11545 SW CORNELL PLACE i
11545 SW CORNELL PLACE _
CITYOF TIGARD _ BUILDING PERMIT
DEVELOPMENT SERVICES DATE SSUIED: 5119/00 P2000-00162
13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171
SITE ADDRESS: 11545 SW CORNELL PL PARCEL: 1S134DC-09600
SUBDIVISION: TIGARD PARK ZONING: R-4.5
BLOCK: LOT: 012 JURISDICTION: TIG
�— REISSUE: _ Y 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: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 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?: _ READ SETBACKS _*f
_ REQUIRED
FLOOR LOAD: psf LEFT: 13 ft RGHT:— .5 ft FIR 0—K L: SMOK DET:___
DWELLING UNITS: FRNT: 23 ft REAR: 0 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR- PARKING:
VALUE: $ 1,382.40
Remarks: adding deck and roof approx 135 sq ft.
Owner: Contractor:
ROSS BRYANT OWNER
11545 SW CORNELL RD t
TIGARD, OR 97223 �t 1
Phone:
Phone: V
Reg#:
FEES __ _ REQUIRED INSPECTIONS
Type By Date --
Amount Receipt Footing Insp
PLCK BT2 5/5/00 $37_.50 0001965 Framing Insp
CDCB DEB 5/19/00 $20.00 0002324 Rain Drain Insp
Final Inspection
CDCP DEB 5/19/00 $20.00 0002324
PRMT DEE 5/19/00 $50.00 0002324
(additional fees not listed here)
Total $'i 26.50
This permit is issued subject to the regulations contained in the Tigird 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 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
Pe rm itee
Signature; f�/jyl
Issues By:
Call 6394175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Residential Building Permit Application Plan Check#
13125 SW HALL BLVD. New Construction Recd By 4
TIGARD, OR 97223 Single Family Detached Date Recd
V 503$39-4171 _ Date to P E
F 503-6$4-7297 �� �-- Date to DST ; .. /
Permit#
Print or Type Called-c,o _ q
Incomplete or illegible applications will not be accepted
- Name of Project
Job Name
Address Site Address4L7Architect Mailing Address —----
N' e ' '-- City/State Zip
7' _ :FPlfn—e
Owner Mailing Address Name
City/State Zip PhoL-72--'
g Engineer Mailing Address
Na a _ (i3Y 7 --'2 _
General City/State _-- Zip Phone
Contractor Describe work New O Addition Of Alteretion Repair O
Mailing Address L�11Z—� -` to be done:
Prior to permit / i
-�- <?1�2 1' _ Additional Description Work:
issuance,a copy City/State Zip Phone e 1 �
of all licenses 7;�, 3�r '7 740) 135
are roquired if O gon Ov est. Cont Board Exp Date PROJECT
expired In COT Llc.# ! L'
database VALUATION_
Mechanical Name _ NEW CONSTRUCTION O Y_
Sub- Sq. Ft House: -- �'�
Contractor Meiling Address — -- Sq Ft Garage
Prior to perrnit Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in the foliowin�areas
of all licenses _ Restricted Audio/Stereo
are required If Oregon JnSt Lojt-Board Exp. Date Energy S stem
expired In COT Lica it
Y Alarms _
database Vacuum Irrigation
PlumbingName -- ----- _ 5 stemS stem
Sub- (check all that O her:
Contractor Meiling Address - -� Number of Units in Building Unit Number Designation -
Prior to permit City/State -- Has the Subdivision Plat re�—
ZiP Phone -_----' orded. N/A YES NO
Issuance,a copy
of all licenses are Oregon Const.Cont.Board Fxp Date
required if Lic.#
expired In COT
database Plurnhing Lic.# Exp pate I hearby acknowledge that I have read this application, that fire
`- information given is correct, that I am the owner or authorized agent
Name
—_ of the owner, and that plans submitted are in compliance with
� ---
_ _ Ore o-n State laws.Electrical Signature oyOwner
/Agent
Date
SUb- Mailing Address - "�a��
Contractor Contact Person Name Phone#
City/State ZIP Phone --- L -=2-'�=� r 77$ s
Prior to permit - —
issuance,a copy
of all licenses are Oregon ConstCont board Exp Date _ FOR OFFICE USE ONLY:
required if I_la# Plat# MaprTL#:
expired in COT y V= � /C / 7/,�/ ��t^_`�(W)'
database Electrical Lia# r-xp Dale Set igjp /`f —�
�{ Zone:
Electrical Su rvisor Lic.# - --
Pe 'Exp pate - Engineering Approval j Planning Approval: 1
is IdstslformsLafd-newdoc 11/20.'98
i -
Permit #: _& d,1 Qoo
Address: //-Z;-
'
Issued b I _ec)
. —�� -- Date: S-i 9
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who arc not registered with the Construction Contractors Board to sign the
following statement be()re a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 3B:
uti1. 1 own, reside in, or will reside in the completed structure.
2. 1 understand that I must register as a construction contractor if the structure is sold or offered•for sale
before or upon completion.
u 3A. My general contractor is
LJ (Narn ) Contractor reg►s. #
1 will instruct my general contractor that all subcontractors who work on the structure must be
registered with tale Construction Contractors Board.
OR
313. 1 wi!I be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If 1 change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that 11m ve read and do understand the Information
Notice to Property Owners about Construction Responsihilities on the reverse si&of this form.
(signature of permit applicant) (Date)
(White copy to issuing agency permitfile,
pink copy to appl,"cant)
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CITY OF TIGARD BUILDING INSPECTION DIVISION --f6 P-( __
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BLIP
(2 Date Requested '�'-2 AM PM BLD
Location ^y > i:CJ Lf�Irwe'/, Suite — —
MEC
Contact Person _ Ph PLM _
Contractor Ph _ SWR —
D:
Tenant/Owner _ ELC
fFoundation
etaining Wall -�� ) ELR
ooting
A - FPS
'j , / ✓ I �l14
FPS
tg Drain --
Crawl Drain pection Notes: SGN
Slab c,r�c'�'�/f7 f' - _ SIT
Post&Beam -
E):t Sheath/Shear
in Sheath/Shear - --- --- -
Insu a ion ---- - -------- -- ---- ------ ------ -
Drywall Nailing
Firewall ------- - ----------- - - ---- ..- -- _--- -- .
Fire Sprinkler -
ire Alarm
Sus,j'd Ceiling -- - --- ------- --�—�_
Roof -- ---
Misc:-_ ------ -. ------ -- --_-- _---- -._.-
PAS PART FAIL - - - - ---- -- -- - -- --- -- ------
Pll
Post
& Beam --__-_------ --- -- -- -------- --------_ -
Under Slab
Top Out I -
Water Service
Sanitary Sewer --- - - -- - -
Rain Drains
Final --- -__ -------__ .._- _
PASS PART FAIL
MECHANICAL - -
Post& Eearn - --
Rough In
Gar Line - -- - - ---------..- - -
Smoke Dampers
Final - -- ---- -------- - ---- ------ -- --
PASS PART FAIL
ELECTRICAL ----- - _ — -
Service
Rough In _ --- -- -__ ------_ _- ------ --
UG/Slab
Low Voltage -
Fire Alarm
Final
PASS PART FAILSITE .—
Backfill/Grading - _..-------- _
Sanitar;Sewer i
Storm Drain ( J Reinspection fee_ of$ required hefor-next inspectior. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin --
Fire Supply Linc? ( ] Please call for nsl„ r:hon I;� - _ Unable to inspect-no access
ADA i
Aporoach/Sidpwalk )�
Mier i— _ Date ;,w_/___ Inspector —
-------- _ Ext -
FInA
PfSS PART r.AIL DO NOT REMOVE this inspection record from the job site.