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INSPECTION NOTICE
City of 1 igard Building Cepartrnent
P.O. Box 2397
Tigard, Oregon 97?23
Phone 639-4175
Type of Inspection 1 _.
Date Requested 2."12 Time -A.- A.M.-----P.M.
Address -_ 13 S w14" / C 7— ___ Pei mit #LI 211 o Z
-— - l�
Owner- Lot #_
i
Builder — �� -----— - ---- --- .-.- --�Vuy
The following Building Code deficiencies are required tp cRrrected:
--- a !r"f Aricy 4)
_mss s Ta CvM%rc�r 12! zl /v�wiy
Presented to `. ['.Approved
Inspector _ U Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
ga
t
I
y
fa
9
INSPECTION NOTICE
City of Tigard Building Department
P G Box 23397
Tigard, Gregor, 972'3
Phone: 6339-4175
Type of Inspection -
Date Requested____ Time A.M. P.M.
Address L ?-1D ��C _� .—__ Permit
Owner_. -._._ —- ------- Lot # ---�—
Bu''
TL. i+ owing Building Code deficiencies are required to be correctr 4:
Presented to t� ___ _ ____._�-__ Ji--Approved
Inspector - - ❑ Disapproved
Date �—
CALL FA REINSPECTION
❑ YES ❑ NO
SEWER PERMIT'
C17YOFTIFARD 4n"t Pl*-::IIMI*T Nth. : SE8911AS
G i C46 F wA ra
COMMUNITY DEVEL.CPMENT DEPARTMENT
13125 S.W.Ball Blvd.,P.O.Box 23397,Tigard,Omgon 97223,(503)6394175 1)h TE 1:S S L)F D 6/ 7/09
PA I H- PM L-NO 1139 11 9
JOB J32AI() SW I.J11J._ CT* USA NUMBEF47 *3 i.?
TAX MAP/1 01' RSI SUH: WILANHAM PAPK LA - 7 13I< :
I AND USE. : .15
1 OT SIZE :
ECT I ON: k?I% IING : 1.w
WORK CLASS : NEW
USE': *T*YPI:-" : SINGLE FAMILY
C^UMPIY With Ilk'.]. 1-1-13-evi al-Id theo11.11-lifi.eii-I
sleweo,irlige Agc.ijocy . 7*hC.? re-mit eXI.)J.I-ea; 1.20 (Iiayis Trom thcj cha t vA i tit it,I.,.t ii . 111ch totak].
IIL In(.3 U 1*1't, 1.)aL:1-d 141:1,1 1:)P 42 C I I,+C.?J.1,V#cI :1.4? t I-I e I:)e v in:1.t el X r-e 1411P Agency doe-vi not
'ante-ei the of 1-1-1ce Inctaticin of thci? silde %ower- If
licit locc.-Lteml att the jilivell , thea Lirmtmo.Ir-i-, %ti,iij.j.
t
n11 dir-ec-tion% tl.)I-# dit"tal-oc!c? gj.ve?(-I - If not To lacmted , thv? inistiallei- i1flial,11
ck Ell-l(j Sidv!� Saweir", Pol,lnii. aiiid tho� Agt4ncy will in%taLl]. at
BUILDING' SEWED IMPERVIOUS AIIE'A:
FIXTURE UNII'S : 1'�'.AANI YMPN(:)VE'.MI;:-'N1
DIWIFLIANG' (JNII'�i : I
N('.) OF* BLOGS ,
0 FEES
w El L)1:4('..;1::,.t-i S SyL.Vr1C.,)1,E-P PE 94m]:1 $3)5 . 00
N BOX `506 CCINNEXTION C>IAR('.,F!
E 111111 1.00 .00
R 11JAI ATI,N OP 97062 L.3:NE--' I'AP INSI'Al L.
PHONE (503) 331HI-2697
C
0
N BURC-AZAS SYLVE:S*rE*.R .joE:
If WE'S11:11:1.0 HOMES I Nil';
R
A PO BOX 506
C TUAI All'N OR 97062
T
PHONE (303) 538-269-7
ii RFi:(.,-,:rS'TPA1'ION NO. 5113.9,el 1'01'AL *1 . 133 . 00
This permit is issued subject to the regulations contained In Title 14 NO.
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby INGF)E(,-TA'ONS
agreed that the work will be done In accordance with the plans and WOUGH--I N
specifications and in compliance with all applicable codes and
ordirittrices The issuance of this permit dot I not waive restrictive
covenants. Contractor and subcontractors shall have current city
t)usiness tax permits This oermit will expire and becurne null and
void If work is not started within 180 days,nr 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.
0011ttee Signature
Issued By : Al 115
:iPSP�'---C-tTON 639
SEPAnATE PERMITS REQUIRED FO I WORK OTHER THAN DESCRIBED ABOVE
--- -- - A
=ANN
PWIM- PMT-�O- A9111-1n9
PLA)MBIM'.., r-)I;:IPMI:T
PEEWMIT NO . : 1:4.091.1.416
CITY OF TIGA RD
CITY Oi n—rA RD
COMMUNITY DEVELOPMENT DEPARTMENT 1:)A*Y*L-'. ISSUIED: 6/ 7/89
13125 S.W.Hall Blvd.,P.O.Box 23.197,Tigard,Oregon 07223,(503)6394175
JOU AUDARSS : 1*32.410 5W K.L.1...1 ("T
'TAX M(.)I:)/L-C)I' 125i1. 2CA) 1300 SUP - PURNFIAM F'AfW L.T ;7 BK :
LAND Find .:a
LEIT SIZE :
3:TEM: NO: NO:
WE44K (:LASS : NE.0 WiATEP C11-043ET 3 TPAP
USE TYPEE : P7AMILY (. PINAL BKF'11-01611 I:-"WVNTP
CONST .*T'Yl:)E::: VN I AVOPATOAY 3 TPAP PPIMEP
OG(:1'tJP . GPP. : P-3 TUR IiHOWEP 2
G 4MAGE, DISPK.)GAL 1.
NO. STORIES : a WASHIN(3, MACHINE' 1.
DWELL .UNIT"i : I I AUNDPY TPAY SLDG. DRAIN MIA
DPAIN
SINK I SEKWER (F T)
WATEP HEATEP :1. STOPM/PAIN
OTHER
PF:'.MAPKS :
F I E5
0
W SYLVESTEP JOE. PEPIVIXT
N BUX 306
E . F1]:XJ1J.Jr4I::*Cj
R TUALATIN OR 9706i��.
1:*,I-I(JNIL'.' (503) 538-4`1697 wTATIE 'r A X $6. 6.3
OTHEP
C
No WULFF 1)EN N:r.S
T WILSONVI'Ll E PI LJMEA:N('1'$
R
A 241'733
SW 6511-1
C til,, llittirl mi- 97062
T
0 PIHONE: (.'503) 63113-8291
NO. '3PP22 TOTAL: $139 . 13
AKC /
This permit is issued subject to the regulations contained in Title 14 RIEXLIPT NO. /' /1/c
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances. and It is hereby PI:-:QU:LPFD INSPECTIONS
agreed that the work will be done in accordance with the plans and PL.H.UNDEAGIL.A8
specifications and in compliance with all appli-able codes and POi!!iT & PEAM
ordinances. The issuance of this permit does not waive restrictive WAI 11:41 1- INE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and PI TOP011.1111
void If work is not started within 180 days.or If work is suspended or PAIN DRAINS
abandoned for a period of 180 days any time after work has F I NAI
commenced. It shall be the responsibility of the permittee to Mum
all required inspections are requested and approved.
,Per4ritSl4gnature Cly
ISSLlpd By
GALI
--W T
F)N
SEPARATE PERMITS REQUIRED JOR WORK OTHrR T14AN DESCRIBED ABOVE
M�w
MECHANICAL 1:)E:IQMILI'
C11Y OF T167A RD C iL PEPIMIT NO. : Ml�:-'891.1417
COMMUNITY DEVELOPMENT DEPARTMENT oftom l')A*Y'r.-- ISSUED: 6/ 7/89
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Ore.gon 97223.(503)6394175 I')PIM- PM'1*-N0— Rcip I 1 09
JOU ADI)AF--:�;S : 1,3240 5W 1-111 1 C
TAX MAP/LUT 25J. 2CD 1.300 SUFI. BURNHAM PAPK L..1' IRK
L.ANI) UbE : Rlel.3
OT ti]*ZE :
'.[:TF*M : NO ! No
WORK CLASS : NEW FURNACE 0.00K I ATP HANDI-P <10
USE TYPE : SINGLL. FAMII Y V-1.31NAGE," J.00K+ AIP HANDI-P 10K
CONST .TY1:)1:.:: : VN FLOOP F'tJPNACk:* L.KVAP.
(JOCUP . GAP. : P3 FWKATEP VENT FAN
VENT VENT . 5Y5*T*F.-.-.M
BLP/COMP (31.41:) HOOD t.
NO. 2 131 P/(:,(:)Mp I NC I NEPATOP(DOM
DWELL . UNIP.; I 01L.R/COMP 15-30HP INC INEPA'TOP(CUM
F'UEL 'T*YPF:.: GAt:` L)LIQ/(.UMP 30-1-5014:1 REPAIP UNI115
MAX . INPUT 8LA/COMP 504-HP UTHEP
F'TALK 1'.)Mr)1745*? LVAS PT. OU11 E:.'T -*) I
1-43- PPI':r5G?
PEMA11105 ;
0 FEE5 :
W I3Ur4(;I::'5S SYLVE3TEP JOE PE11MIT *11.0 .00
N 1:)0 BOX 106 PLAN PEVIEW $1.0 .He
E
R TUALATIN OA 197062 FA:XTU $33 .50
PHONE`.: (,'503) 5*.30-2697 5TATE TAX $
O*T*Hr-.::I:l
C
0
N
T SUPPE.ME COMFORT HF.::A'TIN(,-)
A 9425 SW COMMEPCI:.: C'11PICA-E
C w JA.%m n vi 1 1.e a r' 9,707
0 T
PHONI'-: (503) 602-1.985
R AF.X315TWATION NO . e1.e9p
This permit is issued subject to the regulations contained In Title 14 Ill:-.*(.F.:-'T.P*T NO.
0 the TKIC. State of Oregon Specialty Codes, zoning regulations ......
anJ all other applicable codes and ordinances, and It Is hereby PEQUIPIH:1) :INSPECTIONS
agreed that the work will be done in accordance with the plans and (3A5 1...I NF::
specifications and in compliance with all applicahle codes and PO!3'r 9 13EAM
ordinances The issuance of this permit does not waive restrictive POULH----*1:N
covenants Contractor and subcontractors shall have current city
hociiness tax permits This permit will expire and become null and I::J NAL
vold 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.
ppr ee
Signslure
Issued By
TNEW-5F.-T-1-1.514 639-41 11:i
SEPARATE PERMITS REQUIPED FOR WORK OTHEr, THAN DESCRIBED ABOVE
CITYOF TIGA RDF1l1J.L..r>]: . : VIEWPERMS*7. No80391109 L--
COMMUNITY DEV'-LOPMENT DEPARTMENT 01"M DOTE ISSUED: 16/ '7/e9
13125SW Hall Blvd.PO Box 20397.Tigard,Oregon 97223.(503)639-4175
PRIM. PMT .NO. 891109
A-1OI3 ADDPESS : 13PAO 5W 1-1111 1.- (,"1'
TAX MAP/I"OT 25-il 2CD 1.300 SUR ; DUPWIAM PAQK 1-T :
I..ANI*.) USIZ
I DT Sizi-K: VALUAI:CON: SETBACKS
FRONT: I.?0 11:4.*--Ali:
WORK (:LASS : NEW OWEI I.. -WN I TS : 1. LEFT: r3 PIGIA"I I ,
USF..: I*YPI--* : SINt-,11 E FAMILY NO. CIEDPOOMS: 3 1:.:X'I* WAI.J.- CONST .
CONST . TYPE : VN NO. 1,-*JATH5 : 5 N S :
OCCUP. G14P. P3 PROT .0F)I;.:-'NINGS :
OCCUP.LOAD IN S W
TOTAI... APEA: 1.P 38
NC). S TO PI E S 2 1,ST: 652 1141011F CONST : C1 PIPE PET,?
I-R.A:GHT : 20 2ND 586 APEA SEPAW? PATI:--"D:
BASEMENT'? 3"D : SEPAP"? [TAT;-r):
Wi7ZANINIV? FiWiEm I T
1:q_001111 LOAD: 00 (01APAGE*: 4.100 1:;'1 141' SPRKLA? ALARM?
FLOW(GPM) DF.-*-IT-X,*T7
1.41-'AT 'Y*YIA:.' : GAS HDCP.ACESS7 CORR?
P1 AN (.J-IEC;K BY: t,lt
PrKISSUE: OF NO.
LAST PI---ISSUE
O SUPG'ESS SYLVES7 EP d0rii: PEPIVITT *307 - 00
P0 HOX 506
11:1 AN PEVIEW 1111111199.75bb
E TUAI Al IN (In 97062. F-114K DI"-:PT
R
PHONE:: (503) .5ZA4:3-2697 IATE T A X $15. 35
U*T'HI*r:r4
C DEVELOPMENT GHAPGES :
0 HUA(.-)ESS SYLVES VE.114 J01:'. SDC(STOPM) $250 .00
N WliSTFIEI D HOMES IN(:,.
T $600 . 00
R PO BOX 506 PDC(*i3 112-150 . 00
A TUAI-ATIN OP 97 0 6r.?
C 111PEPAID < *100 . 00>
r PHONE (503) 338-42697
0 i-4E.cT
;IsPA1IL)N NO. 571.9,el TOTAL :
R $1 —152 J. 90
RFCA:JP*T' NO, /0 L/
This permit Is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations INSPF.(:',-T-:I:ONF5
and all other applicable codes and ordinances, and It Is he,eby FOCITI NG,
agreed that the work will be done in accordance with the plans and SEWErl
specifications and In comodance with all applicable codes and FOUNDATION WALI rIAIN DPAINS
ordinances The issuance of this permit does not waive restrictive POST & DEAM WATF-J4 LINE
coven; i s. Contractor and subcontractors shall have current city 11*-11-1:3 .UNDEPS11 An CITY APIPPM40.41141
husinew,tax permits. This permit will expire And become null and SLAr-.:,1 F: T NAI
void It )ofk IS not started within 180 days,or if work is suspended or
abano.ied for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to aSSUrp F;I A M I N
all required Inspections are equpsted and approved. I"I
LINE
.ol INSULATION
i
HIPP Signature
Pe ".8 -
Issued By 1hil-WEX110N 639-41111'71j-
'SEPARATE PERMITS RE01 MED FOR WORK OTHER THAN DESCRIBED ABOVE
J�.
OFTIGA D PLAN CHECK APPLICATION
.Iry cx 11Caim PLAN CHECK 11
COMMUNITY DEVELOPMENT DEPARTMENT
CITYRD �
PERMIT N
/)1]SSW-1/.481�!-P.O.0oK 233397.Vgmd,Orpon grM.(W)63941n "l DATE ISSUED _
JO3 ADDRESS: 1y J /7 7(C C_ ? _ i AX MAP/LOT % y 0
SUB: 1!uIPNNAM R/l LOT: ` LAND USE: 4 '
VALUATION:
SPECIAL NOTES
OWI fER r` 4
REISSUE OF:
NAME: .a E-`� a "> .
ADORES .3 /' r LAST REISSUE: _-
�/.!/�f FLOOD PLAIN/
SENSITIVE LAND:
PHONE: •
APPROVALS RE• U�IREO
--~ PLANNING:
CONTRACTOR S �' �T ENGINEERING:
ADDRESS: / .�` .J/.� — FIRE DEPT —
v OTHER: -.
PHONE: ITEMS REQUIRED
LIST/SUBOONTRACTOR'i:
ARC11/ENGINEER BUS TAX:
NAME: / ' -- CALCULATIONS: -�_--
ADDRESS: v� b / i.� TRUSS DETAILS:
PARKING PLAN: _
L' LANDSCAPE PLAN:
PHONE: to S O 1'
OTHER:
COMMENTS:
7
i
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
I0-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees _ —
w�^ 10-230 01 State Building Tax (5X)
Building
Plumbing
Moch
10-433 00 Plans Check Fee _� __L ►1
Building
Plumbing
Mech � , -
- -- �, ✓J
30-207 00 Sewer Connection _
30--444 00 Sewer Inspection 3`
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 09 TRFD
10-230 06 Washington County Fire RI (95X)
10-220 00 Amart/Wedgewood
10 I-At
A PI_ ANT SIGNATURI
Received By: .L Datr. Received:
cn/3587P/1BP