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9630 SW O'MARA STREET Mw' �,�. �� ��t�� ' ,�'arv,k��^?'' ''�"'°W« �K'•+�q" r,�m ���r((fi'L+(�-�+ t';��'�i'v� yyr,"a''',fa��,l}��a q}�If�8��4'�,t�,1 ��11; ��'1 I� ��, .h. 'Yy 1 � ADDRESS: N • is\records\microf Im\targets\build ing.dor; Ir -- n 4 INSPECTION NOTICE I City of Tigard Building Department 13125 SW Mall BItd. Tigard, Oregon 972239'- ­—­— Inspection 7223` ­~­— Inspection Line (ReC-O-Phone!: 6:59-4175 Business Phone: 639-4171 Inspection: looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Pound. Plbg. Top O<:t Gas Line C FINAL, . Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Wate Line Gyp. Bd. Date Requeri.ed: - -T _Timet -__-AM IN �-. c a - � Add:see: � le-,�l J � 1Q 'l � I ' � . SPermit f:t 0I � Builder: m 1 V-(L. 0 2 �C)o Cj TIDO FOLLOWING ODRRSCTIONS ARE REQUIRED, �f / Inspector:_ ------ Date: GF'�VED DISAPPROVED APPROVED SUBJE TO ABOVE Call For Psinsp. l INSPECTION NOTICE � City of Tigard Building Departaan 13125 SW Ball Blvd. Tigard, Oregon 9 Inspecti-on Line (Rec-O-Phone): 639-4175 Business Phone 639-4171 Inspection:, —_ -- — — Footing Plbg. Underslah Mach. Rough-in A.ppr/Sdwlk. Found. Plbg. Tap Out Cas Line > FIN*L: t Post/Beam Struct. San. Sewer Framing -P:d 4• Poet/Beam Mech. Rain Drain Insulation -Piumb• Plbg. Underfloor Water Line GYP• 5d, -Mach. Date Requested: l cLv -fes _Times __PM Address: �w. Permit tf `�� 69, r Builders t THE FOLLOWING CORRECTIONS ARE REQUIRED: I: Inspectods Date: r � APPROVED DISAPPROVED APPROVED SUBJECT TO ABM f Call For Reirip. i 'J INSPE_CTI2tL NOTICE Building Department City of Tlqard Oregon 97223 13125 SW Hall B1oA, Ti.gurd, 639-4175 Buaine©e Inspection Line (Rec-O-Phone): Phoned 639-4171 .�---- Inspection: 1' A, r/Sdwlk � lb ./nnderel°b Mech. Rough-in P -_ Footing FINAL: • rlbg• Top Out Cas Line Found. - _Bldg. tan. Sewer traming ) Poet./Beam Strutt• _Plumb• Rain Drain Insulation w � Post/Beam Mczch• -Mach. Gyp. Bd.Plbg• Underfloor water Line �AM — PH Date Requested: / Permit Addreee: 3 -7�r_� Ile Builder:_ �U THE ,OTIOWTNG CORRECTIONS ARE REQUIRED: i ------------- "!A I Inspectnz — APPROVED �_- DISAPPRGVED APPROVED SUBJECT qO ABOVE Call For Reinup. ss,,tti.s ,azuroa� rM .,y,r :Yep,9Hwv.��Y�''�°p�''"b7PP'9X+a'�`..-..."%A'+'r'►''R*!�I� INSPECTION NOTICE City of Tigard Building Deparl:ment 13125 SA Ball Blvd. Tigard, Oregon 9722:1 Inspection Ltne (Rec-O-Phone)s 639-4175 Business Phone: 639-1171 Ineperti-ans � T• Under11 Mech. Rou i-in Appr/Sdwik Footing Plbg. g FINn7.:ine Fouad. Plbg. Top Out Gas L 1 Poet/Beam 5truct, San. Sewer. Framing -zidg. Insulation -Plumb' Poet/Beim Mech. Rain Drain - -Me�h. plbq. Underfloor Water. Line Cy-p. Bd. 'J�� _Ti'rt3t�L —pM Date Reque8ted1 iI permit is AddresB:_ Builder:,� TBE FOLLOWING COFiRFCTION3 ARE REQUIREDs , a -- <•r 1 , � I 3 _ �t�`z Inspector�PPROVZD —, Date: �-_- DISAPPROVED APPROVED SUBJECT TO ABOVE call For Rei.nap, ylowM 3, t--" I .,e,..:....%oirm+'.twNeWNaWHMY:RfHwMx?.r�.HMaw+Anrt!�'?++•++YWMII�h`1i!�MSRAU!!'d'MMIp'IM1�...." .... . r4: e INSPECTIOK NOTICE City of Tigard EH:ilding Departaent 13125 SN Hall Blued. Tigard, Oregon 97223.:FLa�-� inspection /.Line (Roe --O -P h one): 639-4175 Business Phone: 639-4171 Inspection: ootin ) Plbg. Undersl 'Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Pont/Begun Struct. San. Sewer Framing -Bldg. Post/Ream: Mach. Rain Drain Insulation -Plumb. Plbg. Undurflocr Nater Line �j Gyp. Bd. -Mech. Date Requested: /� �?l� � TLmae �.AM PM * r Address- Permit i: f/ Ul Builder: _ THE FOLLOWING CORRECTION$ ARE REQUIRED: � I Nd 7— //%Y — / t , u 1+ Insper_tor: Date:_r�_� _ APPROVED DISAPPROVED NePROVED SUBJECT To ABOVE Call For Rninap. •. Ili � J'; meg;, i[ r )a T J v ����t - Ott lCr L,f" �" • LINS ECTION NOTICE Citeof Tigard Building Departoent 1A125 Sit Ball Blvd. Tigard. Oregon 97223 rr tit Inspection Line SRec-O-Phuns)c 639-4175 Buaineeo Phone: 639-4171 Inspection: r Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS ��� Poet/Beam Struct. San. Sewer Framing -Bldg. k� Poet/BAam Hoch. Rain Drain Insulation -Plumb. Plhg. Underfloor Water Lina �Gyp. Bd -Hoch. s T y�fQ� Dates Requested, i�fMe► PM Addr.wse:�lfi7�vv � Pewit f: ' Builder: _. THE FOLLOWING CORRECTIONE ARE REQUIRED: i I f Inspector ,` Date: �•' Q r l S-� - APPROVED DISAPPROVED APPROVED SUBJBCT TO ABOV! Call For Reinsp. ` �V"' k G a l4 a tt,t63 4 p,d. ell 4,h I 14ECHAN I CA'_ PERMIT CITYOFTIGARD C1i -- YCIFTI�4RD G! idlWll #. . . . . . . : MEC92-0249 CdM11AUNiTY DEVELOPMENT DEPAR'�MENS' oReoa, 19125M'HWIBW. Ro-t 2�a�,no.as, �+° i 43t�'i6 `��� DATE: ISSUED: 09/28/92 SITE ADDRESS. . . : 09630 SW O* MARA 31 —�— -� - -- PARCEL: 2EI02CD-020011 SUBDIVISION. . . . : CDGEWOOD ZONING: R-4. 5 � BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . .. :20 CLASS OF WORK. . :ADD FLOOR FURN. . . .. : F lAP COOLERS: r TYPE OF USE. . . . :SF UN IT HEATERS. . : VENT FLANS. . . : OCCUPANCY GRP. . :R3 VENTS W/O APPL:S VENT SYSTEMS: STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS'. . . . . . . : FUEL TYPE'S------------ 0-3 HP_ . . DOMES. I NC I N: � 3•-15 HP. . . . : COM;+AL.. I NC I N: MAX INPUT: B i U 15-30 HP. . . . : REPAIR UN ITS: FIRE. DAMPERS'?. . : 30-50 HP. . . . : WFJODSTOVES. . GAS PRESSURE. . . 50+ HP. . . . : CLO DRYERS. . : NO. OF UNI"fS---------- AIR HANDLING UNITS OTHER UNI ('S. : FURN ( 100K BT0: 1 10000 cfm: GAS OUTLETS. : FURN )=100K BTU: ) 10000 cfm: ' Remarks: 5 WAPM f1I R PUNS TO 14EW ADDITION Owner: __.___---_____---._____.._____,_____-____-_ _____._-------_-._-- FEES MIKE STANSBURY type amount by date recpt 9630 SW O,MARA PRMT f 25. 00 JH 09/28/92 - 5PUT 4 1. 25 JH 09/28/92 - TIGARD OR Phnne #% 620-7089 Can-tractor: 'JELL HEATING 15550 SE PIAZZA PVF CLACKAMAS OR 97013 ------ ---------------_._-----------.____- Phone #: f 26.25 TOTAL 00447 ------- REDU.IRED iNSPECTIONS ------- This persit is issued subject to the regulations .•ontained in the Final Inspection Tigard Municipal Code, Mate of Ore. Specialty Codes and all other a glicable laws. Al l work will be done in ascordaire 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 1811 days. Permit'cee Signature: Issued By: Call , or- inspection -- 6:39--41"75 fl►' !� CI OF TIGARD MECHANICAL PERMIT Permits V 2. 125 SW HALL BLVD. _- p. 0. BOX 23397 Description Table 9A Mechanical Ccde QT`_ PRICE AMT T'(GARD, OR 97223 (.503)639-4.T 75 1) Permit Fee 0 0 10.00 _— �Narre of Development —^ 2) Supplemental Permit 3.00 -- H 1) �mm�ee�e t9f1`680 BfitJ � 6.00 6 Job Address 1 isid.ducts&vents _ c'c Address 9-6 30 : AJ �7cL ru I Furnace iG0,000BTU + 7.50 Tax Lot Map No. I 2) incl.ducts&vents f _ Lot Brock Subdivision Nae rob name of business) 3) Floor Furnace Name 6.00 i-+rl.vent _ Suspended heater,wall heater 5.00 rtailingAddress � 6'lwrw 4) Ownc,r - of floor mounted heater _- �� �ZCJ ?Ob 9 ! Vent not incl.in 3.00 Gty/Stabe 7L'rp 5) appliar,a permit - f — —NW.(or nome of business) (3) riRepair o1 heating,tett i 6.00 ling,absorption unit Repair t4 -Ar/ Boiler or comp to 3 HP Mailing Address �1pf1C /) absorp.unit to 100,000 BTU 6.00 4'owpanl _ .— ..— GitylStatn rip 6) Boiler or comp to 3 HP-15 HP 11.00 absorpunit to 500,000 BTU Boiler or cornp 15-30 HP 15.00 -- Narne,� 9 absorp.unit Y2-1 million_ r n Phone 10) 22."Addross Boiler or comp to 30.50 HP 22.50 � absorp_t,nit 1-1.75 million SS ;%�/ �r zl-- �=� ' /�`�'3' -- C ntractor S v Gtyrs2;1 Zip11) Boile r or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU --=�---- - - Air handing u0 to State Regi!dratlon No. City Bus.Tax No 12) 4.50 M 7 10,000(:F <,y _ _ — Air handl;ng unit 7 5O wr 1 leby acivawledge that I have read this application that the informatiam given is /3) 10,000CFM -I- corn,m that I am the owner a autb orir ed agent of the owner,that plans sA txnitted are in oompNanoe with Stale laws that I am registered w4h the State Builders'Bc-ard•that the 14) Non portable 4.50 numbw given is cared.(II exempt from State registration please give reason below). evaporate Cool_r _ — �° Vent fan connected �/ ✓c� /�cr,��r J�• r'ti':s �T' - 15) - -..3.00 ----Y"-- / - to a singly duct 16) Ventilation system not 4.50 included in appliance permit 17) Hood served by --- 4.50 2-2 l mechanical exhaust �- C�gnahrre(a a ageftp Date t 8) Domestic type 7.50 incinerator Describe work CI addition 0 alteration (;) repair ID to bo dono residential p=_ non-residential ❑ 13 Commercial or industr al ,30.00 -- - r type incinerator _ Existing use of building or property___-_- _-_ _ 20) Other i.e.,waadstove,water 450 heater solar,clothes dryers,etc. - Proposed us of building or property 211 Gas piping one to frurou'.lets 2.00 Type of fuel- oil ❑ natural gas ❑ 1 PG ❑ electric C i ---- - - -- 22) More than 4-per outlet_ _- NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED tS NOT COMMENCED WITHIN 1805%5% SURCIWACE DAYS, OR IF CONSTRUCTION ON WORK IS SUSPENDED OR Ir PLAN REVIEW 25%OF SUB-TOTAL A13ANDONED FOR A PERIOD OF 180 DAYS AT ANY 1 it,,!E AFTER - WORK IS COMMENCED. L __ TOTAL Spedal Conditions_•_ _�_ f -- - - - - Date Is.jed ,- -- by fr .j, . w«�, r' r1> �y�„r,;yrf, rip.. r��1j;:t.,1�4n c, 'q�q'f.0 °•RA►N' ��1i.,.. � ''�4� r � ;�r�a i. ad. y lr CITY OF TlGAED RECEIPT OF' PPYME-.'NT RECEIPT NO. .92'-K'321i?7 CHPCK AMOUNT 1, 6. 015 NAME SELL HEATING CASH AMOUNT ADDRESS c 15550 SE PIAllA AVE PAYMEm'NT DATE: a 09..'r',8J9�'. *,.C.JBDIuISION c1...ACKAMAS, OR 97klvl-j- PURPCJSF OF PAYMENT AMOUNT PAID PURPOSE OF' POYME:NT AMOUNT PAT 1) 4 f�F C;FIf�1NIGAl,. 1tF -------- ST BUJC_:i PER LIPS PS STANSBURY 96;_0 W 0 MAF2V i 1 cr. , Yp Yt r• tT'x Key 1 to-e r `�hxr lth xo'�a•# P ,n'.7sstls6sk+At'k"-"M!�ttAa+x r^�+tve+�.nr+v+» ,wu.,>,;.,.,.,.. _.:........._. .:............ .._i,.��'"� t (9 INSPECTION NOTICE �taY M +rf+ City of Tigard Building Department 13125 SW Hall Blvd_ Tigard, Oregon 97223 Inspection Lane (Rec-O-Phone): 639-41''S Businese Phone: 639-4171 k Inspe•:;tlon:- rt Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: - a Poet:/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain insulation, -Plumb. Plbg. Underfloor Water Line rr Gyp. Ed. -Meeh. Date Requested:_ Gl� Time: y_AM PH Address: �J // Permit #s Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: r Inspectors_ Date: — 4 AP PROVED DISAPPROVED APPRO3IBD 6UBJEC! 'O A80VE t � r +. Call For Reinap. pop j; a + 170-00 F 1� 1Y tir ak � I A tW Iyyt p �'' � +14+$dBMw+«wwi�r.%«w•ix„.,-,,hwr,ryrpvkh+rre.>tx'gin , N,,. r y INSPECTION NOTIC'R City of Tigard Building Depnrtiotnt 13125 SN Ball Blvd. Tigard, Oregon 972:13 e Inspection Line (Rec-O-Phnne). 639-4175 Busiin�c Phones 639-4171 Inepection:�—^ rooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk ,f Found. Plbg. Top Out C�e Line FINAL: Post/Beam Struct. San. Sewer Framing J -Bldg. Poet/Beam Herb. Rain Drain Insulation -Plumb. Flbg. Underfloor Water Line Gyp. Bd. Nech. Date Requested: —Time: Address: / V z Permit f: — - Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: I 1 i f I 7 — 9S V Inspectors Date: APPROVED DISAPPROVED APPROVED St19JRCT TO ABOVE --Call For Reinsp. 11 WAMRMK �IO�AMrIt 1 4.0 yrt MIN PANIM INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. T?.gard, nregon 97223 inspection Li (Rea-0-Phone); 639-4175 Business Phone: 639-4171 Inspecticn:_.__ fi i 1 Srtrril Footing Plbg. Underelnb Mech. Rough-in Appr/Sdwlk fi°y Found. Pl-bg. Top out .as Line FINAL: Poet/Beam Suruct. Sean. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Inavlation -Plumb. (Plbg. Underfloo> Water Line Oyp. Bd. -Mech. Date Requested: Times A!1 �PM AddreNe:_ � Builder: Vj' t THE FOLLOWING CORRECTIONS ARE REQUIRED: 'S�"���xyr'. I f h c I ). � 14 v I, I - I i r Inspector:,';�_ ,� _ Lates / L APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ___Call For Reinap. 0 I INSPECTInN NOTICE City of Tigard Vu loing Departs►zut 13125 SW Hall Blvd. Tigard, Oregon 97223 InApection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection: Footing Plbg. Under.slab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Stru.,-t. San. newer Framing -Bldg. � Poet/Beam Mach. Rain Dtain Insulation -Plumb. Plbg. Underfloor Water L+i�ne Gyp. Bd. -Hoch. � I L L�� 1 Date Rogneated:: k ,\t /.>- Time: �.lM —/ _PH Address: �(�'. U /1 / '&2GL.,i A Permit i:—/� j)!.1 oJ5 �a► Builder: THE FOLLOW1NU CORRECTIONS ARE REQUIRED: InspectorA.,� 1 Z`►ti� Date:_ _ APPROV80 DISAPPROVED APPROVED SUBJECT To ABOVE i Call For Reinsp. l.� aTYOFTIFARD MASTER PERMIT ' COMMUNITY DEVELOPMENT DEPARTMENT 'F R1�1 I T t#. . . . . . . : r+IST�3 - . 103 131268W HWI Blvd. P.O.Box 23397,TiPM,Oregm 97?23(6a11634d,7s 50"r!. T ,q l) 1); /05/92 SITE ADD4E::•iS. . • : -)630 SW 0, MARA ;:31' i 1=jRCFI__: ='SaV'� CG-'�21�:.v':Ik.1l SUBDIVISION. . . . EOGEW,JOD ZONING: R--4. 5 BLOCK. . . . . . . . . . ., LO1.. . . . . . . . . .. . . . :20 BUIL.DING REQ I G81JE.- R o�d UWF I..J__I NG LIN I T5: 1 HAST= i 13125 SW ttau Blvd. PLNCK/REGI # CITYc OF TIGARD PO Oregon 97 97223 PERMIT # 9 '5 COMMUNITY i)1-VELUPNtENT DEPARTMENT Tiprd Orcsoa (503)639,4171 DATE ISSUED — — JOB ADDRESS: TAX MAP/LOT :%-5 1 o2C n 0 i 6 c, i SUB: ,�c LOT: LANG USE: ��_� VALUATION: �4eJ t / '� SPECIAL NOTES OWN R ( "� NAME: C'D /_ ,� Fl REISSUE OF: _ --- ADDRESS: tel' K-='cl S_ � I r' ' --- LAST REISSUE: r FLOOD PLAIN/ PHONE: C � s`, SENSITIVE LAND: i CONTRACTOR AP PROVALS RE WIRED 4 /�— PLANNING: NAME: _ ADDRESS: — ENGINEERING: FIRE DEPT: PHONE: — _ OTHER: 00 711" - CONTR. BOARD #: — EXP DATE: _ ITEMS REQUIRED SUBCONTRACTORS: PLUMB: s�' LIST/SUBCONTRACTORS: _ MECH: S `' BUS TAX: LRCULLNGINEER CALCULATIONS: -- NAME: S �,� —_ TRUSS DETAILS: — ADDRESS: _ OTHER: PHONE: PROPOSED BLDG. USE: �-COMMENTS: i APPLICANT SIGNATURE Received fly: �__ lv Date Received: -A::Z Z ,j y� , J �,a _ •!«mow PERMIT # ACCT # DESCRiPTION AMOUNT AMOUNT PD. BAL. ,DUE / 7,!21L2-0/p3 10-432 00 Building Permit Fees / 1J6' % ✓ v 10-431 00 Plumbing Permit Fees 52•57J _ 10-431 01 Mechanical Permit Fees _.'� __ 12 10-230 01 State Building Tax (5%) / • 2b" '� a Building f / O Plumbing � Z- Mechanical • 10-433 00 Plans Check Fee Building Piumbing Mechanical xv 3 � 10-230 06 Fire — 30-202 00 Sewer Connection — 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees i 25-448-04 Industrial TIF Fees — 25-448-06 Inst.iLutional TIF Fees 25-448-03 Office IIF Fees 25-448-01 Residertial Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL �r nm/358;'P.WPF "040�— 72a,r .X t i Permit No: Address: �lv ='C (0 , --�-- °' N z Issued by:. Date: \• '` ---FOR OFFICE USE ONLY STATS EEMENT: INFORMATION NOTICE TO PROPERTY C'.4ERS ABOUT CONSTRUCTION RESPONSIBILITIES ? ; j Note: Oregon Law, ORS 701.055(4) , requires residential construction permit » 1 applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued.This state- ment 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 stater,ent. This statement will be filed with the permit. F : Fill in the applicable blanks, and d initial boxes 1 and 2. and either box 3A or 313: 1 . 1 own, reside in, or will reside in the completed structure. 2. C-_ 7 1 understand that I must register as a construction contractor if the structure is sold 1 or offered for sale before or upon completion. 3. A.C_ 1 My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. Bj 1 will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire d L'eneral contractor, I will contract with a co itractor 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 Information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities o,. fhe reverse side of this form. Signature of Permit Applicant DaW CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 i WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT t:�?n '44;1' IN-I, wii 11 1111111111111 I@ "IC I 1 111- , INFORMATION NOTICE TO PROPIERTY OWNERS ABOUT CONSTRUCTION RESPON ,IBILITIES NOTE: 'his Information Notice to Property Owners About Construction, Responsibilities# f was developed by the Construction Contractors Board in accordance wiih ORS 701055(5). ' passed by the 1969 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improve,nent to an existing structure, you can prevent many probler,is by being aware of the following responsibiI i es and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons riot 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 followin,ci: y Oregon's Withholding-Tax_Law: As an employer, you rnust withhold income taxes from employee wages �t 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 Department of Revenue at 378- ;390. 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 Employment Division DHR i at 378-3224. l A/orkers'_Compensation Insurance: s an employer, you are subject to the Orf.yoy Workers' Compensation w. Law, and must obtain workers' compensation insurance for our em Io cies. If ou 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 DIF at 373-7434. U.S. Internal Revenue Servt'ce: As an employer, you must withheld federal income tax from employees' wages. You ill be liable for the tax payment even if you didn't actu2!ly withhold the tax. For more information call ; the Internal Revenue Service at 221-3960. ! g OTHER RESPONSIBILITIES AND AREAS OF CONCERN: .,ode Compliance. As the perrnit holr.ier for this p;oiect, you are responsible for resolving any tailure to meet ;ode 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 punc- tures, fireor work that must be re-done. Time to Supervise Employees. Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rcug:-On and finish trades, and to notify building officials at the appropriate times so they can perform the req!Jred inspections. If you have additional questions, write to: ConsirUCii.00 Contractors Board i 700 Summer St NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244,1 10/24/89 .,:r CITY OF T I GARD - RECE"C'T OF PAYMENT RECF I PT Nn. t92-228066 CHECK AMOUNT a 291. 71 111�h�r I.J.)URIN, I_EO CASH AMOUNT 0. 00 9630 5W CI' MARA PAYMENT DATE: s 06/05/92 SUBDIVISION T'ILIARD, OR 97223- PURPOSE 7223--PURPOyE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID Eal_I I L..D I N[; G'E'RM 140. 50 PLUMBING PERM 512. 50 ML-CHANICAI- F'1=' 31-2. 50 ST. BUILD FUER 11. 28 � PLAN C:HF:CV FE 54. 93 a ToTA1_ A1+1(ll.)N1 1:>f11[) 291. 71 A°4 i4 r G 1 FY (:)F T IGARU flL.T..:E T ''I OF P IYMENT REC:k:J;PI NO. :9 0-287H79 CHECK (1MIJUNT 44. 5:3 N(IME a I_AURIN, 1_,F. 0 CASH AMO(INT : N. 00 ADDRESS 96,30 SW 01 MARA ;7)'F P()YMI:-NT VAI s 06 01 SU'E 1J I V 15 I ON I-If1ARD, OR AURf~'C1F;C OF F-'(IYIHF::N'1' 0MULIN`I' P61l D F''L1RK_'C)SE: C.1F 1='AYMf:;,NT tIMf.Tt 1N7 rFl l'1) M. 44. 93 1 I,. "I i $'1141_.. Ga1 11'11)I,I'i I I'i t t) R ..a,.„,_..,aw,mv„ixnrvyna4.A.N+1tK"sr.,,,,,r.u. rr.rw*+...rn. ........« ..�...• .._. ,....,., .- . .u.,,,...,r,n.�.ar..�.w,»+,.,,.. t j i5D D `� v I 1•.,,Yy f i �JJ Y+ p�fr47 ” J': :!.{ a �f.� s, ,r 'i ' INSPECTION NOTICE City of Tigard Building Department j 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phane): 639-4175 Buainese Phone: 639-4171 ! Inspections -- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk O Found. Plbg. Top Out Gas Lind !1 FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. I'/'J�'�J Poet/Beam Mech. Rain Drain Insulation -P1umlL • Plbg. Underfloor Water Line Gyp. Bd. (- Mach• / Date Requented:_-1_L ` Times �•._ 1 AAM PM Address:_ (_�z c) _.-1 j��Q•�L«�/ Permit is _ L Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: 7 >�F.�'7e.�7�imr_..f�i..`�..'_'Je— G �r �f.7C✓..� � S�>'��— I _ Inspectors �atls q—lam' RG_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinnp. j r Or w r P 4 !�`± Ll November 26, 19901 CITY OF TIGARD OREGON � Albert Thiele 9630 SW O'Mara Tigard, OR. 97223 Re: 9630 SW O'Hara Permit # MST90-0292 i Dear Mr.. Thiele, s., On August 31, 1990 a permit was issued for the above project. As of this date, there is no record of any inspection having been recorded. Please advise the Building Division of the status of this project as soon as possible so that the file may be kept current. Please note that any permit without activity for over 180 days becomes void. If you need additional t'me to complete the project, please contact this department so an extension can be discussed. t Sincerely, Brad Roast Building Official Notice.2 f t 13125 SW Hall Blvd.,PO.Box 23397,Tigard,Oregon 97223 (503)630-4171 -- — -- r A 1. C11YOF TIGARD MASTER 1='. . . I1 C11YOF116ARD F'I::RI'IT'r N. . . , , . : III ST`•3O2':)c1 COMMUNITY DEVELOPMENT DEPARTMENT ammoo« PRIM. PERMIT N. : IMSST90-0L'.92 13125 SW Hri Blvd. P.Q.80923397,Tfpou a.Qr69-07P3 tlW) T DATE I S S U E D w 08/31/90 _ Cl SITE ADDRE':i',:;,, : :)E.,::3(!i ;W c; lJ (:l' �".AF./-1 Sir PARCEL: 2SI04CD-02001 SUBDIVISION. . ,. .. ,; LINING: BUILDING Rl=TSiS3Uly: DWE:I_L_IN[i UhII TE;a 1 E+r,��w'�NT. . . . . . . . :0 sf CLASS OF WORK. 01)1) 11 E::I)RIII S3: :L POTl• S: I GARAGE. . . . . . . . . . :528 s 'P TYPE OF USE. . . ".SF FL00R AREA5_....._._._._._..........__ REOUIRE:.D SETBACKS------------ TYPE (7F CONST, ,5N I: TRSJ . ,. » . ";i 7C, r>f LEFT. . :0 ft RIGIAT. :,., ft OCCUPANCY GRP. aR3 SECOND. . „ :p s>f FRONT. -.20 ft REAR. . 10 ft r>rORIES. . . . . .. . : 1 THIR1). .. „ .. :0 sf REQUIRED-_...._- ___..___.._. .. _._.._.__...... I.3E1GH'T.. . . . . . . . :18 ft TOT'AL.- -:57E; sf SMOKE DETECTORS. 1Y FLOOR LOAD. . . . C40 I.,.a f VALUE. . . . .$: 16128 PARKING SPACES- 10 Remarks r. turningrlararle :into living gUarte•r1a building new garage _.__....____...._..__..____.___..__._.. _.._._.....___..___._._ PLUMPING ..-._._.____.._..___.._____.. ._____._____,._._......_..._ . :p FLUOR DRAINS I'NS. . . . :0 BACKFLOW F'RE VN'rRS. . a 0 I...AVAT0R]:E:S. . . . . : 1 WATER HE:ATERS. . . a :L TRAPS. . . . . . . . . . . . . . :0 T'UP/SH0WE RS. . . . : 1 LAUNT)RY TRAYS. . . : 1 COTCH BASINS. . . .. .. .. • »0 WA1 I:R CLOSE"TS.. . : 1 SEWER LINE:- (ft) . :fd GREASE TRAPS. - - - -- -- ::H DISHWASiHERS. . . , -Cl WATER LINE (ft) . :0 OTHER F•IX'T'URES. . GARBAGE DTfif••'. . ,. :iil RAIN DROIN (ft) » :0 WASHING MACH. . .. ::L SF RAIN DRAINS. . :O ........ ._._._....._..... - MECHANICAL - _ _.. ._........_...........__ _ __....._..__»_._.___....- FIisIc: ; ._..... _.... _._...... F'UP. T'YK'E:Si_.__._..........._.._-_......_ UNIT HTRS. . :O type Amount by date reept VENTS . . . . . :4 H1='RT $ 122.5O IMAX INPUT:0 DT•U VENT FANS. . :2 DPLC $ 79. 6:3 1 / F'URN ( 1O0K . . «0 HOOD:'. . ,. . . . :0 BSPC q; 6. :1.:3 f--URN )==:L O0K — :0 a 0 WOODSTOVES. a 0 MPRT `h :34. 00 FLOOR FURN. . . . :0 CLO DRYERS. : 1 MPI-C 'I; 8.50 1:4OIL/C:MP ( 3HP:0 OTHER UNITS:O IT15PC $ 1. 70 t / GAS OUTLETS n 0 PPRT $ 4:;. 00C)wriers _. - PSPC !I; 2. 25 AL.BF::RT TH]:E'L_E:: 1='AYM 3 i?9`:). 71 TL..H 0813112,0 96::30 SW O'MARA ST 'T'IGAI-<D OR 970.23 t i Phoney N: Ccant•racta•r: ....... OWNER/(:ONTRACTOR i k t F'h(ane Nis Re.l #. . a OWNS:R _...._....__...._._.____._.___.._.__............___.._.__._...__._.... I $ 299. 71. TOTAL This permit is issued subject to the regulations contained in the - -- - ~~ RECIUIRED INSPECTIONS - - - Tigard Municipal Code, State of Ore. Specialty Codes and all other F•aot/fot.lnd Tnsp Gyp Board Insp applicable laws. All work will be done in accordance with approved Cvawl. Drain Rain drain Iiisp plans. This permit will expire if work is not started within 188 PIM/Uridslab I1•is;ci Mechanical FiriaJ. 3 days of issuance, or if work is suspended for more than 180 days. PLM/Uriderfloor PlUmb FA.na1 f Mechanical Trims) BL0.1d:irig Fina.l. _ Plumb To Ot.(t E:rosi.an Cont:•rol f-e.•r•m a.t fi:r: P '�J. n�:i t;� r(: _._._.. .. .. ......... . . p l F•ramirig I11sp Ii,y1.(nd 13y: Iri$Ulation 11115p Call tar irlC�ipectiori - 639•-4175 i .._.. .... ... .....,.......».wa.�..ew.....m.,»tiw..,»».w....,.w»...w+w..ww.,,.»w.,,.wa..ara.+..Y,:.wr..w.w:>,..W,g...... ... m...i»..,.m..,.._»....,,.».........ti...-...__,.,-,• _.._...-.,....., I, L h. .......................... .............................. e Permit No. _ Address: Nj: i O Z 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, exempt from registration under ORS 701.010(7), deed not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 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 B. 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 ao hire a general 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 Information 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. 9 g a ure of Per Applicant Date CONSTRUCTION CONTRACTORS BOARD 02441 1/90 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERI't OWNERS • ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: 0i,, Information Notice to Property Owners About Construction Responsibilities tvas deveioped by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 0, gon Legislature. 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 RESPONSIBILIIIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the constm,.;tion or improvement of a residential structure, you will, in most instances, be ruled to be an "r-.!mployer" and the people you hire will be "employees". As the employer, you must comply with the following: 2regonls.Wlth.holddlng Tax Law: As an employer, you must withhold income taxes from employee wages �11_c You will be liable for the tar payments even it you don't actually withhold at M—etime employees are I the tax from YOLIF employees, For more information, cail the Oregon Department of Revenue at 378-3390. UneTpLoyment Insurance Tax: As an employer, YOU are required to pay a tax for unemployment insurance purposes-6n—th-e-�ia—g6-6-6-f-il-l-employees. For more information, call the Oregon Employment Division DFIR at 378-3224. Workers' Cqmpensaj!2n Insurance: As an employer, you are subject to the Oregon Workers' Compensa- tion Law, and must obtain workers' compensation insurance for your employees. If you fall to obtain workers' compensation insurance, you may be subject to penalties and will I)e liable for all claim cnGts if one of your employees is injured on the job For more information, call the Norkers' Compensation Division DIF at 373-7434. U.S. Internal Revenue Service: As an employer, you must withhold federal Income tax from employees wages. You will be liahle for the tax payment even if you didn't actually witnhold the tax. For more informa- tion, ^all the Internal Revenue Service at 221-3960. OTHER RESPONSI BI LJIES AND AREAS OF CONCERN: Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspection': Liat;�illty and Property Dama,Up Insurance: Contact your insurance agent to see if you have adequate Insurance coverage for accidents Issions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-clone. Time to Supervise Employees: Make sure you have sufficient time to supervise your employees, Exptrtise. Make sure you have the expertise to act as your own general rontractor, to coordinate _ the woTr -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 to: Construction Contractors Board '100 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-3-'8-4621 0244J 10/24/89 w 1 .. n9MN^..�!1,Poa�a n'Mh'N!G7�`'�.Y.,,,y ,.,,,�'t^e.+•'4'r�f r .;;� :,., ....,...,,,:.r.w ..... ,,.., ,........ .... ............._r,.. • O 4 CITY OF TRD ngo a a ,vm3 PI[VC3C/�tF7Cr # _ • • (5Q3),539-4171 PERMrr # D Z L COMMUNITY DEVEI.OPMENT DEPARTMENT D= I.". UM JOB ADDRESS: 96,30 SW On14r1- Sf MX MAP/Lar _ 2s 1 -2c U - 240 SUB: _ LOT: _ LAM USE: VAUMTION: Z /,`;T. OWNER �_ SPDCLAL WnEs NAME: �i 1G-evf RELS-SUE OF: ADDRESS: _9121) S w O:71a f- LAST RE:EssE= _,2,-d ®i P V,7223 _ FLOOD PLATN/ SEKSITLVE LAND: PHONE: ArPR(f4Arz RnourRII� o wane" PLAtu1nJC;: NAME: _ ENGINEERING: ADDS: FIRE DEPT OTHER:_ - PFIC�: _ ITII�1S RDQ�IIRID i BUILDERS BOARD ,f: EXP DATE: LISP/ BUS TAX: ARCH/FNGINEER CAIGUTATIGNS: _ l NAME: - _ 7!RrJSS DETAILS: f ADCRE5S: — _ CrIIHEL PHONE: - -- f GCI KEWIS: ,�.a'�' �'L'1`� s . NOW: _ PERMIT if AOCr if DE 92RI ION AMOQTr AMOUNT PD. BAL. DUE /yJy� 9U v 1q1 10-432 00 Buildin_; Pel,tit Few • u 10-431 00 Plumbing Permit Fees .6.1249 _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) — Building 6.13 Plumbing `.2-.5 Mech l 7 U f 10-433 00 Plans Check Fere � - _ 'd,13 Building _. 3 Plumbing Medi 30-202 00 sewer omrr ction 30-444 00 Sewer Inspec:ticn 51-448 00 St2eet, System Dev Cbarcye (SDC) 52-449 00 Parks System Dev Charr (PDC) ---- 31-450 00 Storm Drainage Syst Dev Cttrg (SSDC) -- --^_ 10-230 OG Fire '1rrrAL .APPIJc1wr SIGN7aLn2F �— -- Received BY: - _--- Date Pjxmived: J .ef/-%;37P.WPF .,.-.w..r........r.w. .x.wTwprA.mern'uew�.•+F. ....... ..... a Ror'll 01 (;RADING/EROSION CONTRO1, INFORMATION . GENERAL CONTRACTOR NAME.&ADDRESS: CASEFILE NO.: PERMIT NO.: APPLICANT NAME AND ADDRESS. EXCAVATION CONTRACTOR NAME&ADDRESS: OWNER NAME AND ADDRFSS: F` TELEPHONE NUMBERS: -- APPLICANT: PROPERTY DESCRIPTION: f OWNER: — STREET ADDRESS AND CROSS STREET/LOCATED GENERAL CONTRACTOR: EXCAVATION CONTRACTOR: — — STTE/JOB: LEGAL DESCRIPTION: 3 24 FIR/AFTER HOURS EMERGENCY TAX LOT NO.: _ CONTACT PERSON,TITLE,TELEPHON):. 1/4 SECTION: —- - SITE SIZE,ACRES: { DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING STIE WILL BE TAKF.PI SITE RUNOFF DRAINS TO.(CIRCLE ONE) (NOTE:PERMITS MAY BE REC r ":.D) CATCH-BAST: DITCH PIPE CREEK (CIRCLE ONE) PRIVATE PROPERTY PUBLIC RIGHT OF WAY EROSION/SEDIMENTATION CONTROL fESCI MEASURES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION- FOLLOWING CONS7RUC:PION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABIL.EZEb CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER 3 OTHER_ f PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WTIH'TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY E PHONE NUMBER, SCHEDULE/S'IAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE.STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. OWNER SIGNATURE _ APPLICANT SIGNATURE r, 0M—- CIAL USE ONLY E RECEIPT DATE ACCT:.`•IT-,D ► FEE_ —NUMBE=R_ RECEIVED 4i BY I I i i AiL L _ CITY (IF -f J C--JAI;1.) RECEIPT OF PAYMENT RECEIPT NO. r 90--2047,6 CHECk AMOUNT '199. 71 I.IAME t THIELE, ALBEPT CASH AMOUNT ADDRESS t 967,C) 'SW O'MARA PAYME.W DATE 08/ti 1/170 S;r_1FIDIVISION TIGARD, OR 9'742 r"URPOSE OF PAYMENT' pee I D PURPOSE OF PAYMENT AMOUNT PAID I FsUILUINC PEFf1 _._..— i~,.,y. 0 PLUMBING _PE'RM _ — �•� 40.00 HE CHAN I CAL PE 34., CIO ';T, f31.1I1_1) PER 10.09 PLAN CHECk:: FE 80. 1 i 1 TOTAL. AMOUNT PAI[ _ 2,199. 11 I i i