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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97229
Pho,ie: 639-4175
r
Type of Inspection _ ✓ p�� _ - –
Date Requested �� Time—.._— A.M._ P.M.
Address �L/'�,� � Permit #
Owner _ Lot #
Builder.-77J "
The following Building Cooe deficiencies are required to be corrected:
/lam. ✓t r _-5----- ——
Presented to ��proved I
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YE1 0 NO
EIVELDING, PERMI'll'
CITY OFTIGARD CITVOF'TWARD PEERKET NO. 191(388P3141
P
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd. P.O.Box 23397.Tigard,Oregon 97223,(503)5394175 2/J.15/8 9
MO Atli)Plt;:S!:) 1'A1I'.('/I!5 9W 97TI-I F'L.
I AX 1`4A—Pe1. 04 '25:1. 1AAiA EA-100 t-A)b 501. LT : A.0 I:::l
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1-1:111 SIZE.: VAIA.MYTTON: III W 153.5 !F4::T8A(:,KS
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ilk, 1,11iA4111'ES : R 1. 1.041'7 P-400F (N]INIST: F,1 PF: PI: '1'7
1 EI-20 'W:) : AREIKA SEPAR? VIATEM:
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F L.001:"' L.(:61) /10A P4 A G'F.: 'loO FIEPE SPI'MIJ-17
I':L.0141(GPM) I)LATX-TI? YE:5 A
I GiSIJE OF I'SIL)
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W I L.L. T'0M $397 . 00
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T 1111600 . 00
A Vl:) $21W 00
C $1.00 . 00;
T 9,711.410 PRI:_;'PA.I
0 1.'l 11 Ic i +O
if AL $$. '674 'P()
This permit is issued subject to the regulations contained In Title 14 Nc). /02-16ro7i
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances. and it is hereby t-il,i it 1.1 PED 3:N%Pr-XT''I:(.)NG
agreed that the work will be dorie in accordance with the plans and I 1)(.)*I':I:N(v' L)EMEJ-4
specifications and in compliance with all applicable codes and I OUNDA T I ON WOI.1 RAJ.N I)PAIN")
:)rdinances The issuance of this permit does not waive restrictive
-ovenarilln Contractor and subcontractors shall have current city 0i'( & 411:.:AM WA T UP
business tax permits This permit will expire and become null and . UNDFPSI.-AB C I I y A P P r4 C H 11W
void It work Is not started within 180 days.or if work is suspended or ciL..Ak3
abandoned for a period of 180 days any time after work has IM (i$ . '114)(1111.1'r
commenced It shall be the responsibility of the permittee to assure F Rol"IT W-1,
all required inspections are requested and approved I I I'I I'I
J)k (,ol, I INE
GYP H(,)A;41,)
Permittee Signature
Issued By
I'l()N 6*39 11 7'.5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
P1.AJMD1N(*,', PE:IRMIT
1:4--1-41M11' NO . : PI 862336
w RD �,CITAF TLA RD
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COMMUNITY DEVELOPMENT DEPARTMENT 001004 1S5(.II:.-:D: IF/1.5 189
13125 S.W.Hall Blvd.,P.O.Box.1397.Tigard.Oregon 97223.(503)63941175 1."IRIM. PKI NO. S4i)i23 1.A
1.Z411.45 I.j',,J 97TH 1:1-
IY)X MOP/L.UT 2!51. 11HA .5800 500: GOL.Akl(:;IREST L'T 1.0 L:I<
LAW) USI'-:: : IR11 . 11)
LOT 53'ZI:;.. '
1 NO: NO
W(: W< [*.L.A5!:i : NE:W WA1'I;-*.IR CLA)SE T 3
USE.: TYP'S SINGI 1:-:* I-*(,)M:Ll...Y 11.1141NAL BKr.:'L..(.IW 1---,PI'NT'P
CONYVI' . VN I AVOPATOPY Al '144AP 1-441MJR
113 TUB SHOWL.F4 3 GPEFASE.H. 'TIRAPS
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C'PAIR BAGE. 1:115POSAL. 1.
NO . F-i'TOWLES : f.? WOF.M.-HIM.) MOf:1-11191„. :1.
I)WEL.I... . UNT'M : 3. I..A(.)Nl:)PY 1440Y DI DPAIN ( DTA
F1.00141 JPAXN
5INK 1. !:iEWF"-A (FT)
WATEIR :1. 5"IT)PIMI/11RAIN (1::"l'
L)THEM
0 M 3:L L.F34 TOM PE-J'41MI11,
W 1.178 N 51*KIRWOOD BLVD
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01,14L.A.4
C 1:1EAPSON THDISW5
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T 3 DOX 1.400 I
n
A J4lilts t011 9,71,119
C PFIONF:: (!50.3)
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U NO . 41IM"V5 TOTAI $1 15 4 .86
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141-*.'CE::E1:'T' No.
This permit 15 issued subject to the regulations contained In Title 14 ......... ....................
of he TMC. State of Oregon Specialty Codes.zoning regulations 6IF.W.1114LD IM5PECT101SIS
and all other applicable codes and ordinances, and It Is hereby PLI.3 .UNDLIP51-AD
agreed that the Work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The isjuance of this permit does not waive restrictive 1 3:NE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and r4ATN DPAINili
void it work Is not started within 180 days,or If work Is suspended or 1.NMI
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittep to w;-,we
all required Inspections are requested and approved.
ate Ligne ie- 't
Issued By N r;I.,1 l T IN V,39 1 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MEME)IRMI AN F A
MF-"*1,11 ANI IA L
CITY OF TIGA RD
PE PM11- NO. ME-A82357
C1 OF WARD
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TY
COMMUNITY DEVELOPMENT DEPARTMENT 01111010N OATE TS51JEO : 12/15/89
13125 S.W.Hall Blvd-P.O.Bcx 23?97,Tigard,Oregon 97223,(503)639-4175 1*-1M*r.NO. t3ep','f,1,ed
JOR 15 SW 9/ I ; i 1 I.
'YAX MAI'/1 01, 2,11 .11.131A 5800 SUR:
I AND UGE : PIGI . ::i
' VIEW NO : NO
WORK CA.A55 : NEW F-'LJPNAC1K: <J.00K 1. AIP HANDLFt <1 0
USE 1-0-11E.: SINGLE.' 1::'AMJ1A-Y 1::'L.IIQNAC'F:-' 1.001<+ 61P HANDLA 101<
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CXICUP . P3 HEA T'EI--f Vi-::N'r Fr FAN
V FE'N'T VEKN'T .5iY5'1*I:::M
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DWE A.I... . UNIV.5 : 1. BLA/UMP 1, 3011P XN(�:ENEPA*TOR(COM
'TYPF.'. DI n/I10MF'-' 30 '50IAP PF.KPAIP UNI'T'S
MAX . TNI:"I..JT BI Q ('.,('.)MP 30+HP 0 T'HEP
DIVIF4451? GAS F'-':CP:I:N(.; OU'I*LF'-.Jt:i
I Ow
PIEMA11105 ,
0 MT L1. U:1:4 I'OM
W 1/1113 N !:4-IF::RWD00 81 VD . PLAN 141-:*VIEW $ 1. . 63
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E Ctrl I I X*TUPI. S $36 . 50
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0 Fd.1Gv1A;1*r1AT*TX)N NO 1116039 VO VAI *60 146
PF-:CI.JP'1' NO.
This permit is issued subject to the regulations contained in Title 14 ....................
of the TMC. State of Oregon Specialty Codes,zoning regulations INSPE-A'.1 TON5
and all other applicable codes and ordinances, and it Is hereby GAS L J'Nl!:*.
agreed that the work will be done In accordance with the plans and F It.
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive I---IN
covenants Contractor and subcontractors shall have current city 1. 11461
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 permittee to assure
all required inspections are requested and approved
- �k).—,6 1 .�
Permi.t ie Signature
'--
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
5EWEW PEAM11'
CITY OF T1G7A RD NO . : SESIE12358
CITY OF 6aTWAIRM
COMMUNITY DEVELOPMENT DEPARTMENT 09100N 8 9
13125 S.W.Hall Blvd-P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 PATM . PM'r .NO . (382Z.5141
W WHA 1.�J_ USA NI.JMPI'-*'kl 1 0 3 7 3.
MAP/1-01' SUE): 'AM AEMPEST L'U : 10 IM :
LAND U15E : k,.q 5
LUT, S3:Zf:*'. :
1.1 FWFI: 2111 PNG: 1w
WOPK MASS : NEW
USE '1'yl:4" : SIA('31 E: FAM11-Y
k-.,) 1&1:)r)I i c::al.ri t eivi r 041-A III 'L 4.1 C�1.)111 1:).L y WJ.t 1.1 U].1. r 1.1 1.'El III 4IL Ii(J r f..*:)5'.)t-111,11 ti c)"I v, u-P t h oi? 1.)ri i.1':1.ve(I
,iowel"nue., 11 cj! 1;)4.4 1--in i t (JaYlv; 'Pl"(31VI ti-10 -4te I-Wincled . *T*h 0 to t.a 1.
wi:i.j if 016 PCdI*InJt k?xPil"ein . 'Tht) A(:Iei-i(-.:y (JC)*.?% Hui,
aLcu�mloivzy C)-F the lucal.tA.4:111 uf the? micivil I5eW(--'I-- IIii ter. :I:'P tlic?
tile? invoin,%uruinterst 0-1e) J.rIVitak:lAe?r' %hia1l.
-Fi-min thc-! climt.,itnc,v 41iv*P1.1 T-P lint l4c.) t h m tristaLl.1rar- slils.3.1
"TaLp aillcl !1:11ck? !:;o1wru4l-" 11(el'lnit aincl th(.-, :1, trorI
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INSIAI L. . TYFNE ; 11-311,13:1-DING SE':Wi:F*k, "I"Ill:'EAWYOUS APITA.
FI:X'T 1.1 F41*-.,: UNAII'S 'TE-AAN'T -.1.14PPOVEMEENJ
DWEA I-ING UNI 1*!;*i 1.
0 MJ.I LAEP 'rotj $35. 00
W :I 'e47Ei1 IN 151-11.:!:NWOOD 1:31,..V1:) ( 'NN1iA','T':1'ON $1. . :1.00 . 00
N
E i-INE: IAF--, IN51AI L.
13
0
N '1'(')M MYLI kl'.P IDI 1)P,
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4 1111-1(.1,1'.w 1:1 r)() cll 9r:010
C
T r-.111-101NIL.' (503) ei;.-11.5-6:167
0 NO.
ro'rAL 00
P U. P'11 NCI.
This permit is issued subject to the regulations contained in Title 14 ...........
of the TMC. State of Oregon Specialty Codes.zoning regulations T.N!*..iF*.,E.I.,*Y,".I:(:)N"*i
and all other applicable codes and ordinances. and it is hereby 1:101101+--t N
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 within 100 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 approved
Perml tee Signature
Issued By
y LALL 1 011 :1.N S P1.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRISEU ABOVE
CITY OF TIGA RD
Cff Y OF TWW 10 P,-.AN CHECK APPLICATION
�
COMMUNITY DEVELOPMENT DEPARTMENT 01119" PLAN CHECK # � -_-
PERMIT #
S312o5S'NPWA BhFd P.O.Bon2MV,T%Wd,oregon VrW(SM)OR-4i76 DATE 'rSSUED ..........
1013 i Rs 1AX MAP/LOT
L01 I AND USE:
VALUA*TIOhF'
OWNER
R SPECIAL NOTES
NAME REISSUE OF:
ODDREGS LAST REISSUE:
FLOOD PLAIN/
E t, Al SENSITIVE LAND:
PHONE
APPROVALS REQUIRED
CONTRACTORPLANNING:
NAME: ENGINEERING:
ADDRESS: FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
L.13T/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
FHONE: OTHER:
-....—
COMMENTS:
PERMIT # ACCT 0 DESCRIPTION AMOUNT AIMOUNI PD. HAL, DUE
,
10-432 00 Building Permit Fees �- -"-'-,�I
10-431 00 Plumbiog Permit Fees .-/ 'q 7. )'�?'
S4-1- S 7 10-431 01 Mechanical Permit Foes 5-D G, 17
10-230 01 State Building Tax (5%)
Building 9, F,5-
Plumb.iig ';"j'9
roach
10-433 00 Plans Check Fee
Building
Plumbing
Mech
30-202 00 Sewer Connection L) /AV
30-444 00 Sower Inspection 37
51--440 00 Street System Dev Charge (SOC)
52r-449 00 Parks System Dev Charge (PD( )
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 09 TW-D
10-230 06 Washington County Fire #1 (95%)
10-2Z0 UO Amart/Wodgetallod
TOTAL
il� iREC N _Zr-1 (V-C2 0
holfFmff- SfGNI UREA
Received By: Date Received:
cn/3501P/18P