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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00257 DEVELOPMENT SERVICES DATE ISSUED: 8/19/2002 A II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14111 SW WAGONER PL PARCEL: 2S1096A -04800 SUBDIVISION: HILLSHIRE SUMMIT NO. 2 ZONING: R -7 BLOCK: LOT: 030 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: NONE : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTION FOR A PERIOD OF 30 DAYS. Owner: Contractor: HANSEN, LEIF C + GUNCRETE CEMENT /CASCADE POOLS CAROL M PO BOX 2049 14111 SW WAGONER PL LAKE OSWEGO, OR 97035 -0022 Tl kone 50 : 3=T40 -3047 Phone: 620 -6174 Reg #: 20-6788 494 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846 -8 [BUPPLN] Pln Rv 6/26/2002 $103.03 Misc. Inspection [ BUPPLN] Addl PIn Rv 8/19/2002 $49.92 M Elee ctt ricc al l P Perm ion it Required [BUILD] Permit Fee 8/19/2002 $235.30 Plumbing Permit Required [TAX] 8% State Tax 8/19/2002 $18.82 Reinf Steel Insp (additional fees not listed here) Structural observ. final reps Structural observ. final reps Total $532.07 Misc. Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Y. i may stain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: -A' �4" /_ siriA Permittee rifffr Signature: / C %175,%' 7 p.m. for an inspection the next business day A r CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00257 ,.vI4. DEVELOPMENT SERVICES DATE ISSUED: 8/19/02 -� 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 SITE ADDRESS: 14111 SW WAGONER PL PARCEL: 2S109BA -04800 SUBDIVISION: HILLSHIRE SUMMIT NO. 2 ZONING: R -7 BLOCK: LOT: 030 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: NONE : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Installation of a in- ground swimming pool. NON - STRUCTURAL FILL ON THE SITE SEE SOILS ENGINEERS REPORT Owner: Contractor: HANSEN, LEIF C + GUNCRETE CEMENT /CASCADE POOLS CAROL M PO BOX 2049 14111 SW WAGONER PL LAKE OSWEGO, OR 97035 -0022 TIkon OR 97224 Phone: 620 -6174 Reg #: uC 494 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Erosion Control Insp 846 -8. PLCK CTR 6/26/02 $103.03 27200200000 Electrical Permit Required Plumbing Permit Required PLC2 CTR 8/19/02 $49.92 27200200000 Reinf Steel Insp PRMT CTR 8/19/02 $235.30 27200200000 Structural observ. final repr 5PCT CTR 8/19/02 $18.82 27200200000 Structural observ. final repr Misc. Inspection Total $407.07 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through O• - '52- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -66' • or 1 -80 332 - 2344. if Pe rm ittee �' Signature: �� . 0 Issued By: J ,J- / y��� ,� - d j , Call 639 -4175 by 7 p.m. for an inspection the next business day Received: 25/ 6/02 16:47; 5035981960 -> Cascade Pools & Spas; Page 2 06/25/2002 16:41 FAX 5035981960 CITY OF TIGARD 1002 '" :=-- -------. D ---?/7 &--- Building Permit Application --- � jlti Cit of Tigar ► � 4~ ° � - € `l 1 Date received 3s-o 1 Permit no.. ?a�0 -00c,2 7 Address: 13125 SW H. _ I ✓ �i +�� i , ' Projecdappl.no.: Expire date: City ofTig - • . - Phone: (503) 639 -4171 / Date issued: By. Receiptno.: X 10' ' x;,(503) 598 -1960 J N ( 9' , ;02 Case file no_: Payment type: 1hand use approval: t '; , :a..,:4 i :_ a_ _' 1 &2 family: Simple Complex: in :r+: v: ,._ ac s: irk ; ' 1) ' 1'E OF PERMIT O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family XNew construction El Demolition 0 Addition/alteration/replacement O Tenant improvement 0 Fire sprinkler/alarm Q Other. f.,, `,.; JOB SITE INFORMATION V\ Job address: j c, (A) . "L T\ - • C 1r1 Bldg_ no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: - Description and loca on of work on premises /special conditions: 1 _- N. PCe , A LN a ,,_ID 4. A . , ti._ ' OWNER ' FOR SPECIAL INFORMA I ION USE (:I1EcKI,IST' 1051372 ;��� � �� (I lootiplain septic c :►parry, Splay, etc.) " ' \ Mailing address: S • �1. (,IJ • - . a 1 & 2 family dwelling: , Z +i State:Q r ZIP: • Z Valuation of work $ 12 i OCC Phone:arIiZ'; E -mail: No. of bedrooms/baths Owner's representative:: , & Total number of floors I • Phone: Fax: E-mail: New dwelling arca (sq. ft.) APPLICAN Garage /carport area (sq. ft.) _ 0 �` Covered porch area (sq. ft.) Mailing address:. Wi ,._ _ Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) V Phone: Fax: E -mail: Commercial/indastrial/multl- family: v CONTRACTOR Valuation of work $ , - • 7 Existing bldg. area (sq. ft.) Business name: _ �.J ! _ t•- ' !_ --1-1 _•_ e L' New bldg. area (sq_ ft) Address:'e' • ©1 s ab as • Number of stories City: r . StateJ ZIP: • N., - ,t'14 Lino Z Type of construction � . .; _ r `' CCB no.: • Occupancy group(s): Existing: New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be AItCI Ili l.:( /DLS1(;NER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: iiminumminommili jurisdiction where work is being performed. If the applicant is IMMIIIMPIIIIII State: ZIP: exempt from licensing, the following reason applies: Contact perso . Plan no.: Phone: Fax: E -mail: l- .NGINEER IEMPEEEMI Contact person:.e Fees due upon application $ ! Address: , - 4 .1 _;_ jk Date received: City: 1...,r ; Statea9{2_ ZIP: •a . Amount received $ �'c ,p 10 I Fax: E-mail: Please refer to fee schedule. I hereby certify I have rea • • • ex. fined this application and the Not all jurisdictions accept nadir cards, please call jurisdiction for more Information. . ' attached checklist. Al . rovisi • • s o • rr ' inanccs governing this Cl O MasterCard work will be compli r with, . ethe 4 • ,j(- ' - • in or not Credit card number: _ / / � � � "' Authorized sigma- : 411)1.__ _> Date: (12 !C.( Z Name or cardholder Iu shown on credit cord Expires Print name: WA _.' 'It • _. $ Cardholder sipna[ure Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6ro0ICOM) . —�/ ? E-Y / 0 3 -0