14705 SW 83RD AVENUE N w w N t w o
14'105 SW 83RD AVENUE
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INSPECTION NOT ICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection _ _
Date Requested Time--- A.M.
Address Permit
Owner _------- ---- — 7 —�-- Lot
Builder
The following Build�tg Code deficiencies are required to be corrected:
Presented to Approved
Inspector ❑ Disapproved
Date ___--
CALL FOR REINS CTION
7 YES 0 NO
CITY OF TI6A RD
COMMUNITY DEVELOPMENT DEPARTMENT CITY011"FIGARD PEJ41*11*11' NO. WORU085
0
13125 S.W.Hall Blvd..P.O.isox 23397,Tigard.Oregon 97223.(503)6394175 K]!71
PP:I:M
1,1110,"5 SW 831."ZID AVE:
'TAX M A P/1 01 PSI. '31.00 SUB: HAMBACK POPIK 1, 1 1. 1.4K
t..AND USEz : P-1 5
L-01 VTZE . VALUXIAMN 01, 87 "1.SO SE: FDIA�;KS
1':*14(:)N'T*: 30 1�','EA 1:Z e,
WORK CA-A55 : NEEW I)WEEL.L .UN11'15 : 1. LEF 1*: 1.6 11:11A.0 117
USIT 'T'YPr.: : 51W.-.1 I::: I::*AM1I...Y NO. BEDROOMS : 3 UXI .WALL (MNS*I':
MIINS T . 9N NU.BA'TFIG 2 N: S : I.,:: lJ
CIL'It"LIP . P,", In'PO'T*.UPEWING S :
OCC!,K) . I IIJAD TLFT'AL. APEA. 9 P.1. N: S ; E: W
NO . :J01:11F,:.I . 1. :.ST : 1921 140(:)1:-' (:,(3NS'T : C FTRE: AE*1*'?
GH 1' . 1.8 2ND: APEA %KPOP"?
IRIASEMIN'T*'? 3PD : OCCUP. GE'I:-`AP'-? P'A TFJ.)
HI::ZZAN I NE ? 14ASEM' I
I;:'I Mn LOAD: 5;'N:1 1: .1:62E: ALAPM'1
1117"P. ACCE771"? c"oNn 1.
PI. AN F3Y . i-] I,
14EMARIVII :
PI:::*I.!:1S1JI:-.. 11.0 NO
0
0/ 1'1'.4'C'
N LED GAUSE., 111111397 .00
E
1-7/160 15W MEXTOP L.N PI AN PKVIEW *P50 . Ob
I Lilkltcu 4:11swe?Q0 tar 9703".1 F'1PE": DEP'T'
W14111INIF (!5nA1 'TAX
$1.10 cis
C
0
N 11ILVELOPMEN'T CHAW.1--i'S
T ED GAU451-K SILIC(SVTOPM) 00
R
A SOL 1 $600 . 00
C 17,,160sw IrDEE-TOP 1. N PDC 11#12 4' -250 . 00
T
0
P P E'l A I D < $1.00 00>
Lfi 1*110NE 1503.1 636--591-1
I.!*1 I lin 1 .1 0N 14U :11.1 HIM TOTAL_ $1. '67'r:l go
This permit,s issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, toning regulatio, q
and all other applicable codes and ordinances, and It is hereby ......
agreed that the work will be done in accordance with the plans and f4EAUTNIKA)
specifications and in compliance with all applicable codes and F(1)"! 1 NU
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city FOUNDAIJON WALL. PAIN D11AINS
business tax permits This permit will expire and become null and POS1 K 0:7.'Al"I WMEW L.I.W.
void if work Is not started within 180 days,or if work is suspended or .1 8 -UNDIEW51-AR L"ITY APOPCH/Sw
abandoned for a period of 180 days any time after work has SLAD. F.1 N A L
commenced It shall be the responsibility of the permittee to assure '111-H
all required inspections ar q ested and approved I , . 111POU'l,
1-'NANSINIG
1:1 r4ti''PIL.ACE
(',Acs L.ANI.-.
I.N S UL AT T 0 N
P rmittee 141, tur
C y P DOAPD
Issued By
SEPARATE PERMITS REQUIRED F60' I W' 6AW id-Neh"YAA 69";130669D ABOVE
71111
NO MEBO0890
ISSUE.-M: Be
CnyorTW
ARV
CITY ®� � �RD :ClTY NO. 8008e5
oeeoow
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,TI a1d*.Qre on 97223,L
!93)639AI75
: Vb 1811( :
1AX MAP/1-01, PSI J.'. !:1013 HAMBAU.-I PANK
I ANO USE : Fllel.5
I-OT SUZE'.: N(.) : NO:
w(jr414 (-A.Wi!iiNf!-.*.W F L)ANACE <:I.()Ol( :1. AIP 11ANDI -4 ':10
FAMILY 1'-tJPNAU;*-: 1001<4- AIP4 HAN17I-1:1 1-01<
E.:V A P .C,0 C j 1.U.:P
VN FLOOR FURNACE.
OCCUP . GAV-1 HFAYER VE.N T' FAN 3
VE-.*.N*I* VEN'T . !:YS'('E:11
EIL 1:4/COMP HOOD 1.
NO 5-o'nwrr�:s ; :1. 13I.A.WCOMP ;3 1.31AP INLII I NLPAI 01-:1(00M
1.)WlF-1..A UNI TV.��i : J. ";OMP 1.5 30M) INGINEAIA'1*014(COM
GArS EA..14/COMP '30 501-4p PE:VIA11:4 UNII'S
111 A/CIUMP 50+11P UTHIER
INPUT PIPING OLYTLE'llb 1.
PPLFJ';'?
Ow FAAE55't
41.10 . O0
E.0 GAU91:-' PF11MUT, $10 . 1.3
172160 !;;W 'J'PE17TOP L.N 1:1 AN r-4E:VTU'W !4A0 ..50
0 FIXI'LIPES
W 1.+9 kk: t�tswsx y113
N YTAIFE 'TAX P.
(50" ) 6-36-5931
F1
..1
S Y5 I'F,M..'AT RE
N
T ti 54 a r(I
R
A PHONE.*, (503) 'TCYTAL:
C PEA;Mi TRA'T*ION NO . '30041 :?
T r?c,l
0 RECEIP1, NO .
R
11EQUIPE0 IN4WEXIJUNS
This permit is issued Subject to the regulations co,itained In Title 14 ".
of the TMC. state of Oregon Specialty Codes,zoning regulet,ons CAS L.I.Nk
O
hereby P "I't Sm PDXAM
and all other applicable codes and ordinances, and it is
agreed that the,work will be done in accordance with the plans and P0U(.vH---IN
specifications and in compliance with all applicable codes and I-I NAII
ordinances The issuance of this permit does not waive restrictive
covenants ContrLirtnr and subcontractors shall ham current city
business tax permits This permit will expire and become null and
void If work Is not started within 180 days.or if wort/ is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permillee to assure
all required inspections a•Klquested and approved
Permittee. ,nature 1::nr!
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
'd I
I::h:1�1M 1'T' NO. : ISI.
CITY OF T117A RD 1`5511JEU: 5/1.1/HO
CITYOFTIFAM
COMMUNITY DEVELOPMENT DEPARTMENT OR11904 1441 M . PMT .N0 . E110081:35
Bou 23397•:191.J .710997.2)2�1(503)639-4175
AX H01 i 1 0 2G3. 3:1.00 5 J FIAMFIACK I-*'APX 1-1 : 1.5 UK :
L.ANO USE : r4 Al
1 01 Si 1:;1.:1
.
NO: NO
WORK CLASS . NFEW W1IF14 CL.OSET P "I PAP
USE TYPE: FAM.11 Y t.jp:I:NAI-. EIKI"L-OW PRVNTI1
CX)INST . TYPE:. VN LAW)PA'YOPY r3 TRAP PW1MEP
OCCUP .Gpl-"', : 11".4 TUB SHOWUR GPLASE TRAPS
D15POSAL. 1.
NO. STOPlES : 1. WASI-1114('a MACMINE 1.
DWEI.t... . UNITS I I AUNI)PY 'T'RAY 1)1:*1A- J.'N (I)TA
FLDOR DPAIN
SINK
WATC:14 FILATE34 I !:1'11'0l-4M/r4A1N tl-; r
OTI-EA
(,-,ALIS' PUPMT r 111ILP1 . 00
0 174160 SW 1141IFF-1-1*0 I-"' L-N
W Inkop 970341
N
E (303) &36-59.34 ':0*A'n:7* 'T'AX 11 h P!)
caw...n
mc)OF.rim riLmmoING,
N
T 'I't q m.r d 11Fi 97P.2,5
R
A PWJNE� (.503) 6310-3701.
C RIEGISTPATTON NO 1,81.
T VOTAL
0
F PECE"IPT NO
This permit is issued subject to the regulations contained in Title 14 I1MINSPEGTIONS
of the TMC, State of Oregon Specialty Codes.zoning reguln"ons Pl. 8 UNDERSLAS
and all other applicable codes ar ordinances. and ii is hereb,' F3('.)t'l'
.$ & REAM
agreed that the work will be done I ccordance with the plans and WATEP LINF*.'.
specifications and in compliance Min all applicable codes and Pl-
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city RAIN DPATNS
business tax permits This permit will expire and berome null and M T NAL
void if work is-iol started within 180 clays,or If work is suspended or
abandoned hr a period of 183 days •iny time slier work has
commenced it shall be the responsibility of the permittee to assure
all required irspections are;poested and approved
Permittee gnatur
1-ssaed By
SEPARArE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
')F'WE.P Pia-Er-IMI 1,
■
CITY OF TiGrA
P li-,14 HI 1. NO . - GIE'800891
RD
CITY OF
COMMUNITY DEVELOPMENT DEPARTMENT I)A*rE: ISSiUEJ): 13/17/es
13125 S W.Hall Blvd.,P.O.Box 23397,T1gar1.Oregon 97223.(503)639-4175 PPTm. pm'r .NC). 8113088.15
JOU ADDAEGG : 14705 '.:04 £:1:51:4):) A V E*. J USA NUMBEN . 0351.71
MAP11 OT es 1. 1.29C "AI.00 !A3L.: I-I11146ACM PARK L'T' - 1.5 UK :
LAND LME : PA. 5
1,..(74' L):LZF--- :
15E.:c-i-ION: 1r?. 'T'W P F-1 Ili I"'INC : 1W
WORK ('.L.A55 : Nl;;.W
USE 'T*YPr.-.: SINGLE" l*-*'AMJA.)l'
Jcaklrt. t-C) C.-minp] y W1. til la.13. ru'letil, ii.ncl u+ ti-io utij.-Fiemi
Agent-Y T*I-1 k�.' ra4Erin1.t, a X 1.)J.r rrl U; 1P-0 d a y Ili from t h G, C1 In.t c--1 JI.ir,III t.1 e d . I'h v, t'(3 V,ilt.l.
lit In C)LI I 11, 11 Ilk:1.(1 Wi :1 T b R -r n I•T cei t.W.,cl J.f T,I I ibi 1.)ca r 10:1 t 011 J:).i r tilti . I Ile) A cl e)I I kj CI c)&,.Ili; n c)1. c)t.i ilk r-
in.ntir;^(-i! of m-le o-f ti,jilij,
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rant U F.':a t cl,cl Rit *t 11 c!) Ir*,.N In%I I I,el In 0 n t V Ira r I rile 111%till. :1e.l- fli 1-1 ill.).1. 1:)1-CI ILI 1.)vac t 3 4!V')
mAl. clirectimnw 1rom kJsw cli.tnt,aknc:�e giveri . .1-F not fito Ioc-atm(J , thGP. instal.11vi-
l')LI 1'!.:I I lit 13 Ca ilk at p a 1.1 CI (J&-'t 5l we I- Pier Ini t 14.n(I t h 44 e n c-,y W1 :1.1. :1.11 ilk t.M.1.:1. i.4 is t so r lik
IN!5 TALL . TYPE: 0.111-DINC, :(MPl;-.:PVX(JUUi APEA:
I
i. '
XIIJAE IJNI*TS TLINIAM' IMP! OVEMEN'T
DWEI. LING UNI 115
NO (1[-:'
0 EIJI GAUM PE01M I'll'
W t*7460 GIA11 11*11FIE-100 LN (70NNE-121'.10N CHARGE: ill I '1 0
N 1141(e) clvwfamn or "Ti 10:34 LJ.Nk-*: TAP INSIAl L
E
R 636-593A
C BPI(;H T* WE L L
0 L
hyti'l F-1,11- 1 A PE
14AAASW IFFISH S'11'
R ti l;j lit r(I or 971ETP3
A
PHONE (503) 626-S"MO
01 r.fl:..'G1S'T'PA1'T0N NO -5 Ell 0 6 P VC)I Al.. : $1 1..aft U0
PECEIF"'T M)
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations F1EaINSPIEX11LINS
and all other applicable codes and ordinances, and it is hereby VIOUGH 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 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 wit iin 18U days.or it work Is suspended or
abandoned for a period o 180 days any time after work has
commenced It shall be the ir,isponsibility of the permittep to assure
all required Inspections ar asted and approved
Inspections As, _ ,,!,t,,,d,,n
13,4r -gin r
mitte ILI
CALL FOP 1NSPF(,'T'1I*)N 6.119-4t'15
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1
CITY
OF
T167A
RD
PI AN CHECK APPLICATION
PLAN CHECK W j - / 2
CIT1rOFTIGARA PERMIT � _
COMMUNFTY DEVELOPMENT DEPARTMENT OREao►1 DATE ISSUED
13125 SW W11BMd. P.O.Boz 233797,Tigard,Oregon 97227(503)834.1175 `
JOB ADDRESS: /'-J 7 - `�; ,¢w c TAX MAP/LOT
SUB: 1a,.��r.r,ti. C�/< -- LOT: __i._- LAND USE:
OWNER / SPECIAL NOTES
NAME: EK1= REISSUE OF:
ADDRESS: LAST REISSUE__
FLOOD PLAIN/
SENSITIVE LAND:FH
_
APPROVALS RE^UIRED
CONTRACTOR PLANNING:
NAME: -'-- ENGINEERING:
�-
ADDRESS: / 7�/Ly 7.it t�v1a iT---r.� FIRE DEPT
PHONE: (� �[A _ 5--9 3 (� Y ITEMS REQUIRED
I'"rr'3 /I LR`i c/ LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX: -
NAME: — _ CALCULATIONS:
ADDRESS: TRUSS DETAILS:
-- -_ PARKING PLAN: _ - --
__- _ LANDSCAPE PI-AN _
PHONE: — i OTHER:
COMMENTS: _L'I! fnod��.�
o
PLRMIT N F'CCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
_ 10-432 00 Building Permit Fees ?
10-431 OC Plumbing Permit Fees
-___— 10-431 01. Mechanical Permit Fees
10--230 01 State Building Tax (5X)
Building 9 61
Plumbing
Mech _ �.ty.3 _
10-433 00 Pians Check Fee j;�e/g- lot) lest, /Y
Bu i ld inq 2.58: 05
Plumbing
Mech
30-443 00 Sewer Connection (20X)
30-202 00 Sewer Connection (80x) - VU�
30-444 00 Sewer Inspection --�,5_ - 4
51-448 00 Street System Dev Charge (SDC)
52--449 01 Parks I System Dov Charge (PDC)
2--449 02 Parks II System Dev Charge (PDC) S C a;L-so
31 -450 00 :storm Drainage Syst Dev Chrg (SSOC) Z.5 V _� u
1C -2?0 09 TPI-- (95X)
1 �--4�5 00 TRF*V (5X)
10- 230 06 Washington County Fire H1 (95X)
10-435 00 Washington County Fire NI (5X)
10-220 00 Amar•t/WedgewoodIOT
REA
CM
APPLICANT SIGNATURE ^--+
Received El Rr
By : ------� - Date Received:i vad: J-
—._