OF TIGA ME CHANICAL l--'PMIT
RD I*-)FWM.I"T' No. : mPl:::882062
C"YOFWAPO
T
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 PlU M . I::'H T N"'(") .* 082008
J013 ADDRESEi 15.-M9 fi;W I N
`AX MAP/L01 25J. 51.113: A51-IF01:41) ('.)A-K!;i 1.1 L.T 1..1. BK
LAND USE: R 7
I.A1,11 (5 1'.ZE :
:1, TT.:'M : NO: NO :
WORK CLASS : NEW FIJI.;NA(:,E ('100K I AIR HANULP <10
USE l'YPr.-*: , S1NCI.A-:* F'AMTI Y F*LJRNA(:,I'-' 1.001<+ AIR HANDL.R 10K
CONST .IYPE : VN Fl.OUR 1:1.44NACIii.. I::1VAP.COOLER
(*11M.111.1r) .GPP. : 1:43 H E.ATE P vF;.N*r F'AN (4
VENT V11N'1' . SY511:1`1
B1.14/11:10mr, (131A1' 1-10017
NO . $11)PIES : El. r-.4LN/C0MP 3-1.51-IP OR(DOM
DWELL-UNI TG : 1. Of P. /cOMP 1.5 301-1111.-1 JNCJ'.NE.PA FOR I COM
FLIEL. l'y;:1E;.
CAS 13L.P/COMP 30----50HP P--PAIR UNITS
MAX . :I:NPUT P-I I:1/(:X)MI-) 504-1-(P OTHLP P
r-A:Rr-*.' DmPw-i'? (;A-.j PIPNC OUTLETS 1.
1-0111-4 PRE'5�i7
I-Ow PRESS,?
0 hi 3:1-1 ER JAY PE PMT +111.0 . 00
W
N I-) - SOX 23291 1:.ILAN FTE:V I E:.:W 11110 $:is
E TI GA P D l;;'.IXT'lJPES $33 . 150
GTATE TAX
0 THEE
C
o HFA)IN POPER-1,
N HE DIN' S HEATING
T
R 845 NW 2.3151
A h11.3.1 %bn r-cp ar, 971pa
C
T PHUNIF (503) 6,(18-1.1.59
0 NO . 417211. 'TOTAL :
P
PECF.i.IPT NO.
This permit is issued subject to the regulations 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 J R ED INSPECTIONS
agreed that the work will be done in accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and P050' & REAM
ordinances. The issuance of this permit does not waive restrictive POIKA-4—IN
covenants. Contractor and subcontractors shall have current city I'! T NAL
business tax permits This permit will expire and become null and
void ifwork Is not started within 180days.orifwork Issuspended 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.
Permit gnatu,ar�
Issued By 1... 2444 -444�*A�+,A H*4 i9 4 11, -5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1-*.,i UWAAG 1:-+-J4M,l. I
T' NO. : 1:1 80e.'-.1061
CIWOFTIFARD
(aryoWmArm
COMMUNITY DEVELOPMENT DEPARTMENT OCIGON
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 IAP:01 . PMT .NO . 811:11 "(iH
ED ALK)PEY.-ii : 1-5239 5W *1*1--I1JPGr(.)N LN
fAX MAP/I (TY' 1?5 1. 12(*.;A 1AA--: : A51-IFUMD OAKS 3:1 1.1 HK
LAND USE" :
.1 1,FKM: NO: NO
W 0 A K C 1.-A ti!i : N F-.'W WA*T'E-:'Il CLOSEa:'T 3
tjLjl:-:, *T*Yl.-.,E: : 13TNG.l E FAM11 y URINAL BKF'!-UW PPVNTI:',l
C;(:JNS*l . TYPE : VN LAVORA'11'11PY 3 TWAP" PPIME.34
OC'(:'lJP .G'Pl'-' . : 1:43 Y'Up. !I&IOWEP a GPEAGE: 'MAP45
D IS IAWA!:iHE P
(."'APBAGIE
NO . snmms : F WASHING MAGHINE I.
I)WE'I.L .UNT I AUNDRY 'T'P(.)Y IM DG - DRAIN MIA
FL.00114 DRAIN
15INK 1. si:--WEi4 il F-r)
WA'T'ER HEA'I"EM I r.)'I'()PM/PAJ.'N (FT
44EMAWS
0 M'.r 1-1 En PE.P. M11*
W $132 . 50
N P - 0 BOX 23291
E T,:j.c,A P r.) 014 I 1 EXIL)VICH'S
R
S'T*A*T L AX AI6 63
I O*THEP
C
0 WA I'I'S K ki:N
N
T
R Ian BOX V.30925
A 9 1 R PZ3
C
T PHONE. (503) A84-6626
0
R NO. 15011:1171:11 1(3 1 AL : $139 . 13
PECEIPt NO. 16)121
This permit is Issued subject to the regulations 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 PED r.NEil*-)Ec'r:l:(:)N!3
agreed that the work will be done in accordance with the plans and pl-A , UNDEAS1 AEA
specifications and In compliance with all applicable codes and 1*1(:)!3*T & REAM
ordinances The issuance of this permit does not waive restrictive WA*YE*P
covenants Contractor and subcontractors shall he%-. current city 1:11.A31 'I"OPOLYT,
business tax permits This permit will expire and become null and RA IN LMAIWi
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 F*T NAL.
commenced It shall be the responsibility of the permittee loasFmrp
all required Inspections are requested and approved.
Permitte/el/atJuar,
Issued By (D
6-.49 OIVP�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CHECK APPLICATION
CITYOFTIFARD PLAN CHECK N �U /
C11yOF T14 ARD J PERMIT M AA l-.C lS�'Z
COMMUNrn' DEVELOPMENT DEPARTMENT Cof / DATE ISSUED
13125 SW FW I HOwt P.O.Boa 2W97.Tom_ d,coo„9rrn(T)�'7s
JOB AD('iR SS: r �U` 1 t /.�Il%"J [ TAX MAP/LOT 2-S/ -1
SUB: _ i' r -, 1�1 LOT: LAND USE:
VALUATION: 7/ ;-
OWNER S_PFCIAL NOTES
NAME _ REISSUE OF
ADDRESS: LAST REISSUE: _
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: _ - ---�---
�� APPROVALS REQUIRED
CONTRACTOR / PLANNING:
NAME: — i ( (/ c-. ENGINEERING: -__-.-_
ADDRESS: FIRE DEPT
71M J -- OTHER; --
PHONE: [a J,N- ` _ y ITEMS REQUIRED
1-ISTISUBCONTRACTGRS: _
F RCA.1ENGINEER BUS TAX:
NAME: - CALCULATIONS:
ADDRESS: TRUSS DETAILS:
_ PARKING PLAN: _
_ LANDSCAPE PLAN: _
PHONE: OTHER:
COMMENTS: —i f' _ S Sc((-
PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD, BAL. DUE
F.z 0V 10--432 00 Building Permit Fpes �J
f 10-431 00 Plumbing Permit Fees1-1.2- ,50
7 10--431 01 Mechanical Permit Fees _ . 5u -- 3•So
10-230 Ol State Building Tax (5X) ,? _ _ • z�
Building /7 ,#/Sr'
Plumbing rie��•
Mech .2 . 1 h
10-433 00 Plans Check Fee /a, Y
Building �__
Plumbing
Mech
30-443 00 Sewer Connection (20X)
� dL j 30-202 00 Sewer Connection (80X)
30-444 00 Sewer Inspection _
51-448 00 Street System Dev Charge (SDC)
52-449 01 Parks T System Dev Charge (PUC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (,,SDC) �.. S & -SU
10-230 09 1RFD (95X) _
10-435 00 TRFD (5%)
10-230 06 Washington County Fire N1 (95X)
10-43.5 00 Washington County Fire N1 (5%) _r
10-220 00 Amart/Wedgewood
TOTAL. �� __?�.lz• c�Sl ��,��I
REC 11
APPI_TCANT SIGNATURE -
C
Received By: _ ,1 l� Date Received w ( _