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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Cregon 97223
Phone: 639-4175
_ -
Type of Inspection ___ _ r,C-" ----- '
. J
Date RecTime__A.M.. , P.M.
;uested_ �
Addresr ��•`� =�(1 1111 y " «�- C Perrnit 9� —
Owner_– _ ��_ Lot
Builder r The following Building Code deficiencies are required to tip corrertd&
Presented to -----. ___. ___.
Approved
Inspector F Disapproved
Date -----
CALL FOR REINSPECTION
!� W
INSPECTION NOTICE
City of Tigard Building Departme. t \�
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6399-41-75
Type of Inspection �-&I O — ---
Date R aquened—�� I Time �� A.M._ _P.M.
Address 1 /L yC{�,G4`� Permit # o
Owner r f Lot #
BuilderThe following Building LCode d iciancies are requirerJ to be corrected:
"
Presented to ___ _— ❑ Approved
Inspector z_ 4 sapproved
Date
CALL FOR REINSPECTION( "'YES----0 No
' INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1 igard, Oreqon 97223
Phone: 639-4175
Type of Inspectiony~�//
Date Requested Time _ A.M.(—117P.M�.}
' /
Address —Z d Permit #_ � LL
Owner_ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _�___ `� ❑ Approved
Inspector Disapproved
Date
CALL FOR .REINSPECTION
0 'YES ED NO
PERMI 11'
CITY'OFTIGARD 2K PIS EMIT NO . : PLEWOOM.?
CRY&TWAIM
COMMUNITY DEVELOPMENT DEPARTMENT
°"°°" DAIE IsiSUED: 3/.
ee2.0:1./a 8
I---'PIM. PMT .N0. E180
13125 S.W.Hall Blvd,P.O.Box 23397.Tigard.Oregon 97223,(503)6394175
,-JO0 ADDPEW-.) . 112's.,J0 W MTL.'..V.i:k;:W (:"I*
I'Ax MAP/1...0'1' 151 13VOO !AJE-11 : M-1.I. I.EW I-T :3a OK:
I AND USE : 14 Al. 5
LOT I.i.(ZE
NO:
(A.A!il-i : NFU WAI'E'R IU CPA.::7 3 TPAP
IJ9E TYPE: !:;IN(.2,I E FAM11 Y U14.1NA1.., B01 OW V'RVIN T'P
GOW-s'l IYI:)F,:: : VN L A VORATOPY PRIME.A
MU7UP .Upp : nzi TUH SHOWER 3 GRE:AfiE TPAF�(i
0151-41AIASIAE.14 :1.
GAPUAGE: DISVIOSAL. 1.
NO V WASI-41W., MACHIM; J.
DWEA L. UNT VG I I.-AUNDWY VPAY lX3 . DAATN 11DIA
ll=L..UOP LAW)I.N
51 N K 1 5EMI-A-1 (F:,*T,)
WATF-1,4 I-R-All.111
W-1 NK i.,
M1.1 L,L.R f ON hEE:IaMa' 1 !h1.:'.5 00
\/V 1 ,(170 N 81-1,1D
N I,W 1:1 m 0 cIt. "971'e10 V,I X 11.1 PIZS
11,503) !-5 TWIT!* TAX
01 HE:n
' 'I 01:11CilIN ri-IOMA5
7 3 WJIX 1.40A 1.
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C 01-10NE' 11!503) 3,"1Y7 6897
T 1 ':i*Y'PA1 'I(:)N NO . AF-11955 I DIAL . 16F . 711!1
0
Pk".-T,lEIPT NO,
............................... ..........
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
11F:'0I.JJ:PI:J.) INSPU'VIONS
and all other applicable codes and ordinances, and it is hereby PL 1.3 ,I INDEA:MLAUl
agreed that the work will be done in accordance with the plans and PWa Y' S ClEAM
specifications and In compliance with all applicable codes and Wil
ordinances. The issuance of this permit does not waive restrictive 1:11-0 . 'TOPOLIT
covenants Contractor and subcontractors shall have current city
business tax permits This permit w,11 expire and become null and 1AIN IM-MINvi
void it work Is not started within 180 days.or if work is suspended or I T:NEIL.
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all requ d inspections are request t and appr ed
Permittee Signature V-t FOA
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C0*01TY OF T167A RD 1:31.11L l)TNG,
131.18
CYOTwAWm4mrr NO 130U1131.
COMMUNITY DEVELOPMENT DEPARTMENT 0"Oom 00YIE, '155UED: 5!20/80
13125 S V Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)6394175
1.2.35 0 V T I W (�T'
I Ax M A P/L,I.)I 3-11-Al 1 -ii-WO SUF3. 111 L.I-Vj:r-'W L.T :V? DK :
LAND 11-4-1-1 . 15
Vol IAJAIJON. $ 9P A4,70 '«;E.T 1-.)A(:'I*l Lis
F PON Y, : V.0 PEAR: 5
WORK (:'I WPI . NEFW L)WEA.I... .LJNI'T'S : 1. LEVI' : 6 111:GH I . 60
U51il' 'TYPE'. : FAMH.-Y NO 17E:II)ROOMS -q E,X I W(111 I
T yl*,E : VN NO . HA*1+4G , :5 N 5 E, : W
JP GRID Mi 1:4101 UPENJ:N(.4'i :
L.OAD N: 5 1.:. : W :
101 Al AREA le?0 1.11()
NO 5 T 0 POT E"S V;1, , 3.0901 NOUP: ()()Ns T . C F1141F PL I"?
1.11*-*.: R3U 2ND, 9,5 6 ARCKA !:iE*T"AW'( PA'T I-.:D:
BASE Ml'.%:N'r'? sill) : DG(".,l.JP PA'f'E*D :
lvll;; ZZANTNE'? DA5l'-.M I I
1:1.1.001-1 LOAD /10 535 F 13)E SiPAKII-147 ALAVIM?
1:L Ow f(3 PM> DE.I KLA''? '(V
PIE-ViSUE-i. NO .
0
W M 1 L L L:Q VOM PIP:PM1 V !I1412. 0
N :1 4*.rIh1 N OLVIII p I AN Pin.'VI.I:.:W $P 6 El
E
R nlivr,waad cll• 9711-10 1 [NE I)EIT"T
I1::'l,-IONl:;' (tiO311 W.?!)- 6167 I A'1 rn: 'TAX !UPO . 60
C
0 Mil L.V*-'P7 5;DC( 1.5 FORM) 1111P,50 . 00
N
T T'(JM MILL.EJ4 ULD14 , GrX,i !il MAE 1' 1111600 . 00
1.1179 IN 45I.-IrEPIA1000 81-VO F'1.M t M,1. > *250 , 00
A
C 1 9,71,ell) P PE:P Al.r)
$J 00 00>
T 101\11:: (503) 625-4.0.67
0
R I.!1 (.115UPAI'TON NO . 'TUTAI, $1 ,'700 . -10
This permit is issued subject to the regulations contained in Title 14 ..........................PIECE.T,P T. NO 3/
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and c,dinances. and it Is hereby I t PE'D 1W;Pr--.[*,'T TONF5
agreed that the work will be done in accordance with the plans and if I I 'r.N('. 5EMEP
%pecltications and in compliance with all applicable codes and I iiIJrIE)A'T*'r0N WAL.I.. PAIN D1101WIi
ordinances The issuance of this per ilt does not waive restrictive 1'():1,11 & (31::*0M WATER I-INU.
covenants Contractor and subcontrat.io,s shall have current city
business tax permits This pp.rmil w1l expire and become null and PL 8 .UNDrWil-A8 ('.'I: T'Y APP"t'31-1 !M
old it work is not started within 180 days.or It work is suspended or 171.AN F I NAI
ibandoned for a period cl 180 days any time after work has r,i..Ili . rorou'r
-ommenced It shall be tl,-,e rponsibility of the permittee to assure 1: U-MM NG
all required ins ec ns 9"st
ad and approved
CW0 1.1 Nr*
is W1IJI-A*T*I ON
130APE)
S11 alu
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
111:.'CHAN 1.CAL., PEERM11'
CIIYOFT167ARD AMX'T' NO , : ME880883
CITYOFTWAIW
MOON DA'I'E: 1:15SUED: 5/P-0/68
COMMUNITY DEVELOPMENT DEPARTMENT PP1M . ISM 1'.N0. (E1081:31.
11125SW Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.1503)639AI75
12350 Sw M1.1 I...V:LF..w (:"I*
1 A MAP/L.11:111' 151 '31GE3 1.3200 riAH3: M11 I V.I.Ew L'V : 3;.,2 EIK :
I ANC) U51::: : PA.5
011' !:i 1:1:E:: :
NO NC
WIjkl< CLASS . NI:J-J FURNACE <100K Axn FIANDLIF-4 <10
USE 'TYPF' FURNACE" 1.00110, 1 AIP HANDLP 10K
CONI-41' , l 0 VN FA-00A r I.JPNAC[."* r'.KVAP .
13.1".. P3 O'EI-1 VEN'T' FAN
Vl:::N*T' VIEW , SYS'11KI'l
SL IVC <:31-11:) 1-1000
W.) S0*01:111.VS "LAI/(:OMP 3 3:Nl1:.:I'NEAA'Y'L)P(IX:)M
DWE.I.A... . UNITS : 1. 141-11/COMP, 1.5-301-11P INCUNEPA'I'011(C(JM
(.-I$A S PLr1/C0MV" 30----b0I--II:) nr.'.:PA1P UNITS
MAX . '.I:NPIYV UTHEP
OMPIP-45"? GAS PlID11NIG, 01J*1'I—r.-*-.'T*5 I
I ()W
I�i MARKS :
ifo:i.'T J.'R I- TOM III r0 . 00
0 1 Al-fF) N
IN 1:"I,AN F-IFEVU...-:'W
N alim r W(3 a d
$15,15 00
E
303 6e?5 61 h"/ IIAX P5
C fJ
0 1' f IF! (;I:AS N.- 1 1 (--).1 1CD
`4 ON
I:)N
T
P
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C I 'l 'I i(Al::: 115r15-1491,9
"101 AL
T • )N 40. 1018 28"15 $")6 '50
0
R
PEXIEIPT' NO .
..........
This permit IS iSSLlPd subject to the regulations contained In Title 14 V.INS
of the TIVIC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It Is hereby (.')AS LANE
agreed that the work will be done in accordance with the plans and Ml-::(.',1-4f-)NC'I- CSYS I'F.::M
specifications and in compliance with all applicable codes and P051 & F,EAM
ordinances Thr Issuance of this permit does not waive restrictive F T N A
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void If work is riot started within 180 days.or If work is suspended or
abandcned for a period of 180 days any t;-ne after work has
commenced. It shall be the responsibility of the permittee to assure
all requIrAd inspectionpirr equest d d approved
r0
C/f:) natu
L I PI
(,!ALL. r-131:4 INSPEC1MIN 63" I I
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
st"WC'M PEAMIT
CITY OF T167A RD PERMIT NU. : SE88088A
�CtrrornGApa
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON ISSI.M."D: 5/20/88
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 91223.(503)639-4175 PAIM- PM'Y* .No. 880881
J(Js ADI)PE.'s"J : 12350 SW MILA.VIE.A4 CT 1,JSA NLIMSE".11: 035170
TAX MAP/[ 01, 151, 3/11CP 13POO SLID: MILLVII.-M LT :32 EV .
I AND kJISEK : 1.11q . ".11
LATT SIZF'. :
SECT I ON'. 1314 'MVI . 1.ql 1ING,: lw
W017,41K CLASti : NEM
L115E.. 'TYPE: GING1 E FAIIII-Y
I flrr' "i.ppl.:6 ifigro?0*1 1,o can to 1:0.'q WI tII if),I I 1-1-11CIPA 3110 1"--flitilal 1,1 on% of 1.1•)v LIt• I-F:1 ce d
Sowi,�rrqen Aganoy qaxpi.relli 1.20 daym from ti-io clato tsmi.%ed The total.
W in cl IA 1-1 t E.i0A d w J.3 1 1:)r,1 f rl Jr, Coil'fmd if ttle) permit 1114XL11111"47!111 , yh& A!;Iei-)C'Y d0V-VA not gL11I
aLlIteon thge mr...c.n.1riRoy 1341 0-Ife lmcfllft;Lorl n.f' t1*14--.7 91J.d" %inwer Imtorifil,11% . If M-10 f5ewel" J.ill
llot lilt t1)0+ given , the :1,nq;till].Iwo' ishill'! T f oys)t J.1-1
a0A. dirvattAonw fi,arn t h o qi.ver.n , If not. iso lor.attbit d , thiv.% i-liflit4k]—ler 141-IMI.J.
U " I'llip ALIld 5,iclvit Srow"-W' li1vi)i,mit, 1411-11d 010 A901-1104 Will. infilitill'IT at 1MLef".0
INS TAI I... . 'TYPE. : BiRLDING SFEWIFA TMPE'-AVJ.f'A.J':i AREA:
I;:AlX1J.JPF LJN- US : AJ'lPF40Vr-..'Mf-,:NT
DWI, 1-ING LINITS : 1.
No. or F81...1 c;% , 1.
F I.-:F--S
0 ITIM VAEP1,1111, 1111,30.11 00
W 1.q'78 N SI-Irr.PtAlor.) BLVD . CONNEC,"TJON CHA11GE $1 100 00
N
E shfv.4vwt:it:jd ol. 971/110 LME 'TAP TNSIAL.L. .
R PHONE* (503) 625 -616T
('11THEN 11111360 . 00
C MJ:l"L L E:1:4 TOM
0
N 'T Om MY L L.r..,:1:4 9L D1:1
T
R 1,q7H N SHE11WOOD BLVD
A ml a 1,W t)Cl d n r 1)71.010
C
T PHONE (503) iiie&-616*7
0 PFA.�.TSTNAIJAIN No 3T3 85 y1(:)1fAJ 1141 00
R
This PIRI'Mit is issued subject to the regulations contained in Title 14 ...."'"'•"'•'.•'"•"'•
of the TMC. State of Oregon Specialty Codes,zoning regulations r*;1Eq1JIPV'-:0 T11111SPIEr"I'ToNS
and all other iipplicable codes and ordinances, and it is hereby POLWA-11—I N
agreed thit the work will be done In accordance with the plans and
specification3 and In compliance with all applicable codes and
ordinances The iSSURnCe 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 it 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 requir d inspection ere.requested and approved
requ'r inspectio re I
1 11 �1'4
Pe I t t e6
P ignatur
'IQN tp-q L-Z!5
Issued By- CALL r .orl INSF:ILLI _&;�L
SEPARATE PERMITS REQUIRED FOR WORK OTHER 'THAN DESCRIBED ABOVE
7 PLAN clir-cK APPLICATION
PLAN CH CK H
CITY CSF TIGA RD T I H
CITYOFT6- 0) "FRM
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
____...___----_______-
13125SW I W1 Blvd. P.O.Box 23397,Tga"J.Oregon 97-M(50)&19 075 L.
Joe oDDRE": h,( i r CJ I Ax MAP/I_01
LOT: LAND L)',,i —-__--
VALUnlION: SPECIAL NOTES
REISSUE OF
NAMk.' v7A I le
ADDIAESS: 1 -7 JIV ), LAM REISSUE:
FLOOD III AfN/
SENSI I IV[ I-AND:
PHONE R V QU I R V'D
CONTRACTOR PLANNIN
VN(L"TNI LRING:
NAME: I LRF: DEP-1
ADDRESS:
0-1 Ill R
ITEMS REQUIRED
FVi0_N F LIST/SUBCONTR ACTORS:
ARCH/ENGINEER BUS TAX:
WA—M—E -- C11CULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
E' PLAN:
LANDSCAP
THONE'. OTHER:
-
COMMENTS:
PER1IT 0 ACCT N DESCRIPTION AMOUNT AMOUNT PD. DAL, DUE
10-432 00 Building Permit I-ees
10-431 00 Plumbing Permit Fees
10--431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing
Mech
10-433 00 Plans Check Fee A 6.5 1 1*v
Building
Plumbing
Mech
30-443 00 Sewer Connection (20%) u
30-202 00 Sewer Connection (80%) IC
30-444 00 Sewer' Inspection
51--440 00 Street System Dev Char-go (SDC)
52-449 01 Parks I System Dev Charge (POC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC,)
10-.230 09 IRFD (95%)
10-435 00 TRFD (5%)
10-230 06 Washingtcri County Fire #1 (95%)
10-435 00 Washington County Fire N1 (5%)
57-
10-220 00 Amart/Wedgewood
TOTAL
REC 0
APPI-1CANT SIGN
Received By: Date Received:
ht/358 Ill