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I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ - 99 Time_ A.M. P.M.
Address _ G 5 .� 3 � ___—. — Permit # S 2 1 V
Owner ... ., _�-�-�� Lot #—__ _ Zyy--
Builder
The following Building Code deficiencies are required to be corrected:
J Iu.f w(-,,Oct B w�
le I
Presented to __ J�EApproved
Inspector _ _ ❑ Diapproved
Dater _
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City ()f Tigarni Buuding Oepa trent
\, P O Box 23397
Tigard, Oregon 97223
Phone. 639-41 i5
r�
Type of Inspection
_ Time A.M. P.M.
Date Requested____—
y G' C- / � Permit
Address
Lot #
Owner �}
Builder
'The following Building deficiencies are required be core
it-l � 56
CA
❑ Approved
Presented to
_ Disapproved
Inspector —T"---
��
DAtP.
CALL FOR REINSPECTION
i ❑ No
D X i9c; 014:n4m.1 r
PEAM11' NO ,
CITY OF T167A RD
COMMUNITY DEVELOrl"I.ENT DEPARTMENT CITYOFTWA .15SUIEL Y
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 41,M I*IM*r.NO . 0f:W1.Uel
.13.55 SW 9711.1 PI
11:)1:..4 AODPI::Y: I.It
f(lix MAP/1_01i 1.1.8A 5700 SUB: GUI AMME51 1_1
iNI) LIG12" R4."1
VALUA- 1JON: $ 9P,4470 SE'T'BACK15)
FPON*T* - 120 PF:AP . A
WORK CLASS : NEW DWEI L. .LINI'TS : 1. I EF"'T . .7 F"T(.*;1..l I
USE: 'TYPrii. : 53 NGI-.Ir.' FAMILY NO . HI:OPOOMS EXI' -WALL CON41'
f`0N!;Yr . ,ryi:)lji-. : UN NO PATHS : 3 N: S : F. W
IX.,;G(jI,_1 ' (:-'44). : P3 PWO7* .01•�E:NINGS :
OCCUP .UJAI) N
'TO'l"AL. APEA : 1.?0,"'.'0
NO . S*r(:)P:I:E5i : e i.s,r : :11.09.1 POOF C(:)Nrj,r : C FTPE Wil"?
1111'.161-1'T - c:?() P..ND: 956 AREA SEPAP`t PA1,11;*D:
E4ASEMEi"N'T"? 3RD: OCCUP. PA*T*I;,--.I):
MEZZANINE? 0ASE:M"r
000 LOAD- GAFIAGE'. : 5,35 11;"XPF SPpm...r4"? 10-111.-APM?
1:LOW(GPM) YITS
VIFAT y,yI::,r-., : GAvi COPP?
PI ON LFIECK DY : 1--:I.t
PLHAAI<!� ;
REUSSUCK OF NO. 880881.
I A S T, 11 K 15 UE.
0 M 1 L.L.E:1:4 T*OM I A P M 11'
VV1.'erfa N SHE-i-PWOOD r?i..Vl:)
N L.AN PIEVILW 111-110 . 00
E DKIP'T
R
S'f'A'T*L: 'T AX111RO . 60
01,HF,n
CTOM
0 SIX t S7,11 4m) 111100
N I OM 1`1111..L.144 1AL1)I-1 . 11 S1 PEI--'.'T $600 . 00
T
R P D C 14 E'i $250 . 00
A h r%l 1'w 1.11.1 lar 197:1.40 < 111/10 . 00)
C PHONI:-m' 1503) 6e.5 61.67
T
0 NO , 373815
R 7,0TAI., 53P. 60
17I-ECLIP"T' NO .
This permit is issued subject to the regulations contained in Title 14 ......••••
of the TMC, State of Oregon Specialty Codes,zoning regulations P 1;::(41 J-I-lrll;::D I N F.;PEX;1 3:ONS
and all other applicable codes and ordinances, and it IS hereby 1:-O(:)T'i NIG
Agreed that the work will be done in accordance with the plans and OUNDA410N WAL.L. PAXN (:)PAINS
specifications And In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive L_."rNI::.'
covenants Contractor and subcontractors shall have rurrent city 1117*y APPM111-1/sw
business tax permits This permit will expire and become null and Mil F INA(
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 I'LE) . TOP(A.)1,
commenced It shall be the responsibility of the permittee to assure I-'RAM 1N(.-',
all rec, red Inspections are requested and approved F I 1:44:1.)LAUL,
GAS L..I*Nl:'-'-'
TINISULATI(aN
GYP GOARI)
GAL L I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
J
CITY OFTIIFARD !:lL.WFA� PE P'M 1,*1
k"It" VIEW[ I NO . 5 1:-0(NE'.2 2 6
CI OF n6Aan
COMMUNITY DEVELOPMENT DEPARTMENT OYEooN
13125 S.W.Hall Blvd,.P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175
,JOB 1.11-155 !:iw 97TI1 I-A (JEA N(JMBE.14 037:1.02
'TAX MAP/1-AXT f.?5:1. :1.*1 DA .5700 11:`1: 501. 1 I.A 9 U ill,
LAND LISI:-:* : P"I 5
1_01, 51ZEK :
lU.':('•T1ON: 1.1. rwi:) : aw I-ING . 1w
WOPK CLA55 Nl;::w
USE, TYPE : 151N(yI U: FAM.11A.''r'
Ille, 4kj:)P1A("ulll1. m5,11'eallii tc) coinp:Ly w:i.tll wAA r,Ltlew akricl
Th 47.1 (.)C.±I-1111. L (ri?X I:)i C'C-P to 12 0 (1 a y%I FI.Ctln t.I I ca (:I lit t e :1.M H1%.I ris(:I J'hoi tcit.m.].
io.incimilt PDL:I.(;l Will b" 'I.T thl.."I I.)"I'loit tjcior.49s ricit qmatir,
&I-It'4kob the 0-F the 1cm.,uLt:1,mil (34-' tticip tB:Lc.I4a 146: (W 1ill.t(b)VALIAN . 1-P 010n 190WO)f" iiii
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al). d:I.v,,yP(-tJ.(3rim fr-i3in the g:I.VV.l1 . 'r f 11 C)t, mo 1c:c-littva(I I td-lp lKlIM11.
pi.irt'hotlils-o lit "Fulp pi,tld 5:1.cle 5"Wk-r` F*Iell•lrlj. C. aill-10 W1.11. '1 akt(al,iw)
1MYTAL.L . 'TYPF:. BIJ1L0TNC.; 5f.:.WFA:, IMP-1111PIVIOUS APPA
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NO . OF n1l 1.
0
W illlm PEPIVIII, 35
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E � 1478 iq lil"IERWOOD BLVD (:'ONNE(,T'T(:)N 411 , 11,00 . 00
LANE 1NG'TAI L .
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T rum mv.-i Firm
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A 14713 N LiHEAWOOD 81 V0 .
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T -A h*r w ci c)rJ ars 971.A0
0 P-HONE:� (.501)
RL(.3151'PATION NU,, 37385 raiw.. -1,
,
"IF
This permit is issued subject to the regulations contained in Title 14 -C.A.'AF11' Nf:).
of the TMC, State of Oregon Specialty Codes, zoning regulations ........
and all other applicable codes and ordinances, and It Is hereby AF41ATPED 1NraPECTIM43
agreed that the work will be done in accordance with the plans and POUGH I N
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 It 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 he the responsibility of the permittee to assure
ill required Inspections are requested and approved
P, ,tIeS,1n t'". 0�x
Issued By
(:'Al..I- F:*(JFI TW'sPEUTTON f.,39-/11 '7".5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MEC-1-11ANICAL
PEPKI-1 NO.
CITY OFTIFARD
C11YOFTWAFM
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd-P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 P11- T.M. 1:)M*r .NO. 88t..'?101'I
im ADDV4p:sS :
TAX MAP/L.OT P51 11 PIA .15700 SIJF3: L-T : 9 1'..K
L-AND USE : 1:1,11. '15
S17C.
NO: NO
wonl< CLASS : Nl:::W F'IIPN(-)C'E 0.00K All HANDIL.R <10
USE TYPE* , STINICA E: F'Al"11:11-Y Fl[JANACK 1.001<+ 1. A111 HANDL.R 10K
(:X)NS'1' - 'P(PE: : VN FLOOP l::*UI:4NA(:'I---: Ev A-P , C1001 1:-:,11
OCCIUV".('sF)V). : P3 FIEA T*I::'14 Vr-.N'T' F-:*AN
V14 NT Vk.**N'I* . SYS'T'EM
I-"1L.A/(.'0MV) <31-113 1-1001)
NO . STURIE'S : E-i :EN(:;1NI:*:V4A'T(:)I4(D0M
DWEA L. .UIS11TS : 1 BI P/(:,(:)Ml,) 15--30111 :I*N(,'*I:NF::I',A*Y*(31;1((*,Oil
'TYPE EVAS RLAI/ClOmp 30-501-1P r4i:.:PA:I:P LJNI'.'T'S
MAX . TINIPLYT* E.A.14/COMP" 50+I-IP (111-iEP
CAG P13'ING OUTLETS
I f)W
PE.'MAP105 .
0 F,H TOM Pl:.::I:IMI:T 111.0 . 00
W I el al N !4-1F-.:PW0('.)[) 01 VD . PLAN Al:-;:V1E:W
!N;1,1
N . 2:•
E 'i;h 10 1-W U 113 d r3r F: :I'X'T'LJV41E5 14:35 , 00
R 5"I'ATE 'TAX $2
0 I"HE'll
0 C (.-I ASS 0)
N ('11-ASS A
A q r a in h in,in 13r 9,7030
LF`FIONE;: (.50 3) 667 -,"5984?
O'R Nr) 46039 TOTAL: $58.30
PEX.E.A.t."T NO.
This permit Ie issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations DE(:1UJI-PEU) T.NSPE.(:,'J':1ONS
and all other applicable codes and ordinances, and it Is hereby GA(i I...TNI::
agreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable codes and 1.11051 & 1:3L.:AM
ordinances The issuance of this permit does not waive restrictive POUCH-1•N
covenants Contractor and subcontractors shall have current city F 'I:NAI .
business tax permits This permit will expire and become null and
void If work Is not started within 180 days,or If work iSsuspended 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
PpQrmew,latur, it)
Issued By Q011-1. E UP INSP@-UT IL&I ej3,?-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN-18.(W., PEAM1.1
CITY OF TIFA RD h4l PEPIM11, NO . 0-811322241
CITYOFTWARD
z
COMMUNITY DEVELOPMENT DEPARTMENT 01110ON
13125 S.W.Hall Blvd..P.O Box 23397.Tigard.Oregon 97223.(503)639-4175 1'.)A VE: 1.S i 5 L I E:D :1.1./ 7
asete
JOR PlUI)PESS 1411.5,5 �iW 9'i M FSI
TAX MOP/1 CYT i?51 llb-'A 5700 SOLAW"HES"T, L.'T : 9 lAk .
I AND PA . 5
LAA1, SIZE
N N 0
WORK NEW WA'1'1::.r4 CLOS&A' 3 TPAV'
USE'. TYPE : SINGI-E FAMII y UP11NA1 BIKF"I OW PPVN'T'P
CONST . VN LAW P,ATO1-1Y 4.1 TRAP
OCCUP. GPI3 . : P3 T't.)B SHOWFLA 3 'T'PA P�;
DISIAWASHEA :1.
("Al-WAM, DT5P(:)GAI :I.
NO . r-51(:11PTES : 0.11 WAGIATINIG MAM-11NE: J.
DWE-'Ll.. .UNITS : 1. I-AUNI)PY 'T'PAY BLDG. OPAIN MIA
1:;'LC)(:)P I'.)I-'4A7.N
S:rNK 1. $EWE".P (1::"T*)
WAI EP 1-111=ATEER S113PM/A(VEN (1"'Y
CITHEI-4
0
ILL1 0M Ptirlfil Y' $1.53. 00
W MAA-4
[E :1.4478 N !1HEPWOOD WI-VII)
RFTX TUME.St
d UV
15
111111 . 7
TAX
01 1-41"l,P
C
0
N VIEAPMJN T 1-10 M 0!:1
T
A r•t. . :3 MIX
C iauitull 9,71.1.9
T
0 PIAONF. (50 4) 3b'7-611-397
I R1 P1A;AA0 Po'll ON NO ZIS.1 1`55 - T 0'1,A I.. $i W? . 5
This permit is issued subject to the regulations contained in Title 14 I4k.(::E11 T NO.
of the TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby nF--QUIPED TNS,
agreed that the work will be dona In accordance with the plans and 01-B LINOEWSLAII
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 WA*TF*.14 LINE.
business tax permits This permit will expire and become null and PI.-P . TOPOU'r
void if work il;nt)t started within 180 days.orlfwork iSsuspended or PATN 0PAT.Wi
abandoned for a period of 180 days any time ah--r work has IF T NoL L.
commenced It shill be the responsibility of the permittee to assure
all required inspections are requested and approve]
Pe Iltee"SignaturV
Issued By
INSPI' V., 1 [ON 639-11. 1'P5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Rox 23397
Tigard, ( regon 97223
Phone: 639-4175
Type of Inspection —__ T—' T► r.►
Date Requested :'i � g S Time __ A.M. P.M.
Address Permit
Owner_ Lot #
Builder ��•— ���
The following Building Code deficiencies are required to be corrected:
Presented to P__Approved
Inspector I Disapproved
Date — —
CALL FOR REINSPECTION
O YE8 ONO
In
--�.-_ - ----- i
CI TY®F TI "��PLAN CHECK APPLICATION
r COMMUNITY DEVELOPMENT DEPA9TMENT � ..---ORE ON4RD \ LAN CHECK #
13125 SW Hall Blvd. �.o.Box 2 397,r \ OREGON ,\ PERMIT y
w".o►wan gm(603)639.4176 DATE ISSUED
Z C i
JOB AD"(-SS: (�/�i' f l l �j ) )� ��� ITAX MAP/LOT
SUR: p ': LOT: LAND USE:
VALUATION:
OWNER I '—'-
t, SPECIA! NOTES
REISSUE OF:
ADDRESS' LAST REISSUE:
FLOOD PLAIN:/ - — -�-
SENSITIVE LAND:
PHONE: - - --
A_PPROVALS REQUI RED
CONTRACTOR PLANNING:WAME _- ENGINEERING— ----_--�_-
ADDRESS: _ FIRE DEPT
OTHER: —
PHONE: _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEERBUS TAX:
NAME: _ CALCULATIONS: _
ADDRECS: TRUSS DETAILS:
-- PARKING PLAN: A _-
-- LANDSCH;)E PLAN: _
OTHER: �_--
COMMENTS:
PERMIT N ACCT y DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
.22 ' 10-431 00 Plumbing Permit FeesLSS.—
&,;2 1, - 10-431 01 Mechanical Permit Fees
10-230 01 State Building 1"ax, (5%) C) SCJ v
. , G
Building �,"np
Plumbing _— 7, 75--�— _
Mech op .2
10-433 00 Plans Check FeeBuilding _ 7� —
Plumbing _
��.•�„ , Mech
30-202 00 Sewer Connection60
30-444 00 Sewer Inspection — !
51-448 00 Street System Dev Charge (SDG)
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Perks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) �S U
10-230 09 74FD
10-230 06 Washington County Fire M1 (95X)
10-220 00 Amart/Wedgewood - -
TOTAL
\ REC H /
AP N SI ATURE
�'I \ - -
C
Received By: � C(rl Date Received:
ht/3587P/18P —i