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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397 s`�
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
�_) �} � �1 ��L� �/��/ Time_____..— A.M.--/���P.-M, (�
Address
/,/,L! ' �� &a�-------- Permit #.T.�Tl __5�3_LL_
Owner - -- --- Lot
Builder 7-7 Lot
--
'rhe following Building Code deficiencies .:•e required to bp -orrected:
Presented to __— Approved
Inspector �— ___ ❑ Disapproved
Date
CALL FOR REINSPECTION
F-] YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
bVP. 23397
,egon 972 /
Phone63 ��,
^ A'
Type of Inspection — YAI-��I
G
Date Requested / Cr/-� _ -nme_ _A.M. P.M.
Address �CJ`7' Permit #1
Owner Lot #
Builder /✓�'
The following Building Code deficiencies are required to be corrected:
/0,14 Cde c • �•�T G� Y ..
&"4,fisc h
Presented to ---____------_--- _ ❑ Approved
Inspector _ _, ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YEa ❑ No
AL �.
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397 nn
Tigard, Oregon 97223 4-1
Phone 039-4175
` Olcd ��RC.0 �r
Type of Inspection
Date Reque;ted 12 /— Time, A.M. _P.M.
Address L _ Permit #— --
Owner--.--- -- __... -___ Lot #^
Builder
The following Building Code deficiencies are required to be v urrected:
IV
Presented to -_ /,"Ii}AA proved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YEsi I_-7 NO
INSPECTION NOTICE
City of -igard Building Departrrr tit
P O Box 23397
Tigard, Oregon Q7223
Phone 639-4175
Type of Inspection
Date Requested_ s�TJ Time A.M._- __ -P.M.
Address 0 / yr Permit --_ --
Owner _ —_ Lot 4!t - ----
Builder�l���y --- ----- —
The following Building Code deficiencies are required to be corrected:
*2 214
Aj
Presented to ❑ Approved
Inspector ❑ WMpIfOrNJ
Date n ��
CALL FOR REINSPEMON
❑ YES 0 NO
DIJILDING PE,PM1'T
F)FPM:l:-T* NO . : BUF181.8,38
CITY OF T'FA4�kD
CITYOF TIGARD
I F SUED: 9/16/f*.)
COMMUNITY DEVELOPMENT DEPARTMENT PRIM . PM',' .NO. 881 tl,'iS
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175
,JOB ADDAESS : 16001 -Sw-1o4TT-i AvE
'TAX MAP/L.01* 251. 1-4BS 6AOO SUB: SWANSONS C.-A-EN L F : 5 8K
LAND USE : P I Z!
I U1, SIZE:, VA1.AJA*T'1ON: 0 tw,3.72 5E'TE3ACK':i
FP0N*r Z1.0 1:4EAP: 5
WORK CLASS : NEW DWEL.I... . UNITS : :1. LEFI' : 15
WiE TYPE : SINCI E' FAMILY NO. HEDPOOMS : 3 EXT.WAL.L. COW)I
CON51' . TYPE : VN NO. EIA'1+15 : 3 N- 5 : E:: : W
00C11UP . GRP . P3 r,ol' .OPENINCS .
OCCUP. LOAD N 5 E W
'TUT A- 1- AREA , 15E, 0
NO . STOPIES : 2 X302 ROOF CONS'r : FIRE RE T7
20 PNO: 699 AREA 5EPAP'? RATED:
[--3A5EME-'N*17 3PD: OCIC'up. RATED:
ME7ZAN]:Ni;;-7 BASEM 11'
1:1-00141 LOOiD : AO GAl:W;E:: 308 FIRE SPRKLR7 ALARM?
FLOW(GPM) DE-1'E(--T7 Yl:.':.
HIEWT, 1,YPE.
(:,A5 I-IDGP , A(U,E:L-jL,7 CORP7
REISSUE OF' NO . 870170
L.AST REISSUE 881312
ffl.-VAK MORGAN PEl:*4MT T $343 00
0 PO 130X 6835 PLAN WI:Vl:r-:W 111,010 . 00
NW 61-01-1A (Ti'
FAIIE Dk."PT
E 5'TA*1*E TAX
R $11 . 1.5
(,),rHl::'I:)
)EVE-1.0FIMENr CHARGES .
oc It 9*rOpm)
C $a5o . 00
0 1 :1.1 AN PROF)F:p*j :rE:.!;j 114('.' , ( 5 I'PEE T) $600 . 00
N PO F4OX 661*515 PI.K."I
T $250 . 00
R OP 97007 6835 PPEVIAT0I < 1111410 . 00)
A PFIONL (503) 684-..66()6
(I
T WE.-G151WATION NO 30550 TOTAL .
0
R
WE-CRIP-T NO .
7'
This permit is issued subject to the regulations contained in Title 14 UQUI P 'T.ED NSPE(:J'VIONS
of the TMC. State of Oregon Specialty Codes, zoning regulations 1:;*OOT1N(., 51EWEP
and all other applicable codes and ordinances, and If is hereby F(JUNDAI-ION WALL PAIN 011AINS
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and P051 Ti DEAM WA1144 LINE-
ordinances The is!,uance of this permit does not waive restrictive PL.B . UNOtAISI-An ("ll'y AppriCH/51W
covenants Contractor and subcontractors shall have current city SLAR F1 NAL
business tax permits This permit will expire and become null and PI-s . ropou'r
void it work Is not started within 180 days,or if work is suspended or F:n AM If.NG
abandoned for a period of 180 days any time after work has
commenced. It shrill be the responsibility of the permittee to assure, F 1 P F.r-•-,L A C.;E
all required Inspections are requested and approved GALT 1-.T.Nl--
INSULAI'lON
rl, ,*SIgnWtu,, C;Y P 90AWD
Per
Al I 1;-*(')r4 1NSPr--.(,-1'T0N &,39-11.
Issued By ICE
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
5EWEP, PERMIT
iT
C11YOF TIFARD A 4, 1'+ 1-:MTT NO. . SE881847
10
CITYOF DFARD
0000.
COMMUNITY DEVELOPMENT DEPARTMENT SULI) 9/ 16/Hi 0
13125 S.W.Hall Blvd..P.O.Box 23397,Tig,,wrd,Oregon 9722:,,.(50)6394175
:;:(M - PMT . NO. 88 103(!
i)B ADI IPIESS : 16081 SW 10,41TH AVIc. U50 NUMPEP: 0364410
I[AX MAP/1..,ur 251, 1AR8 6A00 "i)UH : SWANSONS GLEN I.J : "5 D.
1. SND USE : F,1.
1.01 GX ZE::
14 TWID : 2v; PNG : W
WUPK Cl AS : NEW
USE TYI"'E: SINGLE IFAM).LY
Ille lar.)P:IA.cot I'l t AL(jr,pelo 1,C) U43111r).1y with in.3.3. rt.il.eit; aLrid i-egmiottiijing, 1:1-p the Uriified
lirewel-agll. Agency . The, Pel"Init exPil"elo 1.20 dayls fi,uin th datte J.jjIis(.trad . T,1.)01 t,a t&I
N In 1:1 I.J ILI 11, 1:)ALJ CI Wi 1:i. 01c.) fr.11,-kri tir,?cl 141 the per,mi t exI:)J rasi i'he Ac ejj-jc...lj cIt:jtL.jM I�jc)t 91.1oLl
W
ntec,) the oLr_,c.ur*ac.,.y )f ti-ie ic)cmti(:Iii c)f the inicle isc!wer, I ot ir,w I--a.I Ill . 14? the mewpr* is
rot tt-jel;I:Lvr7,)n , i-MlitAL11ell 111hot'll.j.
13 d i r-ec.-t.:L cl;l It -F r ci in t Ill ko cl i III,t ot Il ticf cl J.v e il If n a t 1u(3 1 a C.'a t e d , thea iriqitftller� iohn:1.1
i!kil(:l 'isle Sewer." Vler-Init 4Li'%(:l the;) Agjerir_y 44:1.1.1. 1,111VIAL.I.I. Ali. 1.Ill
NSTALL. . TYPE: BUILDING Sh'i'MEP IMPERVIOUS APEA:
1:X I LIHM. UNITS : TENANT ?'111PROVEMENT :
WI-."1 LING UNITS : 1.
Cl OF FA.A.M.S .
M ES :
4 I_EA K Mi: PGAIN PEPKET $315 00
r,0 X 683"5 CONNECTION CHAPGE $1 , 100 . 0()
F�LOHA UP L.TNE TAP I.NSTAL.L .
R
C
N11TAN V)POPERTIES ING .
T
RPO F3(:)X 68%.11
il OHA UP 9700*1 6035
TPHONEE (.503) 684-6606
R EG'ISTRATION NO 3053FI TOTAL . 111 ' 135 . 00
RECEIPT NO.
Thits permit is issued stiblect to the regulations contained in Title 14 ._...«..----...».———————--—
of the TMC, State of Oregon Specialty Codes.zoning regulationOffQUIPF.-D INSPEr."TIONS
and all other applicable codes and ordinances, and It Is hereby POW.A.I.-JA
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all :ipplicable codes and
ordinances The issuance of thio perrTill does-lot 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 requested and approved
Issued By 11.1.. FUP INSPECTION 639 11.75
SS.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
LI _ Am
NG PEP1,11 r
PEPM11' NO . : F-4-881,345
CITY OF TIGA R D. P"'"I
wi�
COMMUNITY DEVELOPMENT DEPARTMENT 01111100" Df-,.TE;,: ISUMD: 911f.)ia"
1JPIM. PMT ,NO. a a i.wi a
13125 S.W.Hall Blvd. P.O.Box 23397,Tigard,Coregm 97223,t3O3)639-4175 C
Al'.)DPESS : 1-6081 SW 104TH AVF.'.
1 AX MAP/1-01- 251. 1.4'168 64100 SUB: SWANSONS G'A..EN
I. AND USE: P12
1.01, SIZE:
TEM: NO : NO:
WORK CLASS : NEW WAI'L-14 CLOSFT 3 1 PAID
LISE *TYPE : SINGI E F-AM11-Y URINAL 131(Fl...OW P-PVN'T*P
(:,ONS'T* . TYPE. : VN LAVOPAI'ORY 3 'T PAP PAIMER
OCXL)P. GAP. : P3 'T*IJB SHOWER R 'TRAPS
DISHWASHER I
L2,APBAGE DISPOSAL. I
NO S13PIr-i:S : 2 WASHING, MACHINE' I
DWELL . UNTTS : I L.AUNLMY 'TRAY ULT)(, . DRAIN (DIA
F'L.U()F4 DRAIN
SINK I 5EWE-P (FIA
WATER 1. STORM/RAIN (FT 1.
OTHER
31 EAK PEMMIII $13P
0 %f.J Ii OX 683,15
W
N 'M OHA Op F 1.X T LJ RE 5
E s*rA*I+7 'rAX
R
I'S
o0::N WA I'S PLUMBING
N
r 3 C) BOX 230925
R tA.54 at I-,cl lar 97W*3
A
Cl 44ONE ( '503) 604-6626
T NO. "30818 TO'T'AL. . $139 :1.3
R
PECEIPT NO. 10071(
I his permit Is Issued subject to the regulations contained in Title 114 :Qt.jl ILEI) INSPF.C;TIONS
of the TMC. State of Oregon Specialty Codes, toning regulations PL.8.UNUEPSIL.A101
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and POST. & PF.-.*AM
specifications and in compliance with all applicable codes and WATF P I I NE
ordinances The issuance of this permit does not waive restrictive PL.8 . TOPIOUT
covenants Contractor and subcontractors shall have current city PAIN DPAIN!'s
business tax permits This permit will expire and become null and FT.NAL
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
commenced It shall be the responsibility of the permitlee to assure
all required inspections are requested and approved
Permitleii�`Signature
C= trI .L. FOR INSPECTION 639-11-75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
IT
CITY OF TIGA RD o�il PEFIMIT NO . MEORIA346
CITYOFTWAM
I
COMMUNITY DEVELOPMENT DEPARTMENT 01100H Al E 9/:1.6/as
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Uregon 97223.(902)639A175 n I m . PmT No 681.8*148
06 AI)DPESS : 1.6081 SW 10,""'TH AVE
AX MAP/LOT 253. I-IBB 64100 SUB: GI...FN L.1 !-5 F:K :
i. f--)ND USE : IQ 1
L OT S7ZE:
ITIS I: NO: NO:
WORK CLASS: NEW FURNACE .100i( I AIA HANDLP <10
USE TYPE: SINGI-E. FAM]'LY FUNNACE 3.00K+ AIR HANDLR 101,
(:.'ON5'1* .TYPE: VN FLOOR FURNACE EVAPACOOLLA
OCCUP .GAP. : P3 HEA'T'ER V1--'N'T' FAN
VENT VE.NT . SYSTEM
81-14/COMP <3HP HOOD I
NO . STORIES : P 81-14/r,101"'11P IM,114ERATOP(DOM
DWELL .UNITS : I BLP/COMP 1.5-301-4p IN(;INEPA*T'O174((7C'A
1+ lr-.:I- TYPE. GAS BI A/COMP Pl---'PAIP UNITS
(-)X . :LNpu,r IILA/COMP .1504-1-41J, OTHER P.
FE I'.)MPAS7 GAS PIPING OUTLIF.TS 1.
I VGI-I PRESS7
I I-:MAAK.5 :
FIES :
631..E.AK MOPGAN F,""IM IT
BOX 60"'I'lib PLAN Mi'VIL114 *10 . 138
I 01-IA Op FIXTUPES
R STATE TAX
111. 5550t5E PIAZZA AVE:
1:L.A(..'KAMAS UP 1970115
4)-41INE (503) 2413-11SA
ISTPATION NO . e147 TOTAL . 1196. .3:9
RECEIPT NO.
This permi!is issued subject to the regulations contained in TitleE WED IPINSPECTIONS
of the TMC. State of Oregon Specialty Codes,zoning regulatiop, '
and all other applicable codes and ordinances, and it Is hereby jrAS LINE'
agreed that the work will be don-in accordance with the plans and -"OST & BEAM
specifications and in compliance with all applicable codes and 4OUGH---1 N
ordiria,,.,es The issuance of this permit does not waive restrictive ::'1.NA,
covenants Contractor and subcontractors shall have current city
business ta.i permits This permit will expire and become null and
void if work is not started within 190 days,or if work is suspended or
abandoned for a period ol 180 days any time after work has
commenced It shall be the recponsibility of the permittee to assure
all required inspections are requested and approved
1 a �
4
1,*Ittee Sigin li�ur�e
(",A I FOP 1 Nsrr.m'�(IN 6-49 411.79
Issued By
SEPARATE PERMITS REQU11RED FOR WORK OTHER THAN DESCRIBED ABOVE
WHO
�� �� '� �� , PLAN CHECK APPLICATI
��
COMMUNITY DEVELOPMENT �A ��ncA�n P..AN CHECK N
NT DEPARTMENT q,1 oR1%0N PERMIT
19125 SW Nall Blvd. P.O.Bax 23997,Tiyud,Oregon
07223(")694417b
DATE ISSUED
JOB ADDRESS: l�G'�'l G�i�IQl� TAX MAP/LOT
SUB: x� fryS 6� G�_lY LOT: ' _ LAND USE: �•- / /Z,
VALUATION:
OWNER - — SPECIAL NOTES
NAME: . LfL �iYOi�C�Tf�' S �ti�i�f� _ kEISSUE OF:
� - _
F �RESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE --
4
CONTRACTOR APPROVALS REQUIRED.
NAME: PLANNING:
ADDRESS: --- ENGINEERING:
FIRE DEPT
OTHER:
PFONE: ITEMS REQUIRED_
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: S: _
NAME: - _ CALCULATI,IN _
ADDRESS: _- TRUSS DETAILS:
- - PARKING PLAN: _
_ LANDSCAPE PLAN:
PHONE: �_— _ - OTHER:
COMMFNTS:
PERMpIT M ACCT y DESCRIPTION AMOUNT HMOUNT PD. BAL. DUE
�O 3 10-432 00 Building Permit Fees _ —
10-431 00 Plumbirg Permit Fees _fid-uar' 1 g
10-431 01 Mechanical Permit Fees
l 10- 230 O1 State Building Tax (5X) rG
Building 11 - 2 ---x -
Plumbing !�L
Mech _ -7 ./
10-4s3 JO Plans Check Fee
li4gilding
Plumbing --'
Mech _
Cyt 30-202 00 Sewer Connection
30--444 00 Sewer Inspection _
51-448 01 Street System Dev Charge (SDC) -
52-•449 01 Parks I System Dev Charge (PDC) --"
52-449 02 Parks II System Dev Charge (PDC)
31--450 00 Storm Drainage Syst bev Chrg (SSDC) J,-
10--230 09 TRFO
10-230 06 Washington County .-ire M1 (95X)
10-220 00 Amart/Wedgewood
TOTAL
" G*�L` REC M
APP1.TCANT SIGNATURE --
Received fly : _/
ht/35e7P/1eP Date Received:
--_-- _-�- -