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INSPECTION NO i ICEv�--
City of Tigard Building Department ' 4 '
P.O. Box 23397
Tigard, Oregor 97223
Phone: 539-4175
Type of Inspection --
L C'1 Time-
Permit 'V U P.M.
r
Date Requested � i
Permit
Address _
r al.v Lot
Owner Builder tz_
Thr. followirg Building Code deficiencies are required to be corrected: 1
1
--fivo I
i
Presented to Approved
Inr)ector -- - - ---- --- -- — i Disapproved
nate /
CALL FOR REINSPECTION
❑ YEE ❑ NO
F
BUILDING PEWMI'T
PEIRMI T NO, : BU890026
CITY OF TI��4 RD CITV OF 7WAV&
oo"'04
COMMUNITY DEVELOPMENT DEPARTMENT I)A*T'F--: ISSUED: 1, 20/e9
13125 S.w Hall Blvd..P.O.Box 23397.Tigard,Oregon 91223.(503)639-4175 vip ,m i:)m*r wn I;iQnn;-)A
-100 ADDPE'Sa 1,5365 SW
'2CA LA' :22 SK:
ly4X M(-)P/j-O'1* 2 S I A, SUB: A SHF'01:40 0A Kt
1. AND 1.11SE.:. 1747 VAI.A.)ATION: 4i 9'.5 ".'J 0 0 SE'TUACKS
1.07E : FRONT : 20 PEAR; 20
WORK Cl..ASS : NE W DWI:"I L . UNI'T'S L-EFT: 6 6
LIS11' *TYPE : SINGLL: f"AmIl Y NO - ULDROCIMS : 13 EX'T ,WAI L CONS'T :
corm'r .'ryr,c'.: VN NO. SAI H' : N: 5 : E W:
('.�.Rp . 613 PROT .OPENINGS :
O(X' L)P . L.OAD N S E W
207113
NO. S'TOPIES 2 3.0211:3 WOOF ("ONS'T' C FTPE RE r'?
HV*'1:GH'T : 2NE1: J.050 AREA SEV"AW'?
13ASEMIEN'T"? 3RD: OCCUP.
14F.7ZANINEK7
FL.(70n LX)AD 40 (;APA(AT : 630 FIPF. SPRKLA-17 AL Arlm'?
F LOW DE-CM1*7 YE.`.)
I IV*A T' 'T Y pN'
I..AN LA-11L CK 1:31y -
REIL-iSUE. OF NO . 9906413
LAST PEISSUl" (3113PROO
*4 F2 1. � 0 0
0
W Mil. I E'A JAY $-10 . 00
N BOX 23r"Wl. PLAN W--VIEW
E
TA:GARD I. IDE, DEP
S*TA11r. *TAX
(YTHER
C I +.VE:L(:)PMl4-:N'1* CHAPUES : #Wno . 00
0 0AY S DU* S113 PM
N $600 00
T )()Y MILLEA4 WTI) S Dc", ST I')
RI:') . 13 BOX i.:&291. PDC:(02 $250 � 00
A < 1111140 . 00)
C 11.('�,APD OR 97P�'
T I"ll-IONF (503) 61113'4-7543
0
'I ON NO .N 9
PE-C.E.I PT NO . 0 ?--Z
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
agreed that the work will be done In accordance with the plana ar,d F''001 1:N(.4 L.SLWE'14
specifications and in compliance with all applicable codes and F'OUNDAT'ION WALL MIN DRAINS
ordinances The issuance of this permit does not waive restrictive PLMI & ULAM WAIEW LINE:.
covenants Contractor and subcontractors shall have current city
business tax permits.This permit will expire and become null and VIL U .UNDE.RSI-Al'.91 APPRIl',H/SW
void It work Is not started within 180 days.or if work is auspinded or S L.A 1) F 1'.N AL
abandoned for a period of 180 days any time after work has P11-8 , T'(WOUT,
commenced It shall be the responsibility of the permittee to assure I::*PAMIN('.4
all required inspections are requested and approved
C;AS L INK
X, IWAA-ATION
GYP IiJOAND
Permittee Signature
I-f1l 14 .1,Wi P E. IN
Issued ay ze- - - -
SEPARATE PERMITS REQUIRED FOR WORK OTHEr, THAN DESCRIBED ABOVE
W
W
Pi LIMISING; PEAM11
CITY OF TIOM RD k�'�# 1-.+�7pwur NW ; PIL890GA0
CITYOF'TWAND
COMMUNITY DEVELOPMENT DEPARTMENT 001GON I)AII: TF515LJEX)� 1./P01139
13125 S.W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639A175 VIATM . P`MT .NO , equjm�,___
CA y 4
IOE.,' oDOPIES! V5365 15W 7911-1 AVI`
MAP/1-OT ?Sst 'I.;.?(",A SUrls: ASHFOPL) ('.)AKS L.T :i-S I_<K
I. ANU USE: : n'l
I (XV S1.7E' .
NO : 'rAt I
WOPK CA.,ASS : NE-M WA*TI'__r4 CLOGEA* 3 'Tr'np
USE, IYI*'.,I::Il SINGLE: F'6MILY URINAL B10-:1...(:)W PRVISITR
CONST . TYPII: VN I AVOPA'T OPY A TRAP PRIMEP
W"C'UP .G"Pl.") . 1".43 1119 SHOWEEP �.'2 UPEASEK TRAPS
0151-41LIJASHEP 1.
015F'OSAL. a.
NO. SiTORIRK S : Fi WASHING
DWE-U.I.... UNI*rs : 1. 1 AUNDRY 'T*AAY E.A.A.A.3 . DPA1N (DIA
F'L.0014 DRAIN
GINK 1. CIEWES4 (FT)
WATEP 51'OPM/Ro- IN (1::'-T
(:)1'HE 11
$1.117 . "50
W H 3.1.L 1:*,.1:2 -JAY PEAM11
N box 23291.
E I
A P D IXTUNES
TIE TAX
011-IE34
C
0
N
I !,i N WAI V!; PI 1.018ING
H
A l-_4OX �.'-2309215
C 1,1 q Ail r d
1:14(1NF: (503) 614,166EM,
I.ir..X.4XF.V1'PA1 .I.0N NO . )0(13'78 T 01 Al.. 01:1.113/1 88
RECEIPT NO . le)225'7
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 PE(;II)l'PEl) X.M.'1PIELAI'ONS
agreed that the work will be done In accordance with the plans and 1:1.A.4 . UNDLI41iLAB
specifications and in compliance with all applicable codes and F'UST a 1'.*11'AM
ordinances The issuance of this permit does not waive restrictive WATEII I. INE
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 It work is suspended or Ro'IN UPAINS
abandoned for a period of 180 days any time after work has INAL.
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Issued By :I.ut'l f,:49 111 "r'•1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A00VE
CITY oF T1�� PERhIT
VIEKAMIA NO . - GE 900
RD
:IIYOFTWARD
OplOON
COMMUNITY DEVELOPMENT DEPARTMENT DATEK '.I.S13UED: I/eo/89
13125 S.W.Hall Blvd,P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 PI-11M PMT NO P911116PA
.-JOIN AIMPESS : 11.5365 SW 1911-1 AVE LJ5A NUMBER: 37163
HIFORD DAKS
YAX MOP/1-01' KSI. 12CA AS LT :E.Iff BK :
LAND USE. py c� CyV
11-01, In tZE: ilayn-
sE--c'r.1ON: 12 Twin,: 1.w
WORK (7t..ASS : NEW
U45r.-: *TYPE---.: SING11-i6:.' 1--'AM:I:L-.Y
uliao akI:)1;)3-,k-vLnt tm cciinpl.y witli vill. r,il.i1eta as-icl C)-P 01(hi UrO.-I'J.e(i
G63wer-iro.ge Agencny . 'ri-ic) 1:)wti-mit explir-cmi; IZ20 tJayts +I--(')m T,I-i(+p clak1ow J.iiiqttled . TI-10
fli'llicli.1l'it pwll.cl wil.] L)c, 4-t3r,4-'*?itc1cj i.+ ti-le P(Wl'lnj.t Q 4,H r1l.)t 91-14ft,
aLlitilLhe Lhw? tIlvi2
nn t 3.ci c.,%t r.,cl a t t.I-i e) A e.-19 ill Ll i,ca in e ri t (3:1,v lu vi , tlivo Pl-clilij.)TIC1, 'I'MINPt -i-11
is.
1.1t:lt 9t c3 j.rjeaLtoo(i , t.vie i.rioit.tioler, is :1.
the UJI.Ver) . y.
laricl Aclralllc.:t)
TYPE: BU.11'.I DTN(; SUHM04 3'.MP1k-A:4V1Uk.JG AREA:
F.IX'TUPE UNT115 : 'I'IL_::NANT MPROVEMEN'T:
DWELA.b*". UNTTS : I
NO . OF
IL:,FF IF.'.S
0
W M 1:L.L.C P PE PKE 111,35 . 00
N P BOX P291. (.(.)NNECT1ON CHARGE $1 1100 . 00
E 3L.INF: 'TAP INS"I'ALL .
Pt 'TIGARD Op
C
0
NM71..I...I-:R .JAY
T ..JAY M:EI I.X31 BUILI)FP
R
A pi . ci . BOX 2'3P91
C TTGARD OFT 9'7 -2P3
T
0 PHONP.-K 11.503) 6". -7543 41 11.35 . 00
R NO , 301.09
I P'T N 0. '57
This permit is issued subject to the regulations containrid In Title 14
R rr.:C
of the TMC, State of Oregon Specialty Codes,zoning regulations
a.,d all other applicable codes and ordinances, and It Is hereby OKIAMRED INSPEUTIMNS
agreed that the work will be done in accordance with the plans and POII N
specifications and in compliance with all applicable codes and
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 Lind become null and
void if work Is not started within 1 G days,or if work Is suspended or
abandoned for R period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to OSSUre
all required Inspections are requested and approved
"mmiltee SignatuA
Issued By: I'M I 1"OP J:Nt.sPFCTTON 6'39-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHEn THAN DESCRIBED ABOVE
MF-.CFIANXCP
P%., L-PM3:'Y
Ci�OFTIGARD vko�F6 PEPMIT NO. : MES90043.
A
CnYOF IM
COMMUNITY DEVELOPMENT DEPARTMENT ontoom DAII:;' TF5SLJk!-*D : 1./20 89
13125 S W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,1503)639-4175 )111 M E'M 1' N Q E-390011
reo,4
,,e4 C,65�/.C?
-.)OR 15*365 SW 79T1-I AVL' eovnp
TAX MAP/1-4T 12CA SLID : ASHFIHID OAKS LT-.2f BK :
L.ANI) USE: 1147
1,1:::M: NO : NO
WORK CLASS : NC-.:W F;,(.JPNA("E <1.0()I< A I P1 HANDI—P <11-0
AANDI A 10 K
Lj5rl TYPEZ: SIWA-li-E F'AMILY FLIANACE.. 1.00K+ 1. AIA I
C'UNST . TYPE:: VN FLOOP FOPINIAGrr. Cool-A-KIP!
FA
OCC,up . GAP. : 113 V fi. --N 'el
VLNT VFENT . SYS*I'F'.M
BLII/COMP <31141 HOOL
NO . STOPIES : R 3-Ir-511F, INCINLE:PAI LIP(DOM
DWI T.L.L . UWETS : I E31...1: !(:,(:)Ml*-, INCINIE.PATOP(CUM
F Url *T*YI:,-4:: GAS H.i.!111/GOMP 30-501--IP WEPAIn UNITS
M Ax . 1:NPUT BLA/Comp .5041111P 0 THIE,P
DMF)PSI? T S
I.
Hllt*.�;H PPFSG-�
I 1--ILJ
PE.MARKS :
0 1-1-11MIT
W MT I.,I F.:11 .JAY
N BOX 23291 1:)I...AN WKVIE-W
E
R T T. P LJ 011 FIX TUPE.KS
STATV TAX $2 P-15
OTHE.14
C
0 1-Ir-r) N 1140130:41
N
T 1-411A)IN' S 1-11':::ATXNG
Ft
A '415 NW '2*311.Sl
C h J.1.1 fl;1-.)cI I'`a a I.- c:"712 3
T 1:4-10NIF (50-3) 6'10 1.1.,59
0
R I 111FA.,1ST11ATTON W) . T 0 TAL. :
NFX;F.'Ir-T NO .
This permit is issued subject to the regulations contained in Title`14
of the TIVIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby r-11"1411.11RED INGPEXI IONS
agreed that the work will be done in accordance with the plans and GA15 I INF'
specifications and In compliance with all applicable codes and POST & 81:;:AM
ordinanc+s The issuance of this permit does not waive restrictive 110LIGH IN
covenants Gontractor and subcontractors shall have current city FINAL.
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 poilod 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
%J/l —Ae ;
Permittee Slgn�tur
Issued By
t.
N1:d)[;:(.;I r.()N F.7TT77r,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I
^� PLAN CHECK APPLICATION
CITYOF BOARD'. PLAN CHECK N
��(CW74
GOMMUNfTY DEVELOPMENT DEPARTMENTAPERMIT N i; 1
1(jRD
DATE ISSUED
13125 SW Hefl Blvd P.O.amc 2M7.rr aM.Oregon W, (SM)6"4176
JOB ADDRESS: TAX MAP/LOT
SUB: _ -d �aK J Llii: .�� LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: _ REISSUE OF': U -3 _
ADDRESS: _ LAST REISSUE: _2 2
_ FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
r PLANNING: _
NAME: _ �\ N q / 'M I /j 7 C ENGINEERING:
ADDRESS: o� _4 FIRE DEPT
OTHER:
PHONE: 1 - _ ITEMS REQUIRED
LISW/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: _ �? !u �� CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN _
PHONE: _ (THER:
COMMENTS: (� -\ S S Lt
" . PFRMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. DAL . DUE
�U 10-432 00 Building Permit Fees _
, tIL!GQ ,2 v
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees �-
10--230 01 State Building Tax (5X) (e Y— U
Building :z -
Plumbing 2-3
Mecli .2..2,x'
10-433 00 Plans Check Fee _
Building _
Plumbing
Mech
w L 30-443 00 Sewer Connection (20X)
'L 30-202 00 Sewer Connection (80X) /U -
30-444 OU Sewer Inspection
51-44B 00 Street System Dev Charge (S^C)
52-449 01 Parks I System Del, Char-ye (PDC) '-
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) x�/sy
10--230 09 '1RFD (95X)
10-435 00 TRFD (5X)
10-230 06 Washington County Fire N1 (95X) _
10-435 00 Washington County Fire N1 (5X)
10-220 0 art/Wedgewood
TOTAL p, J �
REC p I '�U
APPLICANT v- - -
Received By: LL1 Date Received: