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INSPECTION NOTICE_
Ci y of Tigard Building Department I
P.O Box 23397 �( P
Tigard, Oregon 97223 \/
Phone: 639-4t75
Type of Inspection �(' _
Date Requested � _
Time_ A.M.
— P.M. �(
Address �z c - _._ Permit
Own..r Lot #
BuilderJY�- --�The following Building Code fleficiencies are required to be corrected:
---- CCj Cc Y-C '�_I-Z Z `�
Presented to _
--- tk-Approved
Inspertor -,CL -
- ❑ Disappra red
Date. //—
CALL
/CALL•FOR REINSPE(.TION
YEs ❑ NO
i
!N'SPECTION NOTICE
Citi of Tigard Building Department ( '^
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Y 7 u II Timett P.M.
Addr ;s
J c1 (a S t l�� _ Permit #_ E
Owner Lot #
Builder
The following Building Code de cieneies are required to be corrected:
- I
Presented to pproved
Inspector U Disapproved
Date — -- —
CALL FOR REINSPECTION
❑ YEIt O NO
C111PY OF TIVA RD ;^� BUILDING PERMIT
F�k:r�M:f.'T No . BUHf314f37
CITYOF 1T�ARD
COMMUNITY DEVELOPMENT DEPARTMENT DA'T'E ISSUED : e/ 1./88
13125 S V.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 PRIM . PMT .NO. 8831,487
.JO1:3 ADDRESS : 15963 SW BIST CT
'T'AX MAP/L.O'T' 251. 1 P.C:C SUB:: BONE) PARK PH A LT : BK :
LAND USE: : R12
1 0 SIZE : VALUATION: $ 65 ,9* 64 SETBACKS
FRONT: 32 REAR: 6
WORK CLASS : NEW DWELL. .HNIT'S : 1 LEFT 11 PICHT : L,5
USE: TYPE: : SINGI...E: I' AMI I...Y NO. F'tl:DI4('.)0MS : 3 EXT .WALL. CONST :
(::ONST . TYPF: VN NO.BAT'1-1'a : 2 N: 5 : E : W:
OCC'.UP. (3PP. R3 PRO T' .OPENINGS: 1
OCCUP.I—CAD
N: S : F : W
TO'TAL.. AREA 1,t160NO. S'T'C1RIE5 : 1 1ST : 1./160 f'OOF CONS'r: C FIRE RFT-
HEI 11:;1•I I' : A.8 PNO: APE''A SE:PAR- RATLI:):
BASEMENT'? 3RD : OC(::l.ff" . SE.PAR'7 HATIEX :
M-.ZZAN:I:NIii:'t + BASEM''T
FLOOR LOAD: 40 GARAGE : 387 FIRE SPRKI._R- AL.ARM7
FLOW(GPM) DETE'C:T7 YES
HEAT TYPE: GAS HDC V-1. ACCESS'?SS'? CORR7
: r•.. 1,
PFMARKS
REISSUE: OF NO.
LAST REISSUE
E'E:S
O WAYMIRE: ME::L.,VIN JA I•'ERM1T x;331. . r?0 ---
W :1,08115 SW DOVER CT . PLAN REVIEW 3.5
E ti.ga it d 13r� 9,722A F':I:RIE DEP';'
R PHONE (503) A39--674lp 'S'1 A'T'E: 'TAX $16. 55
O'THC::R
:)Ei:VE.L.OPME:NT CHARGES
C WAYMIPkl: MEI_V:I:N JP SDC IS T'OPM 1 1pP.030 , q0
N MEI_ WAYMI RE S1:)C•( riT RE E:T ) $600 . 00
T 10845SW DOVEP CT . PD(::11#2 1 +1122:50 . 00
R tiDx►rcl ur ri�7 B/I PREPAID Ir It�3.00 . 00)
A
C PHONE. (:50:3) 639-6742
T RE:t3ISTRATION NO 3"i9'7A
O 'T'C)'1'AI_. : •1. ,.`'.i6E'.'70
P
RECEIPT NO. look S
1 his permit is issued subject to the regulatioi;e contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations F•WUIRE:D INSPECTIONS
and all other applicable codes and ordinances, and it is hereby F001 INC; SEWEP
agreed that the work will be done In accordance with the plans and F(:)UNDA'T':I:ON WALL RAIN DRAINS
specifications and in compliance with all applicable codes and I"CI! 'T K UFAM WA T E:R LINE
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PL.S .UNI:)EERSL..ACa CITY APPRCH/SW
business tax permits This permit will expl�e and become null and SLAB F- INAL.
void if work Is not started within 180 days,or if work is suspended or PL..A . 'T'Otj(]LJT'
abandoned for a period of 180 days any time after work has r,RAMI't4G
commenced It shall he the responsibility of the permittee to assure
all required inspections re quested;,app F"I RF IN ACE
d (3A'3 INSUL.ATTON
GYP . 40ARD
ermlttee Signature
Issued By /DSV 'AI...L. FOR INSPI_C:'T'ION 639--4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
!%r.�'W.:R r4:34MIT
CITY OF T'GA R ,rc AD NO. : SE881,4190
COMMUNITY DEVELOPMENT DEPARTMENT
13125 G.W.Hall Blvd_P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 P174 1 M . PM T .(40, U611(167
JOB ADDIA'K.GS : 1.5965 43W 81ST C*r USA NUM13E714: 03598:11.
'TAX MAP/L.0'11' 2SJ. IMIX, SUS: SOND I-Al"W 011 11 L I BK
I...(.)N:) USE. : I:1.2
1...01 51ZE. :
SEL-rUM: 12 VWI::1: 21% 174ING : 1W
WOPIK Cl.,A5S : NEW
LM.': "TYPE : S1M.A.E F:'AMTLY
Tho ic.,litrit m9r,ee.111 to (.•:olnply wii,h ilt.11 1.h re U ri:1. r:1. d
Sci.-weiti-iaqe. A1)aric:�4 . Thc,* pezi-mit wxpil-ewtl 1Z.10 dakylu .11,1"orn the illi%oad . 1"he -totili'l.
hLitiouni, pmi.d wil]. 1:)(e if thcp per,mi-i. expir-wim . I'llix.
at ri t we t h e ucc m r-akc y n f thou 1.(.1 C 0.t:1.a rl of t,1-10.* in 1.(1$.M %ewfo r, I at,t fla r,a 3.% . T f t1-1e: M ewvr I- J.'Al
tout, lor-'aLted act. I.ha qJ V*-1.1 , the 1111-111LA.1 3 -;*%:)C;0, ill
all dir-eictioiioi fl"13111 thLis distmlic�w givor) . 1-F r1ot luci locaatci?d , the i1.1si"m11er. Whait'.1.1.
pLir-uhmsir.? nx "I'mr.) aLrid Sidip 5(�?WIFII'11 pirar,init 01,11c1 thio Age-11-loy wil] J.rioti9.3.3. sk lattfer-110
TIN15'rALL. . 'TYPE: SC W.::94 TMPI'-_-PV3:OLJ9 AREA:
I-':''1'.X 11)PE IJ N I T S : 'IFNAN'T' TMPPOVEME-WT :
I)WEI L.ING UNITS 1.
NO. Of: BLDGS . 1.
WOYM T 14--: MELV1N JP PEPMVT
0 3500
.j
w jj.0je45 O
SW DVIA L' CT . CUNNECTION CHARGE 411. 100 . 00
N
E "1-Ult"4:1 mr, 972 241 LANVE 'TAP INS*TAL.L. .
R PHONF". (11503) 639-6*742
O*T Hr-N
CO WAYM1 Pli". MFA..VTN J1.1
N MF-I... WAYM I FM.'
T a
ioqmssw D(,jvF.p ur ,
R
A ti 9 U r-I rjr- 97P2ZI
C PI-1(3NF.-- (503) 639674IR
T
0 1F(*'5'144A1''r'L)N NO. 3.59*16 TO'T'AL: 111111111135. 00
R
NECEIPT' NO.
This permit is issued subject to the regulations contained In Title 14 »»"".."
........ »""""......
of the TMC, State of Oregon Specialty Codes,zoning regulations 1:117.V.11PED IN31PEUTTONS
and all other applicable codes and ordinances, and It is hereby POLIGI-4--IN
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 valve 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 periud of 100 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections a reqUes ed and approved
required
rmittee Signature
Issued By Lk ) JSIAL FOR I.-N51-1: TJON 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
FA X I WX A ' r
PLUMBING PEPMIT
CITYOF T167ARD PERM17' Na. : Pl..ef-41488
07YOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT OREGON Dil'ITFIL" ISSUED. S/ :1. /88
13125 S.W.Hail Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639.4175 PATM. PMT' .NO. 803.1187
JOR ADDRESS : 1.5965 SW (315-Y' CT
'TAX MAP/L-D*T 2S1. 12CC SLIA: BOND PAPP PI-1 .1 L't DK
LAND USE : PIP.
L-01, SIZE :
NO: NO:
WORK GLASS : NEW WATER CLOSET P I'RAP
USE 'TYPE. : SINGLE F*AMILY URINAL.. BKFLOW PRVN,ri:z
(.0NS'T . '1*Yr-+.-. : VN L.AVOPAI'OPY 3 'TPAP P141MEP
MCUP.CARP . : R3 'TUB SHOWER 2 GPI::'.ASE TI:ZAPS
DISHWASHEP 1.
GAPBAGE T(1:51POSAI. :1.
NLI. SI'DRIES : I WASHING MA.",HINE 1.
DW,ELA- .UN:rrs : 1. 1 AUNCIPY TPAY F41 OG- DRAI N (13 1 A
F-1.00k DRAIN
SINK 3. SEWER (F'T
WATER l-lE-:A*1'EP 1. STOAM/RAIN (FT i.
0'T*Hr-.:R
PEMAPIks :
0 WAYMIRE MKI-VIN JR PERMIT $11115 . 00
1084115 SW DOVER CI .
tl til ard Ur' 97e.!24 FIX 11-11RES
E .J
R PFIONE (503) 639-.-6*74;2 STATE TAX 5
(I'T'HER
C WAI-TF KEN
N 0 K 1--1 N WA'rl '-. PLUMBING
T pCI BOX 2309P-5
R
A t:LJ;)Ii1r-d cir. 97223
C (303) 684-66e6
T T 1411"E'll.'ITSIPATIDN NO 15007114 r01'AL : 131 . 2.5
OR
PIEGEIPT* NO. ICY S
This permit Is issuel subject to the regulations contained in Title 14
of the TMC. State o!Oregon Specialty Code-, zoning regulations EQUIRED INSPEC—TIONS
and all other applicaNe codes and ordln;,,nces, rnd It Is hereby PLEB .UNDFWA.An
agreed that the work wW be done in acco,dance with the plans and & ClEAM
specifications and In COMplifl-lCe with all applicable codes and WA'TEP L..THE
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PL.B . TOPJUT
business tax permits This permit will expire and become null and RAIN DRAINS
void If work Is not started within 180 lays.or if work is suspended or F I NAL.
abandoned for a period of 180 dhYs any time after work has
commenced It shall be the responsibility o!the Permitpermit en to assure
,
all required inspections at(-jreq sted and approy
�7
L4
ermittee Signature
Issued 13y "AIA- FOR INSPEMICIN 639-41-75
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1F
-_----.--- _ __
MECHANICAL. PERMIT
CITY OF T167A RD � Ph_8MI'T' NO . : ML'-`80- 1 1.489
CQMMUNI fY DEVELOPMENT DEPARTMENT
ovum DATE ISSUED: S/ 1/88
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 PA.:111. PMI .NO. 801,18 7
%.1013 AMPESS : 1:9965 SW 11315t* (,'r'
'T'AX MAP/L.C)'r i?S1 12C:(: Fi1.113: DON[:) PARK PI••1 /I L.T . HV :
LAND USE : R1.2
I._O'T SIZE :
NO : NO :
14OPK CLASS : 14EW FIJFtNACE <:1.001< I AIR HANDL.R <:1.0
us-E TYPE : SINGLE:.' FAMILY FURNACE: :1.00K•1• AIR HANULP 1.01<
CONST .T YF)t VN FLOOR F'l.1RNA(:'F.' E:VAP. (110011-I:R
(310CUP.GRP. : R3 HEATER VEN'r F:*AN :3
VENT VENT . SYSTEM
131...8/(a(JMr) <31••IP HOOD I
NO. STORIE:.S : 1 ULWCOMP 3-11-51-11P 1:NCI NF.RATOR l I:)OM
DWELL. .UNITS : 1 E71...R/COMF' 1:NCTNF-KRATUR l COM
f*'Llw:l_ TYPE: GAS r:L-FIMOMP 30-501-11P RF:PAIP UNIT'S
MAX. INPU'T' E31._Fi/(:LIMP 50.1•HP OTHER 2
F'IBE: DMPPS'? GAS PIPING OUTI-E'T'S I.
HIGH PPESS'?
t-OW PAI.i:SS•{
Gthalf�G;K'a .
FI'E:S
O WAYM:I:RE. MEL.VIN .Je PERMIT $10 . 00
W 1.0(:)/I`1 tiW DOVE-P CT . PLAN RIEVIE:W $10 . 1;3
E L:LVa►I-.(j ur• 97224 P IXTUPES •30 .50
R PHONE. (503) 639-61-12 ST ATE: TAX *P. 0:3
OTHE11
C MA HE:I S NOPMAN
N PECIAL..TY F`ABRICA'TION
T 939/4 SW 1 1G",ARD ST
At:i.galr'rl ter 9'7F.P.1
C PH(".'t(E. (503) 6'r.'.'0•••56-43
T REGIS'T'RATION NO . 41031 :3 Tam- $152 615
R
.IF'1!",-,IP i NO. �U S
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations RF•.QU.LRED INSPE 11:1tONS
and all other applicable codes and ordinances, and it is hereby GAS LINF�
agreed that the work will be done in accordance with the plans and POVI T R 8F.AM
specifications and In compliance with all applicable codes and IN
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city F INAI
business tax permits This nermit 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 appro
ermlltee Signature
'J*& CAL..L. F'(JR tN%P1�r'rTON 639-41.7'f
17stied By -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CHECK
CIIYOFTIFARD PLAN CHECK #) PLI -/ 0
CITY OFTIOARD PERMIT # / S�S7�G /_s7 v•';-�;COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE ISSUED �-
1°125 SW HWI 9W. P.O.Box 29397,Tiga(d,Oregon 97229(509)630.4176
JOB ADDRESS: -e TAX MAP/I.OT
SUB: 1 /AI ; LOT: e' e, LAND USE:
OWNER SPECIAL NOTES
NAME: CL /yP_ REISSUE OF:
r�
ADDRESS: ���,�.,- ��% LAST REISSUE
1 y FLOOD PLAIN/
SENSI-IVE LAND:
PHONE: '—
APPROVALS REQUIRED_
CONTRACTOR PLANNING:
NAME: _ Cm.. -0 ENGINEERING:
ADDRESS. FIRE DEPT
OTHER:
PHONL: - ITEMS REQUIRED_
LIST/SUBCONTRACTORS:
APCH/ENGINEER ll BUS TAX:
NAML• — i r i CALCULATIONS:
ADDRESS: `lam '> ,.� f,,. _� TRUSS DETAILS: _
PARKING PLAN: —�
LANDSCAPE PLAN:
PHONE: X1,_20 S / OTHER-
COMMENTS:
THER•COMMENTS:
PERMIT N ACC1 # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10--432 00 Building Permit; Fees ' T-
_-� 10-431 00 Plumbing Permit: Fees /;z•s "� �_ /�S °�
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building iG
Plumbing d
Mech .21 Qi
10-433 00 Plans Check Fee CX)
Building i6gQ
Plumbilly _
Mech
30-443 00 Sewer Connection (20%) _
% ? 30-202 00 Sewer Conr,•action (80%)
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) r . a
52--449 01 Parks I System Dev Charge (PDC) -
52--449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10•-2.30 09 TRFD (9b%) _
10-435 00 TRFD (5%)
10-230 06 Washington County Fire M1 (95x) _
10-435 00 Washington County Fire #1 (5%) +�
10-220 00 Imar•t/Wedgewood
IOTAL
REC M 7 Jficl
AP I_ICANT SIGNATURE !�-
Received By : Date Received: / L