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INSPECTION NOTICE
`-' • ' City of Tigard Building Department rl�
CJS Box ?.3397 U
P.O.Tigard, Oregon 97223
Phone: 639-4(175 C
Type of Inspection -1
Date Requested 1 Time A.M. _P.M.
Address `� tl L—Lu S( Tj" Permit
Owner. __ Lot X11
6� C
Builder `�-'Ck=� ----- _) ', I `�(0
The following Building bode deficiencies are required to be corrected:
C Gc rc,P 7 J 2
L4 bcl
Presented to Approved
Inspector._—._— Disapproved
Date —
C'ALLI, FOR REINSPF,CTION
❑ YES 0 NO
D 1:ill G P F;,:P M J:I
I:4::PM:1*T* NO. � BLI882463
CITY OF TIGA RD
C Mile
COMMUNITY DEVELOPMENT DEPARTMENT Comm DA-11i: '3/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 PP T M . PM'T.NO . R63PA6.6
SW 11-4UPSITIN I N
AX MAP/LO'T F�51 J.2(",A 5,500 SUE): AGI-IF'OkU OAK$ L'T 91:0,
I AND P/
VFVIUYTION: 1i 89,926 SV'TUA(';K5
F*PONT : 10 REAP : 5
WORK U.-ASS : NEW DWEL.L . UN I I-EFT : 0 Plafl* . lr?,.?
1.15C' TYPF;' : '5119('11 F rAM:1:1..'( NO. Hiumc)(imsi 1_X T WAI L. CONST
G(')Nfli'T* . 'T'YF11;r : VN NO. 8A'Y*l-4G : N W
P3 PROT . OPV-.:N1N(.'.S :
I.AJAD N E: 41
'11TTAL. APEA: P()12 lei
NO . SIIIIATES : P :1.S T' 1,000 F-40OF (:'ON S T : C, F'1PE Pkii-l"?
HKA: T Pf.? 'e.11 N D I 0'e-2-el ODEA SPPAIT? PATt::U;
8051`:M1*-*.'NT'? 3141); U(N:'UP- %KPAP? 14 A 7'1:*:'*1)
BASiF*M
F LO11 OAD 40A 1:1 A G 1--". . `Cli;:2 F I ME G1-`AKI P? Al APM7
FLOW(GPM) DE-;E*(:"I ,? yl::-,!:i
I.-IUA F, T'yI:.'F:. : I.I DC
(-191%all.'K M-T T.16
PF*J51;(.JE OF' NO.
L.AST' PEISSUH.
1111-LEP �JAY I.,I::.I:,,m I: r S11141015. 00
W 1.) r? . DOX PLAN Wri-KVIEW $P61 93
TIGARD 011
(A TF: TAX 113
0 V HE:11
DFVL1..0PMFKN'T'
(' HARGr-.:5 :
C 1.)A 11, G 1R. 113 PM 11 *P50 . 00
o inti
N $600 . ('10
T P C.) PDX c.!329t V,LK,I#;.J.
R ITGAI-4) (10 197ppl'.� 11111250 . 00
A PPP;.*PATD < $1.00 . 0o
C PI-IONP' (30,'J) 6113-4-1,543
T 1:;IF. y
0 STPO"11:014 NO . 011,09 UTAL : $1. 1 685. 10
PEI(XIV"I" NO . 0 ZO 44
Tf,is permit is issued subject to the regulations contained in Title 14 ..............
of the TIVIC. State of Oregon Specialty Codes. zoning regulations I:4:.Q1.1TP1:i.'D P45PEII.-IJONS
and all other applicable codes and ordinances, and it is hereby F'00'TINC., S F W F.P
agreed that the work will be done in accordance with the plans and F'OUNDA'TION WALL PAIN LOAN:NS
specifications and in compliance with all applicable codes and POS I & Sri AM WAIlli'14 I...TNF-.:
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city Fi UNDER!R-AS (:"I,T,Y APPN(,H/SW
business tax permits. This permit will expire and become null and 1.0 AB F I NAI
void If work is not started within 180 days,or if work 18 suspended or ! 1 0 . 4,11.31POUT
abandoned for a period of 180 days any time after work has V P AMY NG
commenced. It shall be the responsibility of the permittee to assure I 0I.-KIDI-of,IF.
all required Inspections are requested and approved. I NV"
11. A I'll.ON
(:.YID DOAPD
lh'a�;
fle r m i I te re h
Issued By f)P 114`11:17("I'll-ON
SEPARATE PERMITS REQUIRED FOR WOR14 OTHER TIAN DESCRIBED ABOVE
1::'EPM'.[ T
C11NOFTIGARD —,
I,E1QM1.T NO .
CITY0F DI�ARD
COMMUNITY DEVELOPMFNT DEPARTMENT j
13125 S.W.Hag Blvd-P.O.Box 23397,Tigard,Oregon 97223,(503)6394173 1)ATE ISSUED:
..lc)(:)
ADI)PESS : :(-5363 SW 'rI--ItJPGT(:)N 1...N LISA NUMBEP .
TAX HAP/I (IT Psi 120A 511500 SUP: ASHFORD 00.W5
I-ANK) USE: P7
LUT S17F.":
sEc-rION : 12 TWFI: F!ia I:ZN(.; . 1w
WOPK U.AS�*i : NEW
USE TYI--11-.: : SINCA-E FAMIL.Y
If 11,114, at ppl! icant 6,91,00111 1,1:1 y wi,th ml.1. rt.1 iefii iiii-ICI regril.111 L J 1.)iilij r:)-F tjle L)I-lJ.
Sewerage Agency . ThO P01-111J. t- exIJ J.'"el% A120 (im-y III f ram tilos (datte j.r9%j.I0(j . The tntaLl
lit1llcit-4111, 1190-d Will be -Pni-foited i-I? the Ja4ilrlrlil. I.-.'Xl:)J-IJ9 - Thos Aclerlcy rlcilpm ricit qt,11111-
19, t e e t h e.- w c c,ci I,mc y of 11,11 e .1 sk t 1.u 1-1 13f t1-1W 111 J.(J 0, Is ew ey 1 3.M.t e r 1.in , I.-F thin rdewor, J.ia
rica 1DcffIt#6?c1 MA th.-v melatrstlroalnolnt. cJiVe'l , 011011 il-IlAtIR.I.I.er lal-11111.1 jarrimilmIL't 3 in
al.1 direc!tionw -Fr(ain Y.he 9,i.ve1n . Cf 1113t Ilia it:icatte(j , that
lit "Tritp filillcl Flerinit hirld 11,he nClolnc y WJ.11.
I rYPE : BUILA)IN6 Sh:.WI.':.P l:MPEPV10LJS AAI-Fr,):
1�:*IEXTUIPW: LINITEi : TENoN'T :I:MPP0VF-.MF:NT
I)WEL.I...'ENG UNITS
NO . OF' 8L.D(.';5 a.
0
W M T 1.1 E P 'JAY PEWIT
N P . a . Box 23291
E CONNECTUIN CHAPGE 1.00 . 00
R L :ENE TAP :'NSTAI.1. .
(ITFIER
C
0
N M IL.L.E 14 dAy
T ..JAY 1`111I.-L-EP 80111-T)E:14
A P . M . DOX P-3291
T1 OR 9722:3
HW' ( 03)
rR PPF-O5G1ST'I-1ATl:(3N NO . 30109
TOTAL.: 111111I .1.3115.
Thic perr lit is issued subject to the regulations contained In Title 14 0ECE: -4)'T NO. e q
of the TPAC, State of Oregun Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It is hereby FIF-*QI.JTPF-':D XNSVIECTTONS
agreed tnat the work will be done In accordance with the plans and POLIGI-4-4N
specifications wid in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Guntractor and subcontractors shall lave 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
P Q
e 611
Issued By: cl A I..... r:0 0 TISISPECTION A39-4175
SEPARATE. PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C11Y OF TINA RDCITY NC.)nc
COMMUNITY DEVELOPMENT DEPARTMENT 4
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223•(503)6394175 DATE: ESSULD: 1./ .3/E19
211EM- l'i'ME.-NO,
1.5363 �iw 11-11.4,15TON L.N
f()X MAP/L.OT r"?9i1 15!-300 SUB . ASI-11-:0PI) C)(KS' L.T :9 UK :
11"ll) USE :
NO:
WI: W< CLASS . NEW WINI LJ4 GI ONE'T A1=,
USE:'. TYI:aE - F'61,13:11-Y LAUNAl bl<l::L..(:)W r.'I:1VNTP
C',C)IM,'T . T'Yl:)I:** VN LAMIRATORY PPI'MI:44
C)CIC114-1 G1411-3. 143 '1 LA) SHOWEI-1 TPAPS
D15HWASI--lE.'P J.
D.U..J."USAl
WASHTINIG, MACHINE:*, J.
I)WIF]. I.. . L)INITTS : :1. 1 AL)NDPY 1'I:-'lAY BLDG - 011AIN MIA
E•'1...0014 E)PAPI
SINK 1. SEME'l-4 (FT)
WATE1.4 11-1114-ATE34 1. GTOPM/pAIM (FT
(11,111-11L.11
0
rr
W M.1.1 I I..II) JAY
N BOX
E
01:4 1.1.X TUrIEFS
STATE '1 AX
0,11 Fll:%n
C
0 WAI Y'S I<1:!'.N
N
T 10:11 WA T T'S N I.jMI:*q:rNG
R
A (Jtl BVIX
C tiql4i'(1 CI I'`
T PHONE ('503) w3,1 6 6,.e
0
R a PF:1'1'#:I'!i TOn'TA ON NO 100,713 TO 1,AL 11; *17 . V 1)
This permit is issued subject to the regulationi contained in Title 14 NEECE:1'.P F NO. 0 7L)qc)
of the TMC. State of Oregon Specialty Co res,zoning regulations .......
and all other applicable codes and ordinances, and It is herebyCSF INSPECTMIN!"a
agreed that the work will be clone In accordance with the plans and V"L F) LINDE'.iLAS
specifications and in compliance with all Applicable codes and POS F* & "LEAM
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city WA1141 LINE.
business tax permits. This permit will expire and become null and 11.14 . TOINAYT
void if work is not started within 180 days.or if work is suspended or 1-4o'EN DQA,lLW,*
abandoned for a period of 180 days any time after work has I. ENAI.
commenced It shall be the responsibility of the permittee to Assure
all required inspections are requested and approved
Permit 1p. riature
Issued By
SEPARATE PERMITS REOUIREn FOR %i,)RK OTHER THAN DESCRIBED ABOVE
MF.X.'IIAN:r.C'.AL PERKVT
NO. - ME8F1,-.-?A180
CITY OF TI17A RD
:iWjt—oFPeA
T_bF Tl� PtD
041GON
COMMUNITY DEVELOPMENT DEPARTMENT 1/ 3/89
13425 S W Hall Blvd.,P.O.Boa r 23397.Tigard.Oregon 97223,(503)639-4175
FIR J:M , 1:"M,l �6. 81324163
JOE'l ADDAE:15S ; 1.536*3 SW 1*11L.114S TON LN
'TAX MAP/1.,0'T' ,.?S1 IJ'-XA 5,500 SLID: LJ :9 1:1"
1. AND USE: P 7
1. C)"I S:r ZFE
1 ri:7m: NU: NO
W(:)PK CLASF5 : NEW F'UPNACL <100l< A:ER VIANDLA 0.0
USE 'TYPE . SiNGLAi: FAWEL.Y FUPINIAC'Ei: 100k+ 1. AIP HANDI R 1.0K
C0NS'f' - "f'YPF:* VN 17:I...('0P FLNINAC.4i. 1__-:VAP . COULEEP
C"PP . 113 HLA'VER VEN'T' FAN
VEN'T' V E N'Y' . 5 YS'T E M
IFILAVICOMP <311P HOOD
NO . S'TOFULS : P IAl,.P/C'-0Mr" Zi 1.5HP T Nl,]'Nl::'PA'l OP(DOM
DWE.L.L .I JNI*T'!5 . I Ell P/COMP 1b 301-IP 3:NCTNERA'VOR(COM
'1*Yl:-1I.K GAS Eill--141CUMP *30 50HP tIN11S
MAX . I:Nl:)I.)'T FILAVCC]IMP" 504-VIP
I PF: DMPI*-157 GAS I;.1J*P1I`4C3 (A.1111:1*5 I
I I I PPRGS?
L t]Ld 1.41L.r.ici-t
10 [KES :
"V L.1;-:.P *10 .00
N p . Cr . EltUx 2.3P93. PLAN PENYEW $1.0 . .",10
E
R I TC.vAND FJ X'I'tjl;Ir.5 1111132 00
S I'A'T'KE *TAX $P. 10
C)U 1.11:,1:4
C
0 11 F.D TN 1-4 C)1:11::.P I
N
T fit:"DT.N
R R/15 NW r.:' 3:1
A
C h i.11!oi b u I-t:j tar W1.2"ll
T
0 V'I IONI: (50 3) 610-1151?
F. I T41)'T'.10N NO 17'3,1.J. $34 elo
This permit is issued Subject to the regulations contained in Title 14 PECE"I P'T NO
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all Ther applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the plans and GAS L.TNE.
specifications and In compliance with all applicable codes and &
ir6inances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city 1-101.111.31--1 T N
business tax permits. This permit will expire and become null and F .1 NAI
void it 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
Permit IL gnatUre
JIssued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY � ,�- 1 PLAN CHECK APPLICATION
OFTIGARD by PLAN CHECK
(COMMUNITY DEVELOPMENT DEPARTMENT ClT1GRIG(MAt�iJ PERMIT
oEooN DATE ISSUED
13125 Sw HWI BMS.P.1).Ba."397,T1WW,Oregon 97227(SM)W. ,1776 r --
JoB ADDRESS: 53 L 3 -5w / I1 u s / ( l TAX MAP/LOT S - 12 1�f A SJ R
SUFI: _ itlt�iyd �q J _ LOT: _ 9 LAND USE:
VALUATION:
OWNER SPECIAL NOTES
AIAME: _ _ REISSUE OF:
AUDRESS: _ LAST REISSUE_
FLOOD PLAIN/
_ SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED_
CONTRACTOR _ II 1 PLANNING:
NAME: \��} 1 1 v f B �+��a� C. _ ENGINEERING: _
ADDRESS: _�_ .Z 1QT FIRE DEPT
li, CIr d 7� OTHER:
PHONE: r,3 D /u l .V ITEMS REQUIRED
t_IST/SUBCONTRACTORS:
,%RCH/ENGINEER BUS TAX:
NA",C,! _ CALCULATIONS:
A;uRESS: TI.JSS DETAILS:
PARKING PLAN:
LAiJDSCAPE PLAN:
PHO`c: _ _ :,THER:
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432. 00 Building Permit Fees r
�l 7 10-431 00 Plumbing Permit Fe%,s � 1� i yu=
#91j 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X)
Buildiny - a26- J-
Plumbing 7 vo
Mech a;. a
10-433 OC Plans Check Fee •2 7Z,t17 og - 97.,
Building
Plumbing _
Mech _ U. S ?I
30-443 )0 Sewer Connection (20'X)
30-202 GO Sewer Connection (80X).,
30-444 00 Sewer Inspection
51-448 00 Street System De1r Charge (SDC)
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks TI System Dev Charge (PDC) _ ;j Z.
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) d5 0 _
10-230 09 )RFD (95X)
10-435 f,0 (RFD (5X) —'
10-230 06 Washington County Fire M1 (95X)
10-435 00 Washington Coun:,y Fire M1 (5X)
10-220 00 Amart/ edg(Mood
TOTAL ,�o - G l%. 21J
REC N
APPI_i('ANT I F
Received By:
___ Dante Received: