7040 SW ELMHURST STREET 7040 SW Elmhurst St.
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CITYOFTIFARD BUILDTHL IDERM'A.T
Cffy TMID 0282
I 7�ON
COMMUNITY DEVELOPMENT DEPARTMEW (C V'RIPI., 7'ERMI'! 0. BUF190-0262
131259WHWISiv(i ; j (aux 2'!.'197.Ttgerd,r.W@Wn 97221 (503)639417b DATE, IISSITED: VY:;" 26/90
S1 TE:. r,D 1)PIE G)S v/0,#V) 2:)W 1::.L N N L)R .) I GI 0 3
(-3 ZONING:
,UBDIV—SION,
P "K.
LOC . . . . . . . . . 3 LOT. . . . . . . . . . . . .
RE I S.31-JE FLOOR 1'-XTERIOR WALL. C;ONr;rRUCTION
CLOSS OF WORK. :ALT F*I R S f N: G.- 1.: W!;
TY r',E OF USE. . . -.SF SECOND. . . 5f PROTECT OP'ENlb',3S''---
T)V'E OF C 0 NS T. -.�N TH I K 1). . . S f N-, S. E':: W
OCCUPANCY GRP'. :K3 TOTAL-".-_..._._...... o S f ROOF' CONSI's FIFE: R F:T':1
OCCLJI!:'r)HCY LOW)-. El(113 E M I---HT R SEI'. R OTE 1)
F-.;*TOR. HT. ft GARAGE.'— Sf OCCU SEP,. FATED:
B 9 11 T 11 E Z Z'? R EQ D 'S E r Ef A C K S
F*I DOR LOAD,. . . . '. psf L.r,:-:F I : 'ft R G H T ft F'I -SPKL. SMOK DET. . ,
DWELLIN(3 UNITS- F-R N T.- ft REOR: ft I- R I-I N 1)1 C", ACC:
r
1-.111.:.,DR PIS 'PRK 1 16:
B071-IS.- IMF, SURFACE: A0 C'ORR,
VALLIE. t 3600
e ni a-r
0 W 1-1 e-v V)ES .......................
-
C'HRISIV'HER SHAVER typ - ani0L11)t y (late rec r)L
1040 SW ELMHURST ST FIRM $ 44.50
C
OR 9*72(.''13 5F CT 2.22
Phc)i-ie 4#4 6(3',`)---J428 v.f.)Y M $ *15. 66 JLH 09/26/90
C a 1-1 t 1•A c:t 13'r ..........
OWNER/UONTRACTOR
..................
44- $
1 eL1 fi. 0 W N E:F"
REOUTRED INSV'ECTIONS
This permit is issued subject to the regulations cLltdinpd in the F.-I'Apiii-19 Ivissp
Tigard Nnicipal Code, State of Ore. Specialty Codes and ali other 1.11s,1.11 a t J.a)-I 11-1 S P .......
applicable laws. All work will be done in accordance with keiv) drAirl
avoroyed plans. This oervit will exvre if P,)r+ is not started F j.ri Al I ri s;I.,e c,t i.o i i
within It? days of issuance, or if work s suspended for more ............ ......... ..........
than 188 days. ..................
.... ..........................................
........................
SU e d 14 y ................... ............._.................. .................
Call, fa-r iiispec,tjovi 639..4175
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CITY OF TIVAD — RECEIPT OF PAVMEM! iifCEIPT NO. &C0-205178
UD AMOUNT : ''5.66
�iW1F : SHAVER. CHRISTW..R Ck9i AMOUNT UK?
ADIKSS a 7440 Sid F.LMHURST 6T PAYMENT WE : 09/7.6190
�nr�I�I�rd
TIGARDAR 172.:
0 F o Permit No'
•� Address:
10
Issued by: - - -_- Date: — _- --
__— FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exerrnpt from registration under ORS 701.010(7), need
not submit this statement. I his statement will he filed with the permit.
Fill in the applicable blanks, and initial box 1 and either be, 2A or 213:
1. I own, reside in, or will reside in the completed structure.
2. A. = My general contractor is
Contractor registration number -
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and do hire a qeneral
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above InformWIon Is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
1i�`gnature of Permit Applicant D to
CONSTRUCTION CONTRACTORS BOARD
0244J 1190
0/1-1ITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT