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IN°?ECTION NOTICE
ity of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-41,75
Type of Inspection %y�G
Date Requested_ �--� ` f 71 A.M. P.M.
Address I Permit #�
t R
Owner '3 Lot #
Builder � a and pej—
ioaris s �.0 c.4 T� y�zzy
Thi a following Building Code deficient ten required to be eo�reated:
r
Presented to �zApproved
Inspector - —,_ --
Ll Disapproved
Date
CALL FOR REINSPECTION
Cl YES 0 NO
ff
AN
BUILA)ING, 1-4:14M.11'
PERMIT NO. : 811-18,70209
IT1( OF TIOA RDcmCIFTWA1110
COMMUNITY DEVELOPMENT DEPARTMENT 0010-DN
S W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 DAIE'. 31 /87
PR;m.PmT.Pie. e7peog
7M g
JOB ADDRESS : :1.5910 SW 815T CT
1AX MAP/Lur ipcc' ,,,),too SUB : BOND I'-,ARK IQ I-T :85 HK
LAND USE: PI2.
LOT SIZE : VALUAl ION : 0 (:It '007 SETBACKS
F14ONT: 20 REAR: 6
WORK CLASS : NEW OWELL .UNITS : I LEFT: 6 RIGHT : 60
USF: 'I Y PE : S I NGI...F.: 1: AMI I Y NO HFI)NOOMS Al EXT .WALL-
CONST . TYPE : VN NO. BATHS : 3 N: S : E: W:
OCXA1P .GAP - - A3 PAO1 , 0P1;..'NING%
0(:',CIJP .LOAD N E: W:
TOIAI.. 622
NO . STOPIES: a IST: 945 ROOF CONST : FIRE RET7
HE 1 GHT ' V0 !?NO 677 AREA SE15AN7 PATEKD:
BASEMENT7 3AU: OCCUP.SEPAR7 RATED:
M1-'-'ZZAN1NV.-7 HAS1l':'M' I
FLOOR LOAD: 40L GARAGE: 410 FIRE SPAKLP? ALARM'?
F�I..(.)W(E;PM) DE1+-C7-'? YKS HEAT I'M CP ect,
I,I.AN CHECK BY : r i t
REMARKS:
II&ASSUF. DIP Nil . F-3,1011 /10.
LAST REISSUE.
0
NWAYMIPFE MEL.-VINJP PERMIT $379 . 00
E 106415 qW DOVEP CT . 1,11-AN WEVIEM 11111110 . 00
R tic
,jard or 97224 FIRE DEPT
1,)Hi 1303) 639-6741P 5'l o I K I AX $11114 95
OTHER
C DEVEL.UPMENT CHARGES :
0
N WAYMIRE ME 1-VXNt.IR SDC(STORM) $250 . 00
R T MIKA- I WAYMPF 51)C(STP LET) 111111600 . 00
A 108455W DOVE41 (:T . $150 . 00
C g
tial-cl or 97ep-I -1
s0 00)
T
0 PHONE 4503) 639-6742
R RfiX.I%TPA'1IL)N NU. 359-76 'T(31 Al $1 9")
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 INSPECTIONS
agreed that the work will be done ir accordance with the plans and F Of.)I ]'NG 5F.WF.F4
specifications and in compliance with all applicable codes anl FOUNDATION WALL PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PO(j I & HEAM WAIF: 4 L. INE.
business tax permits This permit will expire and become null and PL.O .UNDEPSLAO CITY APPPCH/SW
void if work is not started within 180 days,or If work Is suspended or 1:0-AH F I NAI
abandoned for a period of 18( days any time after work has PLO. TOPOU T
commenced It shall he the rpspo isibility of the permittee to assure F:t4AM ING.
Rl- required Inspections are it, nested nnd,/app ved FIREPLACE
C,Ac; L. INE
INSULATION
SOAI 41,11
Per flee, Ignature
IRsueo By
CAI-1- FOR INSPECTION 639--41. 7'9
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DM RIBED ABOVE
R(,T
INSPECTION NOTICE
City of Tigard Buildin 7 Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of in:pectionrx1-z1,k77 t1n45l —� —
Date RequestedTime A.M. P.M.
) /' , p 7
Address _ 15 ��) S w c��sr �JU Permit
Owner /J lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Prorntcd to �, pproved
06—
Inspector le�tl [ I Disapproved
i
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
WKIIIIII[In I
CITY OF T167A RDI:�L_IJMr'�xN(: PEWIT
PERMIT NO. : PL8702iO
r,4v RD
COMMUNITY DEVELOPMENT DEPARTMENT up NOON DATE'
53125 S W.Hall Blvd, P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175 PRIM. PMT.NO. 870209
JOB ADDRESS : 3.5910 SW IBIST CT
TAX MAP/LOT 2':'S J IRCC 5700 51IJB : BUND PARK 1V T :Lai') BK
LAND USE:
1-01, SIZE:
ITEM: NO ' NO:
WOPK (:1-ASS : NEW WAITEP (ILOCIET 3
USE 'TYPE: SINGLE FAMILY URINAL BKF*L0W PPVNTP
C'ONST .'TYPE' : VN I AVORATORY .14 TRAP PRIMER
OCCUP. GRP. : P3 *TUB SHOWEP 2 GREASE TRAPS
DISHWASHF.J4 I.
GARBAGE DISPOSAI.- I
NO. S ."ORIES : 2 WASHTNG MA(:,HINF.-.: 1.
DWELL.UNITS : I LAUNDRY TRAY BLDG. DRAIN (DIA
Fl..,OOP DRAIN
SINK SEWE14 (F*T)
TO F4 M 14 A*1 N 1: 1
WA'T'ERHFATF.;'.P
OTHER
1:411-'.MANKS
0 WAYMJ:Pk; MELVINOR PERMIT 1..1 0
W
N 1013413 SW DOVER CT .
E t.J1.�j iti r d tar F,I XTURE S
R
S1 ATE TAX 111117 30
OTHER
C
0 WAT T1.3 l<FN
N KFiN WAIV:l PLUMBING
T
R (3900 SW P1.JV4Nl--lAM
C A %A (Iiai-d cir 97223
T PHONE (303) 684-66e6
0 REGISTRATION NO. 30878 TOTAL :
R
RECEIPT NO.
This permit is issued Subject to the r 9gulations contained in Title 14
of the TMC, Stale of Oregon Specialty Codes, zoning regulations REQUIRED INSPE(:;TIONS
and all other applicable codes and ordinances, and it Is hereby Pl-H . ONDFPSI..AH
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINF.:'.
covenants Contractor and subcontractors shall have current city vt,.R . TOPOUT
business tax permits This permit will expire and become null and 1:101N DRAINS-is
void it work Is not started within 180 days.or if work is suspended or FINAL
abandoned for a period of 180 days any time after work has
commenced It shall be the,resonsibilty of the permittee to assure
D.
all required Inspections,are re re u i
ested and Aappru
rmi tee ignatt e
Issued By 1 -C 41 1 1*1311 IWEAXLLJlurll
SEPARATE PERMITS RFOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF PORI RD CITY"F TIGARD i*'*q*':nm'J.r NO. : ME87OF-11
'0
COMMUNITY DEVELOPMENT DEPARTMENT 0111160N
13125 S.W.Hall Blvd.,P.O.Box 2397,Tigard,Oregon 972:.3.(503)639-4175 1)A T V. .1,S 45 U F_'D :1.2/3:1./0 7
11*1141!M. Pfff, NO. 670rov
JOB ADDRESS : 1,5910 SW GIST ("T
TAX MAP/LOT i.'�51 5700 !:43H: HOND 1,0141( J k) L.T E."') f.-:'K
LAND USE:
L OT 5 3:IE:
ITEM: NO:
W('.)F* C1_A55 : NI:::W FURNACE <100K 1. A11:4 HANI)I-P <1.0
USE TYPE: SINGLE FAM11..Y FURNACE iOOK+ AIR HAND1_.11 10K
CONST .TYPE- VN F1 00R FURNACE. F.VAP . ('1001 VJ4
OCCUP.GRP . : P'3 HEATER VENT FAN
VI-:N'T' VL-.:N'T' 5 Y SiTR M
9LR/COMP <3HP HOOD
NO . D1.-P/COMP 3-1,5HP TINIC".1.191H.'RATOP(E)%')M
DWELI...UNITS : 'A. BLR/COMP i5_301-4p' INC I NEPATOP(C NIN
FUEL TYPF_-'. Or 01-P/C110MI-1 301150111:) REP0.1.14 LJNI*Y'!j
MAX . INPUT BLR/COMP n0+HID OTHER
FIRE. DIMPPS GAS P
HIGH PPF55,'7
L LOW Piir.`116.1111
REMARKS :
0
W WAYMIRE MF*.:LV:r.N.)P PEnmrr 11111.0 . 00
N
E J 08.15 5W DOVEP (*.,T PLAN RIEVIF::W $9
tigniir-d or- 97224 FIXTUPES
639 6LIt_1P K TAX
PHONE (503 il; t YH
OTHEV4
C
0
N M A TH F.*1:rri, NOPMAN
T
R SPECIALTY FABRICATION
A 939A 5W I TGAWD !-51*
C
T tigaLrd or 9,7ee3
0 PHONE (!$03) 6eo-56_13
R REGISTRATION NO. 48313 TOTAL.: $51 .36
This permit is Issued subject to the regulations contained In Title 14 RECEIPT NO.
of the TMC, State of Oregon Specialty Codes, zoning regulations ---------------....w..._......_
and ell other applicable codes and ordinances, and It is hereby REQUIRED IN3Pr_-':C'13.ONS
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and GAS LINE
ordinances The issuance of this permit does not waive restrictive POST & BEAM
covenants Contractor and subcontractors shall have current city ROUGH--IN
business tax permits This pertinit%. II expire and become null and F1 NAI
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 requ sled and approved
Inspection,,are mqt, allied and approvIm,
C?1,4tee 4Snture�'
'0
4 Issued By
F1
("AL.I., OR INSPECTION 639-475
)S4EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
uuu-u U4'UUU"
SEWER PERMIT
C1 fY OF T117A RD PERMIT NO, : SE8702:La
CITY COF�7WAPDD
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON DATE ISSUED: 1.2/;3a./8r
13125 S.W.Aall Blvd..�1.0.Box 23397.Tigard,Oregon 97223,(503)6394175 PRIM. PMT.NO. 870209
JOB ADDRESS : i"J'SriO SW 131ST CT L.)5A NLJMBE14: 34902
TAX MAP/L.01* (2S:I. 5700 SUB: BOND DAIA< IV LT :83 BK :
LAND USE:
L-01' SIZE:
SECTION: TWP: PNG:
l,.'JPK (.1-ASS : NEW
USE TYPE: SINGLE FAMILY
liI.C111kok'111 to cicllnpl�j With I'll.]. 4111'ICI I't.-C11.11,11AIL11-114 c)+ then I'JnJ.+J.eCI
Sewei,,sga- Age-ney . The pei,onit expireirs 1.20 ClIfLyffl, from the dmtet iq;vicied . tutal.
olillitil-It. 1-);-0.0 WJ ) I li)o' if thv-T 'Ther fr(ilv�11cy cloeli; II(.)I' ljilol-
laintevir the I&CCUI-MILCY of thP. 10Cration of the micie m"wer, littei-,akim . If the niewei- isi
not Iovottcad oLt thc:, mevtmi.iu,e+inent given , the J.iit,iI.,1kJ-1err- %1.14%]J prompect 3 t :in
w.13. diret.-tiol fl-'(3al the distaknc:e giv,,man . If not so loe-aLted , the instisllei- 1ihm.1-1.
III "Tiitp inncl !-)Icle ti-10. AgVnCy WJ1A. il-IIIIt,1111,13. Al, .1X1ktt:!I'II1.I. '
INSTALL. TYPE: BUILDING IMPERVIOUS AREA:
1;:*3:XIUPk:: UNITIS : 1.-1 TI-':NAN'T IMPROVEMENT:
DWELLING UNITS : I
NO. ('.)F B1,A)GS . 1.
0 WAYMI'14F.:. MF.:I V.1 N'.11" PERMIT $35 00
W
N 108,83 S61 CONNECTION CHARGE $1 , 100 . 00
E t 1. (1 cIr 11-INE T-4) INSTALL .
R
OTHER
C
0 W A Y M.T.W F. MELVINJA
N
T MEL WAYMIRE
A R 1()FW.I5S-W IAIVEP CT .
C tigard ur 9*7 P 2Z4
T PHONK (303) 639 6 7AP.
0
R REGISTRATION NO . 35976 TOTAL:
PF-'C1i`.IPT NO.
This permit Is Issued subject to the regulations contained in Title 14 ------------------------
of the TMC. State of Oregon Specialty Codes,zor!og regulations
and all other applicable codes and ordinance:,, and It is hereby REQUIRED INSPEC'T'IONS
agreed that the work will be done in accordance with the plains and DOUGH-IN
specifications and 7ompliance 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 permitt e to assure
all required inspectio )
are re uested and approve
are
�fft
ormittee Signet
Issued By: F t 1 4 1 Mr.)I F I I 1 11 W-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
arf OF TIGARD PLAN CHECK APPLICATION
CITY �'4� PLAN CHECK # //• 3' �
OOMMUN TY DEVELOPMENT DEPARTMENT oRwoN
1125 SW HW;BIea P.O.Bm 23397,TlgsM,O Von 97223(SM)e39,4+76 PERMIT # Y;(_)-20
DATE ISSUED
JOB ADD�SS: S� LJ '� C�-. _ TAX MAP/LOT �.6I-
SUB: �r,r,, 2 LOT: r _ LAND USE:
_7-77Z
VALUATION: " ,t; M'" SETBACKS: FRONT: Z�_C REAR: A,C ' LEFT: RIGHT: 6
WORK CLASS: _ HEIGHT: TOTAL AREA: Z
USE TYPE: FLOOR LOAD: ) 1ST: S-
CONSTR TYPE: r",n; HEAT TYPE. 2ND:
OCCUP GROUP: -� DW ELL/UNITS:_ 3RD:
OCCUP LOAD: NO BEDROOMS: BASEMENT:
NO ST)RIES: NO BATHS: _ GARAGE: t
IMP SURFACE:
APPROVALS REQ'D SPECIAL NPTES ITEMS REED
PLANNING: REISSUE OF: Gly(i LIST SUBCONTRACTORS:
ENGINEERING: _ LAST REISS! BUS TAX:
FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS:
OTHER: _ SEN LND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PIAN: _
PLAN CHECK BY: OTHER: _
COMMENTS: u..47 ,c'7 9-0 L '� F 7 0 `xg
ACCT f DESCRIFT O-9 AMOUNT
OWNER 10-432 Building Pex7nit Fees
NAME: 10-431-600 Plumbing Permit Fees , 2_
ADDRESS: 1.0-431-601 Mechanical Permit Fees S v
10-230-501 State Building Tax (5%) ..
10-433 Plans Check Fee s
30-443 Sewer Connection (20x)
30-202 Sewer Connection (80X) s c�
CON VRACTOR 30-444 Sewer Inspection _
NAME: - -2 .51-448 Street System Dev. Charge (SDC) $
ADDRESS= 52-449-610 Parks I System Dev. Charge (PDC)
52-449-620 Parks II System Dev. Charge (PDC) /c
31-450 Storm Drainage Syst Dev Chrg(SSDC)
PHONE:- 10-230-505 TRFD (95x) s
10-435 TRFD (52) S
ARCH/ENGINEER 10-230-506 Washington County Fire 01 (951)
NAME: 10-435 Washington County Fire #1 (5%)
AP' AESS:� 10-220 Amart/Wedgewood
���4
PHONE: TOTAL
S'7a.Y�u PREPAID �L041) yp
L R E C #
BALANCE DUE 3► ���l
AXcLICAN� SI ATURE ( -
eived By: t?)\ Date Received:-4'/