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11205 SW GAARDE STREET-1 ilk � T r wt i c'� •I !Z Y .1 :i 1 �•; ti 1 ref !t a, • • • • •• r f IL �d 1S/ y ( ,rat ♦ Tl ' .. ! ,s ism CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: =� 1 Foundation Water Line Ceiling Plu '. Post/Beam Mech. Shear/Sheath Framing <- e—ch Plbg Und/Fir/Slab Plbg. Top Out Insulation -ec Post/Beam Struct. Mech Rough-in Gyp. Ed. San. Sewer Gas Line Appr/Sdwlk ei Other: I Date: _ 5 61_ A.M. P.M.—_.- Entry: Address: ,0 Tenant _ _ Ste:__- MSTI -62 '73 Con/ wr - 00 r BLIP: ---- MEC: _ PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: In,pector — - -- __ Date: P--APPROVED ___DISAPPROVED/CALL FOR REINSP. CIFCO r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling _Plumb Post/Beam Mech. Shear/Sheath Framing tech. Plbg.Und/Flr'Slab Plbg. Top Out Insulation <2lecj] Post/Beam Struct. Mech. Rough-in Gyp. Bd. gdg San. Sewer Gas Line Appr/Sdwlk Reins. " Otnec - ---_.-.---- Date: A . P.M. — ntry: -- --- --- Address: Tenant: ----�—... __ Ste:— - MST: _ - BUP - -- t ME(,- PLM: E(:PLM: �- ti ELC: ��1 a THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: - , , - A Inspector. // - - - -- - Date: s_ _—_APPROVED DISAPPROVED/CALL FOR REINSP. CF CO i 47 v BUILDING' PERMIT CITY OF TIGARD PERMIT #. . . . . . . . B U P 9 5 0,�4 Q, COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/20/95 � 13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (S03)439f17H7i 1 ' PARCEL: 2S103DC-•0110Q+ SITE ADDRESS. . . : 11075 SW 6AARDEr. CT SUBDIVISION. . . . : ZONING: R--3 5 BLOCK. . . . . . . . . . : LOT. . . . . . RI'ISSUE;�_� --FLUOR AREAa- -------- - EXTERIOR WALL CONSTRUC T IOP,I CLASS OF WORK. :DEM FI RST. . . . :3000 s f N- S: E: W: "I TYPE OF USE. . . :SF 3ECOND. . , sf PROTECT OF'ENIIVGS?--------_-___ c TYPE OF CCJNST. :5N 'THIRD. . . . : sf N: S: E: W. OCCUPANCY GRP. :RS TOTAL_—_._..__.-•-.: .:00171 s f ROOF CONST: F1 RF_ RET"..' OCCUPANCY LUAU: BAi�F:'MENT. : sf AREA EEP. RATE=D: STOR. : 1 HT. : ft (aARAGE. . . : s f OCCU SEF'. RATED RSM7"T:N trlE-I_Z?: REUD FLOUR LOAD-- : ps f LEFT: ft RGHT: ft FIR SP1-1,L:: SMOK LET. . : 41 DWELLING UNITS: 1 FRNT: ft REAR: ft FIR ALRM: HNDICF' ACC: REDRMS: BATHS: IMF' SURFACE.-:: PRO CORS: PARKING: VALUE. $ : 0 Remarks : Demo SFD on site. F'l_1mp and remove oil tank, pi.rmp and remove septic tan k. Remove all debris. (Projec_t : exrtrvate basement, bl.lild foundation, move existing medical bl.tilding onto lo,, ) . Owner: ----------------------------------------------------------- FEES FIRST BAPTIST CHURCH type amol_Int by date recpt 11075 SW GAARDE ST PRMT $ 2F. 00 B 10/20/95 95-271909 5PCT $ 1. 2'5 B 101201 S 915-=71909 T I GARD 013 pi-lone #: • faont 1•act c�r: --- -----__.__.___.—._..______..__._._.__ ..____ t. OWI I R t r'h o n e #: $ 26. 25 TOTAL_ Reg #. . : 00012100 i REQUIQED INSPECTIONS This permit is issued subject to the regulations contained in the F'o_1mp/Fi l 1 Sept; ir_ j Tigard Municipal Code, State of 0,,e. Specialty (odes and all other 1 applicable laws. 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 188 days. f Permittee Si natUre � _ - •� Call for inspection — 639-4175 1 "i, qr 111. I. II. I E` (:I I Y (4 11 I 1. M140 I*1 ..11'1 1.11 1 I 1 i 141.N I h1 1 1 I , s MI 1. tl 3;-r I.I:I I'. Ihl1.1t N r A wi c�� ! :i v I 1 Itw7 f t!f•II'i Ls 1 C:1{1.1}r(.{-{ 11i• � : � .i i � �.I; rl tf'd f n,1 Po t r HI i I I 1 r l 1 1.0 i`a SW I:if iN'HUE' 1-{1 "A I}111 i, 0 INV (.IFi r+Ii':'ripl c PURI-10bF. CO PiIYMI:N1 (IMUCIN'i 14111) 01• PF-{YN-A-41 F►Mt.11.miI 1'11.1 l } I t l i i 11 1'.I(i i 'I lilt 4.111 l-1t 131 1 1<rvl I 1 yl f r1 PFPM11 - otll95--0440 ! PLAN CIO � I 1 iI1-'Sis C� •1 I Y - ... _ 0.,, 1.,�.1 'TOTAL }-itWt..1..1v 1 1 �a].1) -•> 1. . ,. . E i t " awn i CITY OF TIGARD BUILDING INSPECTION NOTICE ■ Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ■ Footing 5;usp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech, San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. ■ Underflr. Insul, Shear Wall (Ty p. BdJ Elect. S Date Requested: /1) // tJ -T ime: AM _PM Address: i I _�_ D �y_ Builder:L' a f Permit 4: THE FOLLOWING CORRECTIONS ARE REQUIRED: Ins ec, / Date: APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. ,y F, r. F lF� l{ r , .. r� Residential Building Permit Appl�ication j-)00 0 ■ City of Tigard 13125 SW Flail Blvd. Tigard, OR 97223 ■ (503) 639-4171 Jobsite Address: 1 162 7 SIV (7, u ar-Je ■ Subdivision: _ Lot# Otpflce Use Only Contact Date I I Initials Valuation: -- Result _ r♦ New Construction Only: (Square Footage, Planck/Rec # Permit# f��Ill S �•� � ` '_f U House: — Garage: — Reissue of ■ Map & TL# L S4 y_4 Q C Corner Lot? Y N Flag Lot? Y N Zone U-5 _ � Plat # Owner: ^ c1 S._ _ 0—t1rZyc lt:, _ Approvals Required Address: LL4� '7 <; Lt —42- _ Planning Setbacks Solar C Y 9 7 =� Engineering --- Phone: ( 5��3) �� 5�� `� ( � Other C.r •trd:•tor, i_�� Items Required 'y e��-i-� y ��, l y�c✓L_. Subcontractors Address: _ 0 Truss Details Other_— No-kes Phone: Contractor's License # (attach copy of current Oregon license) Contact Name: '— � i Conte •t Phone: Subcontractors: ArchitectlEngineer: Plumbing: i _ Address Mecnanical: (attach copy of current OR Contractor's license) Phone JOB DESCRIPTION: _ L�E1�iG'U�11� �' \ � 1r��t;�3 �� 4 » .�� tC_, —�f � — Apolicant Signature Applicant Phone number Received by: Date Received: . I r Permit# Account Description Amount Amt. Pd. Bal. Due � Bldg. Permit (BUIL') o 5 (,o _ Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) I f Bldg: _ ■ Plumb: ' Mech: ■ 1 Plan Check (PLANCK) _ Bldg: Plumb: Mech: i Sewer Connecdon (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) _ Residential TIF (TIF-R) _ Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL.) i Water Quantity (WQUANT) _ Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) _ Erosion clanck/COT (EROSN) TOTALS. �� E (..24S- a i� l� 1 �T CfiY '•r l t'(0t'(t'(090BIJfl.alN�i ,hSPF[.,f fvN NOTICE rspecti: n Line i-�c: 639.417; Gusiupsa Phone: 639-4171 Inspection:__ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Firep ace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.: Post/Beam Mech. San. Sewer Gas Line -Bldg. ■ Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line c—nsuTatroir- , -Mech. Underflr. Insul. Shear Wall Gyp. Bd.r -Elect. ; G Date Requested: Time: AM PM_ � I � .� 1 �l.5 _ Address: U C, O 0 Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: :tf of f --� c Inspector: / Date: O A1ZE L PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE r Call For Reinsp. f f. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-44175 639-4171 Inspection:_ L-L` 1 Footing Susp. Ceiling Sprfnk Rouga Appr/Sdwlk . Foundation Plbg. Underslab Mech. Rough-in Fireplace , Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain 6A;a5--- -Plumb. .Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: LAc �� `j _Time:�4M �—PM Address:— Permit #: 7 6 7 3 THE FOLLOWING CORRECTIONS ARE REQUIRED: 11.1 j5e fa 10, 4} —41 lopt Inspecto i /L _ Date: _APPROVED _DISAPPROVED _APPROVED SUBJEC TO ABOVE Call For Reinsp. I kk � t•. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection LineJ(fRec-O-Phone)• 639-4175 Business Phone: 639-4171 Inspection:-�_L- � — 4 Footing Susp. Ceiling Sprink. Pough-in Appr;Sdwlk ri nidation Plbg. Unders!ab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Lire -Blda. Plbg. Undertloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underilr. Insul. Shear Wall / Gyp. Bd. -Elect. Date Requested: �U I 1 / Time: AM PM I Address:._ 1/ f' au;k►�'w'!? 1 G� 3cl __Permit #: � �5 _uT�" :;; THE FOLLOWING CORRECTIONS ARE REQUIRED: r+, Inspector: i;/ ± C"'G'l_�� Date:'-- ,XAPPROVED _ _DISAPPROVED _APPROVED SUBJECT TO ABOVE —Call For Reinsp. D / t leJlfFwgp rr.,. , �� Fill -77 1W y CITY OF TIGARD BUILDING INSPECTION NOTICE t Insp,Ktion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 r Inspectior: ' Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk , u? Foundation Plbg. Underslab Mech. Baugh-in Fireplace Post/Beam Struc, Plbg. Top Out Elec. !lough-in FINAL: r Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Undertloor Rain Drain <1 ramin_> -Plumb. Alarm Water Line Insulation -Mach. u Undertlr. Insul. Shear Wall Gyp. Bd. -Elect. 1 Date Requested:_ �Gt —� Time: AM PM `{ Address:_1 OV-N3-.,i�er:_ 7, 3 _Permit 7_S7— U Z7 THE FOLLOWING CORRECTIONS ARE REQUIRED: i I` Inspector:_ Date:/ ^ _APPROVED DISAPPROVED `�1LPPROVED SUBJECT TO ABOVE _Ci II For Reinsp. i •,� We i W Community Development ELECTRICAL_ PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # CE. Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 4. Complete Fee Schedule Below: ' 1. Job Address: P Name Of Development_ Number of Inspections per permit allowed —, $ Addres lLz a`j r IJU (�'/� Service included Items Cosgea) Sum W Ciiy/Stat82ip c� �,�/_ 4s. Residential-per unit 4 • " 1000 sq it o,iese $11000 f Each additional 00 nq it of 1 Name (or name of business)_ —_ Portion thereof __ $2500 Commercial❑ Residential Each nuf1w $2500 _ 2 Each Manul'd Noma or Modular Dwelling Service+cr Feeder woo 2a. Contractor Installation only: 4b.Services or Feeders Irrctallation,alteration,or relocation 2 Electrical Contractor200 amps or Ione $6000 2 I amps to 400 amps $8000 _- 2 Address -- ao, amps to 600 amps $120 00 2 City State—` Zip_ 601 amps to 1000 amps $1800o 2 Phone No. Over 1000 amps or vohe �_ $340 00 2 Contractor's License No. Reconnect°^ty $5o 00 Contractor's Boaid Reg. No. . 4c. Temporary Services or Feeders Ire'allntion,alteration,or,elocation 2 Signature of Supr. Flec'n 200 amps°•less __, E50 00 2 'S - `-`— 20t amps to 400 vnpa $75 00 2 License No. _ Phone No._ 401 amps to eoo am P6 $too 00 0%or 1300 amps to 1000 volts 2b. For owner Installations: see'b'above �{I ,�J) 4d. Branch Circuits Print Owner's Name ''Lc e r' _ l L7 V`! `� New,aheration or extension per panel Address c n)The too for oranch cirmits with 2 purehsro of service of Made Ne. State 6 3t -I6 �- Each branch ar.:ud $500 Phone No. 4�� -HCl h)'rhe fes for branch arcuils without 1-he installation is bei ade on pro y I ion which is purchase of service w Meter fee. 7 _ 2 not intended for s le Or re Rral branch araut $$5 00 r ' 2 i Each additional blanch arcuit $5 00 �_a Owner's Signatur _ ti ! -L L 4e.Miscellaneous (Service or feeder not included) 3. Plan Review section (i/ required): Each pump or irrigation arde $4000 —_-- 2 -r o- - Ench sign or outline lighting ,— $40 00 — l Signal aruod(s)at a limited energy 2 Please check appropriate item and enter fee in section 58. panel,alteration or extension $4o 0n 4 or more residential units in one structure Minot I ahnls(10) _ _ 110000 Sarvice and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E.C. Chapter 5 Per Per hour hourinspecon $3500 _ p _�_ $6600 In Plart $6600 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. $. Fees: / ! 59. Enter total of above fees NOTICE $ `�J i 5%Surcharge(05 X total fees) $ � PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter Subtotal of line A for $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Ilan Review if required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 3ubrotsl $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account $ Balance Due $ •rrRrtand�xvbc pm�Or I W, I I _ a. k t�• R� w J i I t, • UJ Vy tIF I III NO F't I:F.(1`1 tit- i',Hi110 Ht I•L (A .I.1•' 1 Nt), ry' i,I Il:1 ati F(1`�ti IUI'•1 l ti �:)/ . i'. hJf•li'�tl r 1•iNIiF-.F1;•;t.ii•J, tiP:L,1.:P•t I:F•1`il-) r•eh111tirJ 1 ��, � 1NIA:PSON, 14WI Ii:1 ('11'r r1t PJ I +t1 k 1 4+' r Ili-'U,t`•5 SwI�Ilhl/tt1l:: ST �LiNi)1,!J1.>>J11�•1 . P :I I '1 1i 1 ; i t'I tY1rIF.1'J1 11111 ION I Pn i 11 1'I lttl'C1�1 01 Pi-tYhit I I I Olt 11 11 1 1 t !<t t 1r l..FrC' 1F�:11'1al 1'1 fdhlll' 5!5. 00 ':'t . 1'•1.1rI_F) I'1-Ft I F 1 t,—v,�`,•� :•:cl 11 Pf llltrl;i ,I ltsllti I 0111 1•'N.F17 If: 1 P P l l L, 1 ''I I III F f• I• s.Yl M1 r - ' 'Y - !1 i le, t CITY OF TIGARD BUILDING INSPECTION NOTICE / Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 699-4171 a Inspection: _- Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk ' Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. i Date Requested: ( �Imo/ Time:,&AM PM i ai Address: Permit#: `� S I J THE FOLLOWING CORRECTIONS ARE REQUIRED: a� A II a Inspector: Date: S r, PROVED —DISAPPROVED _APPROVED SUBJEd TO ABOVE Call For Reinsp. �wrii9, — ti lFt: •fist. �i A t . 4. 1 CE CITY OF TIGARD BUILDING INSPECTION NOTI Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 « Inspection:-1� �`",i•"" Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk ' Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Eler„ Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. 41 �Undrilc Rain Drain Framing -Plumb. , Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall / Gyp. Bd. -Elect. Date Requested: (' 4 "`�� Time: AM _PM Address: Builder: - 0 ��-Fermit # �S' 01 THE FOLLOWING CORRECTIONS ARE REQUIRED: x Inspector-1� J Date: _1 7 _APPR':)VED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. k. ' 1 f� 4: CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 639-4171 inspection: „, 1 Footing Susp. Ceiling Sprink. Rough-in APP r/Sdwlk Foundation�g. Underslab Mech. Rough-in Fireplace t. ost/Beam Struct Plbg, Top Out Elec. Rough-in FINAL: fi ws�! Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. ' Underflr. Insul. Shear Wall � Gyp. Bd, -Elect. Date Requested: Time: AM _ PM Address: oZ O,� C-`� fj -- cam' I I ��✓ .CP permit p: r�j�]^' - �} '7 THE FOLLOWING CORRECTIONS ARE REQUIRED: �l 1+, R Inspector: t== 1 1 Date: _APPROVED DISAPPROVED OSAPPROVED SUBJECT TO ABOVE ' __Call For Reinsp. b. 4 i;. i CITY OF TIGARD BUILDING INSPECTION IVOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__ r Footm J„ Susp. Coiling Sprink. Rough-in Appr/Sdwlk Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: A Post/Beam Mech. San. Sewer Gas Line -Bldg. C+�� Plbg. Underfloor Hain Drain Framing -Plumb. Alarm Water Line Insulation -ti^„ h, Underflr. Insul. Shear Wall Gyp. Bd. -- lect. Date Hequested: I "j <- Time: Y, AM PM Address: Builder: ,'4–_��/ 3 Permit #:_ ,r–e:' 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: tri �t?«eL•TI,/�C i �:,� ter;��_< , / 157'J�Lcxl,�–'S low Oc6� Ga�.a� Inspector: — Date: _APPROVED _DISAPPROVED /--0-FiHOVED SUBJECT TO ABOVE `Call For Reinsp. M t IN ;.ar. \ ♦ •J�ryWi.��11NMrItiY'.9.M.'dns'rwmY._..«...r».w..new..ww.MeaiwY+%«+++..a«..+.' i:4...Aw a�.a�x;S�tJNi.��'w •! CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT 13126 8W Hall Blvd.Tigard.Oregon 07223.6100 (603)639-4171 r'EIRM I T #. . . . . . . : MST95'-•'02 7 DATE ISSUED: 07/14/9a PARCEL: E:S10--DC'•-00(313 � ITC. 11205 SW GAARDE ST `a UBDIVISIOO. . . . : Z.C)NINt;. R-3. 13LOCK. . . . . . . . . . .. I-0,11 . . . . . . . . . . . . . . BUILDING -- - ---- _____._._..___..___ ._. ____._._•._____ ____ REISSUE: DWEL.{_I IIG UNIT'S:0 BASEMENT. . . . . . . . :0 S1 CLASS OF WORK. :AUD BEDRMS:ti. BATHS.0 GARAGE:. . . . . . . . . . :0 s f TYRE= OF USE.. . . :5F FLOOD f1Rf-iaS--__.__._.___.__ REQUIF'LE'D aE'rPACI•(S•- TYPE OF CONST. :5N F1 RST. . . . :240 s f LED-T. . : 10 f t R I GHT. :0 ft � OCCUPANCY G)RP. c R3 �%E=GOND. . . :0 s f FRONT. c II Ft [REAR. . :0 ft STORIES. . . . . . . : 1 F I NBSMErNT:Q o f IHCIGI-?T. .. . . . . . . : 1;3 ft TOTAL F 511OKE DETEC"rofm : FLOOR LOAD. . . . ::40 ps f VALUE'. . . . . $ : i 5 5)1 B RA FZK I IVIG SPACES. . :0 � rem y-ks : ADDITION ti_40 SO FT PATH I PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :k'! BAC-1-1,1-LOW PRI.-VNTRS. . :0 LAVATORIES. .0 WATER HEATERS. . . : 1 TRAP5. . . . . . . . . . . . . . ..0 i ` TUB/: 1-II]WC_F2`.i. . . . :0. LAUNDRY TRAYS. , . :0 Gwcvi BASINS. . . . . . ,• :Vt WATER CLOSETS— :0 SEWER LINE. (ft ) . :0 GREASE TRAPS. . . . . . . :0 5 DIS!-WASHE-RG. . . , : 1 WATE=R LINE (•fit ) . :0 OTHER FIXTURES. . . . . :. 'L! GARBAGE DISVI. . . : 1 RAIN DRAIN (ft ) . :0 ,5 WASHING MACH. . . : 1 5F Iifa1.114 DRAINS— :0 MECHANICAL __.___________________.__.______._.._._.__.__. FEES t FUI::1_ TYF='ES-- --- - UNIT HTRS. . :0 type amo!.tnt lay date recpt `( /GAS/ / / VENTS . . . . . :0 BRRT $ 116. 50 CTR 07/14/95 , MAX INPUT-.0 BTU 'J r:h'IT' FANS. . I3F=`LC 9 7' . 7;, E301+1 0%/1.=:/95 95-- 'URN ( 100-K . . :0 1-IDODS. . . . . . :0 B5PC $ 5. 83 CTR 07/14/95 r URri > =1k)tZ!K , . e�� WOODSTCTVf. 15. :0 PRRT' 9; 45. 00 CTR 07/14./95 FLOOR FURN. . . . :T CLO DRYE:RS. : 0 P5PC $ 2. 25 CTR 07/14/95 t k BOIL/CMr- ( 31111- :0 OTHER U1.41TS.0 GAS ouTLET5:0 BRUCE ANDERSON i 11e:05 W Gf,iARDE ST r I CARD OR 97223 iIhone #: 6:319--0013 OWNER d F'i-tone # 245. 31 TOTAL This pervit is issued subject to the regulations contained 1n the -'- -'---- REEIUIRED INGPECTIONS - - - - Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing In=_p Gyp Board Insp applicatle laws. All work will to done in accordance with ved F'o�_tndat i on In-.p Rain dr-,7 i n I n s>p 'r plans. This eereit will expire if work is of start within ON Frost/Beam Strttr-t P1LlMb Final 1 days of issuance, or if work is sasper d or gar han 18 Graw 1 Drain BLL i 1 d i n g F--'J na 1. a. � . PLM/Underfloor Er-onion Control ei-mittep CJ' 1.tJ. nr.kt1. 1 r / limb Top Ill-tt F-r•aming I n S P i.s s i_t e•d By , _......__ Inn to 1 a t i o n I n s P Call fol- ins ppc.t .on _ C,39-4175 E. t did +.,' 7 S CITY OF T IGARD "- RE=CEIPT OF PAYMENT RECEIPT NO. :145--E'6+ kO53 CHECK AMOLINT : 169. 58 � b NAME : ANDERSON, BRUCE CACII AMOUNT 0171 ADDRESS . 11205 SW CAARDE j. r E~''AYMf-rJf 17ATF �h7/ 1.G/'3`� TI GARD SI. BD [V I�i T ON : ' I PURPOSE: OF P'AYME'NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 116. 50 PLUMBING PERM 45. 00 (YI-, BUILD PER 8. 08 j f d ' # MST95-1273 f T1.77'f-L_ AMOUNT PAID — -- — —> t69. 58 r, 1 .A f t F i Permit#: i`)I �� ' L 71 4 Address: qctn ��__ r G JcdLA Date: (t1 Statement: Information Notice to Property Owners ' About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction pe-wit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statemert 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 befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ❑ 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the stnicture must be registered with the Construction Contractors Board. 24B. OR 1 will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors x Board. If I 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 I have read and do understand the Information Notice to Pro ty Owne` a o t Construction Responsibilities on the reverse side of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) t 00 a ' Information Notice to Property Owners 4 About Construction Responsibilities Note: This IIformation Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). if you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, ■ you can prevent many problems by,being.aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: ■ If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure,you will, in most instances,be ruled to be an employer and the people you hire will be employees. As the employer,you must comply with the following: Oregon's withholding tax law: As an amployer,you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information,call the Oregon Dept.of Revenue at 945-8091, I. Unemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information,call the Oregon Employ merit Division at the Department of Human Resources at 378-1524. Workers'compensation insurance: Asim employer,you are subject to the Oregon Workers'Compensation Law,and must obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation insurance,you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, ;! call the Workers'Compensation Division at the Depart.nent of Consumer and Business Services at 94.5-7888. U.S.Internal Revenue Service: As an e,-nployer,you must withhold federal income tax from employees'wages. You will be t Irable for the tax payment even if you didn't actually withhold the tax. For more information,call the.Internal Revenue Service at 1-800-829.1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project,you are responsible for re%tving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact,your insurance agent to see if you have adequate insurance coverage for accidents and omissions.such as falling tools,paint overspray,water damage from pipe punctures, fire,or work that must he re-done. . i t Time to supervise employees: Make sure you have sufficient time to supervise your employees. { Fxpertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough-in and finish trades, ;and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St.NE Suite 300, in Salem. prop-awn.pm4 1/94 "a 477 I r z t X it � r w., : < <o I X 2q _ 10 ro Rddi o�►� ii i a 4 �r X U'ti u,r K a ti � I t k i 14r I -W v 2 S IB DC -- 00 ?13 eAS�M�ut:� = No�►e eerosiow Coo( a "COL. u" Jed, 6eG se , /S 6Acki , re mo caoijec4ed 4 rkib4,*Aj i. �''�� '� ^w'".,'. """�"""'""'w'y,,'rnx ,..,la�etx»saaraRe�yr.•.arw.. .,�u.p.w....�.,.«.. , ._... -- n="nrl' _ 1 ti E ■ n Vrouud — 7kqICA/ ai t �rS'I' Cp �A r � a yy I 5 --- s��%f" --- — --_ F leer le• Grow ud l �f EROSION CONTROL PROVI510NS Excavated sight is small, 10' x :24' . and is in level area. a Any erosion would collect in the excavated area. ? The material removed from excavated area will be stored on my spar~,yPn area and would not cause any additional erosion beyond that of garden area. When r_,r•oiect comc-leted, excess soil after back fill of ffcuridation will be utilized on sight as landscape area adia, -nt to west side of addition and would not increase er osiun c.)ossibilitie•s. Should erosion occur under extreme conditions any soil ' would be retained on site due to perimeter fence of lowest two sides of property with treated 2 x 12' s contacting soil level. i r k (Y l y ; 4 i• t. 9 k p N Ij O 1 a �lil[SAW in y � � r:1 4" t •�� r y�j y�� f �+ t1� �� •�K ' fit '�'"4i I��f , 'y, •. i•l' �1.qYF I di.. l ,1, �� I V� � � ! 3 � - a��y.' .� I;�(t f.) .1 m•• i f .✓.c:�..iS4..kstw:•iLL..-�.,,....u.rw.lwi�`i'1�'• Residential Building Permit Appcation r City of Tigard 13125 SW Hall Blvd. I •� Tlgard, OR 97223 (503) 639-4171 obaite Address: 1 102 6 5 S l U • Gq rd e i Office Use Onl Subdivision: Lot # Contact Date / / Initials Valuation: Result New Construction Only: (Square Footage) Planck/Rec # �]—Z y Permit 0 / 5 t9 Ir 0 173 House: ��0 Garage: _ Reissue of Map & TL# Corner Lot? Y ® Flag Lot? Y Zone -� Plat # Ownar: I rQ-C Awde,rso%l _ -- Approvals Required Address: � 1 z0� S •LU . �►4.�9_� / Planning Setbacks f'I ' Solar O — Z? Engineering Other Phone: _3e Items Required Contractor: W C.,e E�.i.,— Y)�1` Subcontractors Address: — Truss Details _ Other Notes Phone: Contractor's License # (attach copy of current Oregon license) Contact Name: Contact Phone: Subcontractors: Architect/Engineer: u o u e— Plumbing: Mkf — Ah, Address: Mechanical: — L) e ou (attach copy of current OR Contractor's License) Phone: JOB f�?!_!�IDPTION: d&Ljc e- - ( Si Cv39 en-V Sp2 -�y9 /6G pplicant Sigrat _ Applicant Phone number Received by: Date Received: H UWXd ft1,.Mp �.{+�," •,•,•,•,�y =_ ..,...xxn[7��,y;��9qp�'a+nWl�nf.lxWflG+:�+ve•re+ar,xres.Miwnv+ea+rrllxoL�pSM�OMrPN.15�wr�inw�sx•, 1 I � r Permit S Account Description Amount Amt. Pd. Bal. Due' h?5f 11-0; Bldg. Permit (BUILD) S J �• � Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: ?-L ✓ Mach: / Plan Check (PLANCK) Bldg: '72. 1 3 Plumb: Mach: Sewer Connection (SWUSA) _ iSewer Inspection (SWINSP) i Parks Dev Charge (PKSCC) Residential TIF (TIF-R) I Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) I Industrial TIF (TIF-1) I Institutional TIF (TIF-IS) Office TIF (TIF-O) _ Water Quality (WQUAL) Water Quantity (WQUANT) i Fire Life Safety (FLS) _ Erosion Cntrl Permit (ERPRMT) r i I Erosion PlancklUSA (ERPLAN) Erosion Planck/COT (EROSN) j I TOTALS: I ' r m l ,4 ^t i f owl ,n I r.I FY OF T I(3ARD - PtE C-F 1 PT OF PAYMENT REC:E I PT NO. a 45-267921 CHECK AMOUNT a 75. 73 NAME:. a ANDH RSON, BRUCE COSH AMOUNT 0. 00 ADDRESS c 11205 SW 6AARVE ST. PAYMENT DATE. a 07/12/9 ) d� T I BARD, OR SIJBD V IS I ON PURPOSr OF PAYME:N-r AMOUNT PAID PURPOSE: OF PAYME=NT AMOUNT PAID PI..AN CHF:C.K EE. ..._w_... .....__�_.-+-•'Y�i. "Y3 --..._.._..___.....____...w_...__-.,..��. .._.................._...,......_. , I 1 ; W01 i iM(II Ii.1 1. PAID 75. 73 i5. 73 ]t ikl ___. ._-....__....._-.-- ...��..�.�W_...—.�f._...__�.._..._._..�.r.�..._.�..-..._.r_...-_..��-�._...._..._.__.._.._..�.__.-._. .__.�.._.... ....._ ..r�._1:....._. � .�..__...._..ter.... .r...._...u.. eF; L t. .q