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i� INSPECTION NOTICE
City of Tigard 9uilding Department
P.O.
Tigard, Oregon
97 97223
Phone: 639-4175
Type of Inspection a
Date Requested__1 Time_._
:7
Address _1`Z� �� � r aj - _ Permit �:/-) ` -
Owner �- _ Lot # 23-3-
Builder
The following Building ':ode deficiencies are required to be corrected:
Presented to —_.__ "' proved
Inspector -_ - I Disapproved
Di tr z --
CALL FOR REI SPECTIO N
0 YES f7 NO
INSPECTION NOTICE
City of Tigard Building Department CIP
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requasted j4tr 2 �� Time _ A.M._ P.M.
Address
!/
Address _ l��U�S r1—c� _ Permit *1?
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
L IL
- - -
Presented to i ❑ Approved
Inspretor —�:�� _ U Disapproved
Date ---_
CALL FOR REINSPECTION
El YE• 0 NO
r'
CITYOFT167ARD cYoc;4RD ::'EPM1'r NO .
001
C3MMUNITY DEVELOPMENT DEPARTMENT GOV
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(603)639-4175 0A'T E-: :1,!'i 5t.Jr.-*1)
89 0 5AH9
JOB ADDPE't ',:, . 1,5W ,.) t-5W 8811-1 AVE.'
TAX mhlilll 01 !iiJ. :1.:1.A D 1.:1.:300 t-jI.jr-.'4: Kiij-IIEC,10-6- PONK E G IWTE:15 1...'1' : 46 8K
LAND
VALUA"I'T.ON : sii 62- -151A 5EA, S
F*A0N1* : 20 PEAR. 15
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0 ( '503) 630--3260
R 1-11::G,1511:441 TON No :1.131.1.;5 Al'' : $1 "5X1'7 . 1110
This nermit Is ISSU?d subject to the regulations contained In Title 14 P1I1CL:AJ)'T* No 10.3 E 7
of the TMC. StatE at Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby i 11,11 i I 1.1.1)
agreed that the work will be done in accordance with the plans and V CII)1 .i.NC;, F.;F.W 1*4'W
specifications and in compliance with all applicable codes and pATN I)P(.,rll!4r
ordinances The issuance of this permit does not waive restrictive 1 '01.JNDA TJUN WAI, I I -a
-1 � WA1111-4 I-INE.
covenants Contractor and subcontractors shall have cu-ont illy 01:0 K E.UAM
business tax pelmits This permit will expire and become null and 1 1:4 UNDEMGI AD UXTY APPI'1(.;I-4/GW
void if work Is not started within 180 days.or if work Issuspended or I 6t;.. 1:: :4 NAI
abandoned for a period of 180 days any time after work has I IA . 1*01:101.11,
commenced It shall be the responsibility of the permittee to assure I I A1,11 N G
all required inspections are requested and approved. ACAN.ACS.
.,)s L.T Wit
"iIII-ATION
Pa�mijl�e Signature_
P � 80AAD
Issued By .7 k"d
I 1 11! I rl,;l V 1,T''I I'M 6��V) 11 7"')
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r rw r
F)E.WEA PERM: 11'
C ITY OF TIGA R PEPM1 T NO SE890735
C17YOFTIIIIIIIIIND
COMMUNITY DEVELOPMENT DEPARTMENT 1)(-)*I'r:--' T.SSULD: AV 3/1139
13125 S.W.Hall Blvd.P.0 Box 23397,Tigard,Oregon 97223.(503)639-4175 F'AIM . 1::,M I' NU. 8905417
;0F, AIJIDPI:;-!aS . 1--'5W-','5 SW U811-1 AVE. LMA NUMWEA1 : 03!'A;38
I)X MAP/1-0, 2 L-ti J. 1. 1.A D :1.1.;300 GUL'.-' L'T ZI el PK
"IND USE,
"FI(:3N : 1.1. 1,W) ; PNC,, J.w
Il .rh Ifl::'E: i1Vr.NC'.,lJ;:: F'Al"111-Y
111(, 111.0 :5cn!n;It lligi-efola 4"'1 c.-cimply with ekll I"LlIGM4 iikricl
tj pf"I"init. imXpi.1'es 1;.,.20 dayiii. I'l-iiiin the chtfte J.%mme.d . -1'1.14:? t a t,in.1
I:,- W33-:1. b*? TcW-1-ceited J.-F the1:)4?r`In:Lt. 4aXN):Lrd:!}i . The A- clruricy cic)a%; neat:
th(.-'-! ibeii If LIM vi4:)W01-1 1.91
the 11-1-3tiilillcol- silluL.I.J. 3 fc!et :1.1,1
in.a.a. l i I, 'clirl 01e,
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1 .11, 011c1 "ildio Sollotin'l." pf;DI'litit• all-KI the Acellc:'y will. at. laii-iioi-ail]. .
TI`4!:i 1'A ll. 1 . . 1'Y 1:1 F". IN IT I DTNG GFIAW"ll 11"I 1::+::1:4 V T.01 Ki A PF'.'A
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OF 1:11 1)(111;
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W 193,30 1.11.vfigl- (I f- (A)INNE'C'T CON CAAARCA: 1. , 1.00 00
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R PlIt'.)NE. (503) 6,19—AP68
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'I P1 NO
This permit Is issued subject to the regulations contained in Title 14 ................ ...........................
of the TMC, State of Oregon Specialty Codes, zoning regkjlatlon,, Ot 1.1. .1.NS 1-.1:;.G'1 .1(:)N"')
and all other applicable codes alid ordinances. and It is hereby P(it IGH IIN
agreed that the work will be r1one it riccordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance o this permit does not waive restrictive
covenants Contractor and !iubcontractors 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 .1 it, time after work has
commenced It shall be the responsibility 0 the pormitteeto assure
all required inspections are requested am appri-iiii(A
0_3h---h
40��, , --7 rv,
Perrr*11W ignatur(
fr
I.A.)IN 639-11.r3
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W
PI "'m I31N(.*-*, PERMI'T
FIFERMI'T' NO . � 0.'.890733
*4,01TYOF TIGARD
C.ITYOFTIFARD
COMMUNITY DEVELOPMENT DEPARTMENT C, 01100 Dn'VE ISEiLJED : /1/ 3/89
T .
L13125 S.W.1-10 Blvd.,P.O.Box 23397,Tigard,Oregon(17223.(503)6394175 PPUMMr .NO 890547
Jfjl:a (.10 D l."E.S ;o2!5 $w 0841-1 ()Vl::,,
T Ax MIPIP/L.Uf JJAD 11*3'00 5ULt: 511ECKLA Pir-41"W LA' : 46 B K :
i-AND USE'. .'
I.(XT S]'Zl;:'.
WOPK A51--i NEW WATER 'T'RAP
ll!!;I::: 'Y'YI:*'FF. : SINGN-E i''*AMTL.Y UPINAL. B10:1-OW PRI)NIA4
I IiM:0 VN I AVOPATUPY 'TPAl"A PPIMF.R
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TI.11:4 1.51-10WErl 2 GREASE TRAP
D1 SHWA514EP 1.
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Y 1:41 DGA)PAIN ( DIA
DWEA.I., . 0N.111 1'!:i 1. LA UNDA'Y T'R'0
FI-00P, I)PAIN
G 1'.NN 1. SENEA (I::'T)
WnTEP E;A�'%'
(")'T HIEP
4i 1.1. 1 . '50
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(It-W'3) 6.38 3 R 6 E) I.' 'TAX $5 . 09
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0 T 01 Al.. 141.P3
RE-(:l I I' I NO. -0327
............
This permit is Issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations 1A.) INSPLL-T U)NS,
and all other applicable codes And ordinar,,:ea, and it is hereby t l F> UNDE.1-VA-AB
agreed that the work will be done in accordance with the plans and HI::014
qoecifications and In comollance with all applicable codes and
1 1 14 I-IN V,
otdinances The issuance of this permit does not waive restrictive
covenants Contractor And subcontractors shall have current city IA. I" HANN.)I
business tax permits This permit will expire and become null and DWAJ.'NS
void if-work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 deys any time after work has
commenced It shall be the responsibility of the permittee to Assure
All required inspections are requested And approved
pr-(— C" ;)i —�
ppgfli Signature
Issued By C (A.1. 1 (11:14 11195PECTION 639-A.I.V.)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLPM]".4' NO , : ME89073A
CiTY®� Ti � RDCITY I —O�FDIGAFM
0.
COMMUNITY DEVELOPMENT DEPARTMENT OREGON lei/ 3 189
13125 S.W.Ha;I Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)63941175 i V M. F.)M*" NO. 890541
5W 6011-1 AVE"
16X Mf-)I-','/i OT 25:1. 1.1300 5t.1L-,: SHE.CKI—A VIARK
LANE% USE: LT : A16 8K
1TE.M: N(:. NO:
WOPK CLAF5• : : NE.W 1-:1JANACE <1001< :1. ATR VIANDI—P <10
UGE TYPE* : 5'I:N(..;l li„ F'AM11 Y 100K.f. A134 HANDL..R 10K
I YPE" : VN E;VAI:'-' .COOL.IFA
OCCUr.". (3PP . : R*3 1-IFIATEP, Vl-::N'T' FAN 3
VEN'T Sy!A*EM
BI W/('('.)Mr,) HOOD t.
NO !.'V1(:)I;4:IJ;:S : :1. 7:N(';1N[::AA'I(.')P(U(:)M
DWF.1.1. . LINT Y'1.5 : 1 E).-FI/ClOMP 1-15 1N(:'1NI;::PA*TOP((:"()M
I*IJEL. 'T*yl.)I::,. (-A5 rj I P/ClOmr-0 ;30 501-.lp 11FAW-VIN UWA'S
MOX . XNPUT* U."I.SMAWIP 150 -1,11-IF) 0 T*FIE,11
1: TAE IMPF45"7 (-,05 E*-'I:I:)]*NG O(TII E 1".5
.()W PRE.1.;Fili,
ilk(:1 t r.)1, 11 t I 11i 1x) I'•
L
F.P 11 'T $1.0 , 00
VV 1.Y 330 PLAN Pri-KV11EW 4110 1.3
N
*-.,I C 11!4 W cI r) iii 0 1 1 IRKS x11:30 . 50
l*1+)NF:: ( 503) L: TAX 11111 F.'. . 0;3
C
0
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M
OR 66
0r!:GFAJ)'j NO
This permit Is issued subject to the regulations contained in Title 14 ..........................................
of the TIVIC. State of Oregon Specialty Codes. zoning regulations VIFAJOYP(.A.) ].NSPr--'C;1*TONr-j
and all other applicable codes and ordinances. and it is hereby (1,Aii) I.A NI:.;
agreed that the work will be done in accordance with the plans and 1-:1051 & I-.4VJ-)M
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 cit,
business tax permits This permit will expire and become null an
void it work is not started within 190 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 permiltee to assure
all required Inspections are requested and approved
Permitt gnature
(4
Issued By C I-i'll I.- FOP
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB17D ABOVE
CITY OF TWA`RD PLAN CHECK APPLICATION
u���A� PLAN CHECK /1 � '�
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT N —D. GI�?
13125 5.w.Han E lvd_P.O.Box 23397,Tigard,Oregon 97223.J593►63941 75 DATE ISSUED
JOB ADDRESS: SOL _ W Bolam /LOT
Itr��" �- _ fAX MAP J�'► c� /��UO
LOT: LANG USE:
SUR: .ScA 4_1/ AA/A'Er�'L1 / —
VALUATION:
SPECIAL NOTES
OWNER REISSUE OF:
NAME: 61,f:3 LAST REISSUE:
ADDRESS: FLOOD PLAIN/
-- SENSITIVE LAND:
PHONE: _ �� 3 2 APPROVALS REQUIRED
CONTRACTOR PLANNING: �.
ENGINEERING: _
FIRE CEPT
ADDRESS: Mi. xzyrr f' J/ ✓� -�
.1 C 70 U OTHER:
,PIH ITEMS REQUIRED
1 - rs.
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
r CALCULATIONS:
NAME: 4/.// ,� f �^r:•� __
a IV-,. i�I �, P. r/. L.s-� 9 L_t % TRUSS DETAILS:
ADDRESS: 17v
_ PARKING PLAN:
LANDSCAPE PLAN: _—
PHONE: yi o i d + - OTHER:
COMMENTS: --
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
rc W 10--632 00 Building Permit Fees }-``- J` Z
10-431 00 Plumbing Permit Fees /,� = __ -1 / 7 SD
a- U3 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) d y a•' — �
Building . / / U
Plumbing Y
Mech
10-433 00 Plans Check Fee =Z.� ' 'tlU(I Jo
Building u
Plumbing
Mech
30-7.02 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) o ��
52-449 00 Parks System Dev Charge (PDC)
31--450 OU $tarm Drainage Syst Dev Chrg (SSDC)
a s a
10-230 09 TRFD
10-230 OG Washington County Fire 01 (95X) ----
10-220 00 Amart/Wedgewood
ioTAl
REC N -
AP3'�.CANTSIGNATR
Received By: _ Date Received:
cn/3587P/18P