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INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 972211
�Q Phone: 639-4175 ��;1
Type of Inspection ' `� r �M k.1�
Date Requested Time A.M. _._ P.M.
�Q
Address `� � / 2 Permit
Owner n Lot #
Builder O� 1 "-M(—(-L 'v—
The following Building Code deficiencies are required to be corrected:
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Presented to
InspectorAW-_ Ditepprewad
Date '
CALL FOR REINSPECTION
❑
YES 0 NO
BUIA.IXENG PE PM11'
C'1Y OF T'GM RDI::1E-M:CT NO. : B0882312
CrIYOFTMO
COMMUNITY DEVELOPMENT DEPARTMENT 1:)A*T[-;- ISSUED: 12/ 2/68
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 114I31M . 1.",Ml' .NO. 8923142
JCH:3 ADD14FESS . 1.41.50 SW 9711-4 AVI:-:'
T'(.)X MAP/I—OT 11DA 5600 5UB: I T :11 riK
L AND (.15E : 1:4411, 5
VAS. UATI ON: III (3.el,7 51ETHOCKS
F'PONT': 20 PI:.:,AI1: 5
W(5 X G I A S 13 : N E:W I)WE*:!. I... . UNIT'S : 3. 1...1:::1»'r: 5 F4:1'CH*T*: t.lr)
US 'I'YPE: ST.NCL.E.* F:AM:I:L.Y NO . 0E'.DI-.4O(:)MSi : e.1 EXT .WA I L C;ONS'T :
C331 5T . T'i'Pl.-.:; VN NO EIATI+5i : 3 N: E W
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'TO'T'AL.. APEA 2 0 0 0
NO 72 1.9ii'r 1.030 POOFCONST: c F*im-, ISI:::r'7
I-IF.31 11 Peel 2ND: 9,10 OPE:A !:iii PAR A ATE".1.)
8A!:iF.:'. 1::N F7 3PD- 0CCUI--- . (5E:PAI:V? PATED:
MI:*Z7:()f4:I:NI:;:r BASI;!:M' *T
1*:,I..(:)()P I-OAD : ZI0 (]o A 1:1 A F. 970 F'XPE SPPKI P7 ALAPM?
FLOW(GPM) Dr,T*E:r.,I,? yi:*..!:.
I-11:.*.A I* I y P r..: GA!: IM
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PE.ViSUE: Or-;* NO . 8803,57
LA!ii' I4lE:I:5f5UIL.'
F;*I:;:I:KG
0 M r1. 1-F:R 'IT)m PER111T $1eI03 . 00
W F11 AN Rk:VJ:I;:W $/io . 01)
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0 HiL.I.-E14 TOM SIX,(S'l*Gl4M) lll;.-Rio . 00
N y(-.)M M:f I I.F p S UU,(51 14F U.
T $600 00
R '1.470 N !A-IF'1:414001) 1:%I..Vl:) 1"DC.,(,FR i-.,5 0 . 00
Awrrncani, WI /10 P N F%1:0 A1 D
C 1.0 0 . 0 0>
T 1:4. ONE (5o:5) 6r.2.15 61 e.,I
0 TO'T'Al $1. 1 163 . 1.x3
R
r.A;;.T'EJP*r NO. `J 4
This permit is issued subject to the regulations contained in Tine 14
of the TMC, State of Oregon Specialty Codes,zoning regulations pq,:-(4kj
and all other applicable codes and ordinances. and It Is hereby
agreed that the work will be done in accordance with the plans and F OUT 1 N(*,,* 5EWEP
specifications and in compliance with all applicable codes and FOUNDAT]"ON WAI L. 14A1N DRATN!.;
ordint aces. The issuance of this permit does not waive restrictive P1115'T & BITAM WA11'..N LJNi.:'
covenants Contractor and subcontractors shall have current city LIN13EH51 AH ll*:I: T,y A-VAPACII-4/sw
business tax permits This permit will expire and become null and I AD F: 3.NAL
void it work Is not started within 180 days,or if work is suspended at
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure I PAM YNG
all required inspections are requested and approved. f T.PF—PLAUL.
';A- 5 LANIF
I*NNUI. A'lJ(JN
1-411JAPIJ
Pwiit�lgn lure
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WHUIA Pr::�WMIT
CITY OFT117ARD PILPHI T' NO. : 15E6823AA
CITYOFTWA
COMMUNITY DEVELOPMENT DEPARTMENT 0111100#1 DA*I'r:;-. :LSSUED: 1.2/ P./89
13125 S.W.Hall Blvd..P.O Box 23397 Tigard.Oregon 97223.(503)6394175 PAIM. PMT.NO . a0 2,3 t Z!
JOD ADUPIESS i J.A:1.50 5W 9711-11 AVI:-- U5A NUMBE-A 03712.3
TAX MAP/LOT 2511. :I.I.EIA -5600 SUD: SOLAP12PES T T :8 9K :
LAND USE RAI. 5
L.O'1 SIZE
GXICTION T W 1:3 : 2 tB PING : tw
WOPK OLA50-') NEW
USE 'T'YPI---: 15TNGI.E F'AMIII-Y
llo:) nLjplei(AAw tul C.;Cllnply wi1.1-1 M.13, rmlww iaricl c)-l' tl'IeUnifiecl
SvpWo.,traqvi, Agenou *T'1-11:a expill-0-5 1.20 daylu fl.-cim M-10 cl(a.tel illiflit.Aerid . TI-lie t-c)wml
akilvicim-11, PaL:L(;l W.J.3.1 1:)(A) fcarfeta.twlci J.-F tll-iiei permit. expireut . lliiilm Aq(*ricy dt.)ais ri ci t, g m at i
atntexet 0-10 nr�immll-ffkr.„y (:).p thle 3.cr.,*.0.01'1 of ti-10 si(jco lfiew*.AI-- IoLtal-alls . If ti'le tfic'wer' A.%
i i()1. .1.t:)c:at.t w d ot t -t,11')r-i to ei3 it;U I I fill In F&Y I'l t 41 J.V iii)I'l 1-1 C., i ii w i.n1.1 J.e r to I i nk 1:1- p v c ta pou t 3 f e cu t, I.
at 3.1. cl 11.1-crc t,10 11 fit f r to in t I-i e cli is t,ot ri c,e gi v o ii I f I.,u t, lura 1(:t c.,a t,v,d , t Vi F.i :1.ri is t iia 1.1.0.1- Is 1.1 K I I.
ptircAlilaililal Mild riid(i! Is.rid tl-leAIJeric.'y Will irivit'all at liatel"110—
INSrAL.1. . 'TYPE: BUILMING SEMEP IMPEAVIOUS APFA:
1'.*IXTURE UNITS : TENANT IMPWOVLM1:-.N*T
DWEL.I.-ING UNITS t
NO . OP' 81 0015
0 M3:1 I..I.--:n TOM PEP1111,
W ('.(:)NNFK(:TJ:0N (A-4APGE: *1 100 . 00
N 1.478 N SIAEPWOOD 9L.M0 .
R E I-ANE-7 I'AP ING'TAL.L.
OTHER
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T FOM M:rJAA:.-"W F31..I)P
R 1478 N SI-11FAW1100 BI-VI) .
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C tstierwmad -Jr. 91telO
T PHONE (303) 6P5 61 611
0
PEGISTPA'rTON NO , SIZIMP5 TOTAL : $1 , 135.00
PEC'Elp'll NO.
This permit Is issued subject to the regulations contained in Title 14
of the TIVIC• Mate of Oregon Specialty Codes,zoning regulations PF:'Q1JU*:V INWECOTIONS
and all other applicable codes and ordinances, and It Is hereby AOUGH—I 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 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 reques)ed and approved.
Por4inittep Ign4atJ
I-Sued By 0,,*59--9tP"`Ir
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Hill,1111111,1111111
P1 UMOING PEPIMIT
CITY OF TIFA RD �* j P 14MI T• 140 . : PL8823412
0NOON
COMMUNITY DEVELOPMENT DEPARTMENT 11.1/BE)
13125 S.W %Jsll Bivo.,P.O.Box 23397.Tigard.Oregon 9722J,(503)639 4175 F',1141M . PMT .NO . as P.31 P
10 1-3 A D 13 1:41:7
S!'j : 11.,11,50 SW 9-11+4 AVE.
VAX MAP/I OT 2L.33. 1.1 BA .5600 SUO: SOLAWCrIUST B BK :
I AND USE : Al .5
LOT SIZE' *
:1. NO : Nk I
I.JOPK CL.A- 53 : NE.W WATE34 C:L..0 SU*T 3 TPAP
IISE. Y,yl::,v. . SINGLI_" F,AMTL.,Y UPINAL. B14FLOW PPVN*rn-
CIONS 1' .TYPE: : VN I AVOAA1 OPY A IV-*IAP PRIMED
TUB 151-40WER GPI-FAS11:r TPAPS
DISHWASI-IrEp 1.
U.1n . STOPILKS : R WASHING MACHINE 1.
DWEIA.. ,UNIT!5 I. LAUNDPY TPOY 1, BLDG . DPAIN (DIA
117L.00R DPAIN
ST N K 1. SEUE1Q, (1::*Y,)
WAIT:P HrEATIEU4 I 5101:41"UPAIN W
OTI-K-1:4
(1 A 1:4 1<1;
0 MJ I I F.:.:P X17 . 50
W
N /H N 5i1K;-PW00D HI.-VI) .
E 11karWrlI11.1 tar F 1'.X f U P E.G
53,11,A I'E. 1,AX $1 . 38
011*14
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Cc1ol 4%t C)I I
T V"HONV (50,5) l3."57 6897
NO /1695'5 'T'(:)?AL 1."5 A.BE;
PEECIE I P'T* NO
This permit is issued subject to the regulations contained in I Itle 14 ........
of the TIVIC. State of Oregon Specialty Codes.zoning regulations p41 3:NSPrUl'C
l:ONS
and all other applicable codes and ordinances. and it Is hereby PLH U14011:04111 A13
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and Pas T a HUAM
ordinances The issuance of this permit does not waive restrictive WATCP I.J.W'
covenants Contractor and subcontractors shall have current city 11-4.11 rt'.)POu'l
business tpv permits This permit will expire and become null and PAIN DWAIN5
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 1 TNAL
commenced It shall be the responsibility of the permittee to assure
ill required inspections are re uested and approved
re ested an,,app
"Mae,Signature
Issued By HAi I FRI4 ;0*444=440H 6,W0 vii, i �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MI-.'.GHANI(:,AI. PE.14MIT
CITY OF TIG,ARDcm Y As=
A
COMMUNITY DEVELOPMENT DEPARTMENT on E ISSUEL) . 121 2/88
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,O.-egon97223,(503)6394175 11:4..M . F-IMT .NO , (38231.tl
J.,WW SW 9"."TH AVE
101"
LT . U) 15111
.A 5600 SLJU 501 APCRI:1:S*T
I AX MAP/L.01' 253. 1.1.8
I AND LJISF. : 1411
NO : NO
WORK CLASS : NEW FURNACE-1. <100K AIP HANDLP <10
USE.i: TYIDE : 15INGLEF'AMIIY F"UPNAL,E 1.001<4- 3. AIP HANIX-P 101
C,ONST .TYPE : VN r=I...(: I"UPINIAGE EVAP .(7001.EP
0GCOP . G.141D. Vl:-"N*T* FAN
VUNT VENT SYSTI.-M
ISIL.R/COMP (151•iP 1_1000
NO STORIES k)I_.P/(:"OMP 3-451-11P INCINF.:PPTUR(DOM
UNI T'5 : INCINFAIATOP(COM
ryi*.)E. GA5 BI P.ICCIMP _30-1150111:) REKPAIP UNITS
MAX . INPUT l;)I P/C1111,111,11.) 1.50+11-41? OTHER
inu: rmpps,? c.,AS PIPING L.F:T 5
Y(-h-1 PI-Ir.:SS7
11141.10:1 :
J
TT)m 1.0 . 0 k)
IN 155EPWOOD 01 VD. Pl-AN PC VIEW
ry
i juild 43 1" $3.5 .00
"i I i IE TAX
1 1 1 1144
0 I I r1S t, A I.-IFKATINL.,
N
T
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C A I tp-.fit h is M c1r 9 1
0 1:1 F'G 1:i:i 1*1:11 A I' 10N N1 16039
E;'A.'PT NO. VI
This permit is issued subject to the regulations contained In Title 14 ........•.....
of the TMC. Stale of Oregon Specialty Codes.toning regulations pr.::lq I ly PED INSPLUT IONS
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and GAS L.INE
specifications and in compliance with all appi cable codes and POST fv BE'Am
ordinances The issuance of this permit does not waive restrictive P VAJ 1;H IN
covenants Contractor and subcontractors shall have current city F INAL.
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 n period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all req red inspections are requested and approved.
L
Permittee Sign ure
Issued By , ---"7b_1lLA_J_______.___ I�, 1. 1 1.— '#NSP16.4�14114?4 649 oqty"L.,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
CITYOF TIOARD _
PLAN CHECK APPLICATIO����jj
L .IOfT{srARD/ PLAN CHECK # �� 3`7
CQMMUNIT'.' DEVELOPMENT DEPARTMENT O1�A°" PE RMIT N
+3175 Sw► Bh,d P.O.Bai 2339'7,TlWd.Or+pon tib(SW)
DATE ISSUED
WI
1'AX MAP/LOT
JOB AD R�L--�S/� U�J�_.! !_..-________.__
SUB: 5.1� LOT: LAND USE:
VALUAT ION: ,J � _ -_.._.._
UWNLR �
_ _i �� J_ �'L/ _A t /vG� _yl /,�SC-���•-� �( SPECIAL NO
TES
NAME: / REISSUE OF:
ADDRESS: LAST REISSUE:
-
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: _
ADDRESS: FIRE DEPT
OTH F R:
ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER e'JS TAX:NAME: _ ~ CALCULATIONS:
ADDRESS: _ TRUSS DETAILS:
_ PARKING PLAN:
LANDSCAPE PLAN
PHONE: _ --�_— OTHER:
COMMENTS: - -.. /2Z i --- - -- -
PERMIT # ACCT N DESCRIPTION AMOUNT A HAI..
RY
3oL 10-432 00 Building Permit Fees1�3 _41�3.
>j� 10--431 00 Plumbing Permit Fees ��7,.ru _jc_Z..su
Y3 10-•-431 01 Mechanical Permit Fees
10-230 01 State Building lax (5x)
Building _ �O • ��
Plumbing 7.0 5�����
Mech
10--433 00 Plans Check Fee
Building
Plumbing _
Mech _ //. 't i- _
g�ja 3 30-202 00 Sewer Connection - &0
30-444 00 Sewer Inspection27
51--448 00 Street System Dev Charge (SDC) i "�' _.� _ D v
52-449 00 Parks System Dev Charge (PDC) 23_0_- _ !_•_____ �SS.4�_
31-450 00 Storm Drainage Syst Dev Chrg
10-•230 09 TRFD
10--230 06 Washington County Fire M1 (9'i%)
10--'lLV I?0 Amar•t/Wcdgewood
I o 'At a�t_LL�_3 L z _ 1-3 3
REC
", �� .� ��f� / __
APPLICANT SIG1 l l
Received fly :
V Date Received: 44.
cn/35871° '