16555 SW MONACO LANE 1 �'�: .
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested TimeA.M. P.M.
Address _ L i lyl.,-,� s ,✓� ____ Permit
Owner --^—
_.- ---- Lot
Builder
The following Building Code deficiencies are required to be corrected: – —
Presented to Approved
Inspector ��� �
— ❑ Disaporoved
Date
CALL FOR REINSPECTION
U YES ❑ NO
INSPECTION NOTICE
City of Tigard 9,Jlding Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Ty,ie of Inspection
Date Requested r���d - Time. ��M, P.M.
Address Permit
Owner lot # __
Builder
The fallowing Building Code deficiencies are required to be corrected:
Presented to
—7-- ------- -...— �-�Approved
Inspector -- - n Disapproved
Date
CALL FOR REINSPECTION
0 YES 0 NO
i{
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 4^397
Tigard, Oregon 972.23
Phone: 639-4175
Type of Inspection t �LCCC/�c, ea
Date Requested ��� !}Tim Z A.M. P.M.
~tel
Address ,r�!�'2C.LG-� Permit # :��—
Owner -- Lot --_-_--
Builder
The, following Building Code deficiencies are required to be corrected:
Presented to 4 pproved
Inspector _—_ C7 Disapproved
Date Z lk� ,
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P ;J Box 23397 p
Tigard, Oregon 97223
Phone. 639-4175
L
1 .
Type of Inspection )/ J
Date Requested _ r l�� �! Time A.M. _P.M.
Address
Permit #t
Owner
Lot �
Builder
The following Building Code d0:..�enciar are required to be corrected-
.. y
7' 9
J
Presented to
A�iroved
Inspector �}"(
� � q ❑ Disapproved
Date
----Z-- ---�_Z
CALL FOR REINSPECT10N
❑ YES ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6':J-4175
Type of Inspection _—^ =�i-�'��
Date Requested 2e ime '� A.M. P.M.�_._—
Permit
Address
Lot #
Owner ---- ---
Builder -----
The following Building Code deficiencies are requirad to be corrected:
Presented to — ------ — -- Approved
Inspector
--- f fi Disapproved
- \�
Date
CALL FQR RCINSPM iCN
d-1 YES l--] NO
s
a
INSPECTION NOTICE
l -
C � City of Tigard Building Department C4
P.O. Box ?.3397
Tiaard, Oregon 97223
Phone: 639-4175
Type bR Inspection
Date Requested_ – 0 / ' Time A.M. /�
P
Address — - '1
S `S� f1.r7� j
Permit
Owner —_ Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
lnspectnr
-- r] Disapprovad
Date
CALL FOR REINSPECTION
❑ YE8 0 NO
BUT I I)J:N('.v PIL-E.RMI-T
CITY OFT167ARD NO . : BIA391.29115
CC I I YtOZ*FTZW�A IR�D 1,
COMMUNITY DEVELOPMENT DFPARTMENT Osseo" ' 9
13125 S.W.Hall Blvd,,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 6/F9/H
PRIM . PMT'.N(3 . (391r.295
,10113 ADI)PHSS : 16 355 SW MONAGO I.-N
'1 AX MAP/,...O'T- SLID: KIN(*.; [,'I'TY RK :
LAND USE:
U)1' SIZE:' - VALUAIJON: tr 1 ,i-.!0 o S BACK 5
I;:*W'.)N*T : 1211:'AP
WORK (',I—ASS : ADDIIJON UNII'S : I KF*T :
USE TYPEK : SINGI F: FAMI I Y NO . HKI)POOMS : KX*T -WAI L. CON51' .
CONS'r . l'Yl:*#E : VN NO. 13A11-11.ii : N: S : W
OU3.W .(*mPp . : P.3 PRO'l . OPKNINGS :
011['XUP .LOAI) N W
APF.'A
NO. S1'OPTF:-S : t S'T' ROOF:* ,ONS'T :
HE-.J(3H*T : i-1 IN E) APki-A SF,4:'e)R'? PA*71-101:
BASE--.MF_:N-T"? ;7311411'1 : SkJ)AP7
ME:Z ZAN INK7 D A S I-.,:M I I
I--I 00P LOAD 4U PIPE:* 5PPIKLI17 01 AIPIM7
FLOW(GIVIM) I)K1,I*-.-.(:-T'1?
HIXI*.).ACC ESS7 GORPI?
PI..AN (';HK'CK HY r,:I t
PKMAPKS
REi'ISSUE: OF NO .
I AS*T
O GI L I IL.:N LO I S PKPMI*r
W Ii 1`5 0 150
N 16551.5 SW MONA('.1,O LN PLAN PEE,Vlk:*W $32 03
E KING (-.11-1-Y UP 9LJq 1:
724,1 PK I)L-,:I*.),T*
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PHONE (503) 6Zj9--1A36
12 ,,".5%?
OTHER
C DEi'VFN OPMEN-11 CHARGUS :
0 15 EXII 11 S',011:11M
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T Ls r.)C.I s i,T r i r-:r-.-.,T
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R 1,01,61 113'.5 85
NO .
This permit Is Issued subject to the regulations contained In Title 14
of the TMC. Stale of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It is hereby PKQUIPEA) TNSPF:.C"TJ(:)NS
agreed that the work will be done in accordance with the plans and 11-13(J1AING SEWKII
specifications and In compliance with all applicable codes and PAIN DIPWENS
ordinances The Issuance of this permit does not waive restrictive 17O!*.i'T* in LAr-:AM WA'I'F I:O LJNK
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 F INAI
abandoned for a period of 180 days any time after work has Pi H. ,nn)(xii,
commenced. It shall be the responsibility of the permittee to assure 1,44014111,4(3
all required inspections are requested and approved
00 INSULAI ION
(31yr) . 80APD
Per4tee Signature
Issued Sy:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABDVE
PLAIMB.I.NG PEWIT'
CITY'OFTIFARD �—M l!:'I:;AM].' T' NO. : P1 (49 t 350
C11 OF
COMMUNITY DEVELOPMENT DEPARTMENT OR100
13125 S W Hall Blvd_P 0 Box 23397.Tigard.Oregon 97223.15031639-4175 155I.A.M : 6/29/89
--- 1:"P.'l:M - PMj' .N(:). 891293
ADDI1EK55 : 16::1:3.9 .4 i'lONAC LN
MAP/1-01, SUB: KJ'.N('.-', (:J 1'Y L'T' : BK :
LAW) USF:* :
1-101T SIZE : 111'..'m: NO No
WORK Cl.-ASS : ADDITION WMEJ4 (.A-(X3E:'y* 1. 'T PAF'
IJ15E 'T'YPE..' : 5.11AGLE FAMILY (.J14'.[.NA1 1310:1—OW PPVN'T*P
(:-ON51' 'TYPE.* VN L A V(:DP A'TC)P Y
CHN"Up (111P A3 'rua SHOWE14 1. GoWEAGE 'UPAPS
1:)J:SHWA!nl--IP.*'.P
GARBAGE IXTSVIOSAI
NO. WASHING MACHTNL.
I A1JNDPY 'T'14AY BLUGS. DRAIN (DTA
F I (:)(:)P 01WIN
SINK SEVEN (F—T)
WA'T*F:-'P HEATlEW 57*01141MMAI.N (F-T
PEKMAPIKS .
1-1re0d cm:11-iti-me.ttir rit.tint)ioi,
FEE'S
O (w -.;:t LLKN PE PM]:'I* P.le.? .5
N 16555 SW MONACIO LN
E icr.NG CITY OR 972RAI F1 X11)RES
R
PHONE: (303) 639---'7e4,'36 51'AfE.: I'AX
O'FHEP
0
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0
R $P3. 63
RECEIP'T' NO
This permit Is Issued suhiect to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby PF—Qu3:PF.-0 A:NS Pl'.-A*.-TJ(INS
agreed that the work will be done In accordance with the plans and PLR .UNDF.A51—Ab
specifications and in compliance with all applicable codes and M.'HYT & HKAM
ordinances, The issuance of this permit does not waive restrictive WAIEJ4 LANE
cover.dnts. Contractor and subcontractors shall have current city
business tax permits This permit will expire end become null and
void if work is not started within 180 days.ur If work is Suspended or RAJA DPAINL.i
abandoned for a period of 180 days any time after work has FJNAL
commenced It shall he the responsibility of the permittee to assure
all required inspections are requested and approved
Perr%ittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C11YOFTIGARD PLAN CHECK APPLICATION
cmorrw.aRn PLAN CHECK N
COMMUNITY DEVELOPMENT DEPARTMENT / PERMIT H
13125 Sw.44wA tllvd.-P.0,Boa navy,iks«e-o.eva.vrrrm.(WI G"ArrS ,/ DATE ISSUE0
JOB ADDRESS: a S S . k/ G'--dCA �� r--1 -i AX MAP/LOT
SUB:
LOT: -- LAND USE:
_ --
-�--^ VALUATION: �tT^L-' —
OWNER SPECIAL NOTES
NAME: GtLyffi�d��l �/ _— �.- REISSUE OF: _
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: � � E" _� ----- —
APPROVALS REQUIRED
CONTRACTOR PLANNING: —
NAME: _, dA r.' .'f'f / �L� / L G�-- _ - ENGINEERING:
ADDRESS: , FIRE DEPT -- -
OTHER:
_4 Y - ITEMS REQUIRED
LIST/SUBCONTRACTORS: —
ARCIVENGINEER BUS TAX:
NAME: — _ CALCULATIONS:
ADDRESS: _ — TRUSS DETAILS: -
-�" PARKING PLAN: -
- -� ~� LANDSCAPE PLAN:
PHONE: — -N _ _r OTHER:
COMMENTS: ----
PERMIT H ACCT b DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
r r- 'r _ 10-432 00 Building Permit Fees —'SQ --
t 3 SI) 10--431 00 Plumbing Permit Fees
10--931 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5%)
Br,i ]ding - _-__-
P14mbing
Mech
10--433 00 Plans Check Fee -
nuilding _ 1
Plumbing
Mech _
30--207 00 Sewer Connection
30--444 00 Sewer Inspection
51-448 00 Street- System Dev Charge (SOC)
52-449 00 Parks System Uev Chan3^ (PDC) _ — --
31-450 00 Storm drainage Syst Dev 0t, :::.uL) -
10-230 09 TRFD
10-230 OG Washington County 1 ire N1 (95X)
10-220 00 Amart/Wedgewood _-
101 Al as.
RLC N ---
------------------
APPt.ICANT SIGNATURE
UatReceived:Received By: _(
cn/358IP/18P
r
.jUN 2J �. ► ;e (City ail' l'ing Gily
Iso3l gay goat
APPLICATION FOR
PLANNING COMMISSION PERMIT
S I �//, Y,
1. NAME UF APPL I CAN"f s —�� /---
Al DREs�•• r–>'r_ JYV' b-) , G " rPHONE; NO 3 �
AOUIt1!SS OF PROPOSED 1MPRUVEMENT
�. TY PL OF CHANGE. I MPRoVE TIENT OR CONSi'RUCT I ON FOR WHICH PERMIT
UEUUESTE U. ( OESUR 1 HE 1311 11`.FLY/ATTACH rWO CUP 1 ES OF PLANS
OR DRAWINGS OF WHAT l (_;
ItUF'IJ5FitJ) _
a. NAME; AND ADDRESS 111
4. NL• I GIILIOUS WHO MAY 131- AI-FI:C 1'1:0 11Y THIS CHANGE. 111PROVEMI-JIT OR
GUNSTRUCT 1 UN WILL BI-: NUT 1 I. 1 EI) IIY 1111. CITY.
5 APPI.ICAN'I'/(lit I I F R/Ill i I41111RESUII'ATIVE MUST HE PRI:SENT AT
PLANNING COMMISSION HELPING.
UI'PRI�!3IJJ I'A I'I VI:S NA11F
'Ihe King City Planning Commlaslon Neels on the last Wednesday morning of every month. Applications filed at
least five lb) days before that will be considered at that ■eeting.
kN_NkNNNNNNNMMNNMNNNN0NNN0NNNNNNNNNItNNNNKNNNNkNNNNNNNNNNIII NNNNNNNNN
FOR OFFICE USE�UNLY�
A1`PI,I CAT I (IN I(FC1. I VED BY � 1 _ UA I'1"s
AI'I'i..I CA13LE FEE RECE; I VEII 010.00 111111: _ 1 URAL PA I U_I`�
PLANNING COM1) I SS I ON -- DECISION: DATE:_
AI'PI?L1 fit): _ LI N I EDCUND I T 1 ONS_Application approved _ — _ You are urged to hire conlraalor�rho
for sir sonths only titre licensed„ by tfN! 6uilder>I_Bwre-
A_Nk_N_N_N_N_NNNMk NkNN_NNN_Nk MMNN NNMM N NNk kKNkNNNNNNNNNNN Nkr kNNN0NNNMNNa
— s CITY ON TIGARD BUILDING INSPECTION REPORT _
The above listed project has been Inspected and Approved
DisapprovedDotp_ _ (;nmments�_J_
Ila turP.
(Building Inspector please return one (1) copy to K109 C11,Y)
INSTRUCTIONS ON REVERSE
• City o1 King City • 15300 S.W. 116111 /Avenue, King City, Oregon 91224 0 (503) 620-6444 •
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/ CITY OF TIGARD t'�u►Y�u�� � �>zvul y,.�
p Nnt„n6 PERMIT 639-639-41-6-41
n�,t.c rw mull hold t?rcton ReEtiteaC.on b Ot Ct Il fKtO-
t.Ainctl or mu�l be pr'opefty '��/ "'t`r,not htri _
IMumla.nK Ppmit N r.
-- Kwrna of Oowgop m ---- 1----
O•auui0�'r OVA r 116CE
beer... 45RS 614.21-610
Job Twx l d FIXTUf1 -% -” 7 S0
td
Block .,t 'Aabn Srrk ` 7.50
t-xvatory
wale ornnrrre arwss -
Tub or Tub/Sewwer(on"b. 730
e:a Stq,vvrQnhf ! 7.50 -
M 414+Ctosat _ 7.50
Owner Cky4tata Zp owwast--_ - 7 SO —
Pn«+e eare+s4etJiw t - 7-so
w.Ysn1"oµ'-6"n6 7.50
Mae" Floor Orcin 750
-�— Wal«fleeter - --
Plrane
,p ess Uurrdryp4o,wTcay —
730
Occupant City/Stab TAP Urrnal 7.50
Other Fatur.s(SpeO;f7) - 730
730
reS3 phone 730
Cantr.ctor CNylState MISCEWLNEOUS
- 10.00 _
CAy&JctaxNo. sewwtdtocr tSAO
S*ww-4 a_/tdd;l t OOr 20.00
scale �1i water servioa 1st roar
f I5.00
krtyrtrratson WaierS++vid er/tddit. 50.00 -
1 h«.by.eQw.rt.dpe ttr.t l ira.•a reeQ t jk��.19o.fd.and also Scorn+t aaln prate 1:L 1 ar
pi~:a correct ttl.t 1 ant regfslered wtdt ary , 1hat d /mit-lar 11A0
rlLmrb«s flfwrt Swrnrt PlittOran
pkm • 2 w P1t W be d me,1.a that 1116 lrror4afd+t d Ofe- —r----- 2s.00
Qon R&w.wdk ark be h a 447 add a altst,d spP da Cod"and tfrat $Aob%@ HV"Spas
sort rtevised StatlMt Chaplets X47 and W� tg3-(K elc*aV(kdn
rw Mb a«by en+pb7vd unless mooneed gadt Fbr+Ptw+newrt 730
Sialefepl4ar&A&%pteaarl(7NefaaaOA( 1f - de- ()•vi0afXNrtf�pNtf(ianpevroa
"rtON,EOwt*-FtS-1 h«vbr ow*lhat r Om thro.rr�+rr�dake �rr�.+��lar MyTr+P a w••+•ria 730
wnA.daabove.
rd vrNdt�bry t�f Or b fe aH a ev+rt COfx+.et+d to tt fiaAuf+ _ 7.50
Ca ' 40.00 p..w _
---- �__ ttvp.of exict. _ --- -
aO.gO P.•►M _
1'1wt'tSlrr0 avflf+Mr 1 S.00 w.w•
.n Exsee"0 ard0 25.00 rr.•r.
— f4,.+1349 4K Or-+r1.Ad, _
„-�----�- __.� Owl•. --�-�
AV11"%QE0SIal4ATUPEt.altlIV --- -�
Kl)t�t��tilrr4atl�1•• I•.•tU
- --- �— altorsesOrr(, f'M'^Ir 1 1 11x.•11 tn:
()escrit>e wars, new u addition 17 Mhtr1 ----7`
19!bet>7rM rnstdaniiet non•roet0 LJ--
.Wffv aro
tXf+rp or proryortr 7- .
TOTAL
�;xr►�d wed __.._ --,--_--------
NOTICE ,_c,.orlr ad Y 00`not oo -
.p«ndt boon,**nAl and void 9«ark or oonaeuc*3n
Sol
-04d%W*,k 160 d.l,trwr M c--&-1 tc" or aottt h«�od or r bond--d
"%Od of 1/,O"-s wt"Ikn.+~.."it M nonvninowd
rr�nt tvl.+tvtrtt+r� - •.