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t �( INSPECTION NOTICE
City of Tigard Building Department
I O St P.O Box 23397 L�
Tigard, Oregon 97223 I t2
1 D Phone: 639-4175
Type of Inspection
r
Date Requested _-3 Time ______.- A.M. c %PM..'
Address` �/U -r2Permit
Ilk dOW
Owner Lot
Builder .---------.__
The following Building Code deficiencies are required to be corrected:
Presented to __-- --------- -_ _ ! l I Xpproved
Inspector ZC ------ ---_, ❑ Disapproved
Date a 67_ _
CALL FOR REINSPECTION
F__] YFs 0 NO
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I TA:IMIA' NO . : SE—A390 5:3'7
CITY OF TIGA RD (C RD DA- *TL*. IF-it".111JED : •3/22/lE19
COMMUNITY DEVELOPMENT DEPARTMENT \7n 1:,1A:I:M . PM'T* .N0 . 0190470
13125 S.W.Hall Blvd.,P.O.Box 2.1397.Tigard.Oregon 97223.(503)639-4175
1!5,109 UW IHUI:4£51(JN I. N USA NUMDIEP : 037AZI.
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C 11 if it. (503) 60,ef..75/13
T t f I,I ', UPOTTON NO -,0109 TO FAI $:L , J.'315 00
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................................ .................
This permit is issued sublem to the regulations contained in I itle 14
of the I MC. State of Oregon Specialty Codes.Zoning regulations
A3.01PEA) INSPIECIA:01445
and all other applicable cides and ordinances, and It Is hereby 1:401,1C111-4-1"N
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 dues 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 of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all requir?d inspections are requested and approved
PPermjite gnatUre
(W I
Issued By NSPECT)00 "11 i
SEPARATE PERMITS REQUIRED FOR WORK OTHER TH/ N OESCRIBED ABOVE
CITY OF TIGA RDHIYI:I..I:)a:NG 1'ERM11*
CrTYOFTM PO4M.11:1 NO. 13U8901(4/0
COMMUNITY DEVELOPMENT DEPARTMENT 011114100"
13125 S.W.Hall Blvd P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 3/2e.'/09
P i!,I:m rm r .NO. (490.1 e4 70
;V: Al)OPIE-GS : 1.34109 SW VIALMSION I N
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C I. DC, 4:2 1 flilkI.150 . 00
0 T )I.! 1;-13' P 1.4 k.1'-'0*.) 1'D 1111-10 . 00
R 1-4-RINE: (503) 60/4-7!5,1
L I PA-4 --J 101 AL. . 1N.1 ,:9:1. 3 . 711
This permit is,ssued subject to tho regulations contained in Title 14 PEC'E"T F NO /0 3/6160
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other IppliCable Codes and ordinances, and it is hereby
agreed that the vvork will be done in accordance with the plans and
specifications and in t.ampliance with all applicable codes and F001''T N(-, 1:;L W F.:-*1:11
ordinances The i9SLJanLP.of IN: nermit does not waive restrictive ('(:)LINDA '10N 61161-1- PAIN 1]17AT.N!:;
covenants Contractor and subcontractors shall have current cityA
business tax permits This porm.! will expire and become null and & WAI E: L..I.
void if work is not started within 180 days.or it work is suspended or
1. ER , 1.J N D E:A!5 1.A H C,T I'y A 1:1 P 1:0"1-4 1:i W
abandoned for a period of 180 days any time after work has "A.AP V: I NAL..
commenced It shall be the responsibility of the permittee to assure Pf. F.4 . 114-101JI,
all required Inspections are requested and approved 141AMINU."
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P91eritte at u r
e (alPOAPD
Issued By
r"M I F1,1117 IWO"EC11*10N (,!V'l 11 7!5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI13ED ABOVE
MI;:`(*,I-IANTG Al... PI-KnM1 I
CITY OF TIG RsD PE.1411'11* NO , : ME890536
ctTyovCOMMUNITY DEVELOPMENT DEPARTMENT OREGON DA1E.i. TUt-jUE: :): 3_'j89
ry
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 07223.(503)639-4175 V'RTM- 1*-'M'1".NO . j:J 9()AI'7 0
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PEN::X 11::"l' NO.
This permit is issued subject to the regulations contained in Title 14 ....... ..................
of the TMC. State of Oregon Specially Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance�,,oth the plans and DEAM
specifications and In compliance with all applicable codes and P(A JU-4 :1.'N
ordinances The issuance of this permit does no, waive restrictive U; T NAL
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 18U 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 pe, ,ittee to assure
all required inspections are requested and approved
0
0
armitt n a t eure�
CAI L 1:1M :tN5I:)FX.,'TA:0N 639411ju.s
Issued By __V4�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Pl-AJMU1N('.:, PEAMIT
CITYOFTIFARD PI--'A:MT'T NO. : P"11.4390535
CVYOF 0
IWTIT T!'.;S1A1'-':D : '3 h?'Zi/89
COMMUNITY DEVELOPMENT DEPARTMENT F-P I M PMT .NO . (390A70
13125 S.W.Hall Blvd.,P.O.Box 2JJ97.Tigard.Oregon 97223.(503)639-4175
XK3 1.5,109 �'-iw 11-101-4510N I N
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117
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WAIIJI CA (:)SiE:V 'I PAP,
l'Yl::'i;:: . SINGLEK: F'AMTI Y U14.11.141011 13101-M PlIVNIA
(A)Wi VN LAVORATOPY 144AP 11I)PINFER
1,11CG1.1I-1 . P3 111191 151-401WER WAAGE TAPAPS
D-1:51:105iAl
NO. Fil ona I..:,s . (.'.? WOE11-11M.';
DWEA..I.. . t.)N.lA'!:i 1. 1 At.JND1:'4`, TPAY V*AAR', I)PAIN (I):r.i)
F11-1.11011:4 1.)PAIN
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T '0140 . 11500,10
0 TLYTAL. . $1,51 13(;
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Pr'.'-EI::JIXT* NO. f C�3 51;��
chis permit is issued subject to the regulations contained in Title 14
of the TMC. Stale of Oregon Specialty Codes zoning regulations
and all other applicable codes and ordinances, and it Is hereby P1.13. LINDEA'A AB
agreed that the work will be done In accordance with the plans and A M
specifications and in compliance with all applicable codes and Wt)(I P 1 :1.NF.:.
ordinances The issuance of this permit does not waive restrictive P L 0 10 P 0 U r
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and PAIN DIIIAINS
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
e,�m;eel
l W.� Ilgna ure-
I. I L)1-4 ENS f)E'(';I :L(.1h1
Issued By: ACLU
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
F
i
PLAN CHECK APPLICATION
CITYOF TIFARD
r� N �� PLAN CHECK N
CITYOF T ARA PERMIT N __]LLn��_ 7
OOMMUNTTY DEVELOPMENT DEPARTMENT ORE . DATE ISSUED
13125,SW H.n B►vd P.O.Elm 2=7.TkWd.orWM 97W(6W)6394175
JOB ADDRESS: _ /s yam__ ' 'u' 7r1u-,576. L h TAX MAP/LOT ic'
SUB: f1 j P7, J- __ v n - ,J LOT: 7 LAND U3E
VALUATION
OWNER SPECIAL NOTES_
NAME: REISSUE OF
ADDRESS: _ _ LAST REISSUE:
FL0O0 PLAIN/
--- —.--_ _ SENSITIVE LAND:
PRONE:
CONTRACTOR APPROVALS REQUIRED
PLANNING:
NAME: _-���y tl I I p� V I ct 1-C -- ENGINEERING:
ADDRESS: FIRE DEPT -
-._-.—
OTHER: —
Tiq
PHONE: s _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _
NAME: - C•1LCULATIONS: _
ADDRESS: _ TRUSS DETAILS:
- _ H,ViKING PLAN: �-
LANDSCAPE PLAN — _
PHONE:
COMMENTS.
PERMIT' N ACC' N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10--432 00 Building Permit Fees
_ ____•___ 10-•431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X)
Building
Plumbing
Mech
10--433 00 Plans Ch_ck Fee
Buildinq
Plumbing
Mech _
30-443 00 Sewer Connection (20X)
_ 30-202 00 Sewer Connection (BOX) _ --
30-444 10 Sewer Inspection --
51-448 00 Street Systom bev Charge (SDC)
52 -449 01 Parks I System Dev Charge (Pvc) -
52--449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) —
ti
10--230 09 1RF0 (95X) -
10-435 00 TRFD (5X) -- -------
10-230 06 Washington County Fire N1 (95X) _
10-435 00 Washington County Fire N1 (5X)
10-220 00 Amdr•t/Wedgewood -
TOTAL ����=— 's
REC
APPi WnNf - - -- -- _
Received By: c�'' � Date Received: