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12934 SW VILLAGE PARK LANE-1 ADDRESS: Por'K i:\records\microflm\targets\building.doc 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 Mach. Shear/Sheath Framing -Mach. Plbg Und/Fir/Slab Plbg.'Tnp Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. =yam San. Sewer Gas Line Appr/F vlk e n -n� r Other: ---- Date: ��!' S�--- A.M. !P.M._— Entry: Address: _ L — - Tenant: Ste:..—_ MST: BLIP: Con/Own: --�52`.' 1_ --.-- ----- PLM: — ELC: ---THE FOLLOWING CORRECTIONS ARE REQUIR,:D: ELR: nspe or. `Date _- � -- PPROVED —_DISAP'�ROVED/CAI.L FOR REINSP. CF CO LIO ILDING RAJ -r #. . . . . PERMIT CI1Y OF TIG DATE f SUED: . . . 2/966-��:lf: DATE' ISSUED: 0�/0�/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8/90 (503)838.4171 PARCEL: 1 S 1 3" DD- 01 900 3I TE ADDREG S. . . : 12934 SW VILLAGE F'ARK LN ::;UBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 2 ZONII4G:R-4., 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :58 ^wiSSUE: -_^ FLOOR ACtEAS--_- -__ --- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ADD FIRST. . . . : 170 sf N: S: E: W: TYPE OF USE. . . : 7F SECOND. . . : 0 sf PROTECT TYPE OF CONST. :5N 0 sf N: c,: E: W: OCCUPANCY GRP'. :R3 f Cll'AL---_ 170 sf ROOF CONS-f : FIRE RET? OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: �i TOR. : 1 HT : 1 ft GARAGE. . . : 0 s f OCCU SEE'. RATED: BMT? : MEZZ?: READ SETBACKS--------- REQUIFtE�) FLOOR LOAD. . . . : 40 p s f LEFT: 5 ft RGHT : 0 ft F I R 5PKL.: SMOK DET. . : DWELLING UNITS: N FRNT: 0 ft REAR:24 ft FIR ALRM: HNDICF' ACC: � BEORMS: 0 BATHS: 0 IMF' SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 1500 Remarks : ADDING ATTACH GREEN HOUSE (Owner : FEES MR & MRS ANGELO L NATOL_I type amoi.tnt bN,l date recpt 1w934 SW VILLAGE PARE; LN PRMT* E 25. 00 JD 04/22/96 96-278470 PLCK E 16. 25 JD 04/22/96 96-•-2.'8470 TIGARD OR 97223 5P'('-"T E 1. 25 JD 1114/22/96 96-27: 470 Phone #: 503•-524--8801. Con`r,act or^_ OWNI�R --------------------------------- Phone #: $ 42. 50 TOT()L ,Reg #. . : ,JILL. ------- REQUIRED INSPELTIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipa? Code, State of Ore. Specialty fades and all utter Rain drain I n s p applicable laws. All work will be done in acrordance with Final inspect i on approved plans. rois permit will empire if work is not started — within 180 days of issuance, or if work is suspended for morethan 180 days.. I e r in i.t t e e S i g n e t 1_t 1.s s I.t e d` Y _ s. c L� _. _......... Call for inspection - 639-4175 eF City of Tigard Residential BuiId!!_ng-Ferniit Applic t;ign. 13125 SW Mall Blvd. Tigard, OR 97223 C JS (503) 639-4171 JobsiteAddress: 1,11.934 \/IL-LA/5E PAP► AFI Subdivision: _ Lot# 1 office Usw-Only Valuation: 1 ��0 C�C� Contact Date_ L1---Initials-___ Result New Construction Only: (Square Footage) Planck/Rec# �� — House: Garage: Permit# - O ReissL le of �— Corner Lot? Y ) N Flag Lot"? Y N Map &TL#1;.'__ r Zone l l Owner- N1( I tk:�; , 1 IAT'' t Plat# 'tocu Dkyr #1 Address: 129? 4 •U). Q I L A6.f.. PARK !.A ti) Approvals Required j � 1Planning Setbacks �'' Solar _ ,9 Engineering—_ Other — Contracts It@2i equired Addr essSubcontractors _ Truss Details Other Phone: �_ -- - — Notes ------ Contractor's License# �i (attach copy of current Oregon license) Contact Name. Contact Phcne: (_�___ Subcontractors: Architect/Engineer: Plumbing. _ Address: Mechanical: (atiac,'r copy of current OR Contractor's License) Electrical.— Phone. �_ ) JOB DESCRIP7;0 L..r „� {=Ak"Ll_"' 2 'lr1 a RE_( :t z0 - PF-4e- I Applicant Signature���r ' �q , Q,� Applicant Phone number Received by. __ Date Received __, Permit ;$ Account Description Amount Amt. pd. Sal. Ot, _ Bldg. Permit (BUILA) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: _ Plumb: Mech: _ _ l(�•�� Plan Check PLANCK Bldg: _ Plumb: Mech: Sewer Connection (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) 0151,�e TIF (TIF-0) Water Quality (WQUAL) Yater Quantity (WQUANT) Fire life Safety (FLS) y __ Erosion Cntrl Permit (ERPRMT) u Erosion Planck/USA (ERPLAN) Erosion Planck/COT (ERCSN) _ TOTALS: . � Permit#: Address: cn 1 V i ia� rZ–k L. Issued by: Date: _ Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), require residential construction per►nit appli- cants who are not registered with the Construction Contractors Board to sign the following statement be/ore 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 URS 701.010(7), need not.suhmit 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 3113: U 1. 1 own, reside in, or will reside in the completed structure. ❑ 2. I understand that i must register as a construction contractor ifthe structure �s sold or offered for sale before or upon completion. a 3A. My general contractor is — (Name) Contractor regis. # 1 will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors hoard. OR 313. I will he my own general contractor. If i hire subcontractors, I \�ill hire only subcontractors registered with the Construction Contractors Hoard. If[ change my mind and hire a general contractor, l will contract ssith a contractor who is registered with the CCH and will immediately notify the office issuing this building permit of the name of the contractor. I hereh� certify Mal file all()'-c information is correct and thou 1 haN a read and do understand the lnG�rmation Notice to I'roperts f %�ners out Consh-oction Respon.il,ilities on the reverse side of thin, form. (Signat re ofpermit applicant) (Date) (!1,hit(, cola-to i.��wing agency permit file. pink colli'to applicant) information Notice to Property owners About Constru ;tion Responsibilities bljtwn,',ar 11 %,'11- , l,! )'1'I)t)lol i %%illi'/•.1'allow C ()ta.ol'ut ooii kr.11lu,,.lrhiliri:•.\ was dvveNrrrcyd hl'Me Luu.kl/'urtiull (,elr►rr,if !ol'\ 13mn-d in occo (lcdtcar with ORS '701.05515), I I Noll are actin{.,as\()ur o%%II�(1111faCtl,r W L011SItIld e Ile•%% 110111C()r tllalil';+tillbtitallt181 improvement toall C`.Itihlt 5IrllCllll't. �oucailprc%cntnl;uIN probIcIII"h\ ficin! a ncofthch',Ilullinlryresht,n ihilitic,;lnd;u'c?tsorconcern. EMPLOYER RESPONSIBILITIES: (( \V,ll hire persons no f('E I`Jl leVl 1'.1(11 lhi 1 ,111,II1Ii11uI1 t tltlllil't+ll" Itoatl.l ill till lab11t' Ill coil ltticting or assisting In the loyerand the people tnnstruclion(,r improcenlcnt(�f;1 rc•idcntial etnlc•Ulrc.you 11111. in Hills(in�tancc��,he rulccl to be an cntP \1,!1 hire%kill he cmPltivice,. A-,the cnlpll)N cr.\'ou Itlutit coruply N\ith 1'he f0llOwiII--1 t)re(;un'sisithhow Ing tax law- As;Inelliplover.\ouIll ust\kithholdlncortittwwiIromeniplo cc%v'Iigesatthetimecl"Plo\ces are paid 1',n,\\ill Ile liable fill,lite tax pal lllc'llls evell it Null don" actually %klthhold the tax front your cnIVIONees I or inorc ill ation,call the()rcgon Dept of Ke\enuc at 44S-W)1. l.lnclnplul nleni in.0;:uu c tai: \ an l lnl,l,n 1,r. 1 nu;Irk-rcl(uired to pa} a tax tur uncll,p11111ncr,t in5urarnr(lurlulsc�(,n the %kal.tsufIllen!hl„%cc I !•r !n!,Il !Ill,+rrnwuVnl,,.,111111curct;tall nlpluynnnt Department at 378-+`+24. Woe-kers'ctimpe'nsaiion insurance.- \'+I!!I i'lUl!Il+`•Ct t(`II arL'!,11h{Cil 1+,i11C 1)I'L'Li.,II\!„I hCf!,'l t!1111)e'1C,a11(Ift l .1\1,and tllll'l Obta1111\YI('lit'1'ti'C'urttlll'11'.aII ,I1111y1II;Ulki 1'II \mll L11114 % l", II \llllf1lltu !ht11111\\I,rI(l'I'ti'('t(I11pCntiatll,llllltillr; IliE.\'I,11111£I>' lie-;IIll Cl litptJllaI11C�,Indl,'' I'l h;lhlcl t",111 1,11111,. ' 1 Il,illcI+f\1'111'l'lllph1%CC',L',Ill 1llle(It)I11111'I(Vb. Ittr11'"telllf0l'lllal!!111. +t'a45-?RRR. call ttheWlltker�Con111en':;nwn I)iviei!m;it 01c I lcl�,lrlrncnt !lf f'rin�umer and Hn.incas ticrviee� U.S.Internal W%ellue''+cr\ice: \',ul t Willi,,%(•I. u nlll,l\\IlhhOI11(u(lcr:11 nr: n 'uc'till, Ir'•Ink culplu\cc.'%\;Ire•. You%N Ill he liahleti%;tlletax palnlclllc\ell itNI,udidn't;lo wilk %, Ithholdlhet;lx I „rill,n•. int,' neat'nn.c.►Iltht.InternalKelienlleSvI\ice at 1-900-8211-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: OdCI'llllll)IIlInCC' '��thc1)CI'lllllli+l�'It'I t'!I fI!1 1: .11, If`it 1t'I tt +`1% I1!L' I!I, I;II�UII'1(,1;1i 1'I�,+dc'Itil{Illl,l'Itll'I11S that Ill(%\ t'►C bimil!ht t„\(1111 attenll'Nl(Ilf',1( 11 !Il'(1:rtl„Il L.iahility and pt•nperl� d;ln►al;c insurance: \t'u bilk r:,tll';lu•+t�_nr,nranl �co%cra'sl'Iter UkidoIt!,and ullIi.,!('!r,!,(I( I,t,. I,.IIlu1t nn,),. 1,,In11 , ,:r l!r.I%. tl;ltcI khII!,I 'c t1(+nl PIPs {Innrtulr,, tilt .or%%nrl that 11111"t I!c rc-donc I III1C 111~111)('1"\ISl'['nlr)lrlwes: `NI;I '111c ,+II I1: IIItNciclll l!I" C 1t. :I1(,l'I`1 I i'\!`lll'"IT)rIoNCU,. I".R11('rtltil" \I,,�l' :Ilft:%nllllllAcll ",�,c"Il.tl,';I, I;I• ., til +` 11 i'1 ;��!,I�t.t"lil;it'i'f lt,, t"+!(111!;ItClt'l'v%, 'L,'tl'•+11!.'tllP,11!dtlnl�ll 1(111(-lnI',;tt tit( a111,roPnale WTI(., Lw (-till lie,ti'tnii the required inspc0il)Its. uade�,and to n(`tli% hu,lrlirn I' I1Ill I !io\ 1 I I•IU• If `.illi h;:\l'al1dI11+11011 i{Ill"rt!(ill'+, \%elle c,r C.III the 1 ,111',11Ih 111'11 1 11111r;IC1+11} ,,,a,' 5o1 178-41',211. 1 he Itcrlrd i, IMA101 ;11 "t10 `,unln!c'I C! til tirlitc 'Illi. ill Salem 1 I I I I NIA�►�at�T1 C r Nn T V-k I _ .� ����L�C� � PARK=��:�� �.___-•_--- E[E- L- . L1G H T I IV G- 1I � F-HZE IAYPAN T TL VV AY y , q � ^ _Q KESIDENCE a0 NEXT TJCNOR J F Q �j I _ I 5'oNIR tvl Q /\tilC, Lo L. 1 J ATo L- I a- l29 j4 S,\\/ VI LLA,CI S PARK dR 97223 - - SLIDINC= DCCR I 0 ' I / '���'�\v�f•a •, ``�;,� _—�' PRO FPO Q E D L C C XT't o 1,J n F PPEFAR-;�tCATELD HOT? 14 E MAT' L ; METAL w/ � I� -O ��-5�4 CLASS A�!-IEi✓� --- - 4- u f-- `n L Y I ST�Cj TFC E"R �-- 6�5 ' --- I PLOT pL_ A ",,,] F-1- , FLOT PLAkj --J "cBI ITY: The City of Tigard, Oregon, orits employees, shall not be responsible for discrepancies v;rich may appear hereon. PPC PCS C AT 10 Q 0 F E P1 APPROVED FOR CONSTRUCTION CITY OF TIGARD _. - _�1��� L ; ti•�I �r^�`�l< <�T R; !�� �f � �. w'/ � �. n�,��- (=���� �. �,�--- PERMIT No.&P9o (o SITE ADDRESS_►-193y -5w 06,v Qrl( Ln AQ C.?`%\w 1'�I R F ; FnL IP, A<ZDt•..1r" 12934 SW Village Park lane 13YDATE, . . 1 of 3 T1T 1ITHIS DOCUMENT 1S LESS (Ir 11 I�1�1 "I�i�II I�I I II�i JIII I � jl I IIIII�1 I I ITTIT� 111 1 IIT1111 1 1 1 I � II lI , 1 � liql1l II III IIIIIII III III I III I 1 LRGTBLR THAN THTC NOTATION, �� IT U iL 1 THF. ORIGINAL DOCUMENT. -- ---- --- _. t1i —_ No.Oo �J'�—�" u l ll 7 II� 8 ZGGIZ 1I9 Z �ZO81 8 t Lt 8 T91 lb htII �6 �8 ��Ilfllll IIII�IIII Illl�lllf llllfllll IIII�III�lIII IIIIIIIIIIIIII�IIII IIII IIII IIIIIIIII IIII�IIII I IIII IIII�IIII IIII�IIJill II�IIII IIII IIII IIII IIII IIII IIII IIII Ill) IIII !III IIIIlIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIfill I II 111J112 4 LA D-T E ( o.) METAL Atiif4-i,:'74Z SUP(k)CS AT ALL 41'44" AW) V XV -)C)IkIT5/ '11) / --vA L-V MC-2 F-- \Al-c,- AN U 4012 S, , I- Z AT 4" K 41, 301 k1T5 -7 JPF0V7 17 PF SZ 7oWT ZV2-" c,CQE1N5 4 AG ML15 7F u ZlI k V PU)iI E IN D ST Q U 1`71 IRE cc \JE7,TI 2' -TAL ANCI,,J0V-q5j 3" Y (o" TO 4" ),(A" XIKIT DdEKY Z:-O" CA N) E I? IJ) ALL V E7, 4")(4" PCr,-T5 AIZE 7TZF-A7F0 NIEAI �?EL5 T t.. : TIC, ME(1115EV.S WINETAL I KI C, AUD "I- -LD ANC W07,- V 1) :Sl L V '-eE WS La) AL..t- 7r?&A\ -D \A14'rD XA I I N We-&D ID 1E 101117- 7 - 7 7" X 4" RBNr-,7 13'I" tv)ETAL 4," ,' 14095 1JEC-1-10ED •TO ALL -101U7S, WITP CONCRETE (-j yp.) ' W" AU ALL \NCM -T;-riM'T15 j()j VVI IT 1-1 NZ I.1 ES V E --T U-31TW nLY01PIL'- 17 t- ALL \k/O( tt , WZE E ALK D WCOD '2EALEF- AAAI 11c, i VU U i. FI C-W " 1CIC `.!,'.JILT DIM tJC., ..'RJUE a Ile X N, F 7*OTAL ----)PAtLI 2" y 4" 5 11 N W GO b 4- -T b) A /F 4-1 4. r4- +T '17 7 5u I .-.: C 5t , 375" �`1 1/4 EX \9T` G DP PLS �� DETAILS- - LA77"ICE COVERJALL PERIVITEW YpicAL -301k1-T liCV4E"5IVF- 7z' - 511 /-2,, xv ,)tmwc)n-L,, (T) 4 7'rwTv-D 17 441 (e -t. .- 4. 4. , '" -T I 1 ) __(C) L fill- f 4 -TI?EA I LD METAL -"F)TPAPS 4"X 411 + 'Cl"X4 Fri,L A M ---(TYP, THMI 0UT 1779,M� T7717;7 I ( I I ' I I I r ( � GROU KJT-,11 L-EVEL I -R C()NQE-TE cj 7,ENT E f--) r-ILI N 61K I 1 %0A D,)� VIEW I 1 L I L L 7�A, cv(I swm 9 C�CL I- &A I 37,G;" lhwrm��07At STNG DE " I " 0\16 DETAILS I D" (T' — E X V ( <I, - -- 'I Y -r ID I I ZI kI G, (c,- 9 2 N­ TA) FROKIT \/ 1r",\, / I C. 11-4 1 L MR ;! NIZ5, AM6ELD L . UATbLl Q9 a -M.W. \1 I LLA C,C PAR`t` LAME 715A`ZM OV- 9-12`11 12934 SW Village Park Lane 2 of 3 PAGF- OF IFTHIS DOCUMENT IS LESS LEGIBLF THAN THIS NOTATION, IT IS DUE TO THE QUALITY OF N..36 13) /Yq? THE ORIGINAL DOCUMENT. 11111 IIIII�II �IIIIIII 6 L 1z J61t---i 1i­-- 1011 I Ri rt 9 9 ti 'llL 1111 1111 F11,11,11 1112111111111911,1111 1111gil 1111111 Igi Ili I 111,111,11,4,011 241( I Y Vt "i � r-0-y �'ou2 - c;E:A,4;,0KJ'/7, W JIT I 2 . Z: NV/TAL.LAT'14>Q n r,._) E x I1z,,Tc, DF-<-.K DETA I L E D D•E�.a IG Al A7TA'l•-\E D, PEk M AW U FAGrI{Iz , NbM HF-ATE D CK LI C11T1 Nt=, %ILeD' D _ Fu t LT ,T'Ru c_7t,I R� i pL. A N 4 5 - Z-e t ?? TC2A,.0 tT I 0 h3A L I I E X l�,T"<-Z - 1 i 1 ��- •eg--- ;=NTG;ANG£ AND Ex1T 41 INpC _--� li (5LI Dt IIII C;LAcS5 DCCR �) � UWr I` 7�7 P L-A C E C-> ctpr-.) IS X I -t- PLA M V - k RA `1 E t , �._....�- 1. l7 '_• - L I- E -_ Ft_ 71. Ir 1�•�r- -.. i t _ I _ _L T I J'r _ �_-i t r i _ 1 i I LLt r,� ?Ri / LATTILE CQ�lEqac, AVo.l N D I DECD:', ' PR f FA'RiP, I C-A-T P D M nVRY L F- F:-T- VF t- ,�.1`7 V i—:: v.,/ C fZ E E P,_11-It-ki SE t I _ , /4 I' r=..r, C-7RF— FH©L.J `7F AndI-r Ior.I Tc:) I x, 1`1C_ MR f hl A N6 ELCA L. 129 '54 .W, 0/ ILL,A6iE PARK LAQ:1Z R S C=)t;;�9.c5c) ..1 .9 7 Z 5 . 7*84 5 1!\211 I FAGT4 IOU scar,>c3 G 2E:tZ I HI- F , x ► r' _8 /4" t I 12934 SW Village Park Lane — - -�- — 3of3 :SALE ' Y4 _ I �-<n" IF THIS DOCUMENT IS LESS �l�lltllllllll Illjlllll1ljl I II !�IIIllllll 1 IIIIIIIIITl�T11 -fill lllll "1 1✓Y11j1�llljlll Illjllllllljl I Illlllllllljlll 1111111111111 1 T�T11�11111 111 Illjllllllllll) Illjlllllll ILI ~ LEGIBLE THAN THIS NOTATION, __� __a _� _ 14 II _I„�� II��II+�II IT IS DUE TO THE QUALITY OF I3 IqQ� THE ORIGINAL, DOCUMENT. �_ _.__ _— _ ___-- -- -- -- — No-36 �� ^— / E L 8 ti T 9 sS L 1b Z fi f, G I I L 1012 I ti,111,18t, 1111111LI, Fmill;], TLJ— ��III 1111 IIII IIIIIIIII IIII IIII ���� IIII IIII IIII IIII II!I IIII IIII IIII IIII IIII IIII IIII �I�I IIII ►III IUI nn IIII IIII IIII IIII IIII IIII IIIIIiJII