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INSPECTION NOTICE
City .:)f Tigard B-jilding Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested /•�3�_` Time. A.M.- '' P.M.
Address —_���—ca- �'�� �J/ `' r &hermit #.jS2-L2.q!�
Owner _. Lot #
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to Approved i 5
Inspector
❑ Disapproved
Devi / _— Z _ Ag
CALL FOR REINSPEC7110N
❑ YES Zf NO
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard Oregon 97223
Phone 639-4176
Type of Inspection
Date Requested Time/ _ A.M. P.M.
Address Ll ..r _!_ ` /_ Permit
7wner _ Lot #
Builder
The following Building Corle deficiencies are requ;red to he corrected:
_'�-.1 ''a✓�/+; �/_-moi'c.ti L A.it.6.0 t�� O i/?�
- _ _ ___-�Ll�`o:.r���ic' _Tit i> .:? r+��' _J;viv t i� / ,'/✓ r✓
Presented to
Approved
InspectorDate ;3 1.G
Disapproved
CALL FOR REINSPECTION
.'YE8 0 NO
P1 UMBING Pl---PMI*T*
CITY OF TIFApI:':RM1T' NO. : PU383.992
cff�ol
COMMUNITY DEVELOPMENT DEPARTMENT MOM 10/10/88
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigaid.Oregon 37223.(50:1)639-11175 C7'A I-`A1M. PM'T' .NO. (3819819
JOR ADDI-41-::SS : it-ua sw qts'r AWL
'TAX MAP/L.0*11' 15135DCP601 SUB: L.J : 13K .
LAND UISF-: : IA'7
1...(31' 51ZE :
:1 TEM: NO: NO
WOWK C1 ASS : AE:l-O(,A1-.rC,N WATER CLOSE:T 'Y'PAP
US11:7- *T*YF-+;. : S'.r.NGL.E-. PAMILY UPINA1 Ul<F'1 OW PPVNTR
(A' )NST .'TYF)F-' : VN I AVORATORY 'T WAP VIRTMER
R3 'J'1J8 St-101AJEr4 GP'1:---ASC. T*RAPS
FYISIAWASHI:P
GA14HA(.3E C.,15POSAL.
NO . 510 FIT E-*-.*S WASI-LING W)CI.-LINE
DWELL— UNI'T'S : LAUNDRY 'T'RAY 81 D(.vJ)R'A1N ( DIA
1A.00A rJAA1N
SINK 9H--W16.! (F-T) 100
W A I*L-:R I-4 1",A I'I:*.::k' (F-"1* .;.00
OTHEP
Wl:':M()PK!5 .
I:,1.aue Ift(ave(1 iii-Vid (311 Tininclatimi c!onilfit.t^uct
F*EF.-:S :
0 Kerl PERMIT $65 . 00
W
N 1-09-10 16W Hit
E t ILI U 1.VJ.ti I I P 1:XTU FIL 5
1:440NE (!503) 60P---1.AV2 5'rAl*l-.. TAX $3 .23
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NO. %(Y61
rr,is permit is issued subject to the regulations contained in Title 14 ...........
of the TMC. State of Oregon Specialty Codes, zoning regulations 1W.-iPECT1UNS
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and VOUTING
specifications and In compliance with all applicable codes and F:NAMING,
ordinances The issuance of this permit does not waive restrictive Vill.R . VOPUUT
covenants Contractor and subcontractors shall have current city I.NF-ARAI TON
business tax permits This permit will expire and become null and PAIN DPATNS
void it work is not started within 180 days.or it work Is suspended or
abandoned for a period of 180 days any time after work has "5EVER
commenced It shall be the responsibility of the permittee to assure WA I E-A L I NE
all required Inspections are requestgd o7npprov,?d I I NAL
�4
Permittee Signature
i cm o4speeT-ilim 6L*39
Issued By -AL
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W111MIRIAR MIA
r3EWEP PE*CITY OF TOGAPKET
RD1 CITYOFT117ARD PEPMIT NO. . GE(381993
OpfOOM
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W Hall Blvd..P.O.Box 23391 Tigard.Oregon 97223,(503)6394175 U00*1= ISSUED : 10/1.0188
FIR I M . PKI .NO 881.589
JOB ADDRESS : 11.767 SW 91ST AVE USA NUMBEW : 3646A
TAX MAP/LOT 151,351)(22601 SLID : L r3K :
LAND USE. : A7
01, S]:ZI. :
SEC,r TON : 135 1"WIP : is PNG ; w
WOPK 0,L.ASS : RE1.00AT:1('.)N
USE 'TYPE : STNOLE FAMIL.Y
Jllcl iIkPp:IA.(.;H1rIt, agjl�fwagj . 1!1 C.,(aMp:[y WJ.tfJ JIk:j.J V'U'10114 ilLrId CIT *,ha Unifivic!
ra ce.w oi r,m.g(h, A q ta n(--y TI-Ira poij.,r,mit 1.20 (Jaym fl'urrl the cliator'l :1.1filti1-1eCt . 'rho trital.
l"Mcilirli, paid will. be, f(JI—Fai LOCI J-q, the f)0r,II1:j t expi r,ellj 'vjrlc�) AtjrwrIr_4 iciovs rial. yLlar
aritoiw the armtrar.y ca-Il itho :Li3c!z-,%.tJan of thv- %tc1c" Tf the tfiofwvl• 1.11;
I-IrIl. alit Lhal WIVE)rI , "'C" :l I'll"'t"".3.1ver. Hihilkil. pr,osipay.:t 3 Ilv:!e.t. irl
M J. (J i t J.(31-11% +I..43M the d 1.111 tarloe ;I J.v I-) . L T 1113 1. Ili.Cl 'L a c�a T,e.d t!-I e J ri I% t,al.1 e I- to 1-14:1.1
p I,I C-I-I ilk Ili iV9 W " Tar 1:) lit 1.cl s:1.ti o s a w rib.I- F.'al fr•ini. 1, at ICI M I 1F.-I AQ 1,4 1.1 C.:44 W:i..1. 1 it t a 1,'L sa J.a-1.W,1 I,ilk
INSTAL.I.. . 'TYPE 8011_101ING SEWED IMPER91(31.115 APEA :
F"IXtU'�FE: UNIT'S : TE'NAN'T 1MPP0VEIfl%_:NT :
OWEI L.I W UN 1 T5
0
W
N I'll Karl $35 . 00
E 1.0,p,4{0 %W t.tarHit (:',ONNr-.*.(�T1UN CHARGE: $111.00 . 00
R 11.11111 K t,:i.I I a r- 9706;"1 I.JNE: TAP INSTAL.I.. .
PHONK." (503)
C OTHER
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TOTAL : a1. 135 .00
7 his permit is issued subject to the regulations contained in Title 14REEE.I P'I NO
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all cther applicable codes and ordinances. and it Is hereby
agreed that the work will be done in accordance with the planqnd PEXAL111RED 1NSPECTIONS
specifications and In compliance with all applicable codes :nd FOOTING
ordinances The issuance of this permit does not waive restrictive F'Pt,)M I NO,
covenants Contractor and subcontractors shall have current city r)i8 . roinou'r
business tax permits. This permit will expire and become null and
vuld if work is not started within 18n days.or if work is suspended or
INSUL.ATION
abandoned for a period of 180 days any time after work has PA'IN DRAINSs
commenced It shall be the responsibility of the permittee to assure SEWEP
all required inspections are reque led 0 approved. WATEP 1 1:N I'E'
,
I' I NAI
Fletmittee Signature
Issued By
,I w"5
SEPARATE PERMITS IREQUIRED FOR*WORK OTHEAT' HPI4416 IbED ABOVE
CITY OF TIFA RD BUILAYING V-1-34MI'T
(CITY OF Zfi�A
'j �RD P
COMMUNITY DEVELCP'AENT DEPARTMENT mrr NO. i3ocievoest
13125S.W.Hall B; I..P.O.Box 2339".Tirard.Oregon 97 j.(503)6394175 1.)A*T'E ISSUED . 10/1.0/88
PRIM . P'M'T' .NO 86 1.91119
JOhi ADDAEGG . 3.3-767 5W 91GI AVE'.
1'(^%X MAP/1 01' 151.33011L'2601 SUFa; EM :
I. (,,ND WSI:: R7
LUT, SIZE: VALUATION; $ 5,800 SETUACKS
FRON'T' : 25 PEAR: IP..
WORK CL.ASS : RELOCATION OWEELL .LIN IT 15 L.EF"r: 6 P1GVI*T* : F115
USE: 'T'YPE: : SINGLE: F'AMILY NO. BEDROOMS : 3 LX T'.WALL. CONS'll
(."'ON54' . TYPE'.: VN NO. PATHS : I N: S . W
(Ax-tv - co:w- : nzi PRO T .OPE N I N(.;S .
0C.'CLIP .LOAU 0 N E W
L 2
I'MAAPE:A: .1 :1.
NU 51111PIEI.5 I 'I.ST : 140OF-* CONST' I:rlpl:.-- PET"?
I ILA,. -11, : OND: APEA Sl PAR'? RAI E:U:
NO 31;
CITYOF TIGAW) PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT C1TYOf y�GARp PLAN CHECK N — -
�a�2sswsi.newd. P.o.�„zx+g7.r . \OREGON PERMIT Ai —'
Oregon 97721!0619-4971 DATE ISSUFD -----
JOB ADDRESS: _ _ TAX MAP/LOT
SUB: — LOT: LAND USE: -
OWNER
VALUATION: �,►!-, ---`—
--�--
NAME: --
SPECIAL NOTES
,�� _ t �, _ REISSUE OF:
ADDRESS: �;-.: LAST REISSUE'
FLOOD PLAIN/
IVE LAND:
PHONE: SENSITIVE .—._
3
CONTRACTOR i APPROVALS REQUIRED
_ PLANNING:
NAME� -- — a_ .-` ENGINEERING
ADDRESS: y 'A FIRE DEPT
.
OTHER: - ---
PHONE: - -
ITEMS REQUIRED
'j ARCH/ENGINEER LIST/SUBCONTRACTORS: _—-
BUS TAX:
NAME: CALCULATIONS:
ADDRESS: — TRUSS DETAILS' _
PARKING PLAN:
PHONE: -- LANDSCAPE PLAN:— _ a:
_ OTHER: - N
COMMENTS: —
PERMIT # ACrT DESCRIPTION AMOUNT AMOUNT PO. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees - _
10-431 01 Mechanical Permit Fees `-
10-230 01 State Building Tax (5%)
Building _ .' �' _ �•
Plumbing
Mech -
10-433 00 Plans Check Fee '
Building 3
PIumbirig —
Mech
30--202 00 Sewer Connection --
30-444 00 Sewer Inspection
51-448 00 Street System Dev (SDC)
Charge c 3,
(.
52--449 01 Darks I System Dev Charge (PDC) `-
52-449 02 Parks II System Dev Charge (PDC) -
31-450 OC Storm Drainage Syst Dev Chrrg (SSDC)
10-230 09 TRFD
10-230 06 Washington County Fire N1 (95%)
10-220 00 Amart/Wedgewood —
TOTAL --- �
REC // —
APPLTCANT STGNAIURF `-- -`
Received By : - Date Received:
ht/3587P/18P
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