InitiallyGood (2) 16288 SW 104TH AVENUE
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AINSPECTION NOTICE
641-
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r
Type of Inspection
Date Requested Time _— A.M. P.M.
Address ( 2�(�'—� '1 _— Permit #.Vrll
-__ Lot # _
Builder —_---
The following Buildin Code d icien corrected:
77
Aft
r
Presented to — _ — `Approved
Inspector — Disapproved
Date
CALL FOR REINSPECTION
0 YE= 0 NO
bUILDING PERMIT
CI1y F T117A PERMIT NO. % DUP,701W,
RD CITYOFTWAM
DEPARTMENT oleacm DATE ISSUED: tra"IFFB-7
COMMUNITY DEVELOPMENT DEPAR
13 121, w iiaii eiva P 0 Box 23397.Tigard,Oregon97223,(603)639AI 75 PRIM.PMT.NO. 070166
JOB ADDRESS: 16288 SW 104TH AVE
TAX MAP/LOT 2S 14BB 8700 SUE: !awkrLJsacra%_7' tJI4_'f_J LT Etk
LAND USE; R12PD
LOT SIZE# .4-UATIONS $ 69, 372 SETBACKS
FRONT: 20 REAR:
WORk:' CLASS1 NEW DWELL..UNITSt f LEFT: 6 RIGIATi
USE TYPE: SINGLE FAMILY NO. BEDROOMSs 3 EXT.WALI. CONST:
CONST. TYPEt VN NO.BATHSs No So Et 141
0CCUP.r3RP. s R3 PROT.OPENINGSs
OCCUP.LOAD No So Ei WA
TOTAL. AREA: 1580
NU.STORIESe 2 1ST: 882 ROOF CONST: C FIRE RET'
HEIGHTi Is 2ND: 698 AREA SEPAR'-' RATED:
BASEMENT? :.'-R I)i OCCUP. SEPAR RATEDe
ME Z Z AN I It 4E? BASEM'T
FLOOR LOAD: 40 GARAGEa 308 FIRE SPRKLR' AL API"Ill'
FLOW(GPM) DETECT? YES
L HEAT TYPEo GAS HDCP.ACCESS? CORR`,'
PLAN CHECk BY
REMARKS PSE ISSUE OF Nil. 8713tSt
1'.:itv will hold pl.,iiis anti ) e I S Ll P_ LAST REISSUE
Ila% bee-0 conpleted
F-> F'S W3 4�5.00
U b I val. 44att PERMIT
WPLAN REVIEW $40.00
N 16007. sw 101tl)
E 1, 1 yar ct of 972194 FIRE DEPT
R PHONE (50") 684---6606 STATE TAX 17. 15
07 HER
DEVELOPMENT CHARGES
C
0 BLEAK MORGAN GDC(SIORM) $250.00
N $600.00
1 TITAN PROPERTIES INC. SDC (STREET)
R 16003SW 104144 PDC (*2 $150.00
A t i 44ard at, 97224 PREPAID 640.00
PHONE (503) b84-66116
RE(3ISTFrAT I(r)N NO. 357#
08 TOTAL: '$1 . :.60. 1'
ndoTRECEIPT NO.
This permit is issuect Subject in the teyulallons contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECT IONS
and all other applicable codes and ordinances, ani it Is hereby FOOTING SEWER
agreed that the work will he done in accordance with the plans and
specifications and in compliance with all app;icable codes ind FOUNDATION WALL PAIN DRAINS
ordinances The issuance of this permit does not waive restrict ivo, POST Ar SEAM WATER LINE
coverRnts. Contractor and subcontractors shall have current city PLS.UNDERSLAB CITY AF'PRCH/r!4
business SLAB FINAL
usiness tax permits This permit will expire h.1d become Mill and
void it work is not started within 180 days.or it work is suspended or PL.B.TOPOUT
abando.led for a period of 1,80 days any time after work has
commenced It shall be thi responsibility of the oerinAtee to assure FRAMING
all required inspections are requested and P.pproved F I REPLACE
GAS LINE
a I NSULAI I 01"I
8YP. BOARD
Permittee Signature
Issued By In"" _rT_T_TTfW_F_"r_A_t_"1'
•
SEPARATE PERMITS AEOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
T
�y let r
FLUMBING PERMIT
l"'ERMIT NO. . FL-870167
CITY OF T�G�I RD
LCITY&AOFTWARD '3.
OREGON
COMMUNITY DEVELOPMENT DEPARTMENT D01"E ISLUED 9
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 PF,IIYI.PMT.NO. 870166
JOB ADDRESSo IqSg-% SW 1.04TH AVE
TAX MAP/LOT 2SI 1488 8700 SUB: swarisonsi qlvan LT- 28 BK;
LAND USE P
LOT SIZES
ITEMS NO: NO.
WORE; CLASS: NEW WATER CLOSET TRAP
USE TYF'Ec SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST. TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP. GRP. : R77 TUB SHOWER 17, GREASE TRAPS
DISHWASHER I
GARBAGE DISPOSAL t
NO.STORTES: 2 WASHING MACHINE I
DWELL. UNIT9: I LAUNDRY TRAY BLDG. DRAIN (DIA
FLOOR DRAIN
SINK - 3EWER kFT)
WATER HEATER 1 STORM/RAIN iFT 1
OTHER
REMARKSs
FEES i
0
W bleak PERMIT
N 16003 sw 104th Ave,
R E t J.yard of 97224 FIXTURES
PHONE (507) 684-6606 STATE TAX
OTHER
C
0 k.`.EN HANDL IN
N
T HANDLIN 'S PLUMBING
R 12220SW 8TH
A
C beavertion 01 q700"
r PHONE (503) 641 -5208
0
R REGISTRATION NO. 49052 TOTAI-i $154.S8
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 ———————————
of the TIVIC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIA ONS
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plans and PLR.UNDERSLAS
specifications and n compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city FLEE. TOPOUT
business tax permits This permit will expire and become null and
void It work Is not started within 180 days,or if work is suavencled or RAIN DRAINS
ahandnned for a period of 180 days any time after work has FINAL
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
.1...........'.
Parr rttee SrgnaturP
Issued By
I N�5VEU I I t-IN 14
t'EPARATr- PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANICAL PERMIT
CITY OF TIGA RD &'C PERMIT NO. : MELS
C17YOFTWARD
001GON / / �, a
COMMU14ITY DEVELOPMENT DEPARTMENT DATE ISSUED: 14004=7
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 PR I M.PMT.NO. 870166
/
JOB ADDRESSs 194-OF " SW 104TH AVE
TAX MAP/LOT 2SI 14BEf 8700 SUB: swar-isariii; c-n-w LT: '2L-.! 01
LAND USE
LOT SIZE:
I TEM i NO: PAO
WORK CL_ASS a NEW FURNACE' I OOK. I AIR HANDLR <'10
USE TYPE: SINGLE FAMILY F'JRNACE 1OOK+ AIR HANDLR 101<
CONST. TYPEt VN FLOOR FURNACE EVAP.COOLER
OCCUP. GRP— R3 HEATER VENT FAN
VENT VENT.SYSTEM
PLR/COME' 4*.3HP HOOD
NO.STORIES: 2 BLR/ :OMF' 3-15HP INCINERATOR (DOM
DWELL.UNITSi I BLR/COMP 15-30HP TNCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30--50HP REPAIR UNITS
MAX. INPUT PLR/COMP 50+HP OTHER
FIRE DMPPS? GAS PIPING OUTLETS 1
HIGH PRESS'
1--nW 12R9zSS,.-,
REMARP'St
C, FEES:
w BLEA1,-,,: MORGAN PERMIT $10. 00
N 16003 SW 104TH PLAN REVIEW $9. :713
E
R tigat-id or FIXTURES $27. 50
STATE TAX $1 .198
OTHER
N
T SYSTEM-01RE
R
A 14444SW FERN ST.
c L i 9a rd or 97223
0 PHONE (503) 626--9780
ST REGISTRATION NO. 3en62 TOTAL.: 048.75
This permit Is issued subject to the regulations contained in Title 14 RECEIPT NO. Si- J ;L
of the TMC, State of Oregon Specialty Codes,toning regulatiors
and all other applicable codes and ordinances, and it Is hereby REQUIRED 114SPECTIONS
agreed that the work will be done In accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and POST & BEAM
ordinances The issuance at this permit does not waive restrictive ROUGH-- IN
covenants Contractor and subcontractors shall have current city
business tax permits This permit vii'll expire and become null and F I NAL
void if work Is not started within 18C lays,or If work is suspended or
abandoned for a period of 180 :ays any time flat work has
commenced It shall be the responsibility of the perr i lee to assure
all required Inspections are requested and apnrovu(
0
1',�rgiltev Sign r?
Issued By
CALL FOR INSPECTION 639-4175
S)PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWER PERMIT
CITY OF TIGA RD h4c PERMIT' NO. : SE8701,,,9
"YOF1111FAM
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639AI75 DATE ISSUED:
P-PTIM! RMI' Wn
JOB ADDRESS& 16208 SW 104TH AVE USA NUMBER: 34597
TAX MAP/LOT 2SI 14PO 81700 SUB: s�qarisons g31eri LT: 26 110::.
LAND USEo
LOT SIZEn
(",ECT I ON 1 2 TWP: I s RNG.. 1W
WORk, CLASS.- NEW
USE TYPE: SINGLE FAMILY
The iaF,olicant; agrees to comply with all rules and regulations of the Unified
Sewer.tge Agency. The permit expires 120 days from the dates 18SLIed. The total
aMOUt-It paid will be forfeited if the permit expir-es. The Agency does not guar—
antee the accuracv of the location o-� the side sewer laterals. If the sr.!Wer is
not located at the measi-iremi-rit giy2en, the :.nstaller shall prospect 3 feet in
all directions from thp distance givers. If riot so located, the installer shiall
purchase a "T.Ap arid Side Sewer" Permit and the Agency will instoll a latet-.41 .
INSTALL. TYPEs BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITSi 14 TENANT IMPROVEMENTo
DWELLING UNITSt I
NO. OF BI_DGS. % I
FEES:
W BLEAK MORGAN PERMIT $35). 00
N
E 16003 SW 104TH CONNECTION CHARGE $1 , 100. 00
R t igard or 97224 I.-INE TAP, INSTALL.
PHONE (503) 684--66U6
OTHER
C
0
N BLEAK MORGAN
T
R TITAN PROPERTIES INC.
A 160039W 104TH
C
T tigard or 97224
0 PHONE (503) 6S4--6606
R I REGISTRATION NO. 3055113 TOTAL: $1 13M. 00
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances. and it Is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the planE and ROUGH—IN
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 respun31bility of the permittee to assure
all required inspections are requested and aporoved.
Per It J
Issued By-
CALL FOR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CHECK APPLICATION
PIAN CHECK 0
PERMIT i 8
DATE ISSUED
TAX MAP/LOT .� S/ / V (3� U�>
JOB ADDRESS: �� � J �t� D 4 _
LAND USE: / ,
VALUATION: _ _— SSTBACaCB: FRONT: ��, RP1B: -
LEFT• ;ZRIGHTt_ _�
WORK CLASS: /�/v•,• HEIGHT: /fir TOTAL. AREA: .
USE TYPE: `�/,r FLOOR TOAD: L/U _ 1ST: 'b z-
CONSTR TYPE: HEAT TYPE: ��4 7 2ND: _
OCCUP GROUP: DWEUNNITS: / 3RD:
OCCUP LOAD: NO BEDROOMS: ) BASEMENT'
NO STORIES: — NO BATHS: GARAGE: �c�_�
IMP SURFACE: —
APPROVALS REQ'D SPECIAL NINES ITEMS RE UIRED
PLANNING:
REISSUE OF: 1��SS LIST SUBCO RACTORs:_
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS: _
OTHER: SEN LND.• TRUSS DETAILS:
--- — PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER:
COMMENTS:
-MOUNT
OWNER10-4.12 Building Permit Pees : SU
NAS; T/ 7� , �/-v��, C uv p 10-431-600 Plumbing Permit FeeR
NAME:ADDRE5S: �ej G> jy 10-431-601 Mechanical Permit Fees ����
10-230-501. State Building Tax (5X) : �c•J, �>
10-433 Plans Check Fee
PHONE.:_ _ 30-443 Sever. Connection (20x)
30-202 Sewer Connection (80x) S 'S- v_
CONTRACTOR 30-444 Sever Inspection -_
NAME: 51-448 Street System Dev. Charge (SDC)
ADDRESS: 52--449-610 Parks I System Dev. Charge (PDC)
52-449-620 Parks 11 System Dev. Charge (!DC) ._
-'—`- - 31-450 Storm Drainage Sys'. Dev Chrg(SSDC)
PHONE.----- 10-230-5()S IED T (95%) s ----
-- ------ - --- 10-43, TRFD (5x) —.._
ARCH/ENGINEER 10-230-506 Washington County Fire #1 (95x)
NAME: 10-435 Washington Coul,ty Fire 01 (5X) :
ADDRESS: — 10-220 Amnrt/WedgewuOd s
PHONE: ------- ----
PRF'l'A1P
F,%�M- , a'�01 7
MICA _ $ '1 0/ PEC 0
nAT.ANCF. TIF 7
APPLICANT SIGNATURE • G' ���
Received nv•_ T)Rte Received: / 1. ��?•_ _�� ._ _ ._