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10495 SW 69TH AVENUE n � 10495 5'W 69th Ave. NI i�SC7'ION NOTICE City of Tigard Building Depart—nt. 13125 SW Hall Blvd. Tigard, Oregon 47223 Inspection Line (Rec-O-Phone): 639-4175 3usiness Phone: 639-4171 Inspection: —­ —— --— Footing Plbg. Un6ersl4b Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. sower Framing -Bldg. Post/Beam Mech. Rain Drain �' Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd, av-VAch. Date Requested: �r.�` q1 —_Times _ An PM Add:ees:� T 6/ Permit #t �O ." :Ey Buii.ders THE FOLLOWING CORRECTIONS R[QUIREDs �.2 Inspectors__ (� -_. —_---__-- Dates — - �— APPROVID APPROVED SUBJRC'f TO ARCM Call Fnr Rwlnnp. w w w INSPECTION NOTICE City of Tigard Building Department 13125 T,R Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-417 Bueineae Phone: 639-4171 Inspection:-- —� ---- Foot inq —Footing plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Oar Line FINN'• Poat/Beam Strutt. San. sewer Framing -Bldg. Poet/Beam ­xh. Rein Drain Insulation } -Plumb. Plbq. Underfloor Watar Line ryp. Bd -Mach. Date Requested: -- (_� L Permit �:_© t7 Address: — �? I fluilder THE F('.i.,A)W1NG CORRECTIONS ARE RIWIRED: I - Inepactors_—� �___— nafR:_!-Ila �—APPROVED ,N DIDAPPROVRO APPP0 VFD SllB. FrT Tse ABOVR Call For Re*tnsp. 1_ INSPECTION NOTICE City of Tigard Builaing Department 13126 SM klali 11vd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 633-4175 Business Phone: 639-4171 Inspection:________ Footing `` Plbg. Underslab Mech. Rough-in Appr/Sdwlk Fonnd. Plbg. Top Out Cas Line FINAL.- Post/Beam INAL:Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. 1bg. Underfloor Water Line l�lTyp. Bd. ) -Hach. Date Requestedt_ ���/ 3 `1 G Tim��AN PM Address: 0 C L Permit f: Builders — THE FOLLONI'Ki CORRECTIOB REQUIRED: Inspector: _ OEtBt APPROVED Dis"PROVED APPROVED BUMM TO AEOVE Call for Reinap. INS ION NOTICE City of Tigard Building Department 13125 SR Ball Blvd. Tigard, Orw. n 97223 Inspection Line (Rec-O-Phone)s 639-4175 Busineen Phone: 639-4171 Inspections_ ----__ -- -- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lina FINALS Pont/Beam Sti-uct. San. Sewer Framing -Bldg. Post/Benin Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Lina Gyp. Rd. -Mach. Date Requested! & -�� —, _Time9 —C—fes Addrensi_. _�C ! _— Permit #t Builderr — -- -- TBE FOLLOWING CORRBCTIONd11E REQUIRED: It Inspecco'rrs wppWM D13APPROVED APPROVED HURJRCT TO ABOVE Call For Reinep. f INSPEC-ION NOTICE 4,1 City of Tigard Building Department (�• G '.O. Box 23397 / Q / 1 'i igard. Oregon 97223 � Phone: 639-4175 Type of Inspection J Date Requested % G Time_�s._A.M. -rP.M. Address _ �� <i � �. �Per,mit # A p- Owner Lot The following Building Code deficiencies are required to be corrected: Presented to _ Approved Inspector (] _� Disapproved Date CALL PO? REINSPECTION 0 YF= ONO !� rw INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 r Type of Inspection ._— Date Requested._ — _ Time A.M. �P.M. Address ��y�1S to Permit!# Owner 0 LI�L fCTt G—`�� g� Lot # Builder � r!s,a�� 7��� flG• = The following Building Coded ciencles are required to be corrected: -------- -- it,c3 i Presented to ❑ Approved Inspector Disapproved i Date - -Z 1 _ CALL FOR REINSPECTION e YES ❑ NO �.�.WG�1 �Jr�.v GG• die ■ INSPECTION NOTICE City of Tigard Building Department 'AllP.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested_ Time —A.M. P.M. Address Lot –-- Owner _ Builder The following Building Coded ciencies are required to be corrected: i ._ C... A ---- Presented to pproved Inspector — Ll Disapproved Dete CALL FOR RFINSPE ION D YBi111NO INSPECTION NOTICE �7�'�� City of Tigard Building Department ✓ fi� P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection -Y- '��`�`�`^`-_---- --- Date Requested— _LZ.—Ifs-_fL — Time__ A.M. _P.M. Address .- �(1-`7` __-_—--L_� �__.�_ Permit #,S"7 � 3 Owner --- .._... --- ----------- — Lot t;-- Builder _ --aa-� ZL�J -- -- r ------— — The following Building Code deficiencif..s are required to be corrected: fi. Presented to _ Approved /nom" Inspector [LL� Disapproved t e ~7 Date CALL FOR REINSPECTION L7 YES Ll NO CITY OF T'GA RD PLUMBIW.., V,r-.:PMJA IRD : ' . : COMMUNITY DEVELOPMENT DEPARTMENT I:)j: I";fMYYNOP-11-890353 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 o)()H ADDRESS : 1.04195 SW 6911-1 AVE IAX MAF'/I OT IS1. 36AD 3200 SUB: I.-OND USE . P'4 .5 1-04 STZF*-. : XT1„M: NO : W W(I W K CI ASS . ADD I'TYON WATE"1411 (:;I—C)SE-'T' "R 'TPAP y 12110:1.0W PlIVINIT11 51M.A.E: t.I P .N A L. i.ONST T Y P E.:. VN I AVOPATOPY r TPAI:) PI-43:1141EP DGIC."I'll V, (.'-'RP : MI. TUP SIAOWEP 'T*PAI*-1G DT SlAWASHEA4 (.'APPAGE N0 . C0(31:14IL".5 11*2 WASI-CENG MACHINE. 06,1 a. 1 01,41 I—ALINDAY TRAY E411—D( . DPATN ( DIA F-I C)OP I)PAIN 50'NK S I---:W VP (F:T WATC!'14 I-II-*:A*Y'F.'*.r%' I q14:44MMAIN (F:"T' .)D I' t ,-'N OF: CAP GAPAI.A: „•.6 0 W N Mi:44 i cN B 0 F`5 I I..PIVIT V 00 E i 0-11?n SW 69114 AVE R 1A:C.VAPD OP 971e.?1423 F:JXT't.JPI::-!5 11-11-10NE: ('50*311 c.?16-6926 C0 ATE TAX '.'i 0 N T Vt A Y F'.4 N 0 N 1-4016161:40 R 111AYNOW4' 9 1:11 AIMI'VING A C 1 7 0 1 i W ,1111:4 Gi P:Wi 1:4 1.) T - .0N0I--WI3(3CI mr 97:1.Z40 0 R PHONE:, 11!,50,3) I I$I-w 1 1 6 144A,11 I I IN 11 A-11.11.4) TUTAI This permit is issued subject to the regulations contained in Title 14 PYT' NO /0 -7 3 of the TMC, :late of Oregon Specialty Codes, zoning regulations ....... and all other i pplicable codes and ordinances, and it is hereby agreed that the work will be done In accordance with the plans and 1-!VUI.I:IP':::U INSP."EUT I(INS specifications and in compliance with all applicable codes and PLEI UNDID-A!5LA14 ordinances The issuance of this permit does not waive restrictive 1:111C.;I & FAH-Am covenants. Contractor and subcontractors shall have Current city WATF:'P LJNE' business tax permits This permit will expire hr d become null and I JI..D I U V'.1011.11 V 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 PAIN UPAINS commenced It shall be the responsibility of the l.-,ermIttee to assure I"I NAI all required inspections are requested and approved Signature 9PIM"t"I"' Issued By SEPARATE PERMITS REQUIRED FOR � � I WORK OTHERTHAN DESCRIBED ABOVE t s f CITY OF TIGARD PLUMING ziSW �.�_ Applicants must hold Oregon Registration W conduct a plumbing PERMIT 634-4175 business or must be property owner/operator not hiring outside help. Name of Development PlumbinµPermit No. .--�� Address f../� Description ORS 814-21-610 al1AN. jF7.50 Job Tax tot Map.No. Address FIXTURES Block Subdiviskxh Sint eme a nano o sanoss Lavatory Tub or Tub/Stwwer Combaiing ros3 Shower Only J Ov:ner City/,lisle zpWalerCbsel Dishwasher _ _ 7.50 -- Plane Garbage Disposal - 7.50 - - Washing Machine - 7.50 Name — p Floor Drain _ 7.50 C/Il - 0 Mailing Address e Phone _ WalerHealer r 7.50 7r5 JC)t 177 ?�l LaundryRoom Tray 7.50 Occupant City//State LIP _Urinal 7.50 _- Ir � 972Z=1_ �„� 2 e e -? Other Fixtures(Specify) - 7.50 NWAAli P.,o2� Z - 7.So - Mailing Aikiross Phone 750 f 76 Is _I�J tCF-4s -� - 7.50 Contractor City/State DP o6Z MISCELLANEOUS City Bus.Tax No. Server 1 at 100' 30.00 v7/t© -222. 1 - 15.00 _ Sewer-9a.AddR.100' State A o. te,e u - (Resio*.11al) P Water Service tad 100' _ 20.00 y I Ixereby acknowledge that I have reed this application,that the Inlormalkxh Water Servioe oa.Addi,.2mr 15.00 given is oofrad,that I am re ilslered with the State©glider's Board,and also Stam 6 Rein Drain 1 it.100' 30.00 have a State Pkxnt*hg kw se that the numbers given are oorrect.that all Storm b P*kh Drain AddH.100' t 5.00 phrmprovisions bing work will be done in accordance with appQcable of Ore gon Revised Statutes Chaplers 447 and 693 and applicable oodes and that Mobile Home Spatz - - 25.00 no hale will be enhployed unieu Iloonsed undo MS 693. (11 exempt from - Siats ret;$watlon,please give reason below). Back Flow Prvmntan 7,50 HOMEOWNERS-I hereby oertlly Cut t am the owner of the prof' ,do- Devkx or Anti-F'oitulbn Device scribed above,at which locatlon 1 prr%x"G a maks a okxrht*hg InafaMntlon ler Arty Trap or W asle Not my own ues and It,"property is not being o"fruc'ied For sale,tease a rent Connected to a Fixture 7.50 Catch Basin 7.50 Map.of Exist.Pkxrtting 40.00 Per Hr. - - -_--- Specially Requested InspeWone 40.00 Per Hr ANw.of Pkonbi hg 's 15.00 min an Exi@*V Bldg. IZED SIG TURE Oahe New Bldg.or Build.Ad~ 25.00 min e faTIU Describe work now alteration❑ sepal► 15.00 - be d" residential ran reeldential Exhtlnq use of M/bTOTA btJtidinp tx property-- -_ P'ropoelod utile M ---— ----� F -Wi-'- 01 V___ i WOAg or pooperty_ ��r-S.L'D f.E- - - - - TOTAL __ NoTxf Thle pan beoornss nuP and void M worir a oon@tuofinn authorised ionol oorr menoed 00 a tb0 deyt+'c r M oona&urhllon or work ar Mnpenfed or abrdoned for A period of 1110 doge r any Nme Show wnrk is rxxnrneM- d WEC AL OOIItaR104t>! ._ - ()ats Iseu►ert __.-s.. .-- -._ --- by -- INSPECTION NOTICE 01F j�ltil, City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of InspectionQ� Date Requested 'I Z' D Time A.M. P.M. Addressl by �5 �n 4A,,- Permit Owner oD o &yLVN Lot # Builder The following Building Code deficiencies are required to he corrected: Presented to _- � i Approved Inspector7 _ Disapproved Date 1 __� / CALL FOR REINSPECTION ❑ YEA ❑ NO CITY OF T'GA D ( I P E.F 1 MBUI T:1.1-.ND0 NC BP1E,JAH 8M2I3T 5 A C1'rY0F T�AFM COMMUNITY DEVELOPMENT DEPARTMENT DrYIE: [SCII.A.M: 1 7/He 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 F,111 M 1='M N0 JOH ADI)PIE'SSS : 10/495 SW 6911-11 AVE� TAX IIIAP/L.0,1, 1.51. 36AD 3200 SUB: UK : I ;'iND USE : P1 . 5 1 .01 51ZE : VAL-Uh- I ION to P,(I,60th SEIVACKS FRONT: RE,AW WORK GLASS : ADDITION DWEI L. LINVY'S L.EF*T: Fl1ca-1'r : 5JNGAJ:'. FAM:11I.-Y NO . Br.";DPOOMS : 1:-"X*I* . WALL (:,ONS;*T : I' . TyI711::: V14 NO . BATHS : N S W M:1. PRUT . N W TOTAL. APE:(): NO 1'VT'0P1E.'15 : a I.ST : POOF G ONS T : L, PET7 8 APE"A SEPAP PATED NT? D: O(IX.11LIP . SEPAPI? PATEU : .ON:ENE'? BASEM''T LOON I.A)Aoi L-APAGAE 1.:36'7 FJPE GPI1KI A7 At..AWM? FLA]W f GI'-`M k:*.T I—'I,11 1 It:;':A T I YPE-. HEMP . I I-AN BY I'll.'t. 'M61:lKS : L'I:II T ION OF' 2 L'AP 11 A(::-11.i.I) PE15SUEOF' NO . 'iSUE L.ASr PEJ.< 0 1`110 A:N B 0 1..) I'L I-A' 411.70 50 W N :1 ()/119 ii riW 69114 1)V E: Pl.AN rl F.V 3:E W E I 1X.;AAr) (11--1 9 DEf"T R it)0 3 A 6--69 P 6 STATE: TAX ill(:). 5 3 OTHE-JI C V61L OPMEENT CHAP(*,,'oF:S - 0 HAP1 .1114 "Mil",4 4.1,11.)PIVI) N Pl:!:MODITL 141 D V, ST RE:E-,I' ll T R I IDC -11! A C cI ut I-cI OP 19,72P.3 $60 . 1.3) T it.11.10.3 1 fir 0..-79J .1 0 OTAL : R GT�it'PAI,I.mq I�lo !15 01.6 P "L4,1 A1, NO 16170) F.A. This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes, zoning regulations ",I:.:QlJJ:PED JASPErT10N5 and all other applicable codes and ordinances. and it Is hereby agreed that the work will be done in accordance vidth the plans and Ft:)(11 J.N specifications and in compliance with all applicable codes and I PAIVITINA,1) ordinances The issuance of this permit does not waive restrictive II o'll TON covenants Contractor and Subcontractors shall have current city 0 business tax permits. This permit will expire and become null and void it work is not started within 160 days,or If work Is suspended or abandoned for a period of 180 days any time after work has commenced It the h P responsibility of the permittee to ASSUre all require g pecti=o s are requested a d approved Permittee Signature Issued By G7 4J 11!,6141 1. 1xitle! r"'. fiilix`!�*T,TMN A"191100-11 1 Tm SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PLAN CHECK APPL1CA'11ON ITYOFTIGARD CRY Of WARD PLAN CHECK # COMMUNFTY DEVELOPMENT DEPARTMENT 0"QKM 13 t 25 sw"a gW p,o.Fk)x 7M7.Tk;.d.Orog,,97223(SM)+�175 PERMTT N DATF ISSUED rL JOB ADM ', 13 L'j Ce " I AX MAF/Lor 43 ,;kffl LO-1 : IAN[1AN[i USF: OWNER :41ECIAL NOILS NAME: REISSUE OF: ADDRESS: LASI REISSUE: FLOOD PLAIN/ SENSITIVE LAND: APPROVALS RF�lR CONTRACTOR PLANNTNG: NAME : --Is ENGINELRING: FIRE DEPT KI) OTHER: PHONE: ITEMS REQUIRED 1-IST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME : CALCULA-riON ADDRESS: TRUSS DETAILS: PARKING PLAN: LANDSCAPE PLAN: PHONE : OTHER: COMMENTS. PERMIT N ACCT 0 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 (b%) *23 Bu i Id i rig Plumbing Mach 10-433 00 Plans Check Fat, Building Plumbing Mpch 3D-202 00 Sewer Connection 30-444 00 Sawor Inspection 51- 448 00 Street System Oev Char-go (,s1)C) W -449 00 Parks System Dov Charge (PD(,) 31- 4bo cio '�.;torm DrairiAqv Syst Dev Chrg (1,"sOC) 10-230 09 f RF0 10- 230 06 W,4,,Ahinqt0n Count.), Fire #1 (91.)%) to..40Pnitio r-1,/Wodijowot id 101AI 0 13 -;N T7U p/ PPLICANT l,',IGNnTUR k(iceived 11y: DaLv kilt-vivod: All/