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10560 SW 69TH AVENUE ADDRESS: 10$( o sw Gcrk_ A\Jf.. Lr, .J i \records\microflm\targets\buildi ng,doc r�� U- 00 OQ C (n r � W cow d� KS 8 J Y �wUU 0 °� E E E w E w W z t " o F V)U) a w o v O�Z) 0 0 n cn FF-2: c° 0 0 rn ami rn rn C) tn M ai CD am a a m 0 CL m m m m a co �r n LL w w � C7 C7 a v o 1 = a J M fW LO cn (n V) o O " `< a a a w c a a a a s o LL a n. a s a LL LL LL a s M v c J J N C7 47 J M CO LL u_ (n (n O > d F Ir QU C � N 0 O (n " Q !v U o"i rn rn rn rn d Omo o vii ui a Ci a a a a a o TN � v M ` A O O U d � a o r .~-. a `0 0 acz rn a C LL LO O C a V C �p C13 C Il; LL�,. tiryp .0C1 N 0 C U c LL ? iT J a U V lr7 d C M C a LL o) Nago a FLL LL a co v co N N O O O in In 1n P 00 O N m O N Q7 0 0 0 QI Q1 n N > Q Q Q Q Q Q Q Q Q Q Q Q Q Q !n W tIl to N to v7 .7 �F :; 2 � 2 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspaction Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing CMech. Pibg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Strudt. Mech. Rough-in Gyp. Bd. <_- Idi _- San. Sewer /Gas Line p� Appr/Sdwlk Reins. Other: dZ, M, "` �" I OVIL,_ Date: 122,AC7-dQ 9�ta`AA..M. ntry: Address: Tenant: Ste: MST � Z _0S Z -- ' BUP: Co /Own3 MEC: _ PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: c. m Insppee or: - _ Date: - 7- Apr _DISAPPROVE D/CALL FOR REI NSP, CITY GF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT f 1 r 'iki 13125 SW Flall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 .. Y°,�0'l l.w • ,. t A.�,J 4'11`7a.f i%.�4�7. .:11... « „ 6 t«d 1 6..1�✓ w a n i ..I«ix..Y�Y � u,a.. L.,,,���I.'p� .J � 7�5 "H'e f.. "tel i._d _ x a .. , ...,. , � i. ., w u ♦ ... b 1J .. F 1'' (11...1.,1 b 6 i�.•� w.f._� _I�)., '� .. ., ►r r L� 1" ►1 J 00 LO W r tv Re3idential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: Office use Only Subdivision: ni ti Lot # - PlandclRec#� 3 Valuation: Permit# r%1•> "C: �, .__ Owner: ��Jl � eGGL �I�IS��� - Reissue of Address: Approvals RequirAd Planning Phone: �/ /_ r Engineering Contractor: z +�.5 r-C���5�� -wlC Other Address: �L' � 5•���' Items Required Subcontract -s _ 1� ` Truss Deta;�s Contractors License # " /0 7'7 (attach copy of current Oregon license) Other Subcontractors: )) PlumbkV: aU(e Mechanical: D103 (attach copy of current OR Contractor's License) Archltect/Engineer: L7V/' _ Address: f Phone: yZ J I COMMENTS: J Applicant Sigrc?ture & Phone numhar Received by: 4. R Date Received: � �_C Permit # Account Description Amount Amt. Pd. Bal. Due' hi LO S2_3 Bldg. Permit (BUILD) 3 Z _ Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: �� 3 Plan Check (PLANCK) r, 32Z 103,o3 /o 2 -� Bldg: /0 3 Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office tIF (TIF-O) ~\ VI Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) TOTALS: 2 f 10-3- 0-3 Iy l� �_ ��. �� 3 �> 4 CL F- 7 C11YOFTIGARD PLAN CHECK APPLICATION CITYCWi1Ci"ARD PLAN CHECK ! COMMUNITY DEVELOPMENT DEPARTMENT oaoow PERMIT ��l 5 l- anssw��8�PAXo=2rar.Tium4Q.�arm OW)M41n � ?- .S Z 3 DAiB ISSUED ]OB ADDRESS: /Q-�&[_) Go �"r�C /_�.,, TAX NAP/Lor _ ? LAND USE; 4ALMTION: �, � , SETBACKS: FRONT: REAR: LEFT: , RIGHT: RORK CLASS: HEIGHT: TOTAL AREA: USE TYPE: F FLOOR LOAD: IST: -7V 3 CONSTR TYPE: HEAT TYPE: i•:c OCCUP GROUP: 3 DWELL/UNITS: --' 3RD. OCCUP LOAD: _ NO BEDROONS,. BASEMENT: NO STORM: NO BATHS: r GARAGE: IMP SURFACE: APPQOVALS REQOD SPECIAL NOTES ITEMS PLAIOIM: REISSUE OF: LIST S ENGINEERING: LAST"REI�;SUB: _ BUS TAX: T FIB DEPT.: FLOOD PLAIN/ CALCULATIONS: OTMM: SEN IND.: TRUSS DETAILS: PARKING PLAN: LANDSCAPE PLAN: PLAN CHECK BY: OTH1M: _ y � _ PERMIT X f10[T. 0 DESCRIPTION AMOUNT llsrlOUNr PD. - BAL. DUE 10--432 00 Building Permit Fees 10-431. 00 Plumbing Permit Fees S� s�,__ Z• = 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5X) ji+ i Building Plumbing _>;?:`L$ Mech _ 10-433 00 Plans Check Pee Building �! • � Plumbing _ Mech 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 51-448 00 Street System Dew Charge 52-449 00 Parks System Dew Charge (PDC) 31--450 00 Storm Drainage Syst Dew Chrg (SSOC) 10-230 09 TRFD - - 10--230 06 Washington County Firc N1 (95X) 10-220 00 Amart/Wedgewood _ �— IOTAI REC R _ APPEICANT SIGNATURE Received By: i_ -- -_f.--_-__-- Date Received: cn/3587P/18P ' a C,y Of Tigard PL-nv nec- _ 13125 SW Furl Blvd- Permit PO Box 23397 Tigard,,OR 97723 g-jM 639:4171 ---- — —T— - �' QY ►� Aur ORS 814--21610 CliY Pfa AUT Tabla 3A Cam 1) Pentcit Fee -0- 4C�- IQ00 FDC TURES - -- __ 7.50 Pmt 33,00 Lawasmy 7-50 ,U23 b taa�b > >� 1) inti drtcTs A veers stto.+iar :kry - ,y 7-50 toQpoo DIU. ato Ckxset -- ; 7.50 fly 23 fact duos a«acts 7510 w 7-50 . w„slrg Nagana 750 -V _ ciao So 4) or poor ua nowd Itomw Wimr-Tioator 7-50 .at co —TTCW _ �p� 3mo urrtat 7-50 i 6) ���esti 6100 �a+cairos�poa� 7) to 3 HP ab" ma is JWK BTU am 7So n r p a Mg. S) 3-ts HP abomp aA b soak 6TU 1t A0 ar aawVL PMVVL ar 9� 1500 HP sbncap snit-Std UM tsm Serrar 1st tU0 r 30" or coma POWOL ff COMX t4 is ad BTU -*a, lU? 1 /0) 30,90 HP ahcart snit 22� -' arms t si 100- 2Q.00 t t) >SO IIP abrrorp=it t 3s ani RTU 3t_W wa0ar Somme ca-AdkfiL 2WAir b Sias t Rain D aim 1st 107 30,00 12) KOW CfU 450 !Am=a Rain Drain Ad3c Mr 1500 --- 13) 10L000 CTU � 737 _ Nob"Hate Spaco 2S00 Non pow `50 Back Flow Pi;�— — oevioe of"Poautson Deme 15) to a ttinla duct 3A0 wry raparWa�' - Cometfad to a R acao 7.50 ��l an xr-ura 7S0 tW ind x"in apptim"peact 40.00 hsp,of Eiist Pkaabkq per M 17) tnedxar"ocdnutt ls0 40.00 or aaducad Sped^ per IV IE) �ocatetarn� 301 OD ._ - — - .. taw dtttg t s 00 - 19) beater.solar-doma 9D ITes+cfenaal bacidoa Ptvrenton 2m a dvviaes t sA0 201 Gas Pt�'9°1e b Iotr oufrss N 21) ubm fame 4 par otrtkt _ oevidmidW bwddlow F- psvwe n6m deem-s) _ — ►.. Ll '-+ 'Ilinitmvna Foe S2S.W SUBTQ i'-L mrimmu Foe$ 00 SU9FOYA . n� - LLS%SIIR(3fJ1RGE '. S%StMi MARGE L J PLAN REVIEW 257E OF SUBTOTAL -P"m REVtEw 2s%df'SUgTOTAIL z ti 1 TOTAL Date issued bf -- ...33.....33 r /7S�a�I a.��u�//u�,. t� P�►asi�`-- �•ea � ,;y �,. / �CENO I�►r3 Q- rf.. ptle4l' 5 S14/� YM / 1 f0 tAG jfllr✓� S^4SF� cn9i�.t�' l�•1 C J I 1 v'� f ��I�N YI�'�- c�� W � �� "' • '✓ ' I i t ; i i • 6141 1 •` � Cs7 F ul �.. I L CM The City of Tigard, Oregr n, or it's X \ G emsloyees shall not be responsible for f; O discrepancys which may appear hereon. -- - - - -- APPROVED FOR CONSTRUCTION ►�� CITY OF TIGARD - 2vG,oijj 1 r IcjPr c� TH- - NoMJ'H 15O Fr of PERMIT NO. sty �R SITE ADDRESSJo - w � 1 PT © .I�� r7 DATE/a•/ - CITY 10 1 H f ..- ----------------- � �,ar�mor} �cl�Tl►�� HvuSE i - —tP-- -- �.ri. cit t c4( ,s =7 Ca79 MP 'fmP 40'MA6 �• ,- p( '•hal IDYL- 7Q SIT I 9 Max,-I C1 el Vr im �prp,�� Aabtticxl_---- -_--- 3�'-c7 ply I - �DAITtc�} �i �U�p��'(� ►N'fo j -� �� o 2LPI �� Q � � o - - I -- ��� Pt�11c. 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