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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
I iyard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested C / ___ Time A.M. _— P.M.
Address _l 7 3 .S CK5 Lc�La y _ Permit # L z s y
Owner-__-- ` Lot # -_— --
i�
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to - <= Approved
Inspector Disapproved
Date -- - --f _ —
CALL FOR REINSPECTION
❑ YES [A NO
BUILDING PEAMI.T
�.ITY OF TKA' RDPERMIT NOR008111
. : .25A
(CC r1T Y 0jF ZTWA FMD
COMMUNITY DEVELOPMENT DEPARTMENT DATE I'SSUED: 6/30/BB
13125 S.W.Hall Blvd, P 0 Box 23397,Yigard.Oregon 97223.(503)639-4175 PRIM Pm'r-Nil 1381
JOB ADDRESS: 10'.387 SW PIC;K5 WAY
TAX MAP/LOT 2.53.141HB-1.0'300 SOS: SWANSON EN I T, : Aej WK :
I AND USE: 1.11.t.:!P 1)
51Zr::., . VAL.I.IATION: 111 50,3-75 SETBACKS
FPONT : 21 PEAR : 5
WORK (A.,ASS : NEW 1 OWEL.L .UNITS : I LEFT' : B RIGHT : 17
USE TYPE. SINGI 1:.:: F'AMII Y NO . BEDROOMS : :3 E-XT ,WAi—L. CON%.,r :
(NINST . TYPE: VN NO.BATHS : 2 N - 5 : E: W:
Ot"C"UP . CAP. : R3 PRO . (:)PF:N'.(NG1.--) :
MCUP.LOAD N : 5 : E: W:
TOTAL AREA: 1080
NO . STORIES : 1. IST : 1.01130 ROOF GONST : G FIRE RET?
HE I GHT : I.IEJ RND: AREA SEPAP? MTED.
13ASEMli:*NT7 O(A'UP. SEPAP7 RATED:
MF--:ZZANINE*? BASE:M-11
FLOOR LOAD -10 ('.-',APAGE : 34 7 FIM SPRKLR7 ALARM7
FLOW IGPM, DE'T'ECT? YES
146AX 4411"IN i 11;A 6AG(;6SS-?-
PLAN DY . I-II,
PEMARKS .
REISSUE OF NO . 8801.77
LAST REISSUE SE-10982
W BLEAK MOPGAN Pt-_:PMIT llllpee3 . 00
N
E P0 BOX 6e,35 PLAN REVIEW $410 . 00
R ift 1.cil 1-1 aL cor, 101007 603,15 FIRE DEPT
PHONE (50311 60/1-6606 STATE I AX $14 . 30
OTHEIII
C DE'VELCiPMENT CHARGES :
0
N Fsl-.I-".AK %D(a( STORM) 11112.50 . 00
T TITAN PROPERTIF.:S :[N(7, . SOC(S*T'RF.-.E 11*) 11111111600 . 00
R P LI 13 0 X 030'13'1 PDC(#P- 11111250 . 00
A
C ilLIC)hl'i cot, 97007 6635 PREPAID < 11111140 . 00)
1
0 PHUNL (503) 611134-6606
� R , NO . 30558 TOTAL : $I. , A()O . 3()
This permit is Issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It Is hereby REQUIRED INSPECT'llt'.1INS
igreed that the work will be done in accordance with the plans and FOOT I N G' SEWER
specifications and in compliance with all applicable codes and FOUNDATTON Wol.A_ PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city POI il & BEAM WATER LINE
businecis tax permits. This permit will expire and become null and F)I_B. UNDEASL.,A8 (:,,x,rY APPP(:H/SW
void if work is not started within 180 days or it work ISsuspended ot SLAB FT NAL
abandoned for a period of 180 days any time after work has PL.B . TOPOUT
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved FRAMING
F 1pt-PLArE
GAS 1, INE
INS51.11 AT*I ON
II BOARD
Permittee Signature
Issued 135 I I F'011 INSPEICTIC-N 639--4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PERMIT NO : P -88-$;'
EP 1. 1 5
AS : 6/'130/80
CI� OFTIGAIW PnIM . PMTDATE ISSUED.NO. P 1`3 1.2-5 Al
COMMUNITY DEVELOPMENT DEPARTMENT
1 125 S W Hall Blvd.,P.O.Box 23397,Tiga6d.10 ,�197223.1(503)6394176
t;r WAY
nn A!D D S.W.
_ _m
TAX MAP/LOT 2S 1.1.48HI.0*.*-i00 SUB: SWANSON GLEN LT A14 8K :
LANE) I.).-.-)F P 3.f2pu
LOT SIZE :
ITEM: NO: NO:
WORK (:,L.A(3S . NEW WATER CLOSET P. 'TRAP
TYPF.-- : rjINGLE F'AMIL.Y URINAL 8K1=*LOW PPVI`1*1*P
CONST' .TYPE: VN LAVOnATUAY 2 TPAP PFUmElk
OCCUP.GARP. R11.5 TUB SHOWER 2 GPEASE:' TRAPS
DISHWASHEA I
GARBAGE DISPOSAL 3.
NO . STO P I UK.5 .1. WASHING MACHINE 1.
DWEL.1—UNIT'.; 1. LALJNDl7Y TRAY BLA)G . D14AIN (DIA
F LOOP DRAIN
SINK 2 S1::.WEn I F-T' )
WATER HEATED 1. STORM/PAIN (FT
OTHER
8LL-':AK MOPU AN PEPMXT 00
0 PC BOX 6835
W ULI ahat ear, 97007 6113.3,15 F'I.X'rUPI:.:S
N PHONFE ( 303) 684 6606 STATki-E. 1 A •6 .
E
OTHER
C KEN WATTS PLUM8114C3
0
N PC BOX 'E?309P3
T ti (i tar 9722.3
R
A PHONE (503) 68&1--66P-6
C NO. 50078 TOTAL : $131 .25
T
0
AEC.*ETP*T' NO.
This permit Is issued subject to the regulations contained in Title 14 1:11FEQUIPED INSPECIJONS
of the TMC. State of Oregon Specialty Codes,zoning regulations P11-0.UNDEPSLAP
and all other applicable codes and ordinances, and it Is hereby F'OST & Pr'.-AM
agreed that the work will be done in accordance with the plans and WATFA LJNE
specifications and in compliance with all applicable codes and PLS TOPOLIT
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PA,iN E)PATIN5
business tax permits This permit will expire and become null and F I NAL
void If work is not started within 180 days,c if work is suspended or
abandoned for a period of 180 days ar., time after work has
commenced It shall be the responsibility of the permittee to assurr,
all required Inspections are requested and approved
P?e'rmittee Sgnature (-Al I F'(1111 1N%iPF;'.CTTGN 639....41'79
Issued By
SEPARATE PERMITS REQUIRED FOR WORK THAN DESCRIBED ABOVE
1'11�4.1'1fWfVAI..ML NGMt'1J. 1
---— — -- -- PERMIT NO. : ME891256
CITY"'OFTIGARD CITY n nue I:)A'TE ISSUED: 6/30/88
oN1"'RIM. PM'T.NO. 8818':!4
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W-Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175
TAX MAP/LOT 2511/IBB10300 STUB: SWANSON GLEN LT : 44 SK :
LAND USF : N12PI)
I T'E:M: NO : NO:
WORK CLASS : NEW F LUINACE: (100K 1 AIN HANDI...P <1 0
L1SE: TYPE:: SINGL..E FAMII...Y FURNACE 100K+ AIR 1•46NC)LP 101<
CONST . 1'YI:)I: : VN FLOOR FURNACE L:VAP .C IOL.E:R
OCCLIU' . UPP : 1:13 HE P T'EN V1=:N'r FAN 3
VEN'T' VE:N1' . SYSTEM
SLP/COMP (3HP HOOD 1
NO . STORIES : :1. r4L.R/C0MP 3--1!511) INCINERATOR(DOM
DWE.A.. .LIN I'T'S : :l lal Iq/t;011r' ].:9 30H1` INC:I:N{'NA'TOR(COM
FUEL. TYPE: CTAS BI...R/COMP 30-50HP REPAIR UNI*rS
MAX. INPUT BLP/COMP .5e4•HP O rHER
FIRE: DMPRS'r GAS PIPING (:)U'T'I.-E:'T 5 1
HIGH PRL'-SS'7
LOW PPE:SSI?
REMARKS
BLAEAI< MOPGAN r PE PMJ: T -�-- — $1.0 . 00
0 I:)r.► R 0 X 0 a Kt I PLAN REVIEW $7 .HH
W ialuhlit 13r 97007 68.7;5 I:'IX'TIJGlk.S 1111l:'1. .50
N
E PHONE:: (.503) 681-••6606 ".;TA T E 'TAX •:1. . 5(:)
R OTHr R
C BELT... HE"A'T':rNG INC:.
0
N 15550!5EE PIAZZA AVE::
T r;,7.a►c k w m rt to ct t� 97 015
R
A PHONE: (50 5) 24:5--1184
T PU( SI RA'T':C(:)N NO. 44'7 TOTAL.: $A10 . 195 �
0
R RECEIPT NO.
— — l
This permit is Issued subject to the regulations contained in'Tltle 1.1 1••h.QI.II RE::D INSPECIJONS
of the TMC. State of Oregon Specialty Codes, lining regulations GAS 1 1.NE
and all other applicable codes and ordinances. and It Is hereby POST a HEi.AM
agreed that the work will be done in accordance with the pians and RC)lJ(:,1I :1:N
specifications and in compliance with all applicable codes and i:: INAL-
ordinances The issuance of this permit does 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 suspendec'or
abandoned for a period of 180 days any time after work his
commenced. It shall be the resoonslbility of the permittee to assure
all required inspections are requested and approved
Permittee gnature
T CALL FOR TNSPEC:TION 639••-41.7:5
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
V+7.PM IT NO.
DAIF.! ISSU11"J) : 61130/98
C17YOFT11FARD -av445fmlD P11,1M . Pi,A'.NO. 681.25-1
MOM
COMMUNITY DEVELOPMENT DEPARTMENT
J03)6394175 Ljla() tJii.JMBEA: N)qAl.J
TeIX
FH�. S,W A N!i 0 N GL.EN L*T : 4/1 UK :
I- AN[) LISE : pt2PO
1-0,11 51ZEE :
A rwp . itw 1: N w
W(: W( C.1 ASS NEW
J.jSE TYPS : SINGLE FAMILY
I hv'! alpf)l awl"i'mm tc) 00111ply With all r,ulew PLI*I(J of trio Uni+lecl
0 (J&yincam (:Intp J.%I;t(Ae(.J The tw.al
Agm?r1iny . The po'.11-'Init VPXPJ.I"VAI% 1 a
mm-1.11-1 t. Paid will. t>w TIJC-Toli I'macl JAI thco 1:)er-Init E.,XpJ.I,Vp.pj . -Io Alpf.�11L.-q (AU01111 t'l(:j(,
ant"o tho accml-wr.1y cl-l' tho Am...'atioll 0-F tho luidep ihomwor, Intel-al.w . IT 010 INO"Wer, J
I-ICIL lucat'-W sit thQ 5,1J.-varl , the inintatlAcar- mhall 3 fivitat i-11
all. (Jir-ectionva frItim thin dittit'la -Ice givuvn . I-F 11(it, %(3 1.13cated , ti-1.41 J.1-Ista1.1.el- 01-111t.1.1
pur,chnime I* —1*1.p and oiciv Eiisowvwl r)4or-1nit aricl Agericy will. iristLiwll sit I at".?I"K1.
IN STAL.L. . TY P E• 13(1:1: INC 5E.WEA IMPEP'JIDUS AV4F:A
F'4X'444RF'1.: :fFMANI,
DWELLANG UNITS
NO. OF 1911
--i-350(11
I:Jl t:.n- K IT
1..)0 6(i*35 rC)NN11(.","r1('.)N 1. 1.0
0 c)h ML tar 97007 69'.35 LJNE IoP INSTAL.I... .
W
N PHUNC: 60/1-6606
E OTHER
R
I oL..r-.:-AK MC)nGAN
T- C .
0 P13 BOX 6
C TITAN
5 1 N
0*35
N
T T
R a 1,1:11-1a c)r, 97001 MIX'.)
PI-4(:)NI'4' 1503 11 68A 6606
CA AEC.1VY1'WA1''TC)N NO 3 055 6 T OTAI
C
T
0 1:11ECIPIP'T NO.
PIEWL)IWI) INGPECT'IONS
This permit is issued subject to the regulations contained in I itle 14 POkJ(*.,1-+ -IN
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 done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit clops not waive restrictive,
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
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.
i!—
Per nittee Signature ()LA... F"OP IN5PEC.T TON 639 411 7!',)
Issued By
SEPARATE PERMITS REQUIRED r-OR WORK OTHER THAN DESCRIBED ABOVE
CITY- OFTIGARD PLAN CHECK APPLICATION
CITY OF A� PLAN CHECK N -S�
COMMUNITY DEVELOPMENT DEPARTMENT OREGONPERMIT M
13125 SW 11x11 Thud PC 13ox 73397,rigerd,Or@go 9722.E(!,02)639417S / DATE ISSUED
TAX MAP/LUT �
>
LOT:
��f-
�._� _ LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: r� 7i^_. ��� 1 REISSUE OF:
ADDRESS: _W_ LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
_ _
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: �-
ADDRESS: _- FIRE DEPT
_ OTHER:
PHONE: _ _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME : _ CALCULATIONS: _
ADDRESS: TRUSS DETAILS:
_ ___• _ PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS:
PERMIT M ACCT M D-SCRIPTION AMOUNT AMOUN', PD. BAL. DJE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
£KGs'/1.5 10-431 01 Mechanical Permit Fees 3 -
10-230 01 State Building Tax (5%)
Building 3
Plumbing co
Mach ' is
10-431 JO Plans Check Fee
Building
Plumbing _
Mach --- ,,
30-443 00 Sewer Contion (20X)
30-202 00 Sewer Connection (80X) r'
r7`J
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC)
52-449 01 Purhs I System Dev Charge (PDC)
52 449 02 P&r•ks II System Dev Charge (PDC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) _ o
10-230 09 TRFD (95X) - ""�
10-451 00 TRFD (5X) -- - --
10-230 06 Washington County Fire N1 (95X)
10-451 00 Washington County Fire #1 (5%) —��-
10-220 00 Amart/Wedgewood - -
TOTAL.
arc N �—
APPLICANT SIGNATURE
Received By: _ Date Receivari-