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TLS V INSPECT'.ON NOTICE
Co ""�n„� City of Tigard Building Department f y
12 �u p.0 Box 23397 `\
Tigard, Oregon 97223
Phone: 639-4175
T-rpe of Inspection 'c'`b —.
Date Requested �=r �___ Time __ A.IN1. P.M.
Address _ C, � Mr-_ �-L _ Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
7- :;An
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LQ CA-Y-of
Presented to _ _ 19,Approved
Inspector ❑ DINWoved
Date --- �/]
CALL FOR REINSPECTION
❑ YEa P.No
PIP!
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 l
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �- Time A.M. P M
Address J� } 1 . �^� ��__--_� Permit #�j- �_�
Owner_ // _ Lot #
Builder �� C.
c YAC') I
The following Building Code deficiencies are required to be corrected:t4o:�-c 6 c
r
- Iz -
Presented to R.Approved
Inspector
------ -- Disapproved
Date - - ---- - Iva
CALL FOR REINSPF,C'TION
F'! YES 0 NO
i
INSPECTION NOTICE
City of Tigard Building Department
0. Box 23391
Tigard, Oregon 97223
Y Phone: 639-4175
Typo of Inspection J � - ___ ______ _
Date Requested--_-- Tlme A.M. _
P.M.
Address _ (41 'G;� _,__ A _ '>r Gc C�' Permit #k_�
Owner_ Lut #
Builder
The follnv' g Building Code deficiencies are required to be corrected:
- --_7- -- —� --
`—�
-- -t -----_-- ---------------
Presented to ❑ Approved
Inspector - - _ ❑ 01upproved
Date Z
CALL FOR REINSPECTION
❑ YES IA NO
C17Y OF T167A RD &4PLUMBING Ph'AMIT
CITY(*TIFARD PIF-AMIT NO. : Fll 081073
:XRD
COMMUNITY DEVELOPMENT DEPARTMENT 00100"
13125 S.W.Hail Blvd.,R0.Box 23397,Tigard,Oregon 97223.(503)6394175 :1,SGUF-11) 6/ 6/06
I'Vol. tin 1.0-121
Y 9 6 5 Sw MAPA CT
(AX MAI:;'/L..(:)*T 2 5 1.J.;.-?li D 3d' 0 0 S1.)8: MA14A WOOD" L.Y' 3 DK
LAND USE : 1--47
1 UI SIVI :
TTEM: NO: NO .
WOPK CLASS : NEW WAYI EP 3 TPAP
TYPE: STNGA ri-i"'. FAMILY URINAL 1-3101-OW 1:)PVNTP
C.UNST .TYPE: VN L.AVOPATOPY 3 TRAP PPJ:M1::'P
UCCUPAISPP . : 1.13 TUB 4? 'T PAPP
DT G 11AWASHER 1.
GAP8A(.'-',E:: DISI. OSAI A
NO. STO114TES : 3 WASH'I'N(.-, MAC,H1NF.:: :1.
DWEA.I.... I ALINE)PY "T PAY HLDI . DPAIN (I)IA
FL,011:44 1:)ISA:I:N
SINK 1. SE.W.411 (F*T)
WATFA Hl".-ATEP :1. "O'OHM/PAIN (F-T .1.00
OTHEP
P11MAPKS :
0
W HOME.S A NC PF.PM1 T 10 13P. . 5(1
N
F. 9*7130 15W 1*5HADY LANE
ti q HL I"d Mr, 87223 FA:XT U RES
1:4*711NE. (503) 6(84-.6-115- 3 9,T AT 1--': T A X
OTHE P
C
0
N
T
R
A
C
T
0
T'OTAL. . $1.39 . 13
This permit is issued subject to the regulations contained in Title 14 I'MUFA VIT NO.
of the TMC, State of Oregon Srecialty Codes,zoning regulations ...........
and all other applicable codes and ordinances, and It Is hereby PEQUIrAJ) TNSl--Jr--'*.UTTONS
agreed that the worl,will be done in accordance with the plans and
specifications and In compliance with all applicable codes and 171...4.(•Ilhilr.)EPSI A8
ordinances The issuance of this permit does not waive restrictive POST & 13FAM
covenants Contractor and subcontractors shall have current city WATFA L.INE.
business tax permits. This permit will expire and become null and PI...F) - I C)POUT
void it work is not started within 180 days.or if work is suspended or PAIN DPA TNS
abandoned for a period of 180 days any time after work has
rommenced. It shall be the responsibility of the permittee to assure F TNA1
all required Inspections are requested and approved.
Ka,4- hil��
Permittee Signature
Issued By �
CAI. L, 1 0 1:4 T Wi F)I. i I tIN 6.39--X41. 1!3
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA MEC'HAN 3:C AI I-"E-P Ml
I::#I.:PM:(T NO. ME.:881074
RD
CITY 01'VIGARD
COMMUNITY DEVELOPMENT DEPARTMENT DATE :ISSUED: 61 es
13125 S.W Hall Blvd.P 0 Box 23397,Tigard.Qmgon 97223.(503)639-4175 )::'1:4:1:M. PMT.NO. 8193.072
AODIA:-IPS : 79615 tiW MAI:1A (.,T
TtlX MAI.--,/I LIT SUFJ: MARA WiiijD5 LT :3 RK :
I AND USE. ' 147
L'T'P.:-,M NO: NO :
W011K NEW F:*(.JP4NAI:'r-.;-' 0.00K I ii-JJ4 HANDI-1-4 <10
TYI:4--*:: !*.i1N(A.A.:' F'AM1L..)i* FUPISIACK 1001(-1, ATIZI HANDI P 1.0K
CONS"I .1'YPH : VN F1.00P FURNACL. 6i'VAP.('001 FEW
I-WEATER VENT FAN
V I.*:N'T VEN'T' . L.iYS*T'F.--'M
Ell <3FIP I+JCID
NO. S*1 Of 411-,S 3 I'*..4L.P/C'1(.)MP 15—J-11.11HP
DWELL— UNI VS : I 9L.P/C(:)MI::, 1.5-3014) 1NI:3NI-,'.AA'r(:)R(cc)m
UEL TYPE. GAS BL.1:4/C,(:)MP 30-501-4) REPAT N UN 115
MAX . INPUT "50f-HP OTHIEW
F'1141'. V)Mpps? GAS PIPING OUTLETS
I Ow PPLSSI?
0 PAI-41-T.SCH 1-10141:;:5 .1 N(:' I-N-i.14M11, q;10 . 00
W SSA
W HDY I...ANF;: 1-1 AN F*"V'I.'I::.'W $8. (Pn
N
E ti9fitl-Ci l-w 9*722Z� F-I X"I 1.)PIE 5 $P3. 00
Pl--IC.INI:-:' (503) 60-'1 6 115 3 TAX $1 65
OTHER
C
0
N
A
C
T
0 IX)TAI $42.190
REGETIDT Nk)
This permit is issued subject to the regulations contained In Title 14 ••~••••.......-•••
of the TMC. State of Oregon Specialty Codes,zoning regulations NEWL)"EPEA) TiNSPEC,"TJONS
anti all other applicable codes and ordinances, and it is hereby UvAS L.I NL
agreed that the work will be done in accordance with the plans and 13057* P* k3EAM
specifications and in compliance with all applies ile codes and
ordinances The issuanLp ul this permit does not*live restrictive POU1.04 1.N
covenants Contractor ana subcontractors shall have current city I:
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 responsibility of the permittee to assim,
all required inspections are requested and approved
Permittee Signature
Issued By LdILL LOU 1114PE'LITUN 639 A 1 Z f-i
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIN OF 716A RD I' NC). : F-A- 481.0
8 1.073
My 0
COMMUNITY DEVELOPMENT DEPARTMENT 01"OONDATE ISSUED: 6/ 6/814
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175 P AT.M. -AT.NO. ellilli07P
JOB ADDRESS : '7963 SW MAPA ("T USA h )MBEA : ;3"5930
TAX MAP/LOT '.ZMJ.1.PU032n0 ('iUB : MAPA WOODS I T : 3 RK :
LAND USE. : IT7
LOT STZF-.: :
sEcTION: 12. T'WP: IR NNG : w
WOPK CLASS : NEW
USE* TYPE : S:tN(31. E FAHIL.Y
tappJAc�8kill. I'c) 17..I:IMP1.y wi.th in.11 cif
!:iewwr,age Aqeric�kj . T I'l e p e I"M i t ir X P:1.1-li"t in 1.x'0 (114.y in f I-c)in -t'1-10 cI ia t 0 1 Ili fit 1.1 e,d . Tile. tCitial.
Ist"ICILIlit P4%:i.(J wi.11, br;• 141 t'he The Agfollc'y
ntritom, th*?.' cif thoD Ic)(.m.ttori of -the oitcle !%iriwoni, :1:•1' thf.1 mv.wiv..'r, J's
licit :Ic)(:Mktvd cat th*yk Ill- I,k)in ea I I t I;j J.v mi ri , tliw lflivi,'l *1 pi-ivapect, 3 i.rl
at 1.:1. Cl i r•V-?c�1i,1.cj I-I m F 1-cl in k, cl i.1%t at 1-1 c�e g-1 V e)1-1 . '.c f 1-1 c)t 111(3 1.1:1 r. at t en..(I , t 1-1 V's :1.11 M t'at 3.'1.V.I- in h I&1 1.
p I I r-1-:1.)1.4114 el at w.1.) in rl cl S:[cI(A) 5 V.)W ViI r, P F.I-,m:1.1. at ri cl -t,I i tki A g P.)vi c,y w.i.:1.1 :1 1 itt'I. 111, 1.a. t.IF,+p Ili,.1
INSTAL.L. . TYPE: 911-111-DING !IiEWEP IMPERVIOUS Al-411-FA:
VI X*T URE UNITS : *TENANT 3:MPrK)Vi.:-*MEN'1f
DWELLING UNITS
NO. OF 81...113(:5 . 1.
Er,"Sa
C) PAHi 1:S("F1 HOMES INC PEPMIT
W 9-780 SW $1-4ADY I. ANE (.',(')NNr-"CT ION CHAPOE $1. 1.00 . 0()
N
E tigar,cl cir 87221 L-I:Nr-.' TAP TNSTAL.L .
R PHONE (,503) 604-64153
DT H F-..P
1-40MES
0
N PAHL.TSM4 HOMES INC .
T
R (;'' 80 SW SHADY LANE:
A t 1.v aL r,cl carr 1)?'7;:.?23
C
T PHONE (503) f.1(34--E14"5:3
0 PF.1311STPATION NO . 4P067 TOTAI $1 ' 135 . 00
R
PE CIE I PT 140.
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes.zoning regulations PE QUIPED INSPECTIONS
and all other applicable codes and ordinances. and It is hereby nOUGH-IN
agreed that the work will be done in accordance with the plans and
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 responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Signature
Issued By I CALL. INSPLCTION 639-4175
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED AbOVE
LOw 11111111111l
_JLN
BUILUINU Pli-34MI-1
V"El-IMIT NO. : BUBE3107p
art OF TIGARD
C0 TMXRDTI: I
11ASSUED : 6/ 411/0(3
COMMUNITY DEVELOPMENT DEPARTMENT I:"P1M - PMT .Nc) .
13125 S'WL Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175
S W 1 lel vi,
R l<
l_cTy !.i,.l 71
TAX MAP/.LOT
I.-AND VAII UATIC)IN : 41 SE1 I31ACK5
UGF.". I T . .3
FRON'r 4,20 PE AN T 0
WC)PK CLASS : NEW DWEI L. - 1.)N:ET% : 1 (3
I E FT' :
stNul..E r'AM-f:l..y NO. E-11EDPOOML) : '3 1:;- ('A.11, 1.
X*T* . WALL CONST :
CONST . TYPI::. . VN NO. 13ATHS : 3 N: S : W
C)CCUP . A3 PPOT .111:44.KNINGS :
OCIC'Up . OAD TOTAL AWFA : 1,3 1.1.5 N : S : E W
NO. SITIIAXES : .0 2 :1.ST : 693 POOF CONST: F 1:PE
HF-::I:(*.vl--I*l - 2 P PND: 6PP A W I-"-:A 5k:E P A W7 WATLKD .
SASr!::M11i.'.NT'?. 3PD: SL:F ? PAI E 1)
MF;:ZZANINr- RA%'_-M I T
1%1-01314 L.OAD z4 0 (a A 1:1 A C.,E-" 78 Ftr*Km 5PIlKi P? Al..APM?
HEAT TYPIE : (SAS FI Ow(cljm) 'YE E,
COr4n.?
ISE TF)SLA-z. OF NO.
L-AST REISSUE
PAHL.3:!i(.',Fl HOMES INC PE NM X T'
0 9*f F)() SW SHADY I ANI-- *313. 00
W PLAN REVIIH.W
N ti d FIRE, DPIPT''* $e03 . ditil
E PHONE (503) 61141,1-64153
'iTAII-i: TAX 1111115 . 6 15
07 14
D11ii.'VELOPMENT CHARGES :
C SODC(STORM)
0 PAHI 1.%C.1 I H0MF;!:i :CNC:. $250 . 00
N 97(30 t5W 151-11ADY L.ANE $600 . 00
T
R 9722"s P Pli:PA 11) < >
A 1::-H(.)Nr;* (503) 604-643- ,s
C
T PF TT
, S*7'l"4A -TON NO 9IR06.7 I OTAL. o
0 632 . 1
14R'CEIPT NO .
.............
This permit Is issued subject to the regulations contal ted in Title 14 PkQ(JJ '.: INsirr.c.- :I:ONS
of the TMC. State of Oregon Specialty Codes,zor,ng regulations F 0 O'T TIN I G, E 110)1__':F4
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done it,Accordance with the plans and F'OUNDATION WALL PAIN 0PAIWi
specifications and in compliance with all applicable codes and POST WATER LINU
ordinances The issuance of this permit r+-jes not waive restrictive PL-B! .UNDERSLAD CITY APPr1(:.'l-l/SW
covenants Contractor and subcontiactors Shall have current city SLAH F:I NAL.
business tax permits This permit will expire and become null and 071...1:3 . 'TOPOUT
void If work is not started within 180 days.or it work IS Suspended or
abandoned for a period of 180 days any time after work has FAAM 1.NG
commenced It shall lie the responsibility of the permittee to assure F,:I P r:::P L.A C r._'.
all required inspections are requested and approved GAS L. INE
I:NS Lill A I'l ON
GYP . DOAP0
Permittee Signature
Issued By FOR INSPFICTION 639qJ. 711
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
_�=
CITYOFTIFARDPLAN CHECK APPI.TCA1 ION
COMMUNITY DEVELOPMENT DEPARTMENT CITY O-F TITARD PLAN CHECK #
13125 SW Hall131vd, P.O.am 23391.Tigard,Oregon 87223 15031639-1175
ORPE I #
(t�� DATE ISSUVD
JOB ADDRESS:
rAx MAP/1_01
S
VAWAI ION: LAND US[,:
OWNER
NAME: SPECIAL NOTES
ADDRFISST. - REISSUE OF:
LAST RE
Ft-OOD PLAIN/
SENSITIVE L.AND:
CQNLR!)CTOR T)"OVALS REQUI RED
NAME,: PLANNING:
ENGINEERING
FIRE DEPT
01 HER:
PHONE:
AKqU/�-!LG 1 N.E.E R I 'IST/SUBCONTRACTORS:
NAME: _ BUS TAX:
ADDRESS CALCLILAT'I&N-TC -
7
TRUSS DETAILS:——
PARKING PLAN:
PHONE LANDSCAPE PL.AN:
OTHER:
COMMENTS
PERMIT it ACCT # DESCRIPTION
10-432 00 Building Permit Fop, AMOUNT AMOLIN"T PD. PAL.. DUE
10-431 00 Plumbing Porjjjij- Fees
10-431 01
Mechanical Permit Foos
10-230 01 State Building Tax (5%)
Building -A
Plumbing
Meeh
10-433 00 plans
Check Fee
Bu i Id i rig
Plumbing
Moch
30-443 00 Sewer- C
orlrloction (20%)
30-202 00 Sewer Connection (80%)
30--444 00 Sowpp- Inspection
51-440 00
52-449 01 ��Ystofn Dev C�jar.g(j (SDC)
Parks I System Dev Charge (PDC;)
52-449 02 Parks 11 Gyst'�In Dery Char-00 (PDC)
31-450 oo Storm Dr,airlage SYst Dev Chrg (S(oDC)
10-230 09 TRFD (95
10-451 00 IRFD (5%)
10-230 06 Washington County Fir-4? #1
10- 451 00 Washington County #1 (5%)
10-220 00 AmArl/Wodgewood
TOTAL.
REC #
APPLICANT SIGNATURE
Received By:
Date Received: