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16114 SW 104TH AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
C Phone: 6394175
Type of Inspection
Date Requested Time P.M.
-_ '_� A.M. _
Address --/L6 !f�'r„l — Permit `
Owner_- _--• _ �_�t #
BuilderThe following Building Code deficiencies are ocqu;red to be corrected:
34- I
►Z 5N
Presew"d to — Approved
Inspector _ --- ❑ Dipppro"d
Date
1
CALL. FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department (�
P.O. Box 23397 1
Tigard, Oregor, 9722.3
Phone: 63Q-4175
Type of InspectionLb.1_--- ) /---
Date Requested_ C9 , / _ Time A.M.____�(P.M.
Address 1 __-� `f—� _--- Permit # (�
Owner j - - -- Lot # ---
Builder
/The foJl9wing Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector L-ow woved
Date :.�__._ 2 7
CALL FOR R 'TION
YES ❑ NO
i
CITY'OF TIGNRD RUIL.011 PEPM11
CITY 01IFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT OVEGON 11--JENMIT NO. F30881 2416
13125 SA Hall fil,i P 0 Box 23397.Tigard,Oregon 97223,(503)639-4175
JOB ADDRESS : X16114 SW 10/1TH AVE.
TAX MAP/1 OT PS11/1118B1.0700 SUIll SWANSON GLEN L T 10 UK :
I AND USE : 1=11.2 4
1-01, SIZE: Ve-111...UATION: 57 .227 SETBACKS
FRONT : 20 PEAR: 5
WORK ('11 ASS : NEW DWELL. .Il T T-5 L.E:F*T' : 3 Pl(.,H'T* : 3A
SINIl FAMILY NO. BEDROOM : 3 EXT . WALL.. CONST :
Cll TYPIl VN Il BATHS : .3 N E W
Oc"C'Up. C-114P P3 PROT .OPENINGS :
OCCUP.LOAD N: S : E : W:
TOTAL.. APEJ-i : 1.238
ISI(:) . STORIES : 2 IST : 6°5r ROOF CONST : C F*Tll PET?
II-IF-J6,11-IT: 20 2ND : 506 AREA SEPAR7 RATED:
BASEMENT'? 311l OC XLIP . SEDAIl RATED:
MEZZANINE? BASEM'1*
1;:-1 OUR LOAD: GAPAGE : -100 FIRE SPAKI-R7 ALARM'?
it-rim invivirr—— i IF I P.11 1 7 yp-q
Hill 'YPE-"- : GAS
HDC P . ACCESS'? ("ORA?
PL-AN BY : r 1 t
PEMAIll
OF NO 66,55---
6AST 14EFSSHIl 800911
W FEES :
N
E DL r-lAi< MOPGAN PEPM11IT $307.00
pu UUX 6835 PLAN Arn'Ill $40 . 00
til ullint 131.- 97007 it FXPE, DEI)
PHONF.—MM-) STATE: T*AX 1111115 . 35
OTHER
N EX.:VELOPMEN T CHARGES : I
T I
R BLEAK MOPGAN SDC(SI a RM) Ill 5 0 00
A TJ:
TAN PROPPEPT1.111l INC.. Soll ilsi'REL r ► $600 . 00
C
T P1:1 Pill(111112 ) $250 . 00
0 il 9700*7 61335
PHONE Il 60/1---660 6 PREPAID < $40 . 00>
RE-GISTPATION NO. 30.558 TOTAL : $I
This permit 19 ISSLIedsubject to the regulations contained in Title 14
of the TIVIC. State of Oregon Specialty Codes, zonio,cl regulations RECEIPT NO.
and all other applicable codes and ordinances. and It Is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and ii-mQuipEn iNsPEcr1UNS
ordinances The issuance of this permit dorsa not waive restrictive FOOT NE,
covenants Contractor and subcontractors shall have current city VOUNDATJON WALL PAIN DRAINS
business tax permits This permit will expire and become null and POST & 13LAM WAT'r--*P LJNE
void it work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time atter work has PL UNDERSI•AIR C T I'Y A Ill PCH 5 W
commenced It shall be the responsibility of the permittee to assure SL.A.I) FJ NAL
all required inspections are requested and approved PLR. rOPOU'T
1:rRAM ING
GAS LINE.
Perm-ttee SignifFure INSULATION
laill Ry- GYP , BOARD
SEPARATE PERMITS REQUIRED Ill WORK 0TWFRrMAW0E-9M@ED ABOVE
rw
PLUMBING PERMIT
PERMIT NO. : PL881247
�� �
�' �RD CffM��M0 ,
YO
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 6/-50/P,:,
13125SM Hun Blvd. PO.Elox23391.Tigard,Orogm97223,(503)639-4175 PRT.M. PMT .NO. 881246
JOB ADDRESS : 16114 SW 104TH AVE
TAX MAP/LO*T 2SI.14BBJ.0700 SUB: SWANSON GLEN LT:48 BK:
LAND USE . 1:,1112
1-01 ST.ZE :
ITEM: NO: N3:
WORK CLASS : NEW WATER CLOSET 3
USE. TYPE: SING1 E FAMILY JRINAL OWFLOW PAVNTR
r"ONST TYPE: VN I-AVORATORY 3 IRAP PRIMER
0(*.,(,_UP .(;RP. : 143 TUB SHOWER P GREASE TRAPS
DISHWASHER I
GARBAGE DISPOSAL i
NO. STOPIES . 2 WASHING MACHINE 1.
DWELI... .UNI TS : i LAUNDAY TRAY BLDG. DRAIN (DIA
FLOOR DRAIN
SINK i SEWER (FT)
WATER HF.:ATF.-.:P 1. STORM/RAIN (it
OTHEP
NF.:.MARV!:i
O BLEAK MORGAN PERMIT $132. 50
W
N Pa BOX 6835
E 80.1:1 h IIL t)r, 97007 6035 FIXTURES
R l!"VIONE (503) 684-6606 STATE 'TAX $6. 63
OTHER
C
0 WATTS KEN
N KEN WATTS PLUMBING
T
R pa BOX 230925
A tigaod ar- 97223
T PHONki. (503) 684-6626
0 REGISTRATION NO 50878 TOTAL: $139 . 13
R
This permit is issued subject to the regulations contained in Title 14 REcEx.P.'r NO.
of the TMC. State of Oregon Specialty Cod9.3, zoning re,julations pFQj,jjpED
and all other applicqble codes and ordinances, and It i i hereby PLB.UNDEPSLAS
agreed that the work will be done in accordance with thd%pAnsnd
specifications and In compliance with all applicable codes :nd POST & RE-AM
ordinances The issuance of this permit does not waive restrictive WAFFA LINE
covenants Contractor and subcontractors shall have current city P1 S .TOPOUT
business tax permits This permit will expire and b9come null and RAIN DAA'i.NS
void if work is not started within 180 day-ii,or if work Is suspericlmd or F I NAI...
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to llasu,,e
all required Inspections are requested and approved
Permittee Signature
Issued By Ird I'At I FOD Thir-REE-11LIN 639-41 1:,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MVA'A'AN I CAI PEWIMIT T
I::1F.7I:4M'(T NO. ME(31312.48
CITY OF TIGA RDDAI 1*-:, 6/30/88
CITY40FTWARD
COMMUNITY DEVELOPMEN" DEPARTMENT Ir'PTH . PM-T- .NO . ORIF-416
13125 S.W.Hall Blvd P.O.Box 23397,Tigard,Oregon 97223.1503)639-4175
AIM ADI)PIE!S9 . t6tts! ) t 'P1,11,11-11vr.
TAX 2SI.I.AB5;10700 `:iWANSON GLEN LT : /110 BK :
I—AND (. SE : P 11.P.
I.-OT SIZE:
I T r-:M: NO: NO:
WORK CLASS : NEW FL)VINACE: (100X i AIR HANDLP (10
USE 'ryPE: SINGLIF FAMILY FURNACE 100K+ AIA HANDLR 10K
CONST . TYPE:. : VN FLOOR FURNACE EVAP .COOLER
(:)('.1.C(.JP .GAP. : A3 HEATER VEN'r FAN 3
V r-'-'N T VF-N*r . sysTE:m
BL.P/COMP (31HP HOOD 1.
NO. SIURIES: L BI—P/COMP 3-45HP INCINERATOR(DOM
DWELL .UNITS : I PI—P/C OMP 1.5-30HP INCINEP0,T111141(COM
FUEL. TYPE---- GAS IN P/COMP 30---,50HP REPAIR UNITS
MAX. INPLJT 119ILP/COMP 90+PP (:)THEP 2
IRE: DMPWS7 GAS PIPING O( TIJFP:'
HIGH PPES57
LOW 1:yRESS'7
14H.MA114105 :
FEES .
HL 1*--Y4 K MORGAN PF.RMIT 11r:1.0 00
0 P I-j BOX 6833 PLAN REVIEW Ij 1.0 . 13
W h tar- 97007 6035 FIX l"UPES 4130 .50
N
E P11-1113NIR-, (503) 684 660e) STATE I AX $2 . 03
R O*rHr--'P
0 SELL HEATING INC .
N 15550SE* PIA77A AVE:
T
R 9701.5
C A PHONE (503) a'./13-4 1841
T REGISTRATION NO . /1-17 TOTAL: d1"52 . 65
0
R
RECEIPT NO.
This permit Is istwed subject to the regulations contained In Title 14 REQUIRED INSPECT IONS o
of the TIAC. State of Oregon Specialty Codes, zoning regulations GAS LINE
and all other applicable codes and ordinances, and it Is hereby POST & BEAM
Agreed that the wnrk will be dome In Accordance with the plans and ROUGH I N
specifications and in compliance with all applicable codes And
ordinances The issuance of this permit does not walvo restrictive 1:;JNAI
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null Arid
void if 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 pqrIT1Itt@@ to Assure
all required inspections are requested and approved
I
Per ittee Signature
CALL FOR INSPE.CTION 639-417"1
issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
F1 tWEIR WRAIRM
%*0,*011Y OF T117A NO. !iE' 61JLI : 249
MAND
COMMUN'TY DEVELOPMENT DEPARTMENT 1:)A'T'I-- ISSUED: 30 108
125 S W Hall Blvd,P.Q.Box 23397,Tigard,1regon 97223,(503)639-4175 PPIM. PKT .NO . E-381246
JOF ADDRESS : 1.611A SW 10-411TH AVE USA W.jMBER: 3594P.
TAX MAV/I OT P-511/11ur-31.0700 SUH: t5WAN150N ('3L_:zN LT :418 1:1K
L..ANE) USE : F112
I_01' STZL :
SECTION: I lei TWP: 21a PN(,, : 1.w
WOPK Cl_.A55 : NF:'W
L. SINGLE F:'AMtL.Y
TIM' UIJI:),IA(.1rL1It AkQl"'Weiri tli c.�c)InP1.Y Wi.th 00.1. l*'(.l'U-4in N.licl legt.I1.'l1.tJ'cJll'ii CHI they
$ewei�age Agenc^y T'he pel'init, eXpJ.rC..-% 1.20 (JAYM fr'coln the. cluLtim J.1allitied . T h 0 t.c)T,la.l.
fitinci(.int pim.:Lcl wil.]. he .11cir-Pei.t'ecl J.-P tll-, wsXPJ-l-'6!n The Ayenc:y c1ciew nrit glARLI'
a 1*1 t.e 0 t h 4? (m.r„C�i'l 1-in c.,y (3 f the 1c)c!Rt:i'col1 co-P the 1fiI.C110 Sewtol" 1.if't to r-a.1 rA t li im iii P.w r :1.m
In)?. Icicfittood IlLt 11,1141) 111milmil(.11-reloirr)lit 1.4:lveli , the,` !!ihia.11 pr,.it*j:)vi1r,_,t 3 -flealet :1.1-1
ia,*13. c1J.r-ec.,t1.c3ii% rr,(:)in the -.1i.t1itlar1r..e g)J.Veli . If licit, 91(3 *Lciic.iwtvd ' the ifil6taller ishall.
purchatme ai 1-Tap iarci F.;:Icle !iNW*:!I" Pir-Arl"it iiiind the jLl1%tjI17.'.L 41k 'hilil,el.-OLL .
INSTALL . TYPE RUIL-DING liE'WEA IMPEPV101L.15 AREA:
FIXTURE UNITS : IMPr40VEMr_-':N'r :
I)Wlv.':L.,L..IN(; UNITS I
NO OF BLAX-IS .
OLFAK MORGAN PEP141111, 11135 - 00
rd 1:)co BOX 6835 CXIINNEurION CHAI-W'..',1;-" $1. 100 . 00
F ao,11:1 h a (:)1, 9100*7 611135 L..INIL'.' TOP INLSIAIJ... .
11 1:1-40NE (303) 604--6606
OTI-41--ill
0 8I..'EAK MORGAN
N TY.,I'M I-:'I:�0OPr-.PJJIT5 INC.
T
R PC' 6(33.5
A no.I to h a car 9*700*7 6E1W)
C
P 1
T -10 N r--': (50;3) 604-6606
to P1-*.G'TG*TWA'1 TON NO. 305t'$113 *1 OT AL : $1 , 135 . 00
PEC TPI' NO .
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations I fly 04 i.jI pl!;*D
TIS115PECTIONS
and all other applicable codes and ordinances, and it is hereby POLIGH1 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 it not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any lime after work has
commenced. It shall be the responsibility of the permittee to assure,
all required Inspections are requested and approved.
reli"mittee Signature
Issued By I I:'[1n__1N4!Prr`rTr1 63 9-4 1_'�5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CHEC( APPLTCAIION
CITY OF TIGAP' RD aWOFTIGARD PLAN CHECK 0
COMMUNITY DEVELOPMENT DEPARTMENT OREGON PERMIT #
111?SSW"a1fBW P.O.Raw 2339).Tigard,Oregon 97M (SM)63("175 DATE ISSUED
JOB ADOPLSS: TAX MAP/LOT
S UR:
LOT: LAND USL:
VALUATION:
OWNER SPECIAL NOTES
NAME:
REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS RIQUIRED
CONTRACTORPLANNING:
NAM[' : ENGTNEERING:
ADDRESS: FIRE DEPT
OTHER:
PHONE: ITEMS-REQUIRED
LIST/SUBCOIVTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMI:N T',
PERMIT # ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. RAL. DUE
10-4712 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
w-431 01 Mechanical Permit Fees 45,
10-2110 01 State Building Tax (5%)
Building is 3-1
Plumbing -6-3
Mach 1 03
10-433 00 Plans Check Fee
Building r
Plumbing
Mach
30-443 00 Sewer Connection (20%)
C^ 30-202 00 Sewer Connection (80%)
30-444 00 Sewer Inspection -3 :T
51-448 00 Street Systom Dev ChargL- (SDC)
52-449 C1 Parks I System Dev Charge (PDC)
52-449 02 Parks 11 System Dov Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 -09 TRFD (95%)
10-451 00 TRFD (5%)
10-230 06 Washington County Fire 01 (95%)
10-451 00 Washington County Fire N1 (5%)
10-220 00 Amart/Wedgewood
IOTAL
REC N
APPLICANT SIGNATURE
Receivod By : nate Received-
1 . 11, . --