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INSPECTION NOTICE
`J
• City 4! Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas LineFINALS
Post/Beam Strutt San. Sewer Cl,;p�ina __.-- -Bldg.
Post/Beam Mech. Rain Drain Infulation -Plumb.
l•lbq. Underfloor11 Water Line Cy11. Bd. -Koch.V
Date Requeeteds '— CN _L1 rTimes AM PM
r
Address: �b i-7�-31V��-lh.G..J �-� Permit #1 8 s
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
7�Z
Inspector•
_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—_Call For Puinep.
INSPECTION NOTICE v�
City of Tigard Bui.ldicx� Department
13125 SM Ball Blvd_ Tigard, Oregon 9-723
Inspection Line (Rec-O-rhone): 639-4117755 Buoinee Ph.ne: 639-4171
Inspect ion:W .`tet fr C_ -k_ —
Footing Plbg. Underslab Mech. Rough in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line �j Gyp. Bd. -Mech.
Data Requested:_ `� - 2, V _ '7 .1✓� - Time:
Address: C a �.3 e-'�V 9•/ `�`�Cl Permit #: lL�
Builder:— _
TBE FOLLOWING CORRECTIONS ART REQUIRED:
i
Inspector: �V L..�� �'�- �- Date: -
APPROVED DISAPPROVSr APPROVED SUB.TErT TO ABOVE.
For Reinsp.
CITY OF T :CARD BUILDING PERMIT
PERMIT 4.. . . . . . . : BUP94-0116
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/04/94
13125 SW Hall Blvd,Tigard,Oregon 9721398199 (5031 a39l 1171,
PARCEL: 23115AD--07400
SITE. ADDRESS— ,. 1054.3 SW RIVER D
SUBDIVISION. . . . : DOVER LANDING ZONING- R-4. 5
B CK. . . . . . . . . . : LOT. . . . .. . . . . . . . 5 7
LO%,
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. .-NEW FIRST. . . . .. sf N: S: E: W.
TYPE OF USE. . . :-8156- 0--r SECOND. . . : S f PROTECT OPENINGS?----------
TYPE OF CONST. :5N 'THIRD. . . . .. sf N: S: E: WS
OCCUPANCY GRP. :Mc TOTAL-----------: 0 f ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
STOR. : HT. :8 ft GAROGE. . . : sf OCCU SEP. RATED:
BSMT": MEZZ? READ SETBACKS–--- REQUIRED---.----------______...__.
FLOOR
EQUIRED----------------------
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK, DET. . :
DWELLING UNITS: FRNT- ft REAR: ft FIR ALRMc HNDICP ACC:
BEDRMS: PATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ -. 1000
Remarks-. BUILDI SECTION IS GOING TO BE 8 FT HIGH 43 FT WILL BE 6
FT 1-4161-4
Owner: FEES
KEIT14 DlCW:_A71,,1 type Amol-kTit by date recpt
10543 SW RIVER DR FIRMT $ 25. 00 BLT 05/04/94
PLCK $ 16. 25 BLT 05/04/94
TIGARD OR 972*r-_'-i 5PCT $ 1. 27) BL,r 05/04/94
Phone #: 684--4994
Contractor.
CONTRACTOR NOT' ON FILE
#: $ 42. 50 TOTAL
Reg #. . : ------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot/found Insp
7ivard Municipal Code, St;,te of Ore. Specialty Codes and all other Framing Insp
applicable iaws. All work will be done in accordance with Final Inspection
apprived pian, This permit will expire if work is not started
within 180 days of -issuance, or if work is suspended for more
than 18@ days.
Permittee Signati.tre :
s s ot, d B-r, 4
Call for inspection —•.... 639--4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
�Jobsite Address: U Sf L/
Office Use Only
✓Subdivision• y U L �t h �,.1 , Lot #
PlancWRec # 1� -----
Valuatlor-,: _ 7
Permit #
'Owner. ___ Reissije of
Address: r L'S y 1,� �� J F'r /Jr _ Map & TL # . �'�
(, �a Approvals Required
Phone: g
Ptannin
Contractor: ({ ` S_L_, Engineering
Address.
- Other
Items Required
Phone:
Subcontractors
Contractor's License #
(attach copy of current Oregon license) Truss Details
Sub-ontractors: Other
Plumbing: A
Mechanical: _
(attach copy of current OR Contractor's License)
ArchitectfEngineer: _
Address:
Phone: /
COMMENTS: --
!Applicant Signature & Phone number
Received by: Date Received:_�Z—�
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) ' --
Plumb. Permit (PLUMB)
Mech. Permit (MECN)
.State Tax (TAX)
Bldg: --
Plumb:
Mech:
Plan Check (PLANCK) Z ' 7
Bldg: "L
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) —
Fire District (FIRE)
TOTALS: '
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C c (3 -7 D Construction Agreement Repstrauon e
r_�cf�cy2 hereinafter called,"Contractor","Seller"and/or "Beneficiary"agrees to provide
following: labor,mater' sand construction in accordance syith plans and specifications as may be added and mituled by the parties and attached
keret ��
(Buyer) 1 G Phone 461991y, ,-
(Residence Address) L!�SJR 3 dV&/,t r. I9r— City y r5"Iel--ae _ State d
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(Place of business,it any,of buyer) _ City _. State _
(Job Addreet) City __ State
Also known as Legal Description: Lot _ Tr t • —--Block a
DESC FTION OF WO -
T_)4�1_._
11
02
Sty` _!�.LL _
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NOT INCLUDED The following items ate specifically excluded from this agreement and are to be provided by the Owner:
CONTRA P CE:The
Ow et ees to pay Contractor in cash the total Contract Price of$
-- Dollars payable as follov.s
Vo on the day of � 19 balance to be cash and/or financed by the Owner end
paid to the Contractor from the proceeds as per the following payment schedule:
---- f — , '.TIME AND MANNER OF COMPLETION: Work to be commenced appmximately ten 00)days after the last to occur of the following. (1) Receipt by
the ContractLr of all necessary building permits;(2) Receipt by the Contractor of notice from Lender, Lien Holder and/car Title Company(if an)l that
all documents required to be recorded prior to commencement of construction have been properly recorded;(7)Owner has complied with all term%and
conditions of the agreement to date; (4) Receipt of all construction funds by Escrow or Control Service (if any). Work shall begin approttmately un
and be substantially completed approximately on
NOTICE TO THE BUYER:
Owner acknowledges that he has read and received a legible copy of this agreement signed by Contractor,including all Terms end
Conditions on the back,before anv work was done,and that he hat read ind received a legible copy of every other document that Owner has signed
during the contract negotiation.
CONTRACTOR(CFLI.ER) E i ---
OWNER(BUYER): Da of Sale
By
Salesman — Signature O L
tYssatute — pati
Accepted � — � A
Contractor- eller Owner•B'uyrr Signature Date --L
i "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY
Firm Name �'r,G! TIME PRIOR TD MIDNIGHT OF THE THIRD BUSINESS DAY AFTER
THE DAY£ OF THIS TRANSACTION. SEE THE ATTACHED NOTICE
— OF CANCELLATION FORM FOR AN EXPLANATION OF THIS
Date — RIGHT."
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........................ ...... ........... .................
N rl K,F'R V1 JAW94-01 :1 00 ST.
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10543 43W rMER DR
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