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INSPECTION NOTICE
City of Tigard Building Dr,)artmt)nt
P.O. Box 2339, "14
Tigard. Oregon 97223
Phone: 639-4175
Type c' Inspection
C
Date Requested Time -� A.M. P.M.
Address ? Permit #-Fny)
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to /I Y1 Approved
Inspector F1 DI%aPorjvFd
Date
CALL FOR REINSPECTION
YES NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection E� �' -------- ---
Date Requested S Time A.M.-P.M.
Address -7 L, Nrinit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
V
Presented to
Inspector Disapproved
Date
CALL FOR REINSPECTION
r-I YES EI NO
HER-Komi
-. :
CITY OFTIFARD
CrIYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 011110-ON SF:WLS4 PEAMIT
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 Pr-.PMI1' NO. SE880376
DAI F 19 SUF D 3/ 3/ la
? :: PAIM. PMT .N0. 880373
JOE) ADDRI I.P07,"$ S'W 1.31ST MEUSA NUMBER : 3498-1
TAX MAP/L.OT SUE`., . MOrINTW., HIL.I.- Al LT : 1.07 HK
L.AND USE : j:1.e4 _,5pj)
LOT SIZE :
Slr".CTION: 414 1,W ID AN(., : w
610PIK CLASS : Nr-.:'W
USF- TY1-')E : STN(.". FAM 1'.1 Y
Ihio c.t4itr.!et9s to with 111.13. 1`1.11.4101 9111(1 I"F,?QLl1AlLtJCll1ffi 4:1-F thienUnif:leacl
5owcoragri.4 Ago pnc.y . The permit. o-axpir-eis 120 (iatysu fi-om the darter J.tai:tt.ied . 'T'he t(3 t ek
iltincli.int will. be fr.lr'41f:0.te%cI if the? 1:)ie?r,init cixpir,e?m . Thw Agency cloloin not gl.1411.1.
anteca tho acc�t.tr-ac4 of the loc�!uttian of th*i !siitia mewei, lattPraLls . If th(.::) m*:?w(.)r, J.."
not :1 cic-latelcl aLt the uivv.?n , thei inintal'.1-or- vibia.1.1 propipec.t *3 +viiet 1.111
IR3.1 dil-ect1c,lim from hve (Jiistaince g:Lveii . 141 not ac) .1w--iated , tho inatiallei, iahirtl].
iii, "Tap and Siclo Sewpi" iAnd the Agen,.!y will intlitimll. iR
TP.43'11FIL.L. . TYP"EK : UUILDINU WE-WER IMPERVIOUS AREA:
F j1XL1,11
.1F
4F TF.:NANT IMPPOVKME:NT
UNITS :
OWI 1 1.NG LINI T5 I
OP M1171MM .1 . t.---
W F'F.ESa
F tJTM HAITT PERMIT 11111135 . 00
R IP-2ee %w 1.3is'r AVIF_' C33NNECTION CHAPGV M11 11.00 .00
ti g lit t,o C)1- 19722*3 LINF TAP INSTAI L.
C
C) D T H F:.*A
N
T
4.11M HART'
HART' CONST
C
T 19?eeesw 1316 AVE:
0 tigatir-d 1072.23
R lawom (so"it) I
REGISTRATION NO. IZ'p? TOTAL. 11111 , 135 . 00
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 RECEIPT NO.,
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and REQUIRED INSPECTIONS
ordinances The issuance of this permit does riot waive restrictive ROUGH—IN
covenants Contractor and subcontractors shall have current city
business tax pormits This permit will expire and become null and
void If worl,is not started within 180 days.or if work is suspended or
abando.ieti for a period of 180 days any time after work has
commencod It shall be the responsibility of the permittee to assure
all equ, Inspections are requested and approved
Per,nittS'
ignature
I
IR-skied y
SEPARATE PERMITS REQUIRED MR.WOW 0INKRAMAN MCN II&D ABOVE
C17YO T'��RD L D1*Nit.; PF.'PM J�'T
p*4 N(.'). 9 U(3 a 0 13,7 3
It
CITY OF TIGARD
COMMUNO , DEVELOPMENT DEPARTMENT ORIGON
13125 SW Nall
r-, J.,P.U.Box 23397.Tigard.Oregon 97223,(503)639-4175 DAI+K 3
PPIM 1:)M*T'.NO. 680,373
JOU AIMPESS : IP075 15W 13:1 SI' AVE
'T'AX MAP/L.O'T' 2 1.5 1.ZI A F) SUP : MORNING HTAA �j
I AND LISIH: Ll' : 1.07 EM :
1.(:)'T' 7 F VAI ON 'el oe4 SE'THACKS
FININ'T : 1.'7 : r 6
WOPK LA-ASS : NEW DWhi-LI.... UNI-T-5 : I
USE l'YF)r-*- : 5T.N(.,LE FAMILY NO. IFIRDPOOMS : 3 EXI' . 11401Y.A." CONSI' :
(."(:)NS'r . 'y'ypE,:-.: VN NO. HAI'HS : 3 N 5 W
OCCUP-1.GAP. : A 3 P1401' .()PEN3:N(.',S :
OlIXUP. I OA13 N
T'01'AI AREA : 1.90*3
NO- STOPIES : 2 :1.S T : '9139 ROOF CONS-T : CFIAF�K WEl"?
HET GHI' : 22 P.ND : 9:1.^1 AREA F)ASEPAR'? PA'TED:
3DI): S'LPAPI? PA'mu:
ME:.'ZZAN:I'NF:*'? I-*4ASF'M' J*
F,1...000 L.0 A 1.) A0 GAPA(*,'A.;_' ; sprwl rr? ALAPM'?
HEA'r 'rYPE: GAS HIN:3) ,AMESS'? FLOW YES
c.u..nP.?
PI AN CHECK HY:
REMAPKS :
PE-ISSUE OF NO .
,"Ith badl-00111
JIM HART
VV
OU
N J-92 !iib SW 131SI' AVE PL.AN REVIEW 1111 9 Al .
E tigard (if-, 97Z�V3 1112.036 . 10
11 PHONE 1503) pn FIRE DE.Plr
STAI Iii: 'TAX 11111.9 . 70
O'THEP
C 1")k'::VF:L.OF'MEN'7 CMAPUE-s :
0 JIM HAP*T' SUC,I STORM)
N HAP-11' ('*CjNSI' $P50 . 00
T ti DILI S1,11FIE 11
R I-PeP-1135W 131ST' AVE *600 . 00
A t J.uni..d 1-1 DC to'1. 1112.010 . 00
C 9'7F�pj
T P"H11:11III&K (503) P45 2 5 p PPEPAID < 411.00 . 00>
0
R I4F:'X',:1S1'PA'1'TON NU , 1.379
This permit is issued subject to the regulations contained in Title 14 PECF-..-'EP'T NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be domi In accordance with the plans and FOOIA:N(A
specifications 9 and in compliance with 811 applicable codes and F"OUNDAnON WAIJ_ PAIN DPAINS
ordinances The issuance of this permit does not waive restrictive POST' & PFAM WA'T'T-"P L INE
covenants Contractor and subcontractors shall have current city P1_8J1N1:)I:::i .'LAH
business tax permits This permit will expire and become null and C11'Y APPACH/SW
void If work is not started within 180 days,or if work is suspendec or St.-AF) F'T NAL,
,abandoned for a period of 180 days any time after work has I'-'L I) . T*(')I*-)(JLI't
commenced. It shall be the responsibility of the permittee to assure F'PAM 1:NN
all required I pections are requested and approved. 'E
pections are
IrIC-PLAII.
GAS LTNE
INSULAIJON
G Y P LROAVID
Permittee ns�hjre
Issued By __ [_ �
,.,4L;F(4?4
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIFA RD
r-ffY OF IWAM
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd-P 0 Box 23397.Tigard,Oregon 97223,1503)63941175 MF--"Gl-IANJ:CAI
V"ETIMI I NIJ. MLk-1t3U=j---
DATI-': ISSLA-J): -3/ '15/88
PP1M. PMT , NO. (380373
JOB ADDRESS: 12075 SW 1.31ST AVI;;'
TAX MAP/LOT 2S1.,eIAB SUP: MORNING HILL A : 1.0 7 R,K
LAND USE: A-41 . 5PI)
1 (31' I.51ZE :
T.TEM NO NO
WORK U ASS : Nl:.--'W F*I.)14NA(:'I':.-' (100K J. AIR HANE)LA (1.0
USE 'ryi-illi..' : SINGLE FAMTLY FUPINIACE' 100K+ AIR HANULP 10K
GONST . TYPE : VN F1 0011 F'(.)1:4NA(*,E F.:.VAr'. 1,N)OLEA
Occup.GPP. 1 P'3 HEAT EII VENT F*A N
VENT VENT . SYSTEM
aLP/11:1011111P (31-AP 1-1001) I.
NO. 2 FlI P/COMP 3) 15 H P T.NC.CNERATM(DOM
DWELL .UNrrs : 1. BIJI/C.OMP 15-3011-4P INCINERATOR(C 0111
FUEL TYPE: ('.Wi HLM/COMP 30-501-11' PF.-:PA1P UNITS
1711
131101PAr .
? (.;A5 PIPING' OUTLETS
I+TGH PP1.-':SS"?
LOW PPESS7 YES
0
W
N
E
R
Jj:M 14APT PEP11"If'T *10 . 00
11-22-1511 5 1 - PLAN AEVIEW $8. 6,.5
0 tigai-cl F'IXTI IRE S $214.50
N PHONE: (503) 2.el.1-2325 5*11'r1TFi. TAX 1111 . 73
T
R (:1'i HER
A
C
T
0
This permit Is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations 'I OTAI 11111A AI 0115
and all other applicable codes and ordinances. and It is hereby
agreed that the work will be done In accordance with the plans and e-'-
specifications and In compliance with all applicable codes and Pr::(:;F:IP*T* NO
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PE-QUIRED TINISPECTIONS
business tax permits This permit will expire and become n-!Il and GAS 1-TNE
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 POST a BEAM
commenced It shall be the responsibility of the permittee to assure POL111"PH-1 N
all requir Inspections are requested and approved i::':r NAL
Permitt Signature
Is_.' d Ry
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W W WX
CITY OF TIG"'6R' D
CITY oFmAld)
COMMUNITY DEVELOPMENT DEFIO R I'MEN11 OREGON
13125 S.W.Hall Blvd.,R0 Box 23397,Tigard.Oregon W2.13 tf-0 1 F 9 41 V, PILUMBINC.v PERM 11'
DATE T.Hi!'UED : 3 (i)0
FRIM. PMT ,N0, (3113013,713
J01) 12to,73 sw tz:Ls'r Av,
'TAX MAI':'/10T 2S 1-168 !:UB: M01-41N.LNG 1-111J... el I T 1.07 HK
LAND (.)Lit:;: : 1:44 . "SPD
I CIIT 5:1ZE
T F.m NO NO
WORK CLAN- 5 NEW WATEP CIL0.5E."T' 3 TRAP
USE TYPE. : SINGI E FAMIL Y URINAL. BK1=I-0W PPVNTP
CONST.TYPE: VN LAVOPAT'.)PY Aq
OCCUP G'Ap. : A3 TUB 5140WEP GI:;In"ASE- TRAPS
DY SiHWASHEA 'I.
C.,APBAGE". D'EtiPOSAI I.
NIL). STURIE-ES : 2 WALSKING 11ACHI.1,4F7
DWELL . UNITS : I LAUNDPY 'TRAY DPAIN ( DI'A
FI-001:1 I)PAIN
T' I N111 I
WA'TE..R FIEKATER (F*T' :100
A16MARK114 !
lO
IN
N
E
R
J1:M HARI PERM"11:1 1411110 . 00
VP t3t rj I FIVIF
C
0 vl-g lit I,(I rjr 9722Z.5 FIXTURES
N PHONE: (503) 2,13-2525 STATE TAX
T
R (:11THE:II.
A
C
T HENSON LYNN
r
CT
CYO TE PLUMB IrNG
R
131"lle 5E 61111CHHOZU—SO
h il]'IN L)ul r-11 1:11" 9*71.R3
This permit 19 1580ed SUbject to the regulations conteined in Title 14
of the Goft(7Wing regulntlon% TOTAL : $1.47 . 00
and all other applic.ible codes and ordinances, and It is hereby
agreed that the work veill be done in accordance with the plans and
specifications and in compliance with all applicable codes and RECEIPT W.
ordinances The issuance of this permit does not waive restrictive.
covenants Contractor and subcontractors shall have current city REQUI.FIED tNLjPEC'*T'T.L)NS
husiness tax permits This permit will expire and become null and 1"11-8 LINDIF.WiLAB
void it work Is not started within 180 days.or it work is suspended or PWit & BEAM
abandoned for a period (if 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure WAVER
all require Inspections are requested and approved PL.B. TUPOUT
WAIN DNAINS-i
F!'INAL
Permit Signature
Issued By
SEPARATE PERMIS REQUIRED FOR WORK OPiER THAN DESCRIBED ABUVE
CITYOFTIIFARD PLAN CHECK APPLICATION
COM VUNITY DEVELOPMENT DEPARTMENT C:ITYAFTWARD PLAN CHECK
13125.5%V 1*0 BAd.P.O.Rew 21397,
no•A.orwon orm(SM)6304175 oefoom PERMIT # ;
--- DATE ISSUED
JOA ADDRESS: / p r S -LC ' /3/a f 7AX MAP/LOT
SUB: )n6 L 7Ie-; d A4<U _.27-- LOT: ", -
VALUATION! —'�--� � LAND USE; _ f)
�- 5 Xj6 , o ySETBACKS: FRONT:- REAR: -',', LEFT: i� RIGHT: ;�
WORE CTAS: HEIGHT: TOTAL AREA:
USE TYPP',: FLOOR LOAD: - = �`'".�
CONSTR TYPE: HEAT TYPE: 1ST: �o
OCCUP GROUP: DWFLL/UNITS: 3RD:
OCCUP LOAD: NO BEDROOMS: _ ; BASEMENT:
N) STORIES: - NO BATHS: GARAGE:
TTP SURFACE: `-1
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PI1!NNING: - REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: I..= R.EISSITE: BUS TAX:
FIRE DEPT. : M FLOOD PLAIN'/ CALCULATIONS:
OTHER: - SEN I-ND.: TRUSS DETAILS:
PARKING PLAN: —
LANDSCAPE PLAN: —
PLAN CHECK BY: OTHER: --'
COMMENTS: t��., h• v.� �i�.�,�) —
—i —
ACCT DESCRIPTION AMOUNT
OWNER 10--432 00 Building Permit Fees
NAME: �� 10-431 00 Plumbing Permit Fees , �•/ _- --
ADDRESSt 10•-431 01 Mechanical Permit Fees 1980,47-5
_ 10-230 01 State Building Tex (5%)" ;'V
10-433 00 Plans Check Fee
THONE: �;;�� r Z 30-443 00 Sewer Connection (202) _
30-202 00 Sewer Connection (80X) 43-140-37,
g hr
CONTRACTOR 30-444 00 SFwer. Inspection ,3S
NAME: - 51-446 00 Street System Dev. Charge (SDC)
ADDRESS: •52-449 0.1 Parka I System Dev. Charge (PDC)
52-449 02 Parks II System Dev. Charge (PDC) s
31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC)
PHONE: 10-230 09 TRFD (95x)
10-435 00 TR.FD (52)
ARCH/ENGINEF$ 10-230 OG Washington County Fire /1 (952)
NAHF_: 10-G35 00 Washington County Fire /1 (5x) _
ADDRESS:_ �! 10-Z20 00 Amart/Wedgewood _
PHGNE: - TOTAL a
PREPAID
^
RFC I Z 9b93
7114
BALANCE DUE
v
AI'1'7,1f:AN
Received liy: {� Date, Received: /