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__ .6387 sw 1.04TH AVEM it -.
i
INSPECTION NOTICE
City of Tigard Buileing Department
P.O Box 23397
Tigard, Oregon 97223
Ph-)ne: 639--4175
L Yo ^
Type of Inspection � SSce-- -- --
Date Requestted -� Time A.M. P-M, ,
Address / /� �_ Permit 1�` / CJ
Owner_ _ _ Lot #--
Builder -- ------—The following Building Code deficiencies are required to be corrected:
Prnsrntod to �� �MPprOYOd
In.poctnr �� Dlapproked
l7:ite ''
ALL FOR REINSPECTION
Cl YES NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time_ A.M. P.M.
Address _ /&' 3'�7 2 �G f' Permit # n 7
Owner _ Lott #
Buildcr ___ — �'v /` L
'r'*e fr,lowing Building Code deficiencies are required to be corrected:
5 .5
Presented to n--- Approved
- fv
Inspector irk _ -__ - _--__ �`}"'�lfppraveded
Date .
CALL F R RE 'WTR)N
__ YEs I J NO
C111111111YOFTIOARD 31l1JTT*LMNING: bE6PMII
ci,4�6t) I-jl:.PmO . 1910
53
COMMUNITY DEVELOPMENT DEPARTMENT r 11dwom
112!,S W Hall Blvd.,P.O.Box 23397,Tigard,Oregon S/223.(503)639-4175 L)01'E ISSUE:D: 15/1.8/89
89±054
JOB ADDRESS : 16387 SW 104111-1 AVE
'AX MAP,/1_0'1' PSI 148B 12200 SUD: SWANSONS GI EN LT: 63 8K :
LANE) USE : P 7113
I-01 SIZE. : VAL.LJOTION: tN '70 9,i.27 SE11*13ACKS
f AONI* : 2.0 PEAP : 1.7
WORK CLASS . NEW DWELL .UNII'S : 1 3 PIGHT : P5
USE TYPE : L;INGLE FAM3:1 Y NO. UEDROOMS : 3 E.XT .WALL CONST :
(:'ONSI* . 'TYPr.-.': : VN N(). RA'THS : 3 N: S : E W
Occlul." .GPP. 1 1*43 PP01' .OPENINGS :
O(XUP.LOAD N E W
I*OTAI ()Pl:*:A: :1.580
NO. STOPIES : R 1.S'1' : E382 V40OF (:'ONS*T' -. F"IRE". FIET7
HEIGHT : r2 0 PND : 698 ANEA SIH PAR? PATED:
13ASI::Iml::.N T 7 3IQD : (X'(.'3JP. SEPAP7 PAI ED:
Ml:::ZZANINE.'? HASEM"T
FI 0011 L.OAr) : -10 GARAGE*: 390 F*IPI--- SPRIU-111? AL.ARM7
F11-014(Gl:JM) YE 5
V:`1. AN (.:HECK DY : r,:I.t
PEISSUE: OF NU. 890,r-,00
LAS'T' PE14351JE
0 F 11 E::
W 14,;AKUT 111113416. 00
N
E PD B(,.)x 68315 P1..AN REVIEW 00
R ALOHA 01.4 DEPT
ISI'A I E I'AX 3
1 ari-iEp
C
C, LA-VELOPMENI GFIARGES .
N 131 EAK M 13 1:4('36 N SI)C( S,r0PM) $250 . 00
T
IT'I AN P VIC.)PEI:4111.S I NG. C.1110c"ISTREE T) $600 . 00
A PU liAIX 60315 $250 . 00
C Al DHA [11A 97007 6835
T PPEPAID $410 . 00>
0 V`HONE 130*311 604-6606
R
I PEGISIPAII113N NO . 30558 11,01 F4[. : $1. 1-163.30
This permit is issued subject to the regulations contained in Title 14 PIHJ�EJPT NO .
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances. and it is hereby 14r.-(4l.j I IE 1,.) "INS -XPF
agreed that the work will be done in accordance with the plans and I 111INS
specifications find In compliance with all applicaNe codes and F00"i T NG' S E W E,F 4
ordinances The issuance of this permit does not v.aive restrictive FOUNDAYAJIN WALL PAIN DRA114t.1
covenants Contractor and subcontractors shall have current city POLO, & BE AM WATER I I NI::
business tax permits This permit Will expire and I.qcome null and PI B . UNI)EAGLAR ctl'y APP A(::1-I/
void if vvork Is not started within 180 days.or if work Is suspended or F 1 NAL
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to Fissure PL8. I'LIPOUl'
all required inspections are requested and appros-ed F PAM IN(.;
F 1:PEPLACA::
GAS I-INE
I NSI-)I.-.AI ION
Permittee Signatur GYP. F4 0 AP D
Issued By
63'; -117')
EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N
5EWEP PENKIT
C11YOFTIGARDPEAMTT NO.: SE891076
CIYYOFWA*D
COMMUNITY DEVELOPMENT DEPARTMENT DAI'E ISSUED: 5/18/89
13125 S W Hall Blvd,P.O Box 23397.Tigard.Oregon 97223,(503)639-4175 r)nim. i:)m,r.NO. e91053
JOB ADDRESS : 16307 SW 104'T'H AVE USA NUMBER: 037519
'T'AX 14DIS 12�'YIO GUH !;')WANSONS L.T: 63 I;K :
LAND
LOT SIZE:
SEC'TION: 14 rwi*.*,: air. IING: J.w
WOPK CI-ASS : NEW
USE TYPI:: :
The '!'PI'.)1J-catnt iill.gr-ivivin±!li tc) c!':)M[')Iy witi-i Etil rmle!a 011CI l`E!gL('I.Ut:i.Cljjj4 Lif tl-jil-
Auftlic.,14 . I'll'I CA 1:)eo 1-in:1.t *,It x 1:):L I"ciij; 1r 0 (1 aL y% -I'1,(:j in t 11(.� (i at t e j.16!i;tA"d . 'r h ci t ci t:a.3.
i:k in(.11.111 t r)i:0.(:I wi:1.:1. 1-.)G.b +4.1 V'F Oi't.e d 1.•P t h e r.)F.4 r in:I.t e x P J.I-Q 14 1 I'll(0 A()e r) y d
talitme the (:).P 1(1ciat.iiiri cif thc;: llicic± i6ewal., later'alvi If ti-liel l3ewel" :i'!;;
I-I(:I t 3.r)C.!4At*)cI ;at' the giveirl , t 1.1 e i 1.,43 L 0
.r !4 P, am rec!t 3 F
Io 0 t In
i91.1 dir-ec!tiariiii, Fl--(jtn thca (1:06tartrice givell ri 4:1 t.
I:)Vrc-,ha%e is `Tcq.) arid P01"InJ t ilkI"(:I the A g e?ri c y wi J.:11. 1 1')G t R II a 3AL t el r,la
I:NI"3 T'AL.L. . TYPF! SUII.J):r.NG IL-WE711
AREA
F.IXTURE: L1N:1:TS I 1::'NF)N'l :l.MI-44(:)VEML':'N'1
D W F.--'I I INC UNITS
NO 01:7 131 E)CS
0 FUIAK PE PM.111' 1111135. 00
N
W I-AO 8 X F>8;3:;±
(*,(:)NNE(.'T]:C)N $1, 100 .00
E ALOHA UP I LINL 'T'AP INS'TALL .
R
0 T*HE'1.4
C
0 BLILKAR M( P It...AN
N TITAN PROPENTiES T.NC
li
PO FA)X 6835
(A AL.11:11HA OR 97007 6831:`
1 "HONK (503) OvW-1-6606
NO. 3053113 TOTAL - $1 on
NO.
This permit is issued subject to the regulations contained in Title 11
of the TMC, State of Oregon Specialty Codes. zoning regulations AF:Q I Pr.r) :r S t$
and all other applicable codes and ordinances, and it is hereby .14 P-::( :L)N-
agreed that the work will be done in accordance with file plans and POW.A-4 IN
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcoc.fractnra shall have current city
business tax permits. This permit will expire and bacome mill and
void if work is not started within 190 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 repaired insciections are roquested and approved
Permittee*!gli'gure
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CM4 ME*CHANICAL PE'AMIT
C'TYOFTIGARD liara PMI*T' NO . : ME891075
COMMUNITY DEVELOPMENT DEPARTMENT Gomm DA rE: ISSUE:D: 513.8/89
13125 S.W.I iall Blvd..P.O Box 23397,Tigard.Oregon 97223,(503)6394175 PRIM. PMT .NO . 891.053
'3013 ADO14ESS : 163e'7 SW IOZITH AVE'.
1*()X MAF)/LOT 2SJ. J.11EID 12200 SUE' : SWANSONS GLEN LT : 6.3 F.)K :
I-AND U51-'.': 11TIDD
1-01' SIZE., :
ITE'.M: NO: NO :
WOPK CLASS : NEW F104NACE: <100K I AIP FIANDLA <1.0
USE. TYPE: 15INGLEK F'AMTL.Y F*(JPNACF-: 1.001<+ AIR HANDLA 10K
CONST .TY1:)I::..: VN FLOOP 1`:'LJPNACE: E-'VAP.COOLER
GRI:) . : A3 I-WATER VIENT FAN
VENT Vl--N'T' . SYSTF:M
HOOD
NO. STORIES : 2 I3I-R/COMP 3 INCINE RATOR(DOM
DWE-'LL. UNITS : I 1,15-301-1p tNLINEPATUR(COM
1::*L)E:I.. TYPE.' GAS E31-11/COMP 30--f.1110HP PPi-PAIN UNITS
MAX . INPUT ElL.WCOMP 50-H-11j) OTHI*71-4
141 DMPAG? GAS PIPING OUTLETS
HIGH PPE-'SS?
LOW I::'PE*SS'?
1.21,MARKS
0 1...V.A K M(:)H(.oAN PEF)M'I'T 411.0 . 00
W1:)L) BOX 603!11 1:)L.AN WEVIF:W I
N *..0 .88
E ALOHA Ow FIXTURES "C's•5()
R STATE' TAX 8
OTHER
C
0
N DEJ-1. HE:ATING INC .
T
R 15550SH PIAZZA AVE.
A C1 ACKAMAS Op 97013
C
T PHONE: (503) 2,e43 J.1 t3A
0 PE(.411:01:4ATION NO . AZT7 TOTAL: $:56 .5 6
R
NO. 1631%oS
This permit is Issued subject to the regulptions contained in Title 14
of the TIVIG, State of Oregon Specialty Codes,zoning regulations PEQJJ:j,AE:j) INE;PF;-'(:-1A:('.)N%
a .11 other applicable codes and ordinances, and It is hereby GAS LINE
agrb, ;that the work will be done In accordance with the plans And
specifications and n curopliprice with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city 1'YNAL
business tax permits This permit will expire and become null and
void It work is not started within 1180 days,at if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall he the•esponsibility of the permittee to Assure
all required inspections are requestea And approved
- A
Permit i, r-Xture
Issued By ICAL L FUR INSPI11t;1-10N jil;�—e -,r,*A
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PEPMJ:'T
CITY OF T'17A RD PEPMIT NO. : P1 89107,(4
Cff V�+0111111111211
C ;LOD
COMMUNITY DEVELOPMENT DEPARTMENT JIXTE I55L%.D: 5/1.8/139
13125 S.W.Hall Rlvd.,P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175 PAIM. PMT.NO. 1391.033
JOB ADDPI::.S'-.i : .1.631137 SW 104TH AVE
MAP/L.01' P51. 1.24813 12200 Fill-]11113: t-iWANSONS GI E'--*14 L*Y': 63 DK :
I AND .A-: 1.4 7P1:)
LOT SIZIli.:
NO: N(J :
WORK CLASS: NEW WA" ER CLOSE'T' 3 'TRAP
UtiE 'rYPE : !:iIN(b1 F: F'AMILY 11!#41NAL BKFA OW PPVN'T'P
CONSI . VN LAVC)PA'TOPY A 'TRAP PPIMER
Uc1C*UP. (;w,. : r43 TUB SHOWER 2 (.;l11::A.3F TRAPS
DISHWA5W
(.*-,API3A('.;E I)I5I::'O5Al. 1.
-
NO. S'TORIES : a WASHIN(.4 MAOHINE A.
DWIi-i-1.11.. .UNITS : 1. LAUNDRY TPAY BLDG . D14AIN (DIA
FLOOP DPAIN
'"INK
5.1 1 SEWER (F-1,11
WAT1;--'R Hl;---ATEP 5'J*OPM/PA*1*f4 (F"T'
o n-ut:n
Ar.�:MAPKS :
ul DI-F.':AK M014-'PAN PEWMIT *:1.n0 . 00
W Po BOX 61333
N
E ALOHA DIP IZAXTURL.5i
S'tA1'l:;: I AX tk i' ow
011-11EP
C WAT-T-5 KI.N
0
N 110ii'N W01"I'S PLUMBING
T
R 1-.)(:) 1:)(3X r.230925
A 11A. cir 97223
C
T PHONK IM�0311 601(4-6626
NO. 5011:1178 TOTAL : $1.•4'7. 00
REC',EIP'T' NO. 163Le'C-5
This prirmit Is Issued subject to the regulations contained in ritle 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. And it Is hereby PLS. UNDE-i'Wil. A- H
Agreed that the wo;k will be done in accordance with the plans and
,
specifications Find in compliance with all applicable codes and 1.)(* !'-.i*l' & 1131FAM
ordinances The issuance of this permit does not waive restrictive WATT-;'N L'.l`Nl"-.
covenants Contractor and subcontractors shall have current city 131.13 . TOPOUT
business tax permits This permit will expire And become null and LIMN 134AINS
void If work Is not started within 180 days.or if work 19 suspended or 1'. 1.NAL.
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
4—
PermitteeSig tireZ
Issued By U1t--1N!i[!W ;3
;�1 ION 69---_4"5
3-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
YTIG;A7
1� .. PLAN CHECK APPLICATh v
CITY OF V cmc o 11A11 1 PLr.{Q CHECK
COMMUNITY DEVELOPMENT DEPARTMENT / PERMIT N ID�Z
13125S.w.wcBlvd_P-o-ea•�7,ns«d-om:v«,9rM.(s`u163s-41rs DATE ISSUED
JOB ADDRESS:
-'ciX MAP/LOT .2 S - y B 13 /�azvu
LOT: LAND USE:
VALUATION: _
• . SPECIAL NOTES
OWNER
��i:'✓C� ' ,��_ REISSUE OF:
NAME:
/ LAST REISSUE:
ADDRESS:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE — G� 1���j�l' APPROVALS REQ IRED
CONTRACTOR PLANNING:
i ENGINEERING: _
NAME: �'i �+o.tl f FIRE DEPT
ADDRESS: OTHER:
PHONE: _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARC3i/ENGINEER BUS TAX: _
NAME: _ _ --- ' CALCULATIONS: - --- --
ADDRESS: — � TRUSS DETAILS: _J-
-- PARKING PLAN:
- - -- LANDSCAPE PLAN:
--
PHONE: OTHER,
_ _
COMMENTS:
PERMIT N AOCT N DESCRIPTION AMOUNT AMOUNT P0. UAL. DUE
8'iW!53 10-432 00 Building Permit Fees
�/p 10-431 00 Plumbing Permit Fees
8 I 7.5- 10-431 01 Mechanical Permit Fees
10-1.30 01 State Building Tax (5X) a�(i b eZ4,yb'
Building
Plumbing 7 ,
Mech a" - S ` // /U - ny
10--433 00 Plans Chect, Fee
Building
Plumbing
Mech
/a7G 30-202 00 ::ewer Connection -�/-`��-- - UU
30-444 00 Sewer- Inspection -3J - —:15-
51-448 00 Street System Dev Charge (SDC) ':�;C' a 400 ,
52-449 00Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSOC)
10-230 09 TRFO -
10-230 06 Washington County fire N1 (95X) _
10-2.20 00 Amart/Wedgewmiod
REC N —
APPLICANT SIGNATUPE -^—
kecvived By: Jam_ �. _ Date Received:
cn/3587P/18P