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INSPECTION NOTICE
City of Tigard Building Department
F.O. Box 23397
Tigard, Oregon 97223
Ph/one: 639•-4175
Type of Inspection
Date Requested--<= Time___— A.M. P.M.
Address �Sf P armit ;717-4,6-7
Owner Lot #
guilder ---------
Th3 following Building Code deficieraies tiro required to be corrected:
Presented tc -}--' --___– _ �kp oved
Inspector '�1—_ —_---_�__._ �_� Disapproved
Date
CALL FOR REINSPECTION
O res L-1 Ivo
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2:397
Tigard, Orego i 97223
Phone. 639-4175
Type of Ins[eection
Date Requested — Time � A.M. P.M.
Permit #�(�� � FJ
Address �_L_ 2 Lc�
Owner ._ - - — -— Lot # --
Builder
The following Building Code deficiencies are r,squf►ed to be corrected:
Presented to -__ - Approved
Inspector `"'`--' _ D Disapproved
Date , - -
CALL FOR REINSPECTION
YE!,-'<No
W
BUILDING, PEPMI'T
Pr--'AM1*T* Nle. : BU891337 ✓
(CITY OF T167A RD
COMMUNITY DEVELOPMENT DEPARTMENT ISSUED: 7/ 6/89
13125SW HaliBiwi P 0.Box 23397.Tigard.Oregon 97223.(503)6394175
loll 3:M. PM*T'.NO. 891337
1-0:1114 1-536t SW RIS*T' AVE
'TAX MAP/L..O'Y* 251. :1.2 SUB: ASHFUP13 (.')AK!:*i I.-J .t-.35 RK :
I AND USE : P/4,5
1...01' SIZE : VAI I.JAI':I:(:)N: $ 80 ,676 SE*TBACKS
FPON'r: 20 I-W A R
WC'iAK (7.LAS5 : NI:W DWELL. UNII'S : I LEF*r: 1411GRT : 30
LMIE I'YPE : SI:N(.-,l F. F*AM:I:L.Y NO. BEDPOOMS : 3 EXT .WAL.1 ('.,ONS1' :
(:.0NS'r . 'rYi:)E : VN NO. BA*THS : 3 N 1-5 E W
OU.CUP. A3 PWXT .01:4KNINGS :
OCC RIP . LOAD N: S : E- W
't0*1'Al Al--iE-'.A: 1.800
NO. S*rOPIES : 2 I.S*T : 100A HOOF CONST : C Fl:PE PEI-
25 2NU: '796 AREA SEPAn ( PAI'ED:
r-;ASEME'N'T-? 3141): OCIIAJI"' . SEPAP7 PAI*ED:
1'1 I'--'Z Z A NX N BA'5E."M' 'T'
1:1.0011 LOW X10 (.vAI-4AGF.:. : 4140 FIPE !-.iPPKI.-P'? At ARM'?
FLOW(GPM) DE'T*EC*T7 YES
1-Y1:4:-' : GAS I-II:) "I" . CORR?
1:'-'I,..AN 1,FIECK BY: rl.t
R'EMARKS :
REISSUE OF:' NO.
LAST REISSUE
FEES :
0
IN jay 1:4.441MI'T 111111.376 . 00
N P - 1.1 L)ux 2W*:911. PLAN PF,'V:LE-W
E tigilLI.-d 131-- 9*7223 FlPrE UEP'T
PHOW-: (503) 68A • $:1.(:3 . (:10
(XrHF'P
C I)r-:VF'l UIP)MI-KNI (wHtiPLE'S :
0 WILLE14 JAY 5 UC( 51,0174M 11 111250 . 00
N ,
T JAY M11 1-1::A BUIL.DE 'L)(:,
P S '( S*Y*PF-.:Ef*) $600 . 00
R p . a . FlUX 03r.291. PDG 11*2 1 *250 ,00
A -
C UP 97P23 PREPAT.D < $100 . 00)
T PHONF: (503) 684-4343
0 I4I:;.X.VJS.
R T'AA1'T0N NO. 301.09 111 TAL 1i:I. 1639
PECEIPT NO.
This permit is issued stiblect to the regulations contained in Title 14 ............
of TMC, State of Oregon Specialty Codes,zoning regulations Pki:QUIPEA.)
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and FOU'll"I NG SEWEP
specifications and in compliance with all applicable codes and FOUNDATION WALL PAIN DPA'INS
ordinances The issuance of this permit does not waive restrictive POSI & SEAM WATC44 L. INE:
covenants Contractor and subcontractors shall have Current city UNDERSLAR CITY APPIPICH/SW
business tax permits This permit will expire and hecome null and
void if work s not started within 180 days,or If work is suspended or S L.A 0 FT NAL
ahandoned for a period of 180 days any time after work has PL-4. 'TOPOU'r
commenced It shall be the responsibility of the permittee to assure F AAM I NG'
all required inspections are requested and approved F' *1 AE PLAUE
(.,oALs LINE
tINISULATION
V,"iP. BOAAD
13mmitte nature
Issued By II.. FOR
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN IT.SCRIFIED ABOVE
P
EWFA ERMIT
77 PEWMIT NO. !:EB91380
���►�. 5
OFTIGARD �i,
Cri'YOFTWARD DA'11'. ISSUED : '71 6/89
COMMUNITY DEVELOPMENT DEPARTMENT V`R1 M. P M1 N(J . 891.:3:3'7
13125 SM Hall Blvd.P O.Box 23357.Tigard.Oregon 97273.15031639-4175
J0F3 AD1:)PE65 : 13381 SW 815'T AVI::'. US A NUM1,4-M . 3757.1
TAX MAI:* /L.C)I' 1.2 51L1Ufl!i>Iil la G:l.) 0AI/(
F3"i 13K :
LAND tJSr.-- : PA'!J
L_04' S:[ZE:
SE(:*1*10N; 12 TW P: 2!s RNL,: A�p
WORK 1,1LASS : NE-"IJ
USE. TYPE: SINGLE FAMILY
The aipplA.C'eint utgr,eem to c!1:)Mj:):l.4 With iikl.J. I-1.11CAS aki-ld r,egul.ati.J.uris of theUrij.-Fieid
Sewol-ii.-Lue Agency . The per-mit *-.Txr):Lr,es 120 diaLys -h-am the dattci issued . I'h a t(3 t 14L 1.
alinclurit pitaid wi3A. 1:)e fur-feiiorml J.41 the per'lnit expir,c-iiil . The Aqenr-.-y dirien ncit. gUiRr-
1111-11tee thO RLc:�CLII-'IRCY of t.1-110 Ioc!iation 43f thl.....1 %ide sewer, 1f thc.-� r4(--I?w".i, it.;
not Iuc'nteld 1iLt the ineivi;ur,eine4nt given , ahio iah;;k].J. 3 -Pfieet iri
is.1:1. direr t J.43 ri% -F 1-(3 m t h o d i 14 t ifil.1-1(-.�e 5;1 i V(...:?n . X-F n o t, %u 1.n ilt t e d , the irista&]I.Ier` sha.1.11.
PLl1r`ChR!5*' UL "ILIP VILI-Ild Side Sewer", Per-mil, urld tho Agenc^y wil.]. ill-IM UCIA. All, ]AiLt'FAr'U:l. .
l::JXTL)PE: I.1N3:'I*S : :r.HPP(:)VE:MF--':N*T-
UNIT S : .1.
NO . OF BLI)GS . 1.
ini:1.3.or, J fill,4 PEPMIT 111113.15 . 00
W 0 p . a . lynx 23291. GONNIF.M.T10N CHAP(Ar.* tir1. 100 . 00
N tiglil.1-cl 4:1 r, 97PP"3 LINI-K I'AP TINIL.)TAl L.
E
R 1:1-10NE (503) 61134-75dlli
CYTHIFA
C 1.41:::1)J:N 1:4018111'n'p T
0 HFAXYN15 HEATIN11'..'s
N
T 0 A15 NW P3 I.ST
R h J.11.%b u r-n ci r, 971.23
A
I:*-1H(JNF*.: (303) 644414 1.1:`.
RE.G.P 'TPATJXIIN ND. TO I'AL $1 :1.:3'r3 00
OR
I J RE(-,[-.I PT NO,
This permit is issued subject to the regulations contained in Title 14 IN9PEUTTONS
of the TIVIC. State of Oregon Specialty Codes,zoning regulations ROUGH--I N
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 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 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
Permitt Ignatur`r/
(AI-1 F-UP WN 639-4175
Issued By -04:_1 -
SEPARATE PERMITS REQUIRED FOP WORK OTHER THAN DESCRIBED ABOVE
tlt !w WALW
IMAM-=
PI UMV-1ING PEPMIT
O. : V-11-1391.377
CITY OF T'��RD6'k.:IgM:I: NCITY CX T167ARD DATE 155LIED: 7/ 6/B9
COMMUNITY DEVEL013MENT DEPARTMENT ORIGON PPJ:M . I:)M*T* .NO. 091.337
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223,(503)639 4175
ADDRE55 : 15381. 9W 61.51 AVF.
TAX MAP/LOT PSO. IP SjUB : A5H1---*ORD OAKS 1.-T: 65 BK :
LAND USE.: P-1.5
1 OT SIZE :
3:TEM : NO: N(J :
WOI:4K GLASS : NEW WATEP C.LOSET 3 TRAP
USE *ryr,ii:: SING'LE FAMILY tJl--4:1:NAL- BKFLOW I::,PVNTP
C'ONnT' . TYK-::: VN LAVORATOnY e.1 TRAP PPIMEP
F-43 T*UH 131-10WER 3 GvI:U---A5I::.: 'T'PAPS
DISHWASHFKA 1.
I)ISPOSAL I
N.. . S TO P I ES WASHING MAI.HINE 1.
DWELL .UNITS : I I AUNUPY TPAY RLDCv. DPAIN (DIA
F'LOOP DAA:I:N
SINK 1. Sr::'WEP (F*T*)
WATE:11 !1*T*('.)NM/PAIN (FT 1.
14.::MAPK!:i ;
T7EF-5
III J.3.1 PF.:341VIT V
0
IN
N ti(;I I'll.I-'d cir 97P.P3
E PHONE (503) 60-1-7."543 STA 11.: TAX li'l .:38
R
I OTHE*'k'
C 11401"T'!5 KEN
0 KLN WATTS PL1.JM8:I.N(.,
N
TI7 t7BOX 2-3091P31
A
C PHONE 1�503) 68A-6626
T NO . 50870 TO—TAI.... $1.5 A.8113
0
PE C'EUPT NO . ivilt14- 3
This permit is issued subject to the regulations contained in Title 14 pF:-qtj-
3:N4'3PE(:','T'ION5
of the TMC. State of Oregon Specialty Codes,zoning regulations VILB .L)NI)EP5LAB
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and POST & DkKAM
specifications and In compliance with all applicable codes and I-INE
ordinances The issuance of this permit does not waive restrictive 11.11POUT
covenants Contractor and subcontractors shall have current city PAIN DPAIN5
business tax permits This permit will expire and become null and
void it work is not started within 180 days,or it work is suspended or F*1:NAL
abandoned for a period of 180 days any time Filter work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
CAI 1- F:*(*)P 'I'Nrir*T'T1ON
l9stied By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
' w-K4F.JW —KMKM
MECHANICAL PEPMIT
CITY OF TI��RD / PEPM:I:*T' NO. : MEIE191378
6.A
cIrYOF'n w C)A*Y*L::.: ISSUE'D: 7/ 6/89
COMMUNITY DEVELOPMENT DEPARTMENT OREGON rna.m . PM.T. .NO . 1[19133*7
13125 S.W.Hall Slid..P.O.Box 23397 Tigar 1,Oregon 9722J,(503)639A175
TAX MAP/L.01' 253. 1.2 5UD: ASHF'014) OAKS LT :615 BK :
I AND USE: Pdl. 5
1 O'T 9):EZE.:
ITEM NO: NO :
WOPK CLASS : Nl--.*W FURNACE (1.00K 1. AIP HANDL.P (10
USE.: TYPE: SINGLE FAM11-Y F-11ANACE 100K+ AIP HANDL P 10K
C'ONS'Y* . I*YPr.*.: VN F I UOR FURNACE EVAP-t. (:,[)(:)LE:P
(XICUP-1 GPID P3 VENT' FA�'
VIEW' VEN I' . SYS'T'EM
BL.A I COMP H 0 0 D 1.
NO , SI'ORIES F, Fil L P/COMP '3 1.5 H P1 I NCI NE PATO P(DOM
DWELT....UNITS I Eil 1.1/C Lim P 1.5-301-11P 1N(:',1NEAA'rur4(com
FUEA.. 'I'Yl:)E (:;AS W-1-4/COMP 30 50HP PEPAIP UNITS
MAX . 3:NPL1I* 131._9'1/COMP '50-f-HP 011-11ER 2
14*:LP E: DMPPS-? GAS PIPING OUTLET'S :1
HIGH PPEESS't
I Ow PPEESS.?
Mi 11.IL-1 r j ilk g PE:11MI T $1.0 . 00
0 r) . n . box 2329:11. PLAN PEV3J-;'W $1.0 . 1-3(3
W
N t 19 K I"d o r 97223 1:--IX*T*L)14ES $33 .150
R E PHONE (.503) 6111144-75-13 STATE' 'TAX :LCI
I UTHEA
C HE D:1*N POSIEPI
0 HILKOINIS IAF::A*T':I.*N(.,,
N
T 8 Al ZIS NW P31SI
R h-.1.1.1.in b n I--ci or 9711.r'.5
A
C H 115 6
PDNE� 03) 49-1.1.59
T 1:41E(31Ci*TPAIJ.1
ON N(*) . A17P.1.1. $156 .36
0
VIEKICE'll- l' NO. 11)LIL141--%
This per mit is issued subject t,,)the regulations contained in Title 14 RE:1411-111:11E.-A) INSPEGIJONS
of the TMC, State of Oregon Specialty Codes,zoning regulations (.vA'-3 I I N F.:
and all other applicable codes and ordinances. and it Is hereby
agreed that the work will br,done in,accordance with the plans and POST & HKAM
specifications and In compliance w th all applicable codes and PCILK..'si-4- 1:N
ordinances The issuance of this pf?rm!t does not waive restrictive F I NAI
co-enants Contractor and subcontractors shall have current city
business tax permits This perm3 will expire and become null and
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
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
9 Poirmi
tte aturn l /
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
CI PLAN CHECK APPLICATION
COF TIG RD PLAN CHECK
^ UNf
OMMTY DEVELOPMENT DEPARTMENT �,' UTYOFTWA7RD PERMIT M _`r ti
ti + DATE ISSUED
tatzsswwnetid. p.o.eo.r..o97,npwd,ongonprly�(bo�)►c�D.4t7E -
JOB ADDRESS: ,�/ �I ' r u Q TAX MAP/LOT g2-51 -12-
SUB:
2S/ -/LSUB: _ �Jllcr+off 0 � LOT: -�-� LAND USE:
VALUATION: -
OWNER 7 SPECIAL NOTES
NAME; REISSUE OF: _
ADDRESS: — LAST REISSUE: _
FLOOD PLAT,/
SENSITIVF •.AND:
PHONE: -- -
CONTRACTOR APP,'OVALS REQUIRED
NAME :
PLANNING:
i I c� I L ENGINEERING:
ADDRESS: c �;'i•j FIRE DEPT
7 /rr�" cJ c1�• _ _
OTHER: —PHONE: 6 ja, N- 7373 ITEMS REQUIRED
LIST"/SUBCOF __ _
ARCH/ENGINEER FRACTORS:BUS TAX:
NAME: CALCULATIO'iS: _
ADDkESS; _ - TRUSS DETAILS:
PARKING PLAN: _
LANDSCAPE PLAN:
PHONE: _ OTHER.
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD, DAL. DIIE
33 7 10-432 00 Building Permit Fees JG,
10-431 00 Plumbing Permit Fees 6,
10-431 01 Mechanical Permit Fees s v
10-230 01 State Building Tax (5%)
Building _
Plumbing
Mech
10-433 00 Plans Check
Building (Y �
Plumbing
Mech
3C-443 00 Sewer Connection �M)
30-202 00 Sewer Connection (Ott) —'----' U
30-444 00 Sewer Inspection �J
51-448 00 Street System Dev Charge (SDC)
52-449 01 Parks X System Dev Charge (POC)
52-449 02 P�►rks TlE-3y e t em Dev 6herre�. (PHC) _ .1:; U
31•-450 00 Storm Drainage Syst Dev Chrg (SSDC) �
10-2.30 09 1RFD (95X)
10-435 00 TRFD (5%) —
10-230 06 Washington County Fire M1 (95X)
10-435 00 Washington County Fire MI (5r) —
10-220 0 Amart/Wedgewood
ToTAL
REC 6
APPI.I(''ANj'�i N q_ -�---_ --------
Received By: _ Date Received: