9230 SW 69TH AVENUE ADDRESS :
9;30 SW ,
\records\mlcroflm\targets\buA1ng.doc
awrvA4i4'.:'
_._...._.�., -..-�. .�..�......-... -..�....�..w.�w�wir�we�.x..r+-.:n+..:.....- ..max....... .... . ...wxrY ... .. :. � x:
'�e�"m Baur ._ ...... _.w,+�..+.,,�r.:....-•. ,.. .�... m,'.�,,.-..rv...,.�...w�r+e.e�.-++e�,+�w..s... � erl�Nwe..y.�"wk.�t3a7enBMtlNd 4+"=".�„ -
Aw1e4N.1WYt:otiw+flWbroW'.ah INU4ULW.�Yc�i:xiKYY e.++r:trtidt:n5µ7/jpgq+yrtM�M�ii.4tM41w�1!w.:,.e, -..wRrr � u ' '
, .
m I ( I .fl. Iltll IIII 111P Ilii iili ijil (i►i iu i �
l 1111 illP I11� Pi l Illi ►Ill�lltl ,' SII II(I Illi flll IIII il{I II{I IIII �-�
I�IIIA llil�ifll ll!!�►I!� 1111�i►II !fll�IIP1 lill �III I a �. a�� rv � �.
r.LEGIE3IlITY STRIP C � � � I i I I I � I � I � �111l�11111P111�l,ll ►({I�(Ill I(Il�li; Il�(lill�ll 1��1 !u! ilii �, , ,1,��.�, � I� I � flll I�j� .
� 0 O 1 1 3 18 17 18 19 20 2112 114 N ) 22 23 2142627
I I I
2�S 267
2 28 29 30
'Y IVfn '
L I p a,
Oe
jij
�s l �
h
P
2001-01
LEGAL DESCRIPTION: LOT 7 OF KINGS VIEW
r
PROPERTY LINE —
ADDRr=S S: 9230 S.W. 69 AVE. i
BUILDING rRITERIA
' ZONE ,, R 4.5 SIN;I F. FAMILY RESIDENU
EXISTING f10UF: TWO :;TORY 1600 S.F„F"OUR BE:DRpOM,
! THREE BAT►t FULL FINISHED LOWER LEVEL
I •
A DDI T I ON: 135.5 S.F. EXTENDING KITCHEN/DINING ROOM AND
LOWER LEVEL FAMILY ROOM r
CR
1 M . . . • . . . . . . . . . . . . •
I
I
r
-LOUSE LINE EXISTING RIOF LI
I
EXISTING i N:;TRUCTION . • . . . . . . .
I
1 I I
I
. . . . . . . . . . . . . . . . . . . . . . .
NEW CONSTRUCTION
I E STIN WP. t a•
EXISTING COt TRUCTION I
I I EXISTING ROOF •
i
I •
1
6.b-6'X 33'— E ISTING
EXISTING CONSTRUCTION CONC. PATIO 0 BE REMOVED I
I R I ��EJISTING WA L --- NEW EXTENDET 1✓t-i_I
.
I
I
I
EXISTING DRIVEWAY I I I n I
• NN DECK t
I • , . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . .
EXISTING CDNSTRUCTION I
• 1'-6'
I I
I I ,
I I i i j NEW ROOF • A
1 . . . . . • . . . . . . . . . . . . . . . . w w osw w �w.� w �� 1� • . w ' 4.1 #
CONNECT NEW DOWNSPOUTS •
EXISTING RAIN DRAIN TO EXISTING RAIN DRAIN
LfP
NEW CONSTRUCTION
�
OWN � �� OEM #IIS � >r• w. �� �� � �� �a �� ws w. w� w �� w� �. w. ws ws w. �� �� �• w� wig �.� r. �� �� .rte �� ws wr wa w� w. � w. �� w. w� w. wss wr w� �� �� ws � � �� r� � �. �� �� �� �� •��•�.•��•.IW• . . .— — .— T ---_ .— ...
EXISTING 4' CONC, SLAB ON u C-0 cr,'�'
COMPACTED EARTH
A
2
U23o SW 69, 'N I \I I
MAR`( STAVRAKIS * 7,385 SW CANYON DR. PORTLAND OR 97225
...
+#i#�Ilt l9li illi Ilii fill IIII i'lll IIII 111 Illi Illi llll lila lilt C I t r
Cm I ( �lll Iilllllil liiRllii Iliiilililliw il,,ll Pl.lilllf 1!1!1111! ilIIIRI '"'�R►11Ri1 liillllli 1111 fill hl! IIII Iili Fill IIII IIII R�ri fllR iRIR IIRI IIII'llll IIII IIII IIII IIII IIII I ` . "'". . .,.. . .•
LEGIBILITY STRIP 0 i i I I I ! I I I { I I �Il I lilllilli tlll�llilllll��llll
cm 9 10 1 1 12 13 14 i 16 17 i 19 2021 2' 2 23 214 2�5 2� � ..'
R r �$ 7`� 2 A �. 9 30
a
ZI ! ! 01 ,
6 HOW 614100 �
h , O
.. ,� � OF
a
A
SGqr,4AVr-)qur
Lr
C'
y
i \recoris\microflm\targets\building.doc
_Erj
]\§ [ k { E kik
*0 Ls 2 S'b
2f on- aE §\/ k
e �2�0) S m2 =
)) �
»2CLc Sr
5ss) �f &ftoo ` o=
■ Bt.28 Zo )1.- - §$ ko
2 §5277g22) � EE \
� kt\fkkk) k2 § k)] /
$ $ $ ) 2
\ § n § §
�
2 �
� > 2 f
2 )
�
c1r)
ce)
CL / / } $ \
CD a U- LL §
�
m
cn �
j / { \ co
C14
2
@ 22
& /
6. @ § 2 7 2
402 0 3 & A 5 &
$ � §
> 2 \
V
4 8
a -
o \
�
2
w
Ln
/
2 �
2
c ) f, f
9 kLLOL LL V t
CL c 7
o G R } co d
(
) )
CITY OF TIGARD BUILDING INSPECTION DIVISION sr —C 3
24-Hour Inspection Line: 639-4175 Business Lone: 639-4171
BUP
�6O
/6
Date Requested aLAM/d S�M BLD
Location ��23, 0 0 Suite MEC
Contact Person _ Ph PLM
Contractor Ph SWR _
ILD Tenant/Owner ELC
Retaining Wall ELR
Footing A NOT REQUESTED FPS _
Foundation DURING FOUND
Fig Drain DURING
Crawl Drain Ir NO INSPECTION(s) IN FILE .t���
Slab SIT
Post Beam
Ext Sheath/Shear
Int Sheath/Shear ,1�
Framing
Insulation } `� S `
Drywall Nailing
Firewall 1
Fire Sprinkler '*
Fire Alarm
Susp'd Ceiling
Roof -77
y
is "�C�i'
ina -543 Z-
PASS PART AIL
PLUMBING
�S
Post& Beam
Under Slab _ 1 �
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final �'1 i
PASS PART FAIL JZ_ t/(�
MECHANICAL
Post&Beam
Plough In Gas Line
�
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL cc
Service _
Rough In
IJG/Siab _
Low Voltage
Fire Alarm _
Final
PASS PART FAIL
SITE
ro Backfill/GradingEXPIRED
C.0 Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Pieasie tail for reinspection RE: ( ]Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date I � v Z} InspectorRi Ext
father —
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 11len2 3
24-I;,ur Inspection Line: 639-4175 Business Line: 639-4171 S
BLIP
Date Requested_ AM _PM BLD
Location > �� % f�i1 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
caner
BUILDING Tenant/ V ra S 1 I I K 1 i GN /1ct r i_S ELC _
Retaining Wall ELR
Footing
A
Foundation FPS
Ftg Drain NOT REQUESTED SGN
Crawl Drain Ir FOUND DURING RESEARCH
Slab NO INSPECTION(S) IN FILE SIT i
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear c
Framing 7�.!�" �
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler / ./ nJ i] f - V"rD c t.,
Fire Alarm
Susp'd Ceiling _
RoofMisc. ' lG .�_ UcJti,"f r i-- "7t�� 4 4,f
Final
PASS PART FAIL L� ' C' G
PLUMBIN
Post&Beam /
Under Slab _ 5/;1 zf
Top Out
Water Service d S�s L [ y 1�'��,t_ /��
Sanitary Sewer !�
Rain Drains
Final _
PASS PART FA'l /v
MECHANICAL
Post& Beam
Rough in
Gas Line —
Smoke Dampers > v
Final
PASS PART FAIL �',� t ��, ,/�C' lc s ` "'� _��'i �{r'S�G'., c- �i c•s./
ELECTRICAL, /✓
Service
Rough In `
UG/Slab _la -' a i / �.'�'
Low Voltage 1
Fire Alarm
Final
PASS PART ( FAIL
SITE
m Backfill/Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of$ _required before next inspection. Pay at Citv Hall, 13125 SW Hall Blvd
Catch 3asin [ j Please call for reinspection RE:_ [ J Unable to inspect-no access
Fire supply Line
ADA
Approach/Sidewalk
Other _ Date T _ Inspector l Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q�o p 338J
24-Hour InsN^ction Line: 639-4175 Busincss Lin--: C�9-4171
BLIP
Date Requested ,/� AM _� `PM __ _ BLD
Location__ �Lzt3 O (0 ��� /ql�__ Suite MEC
PLM
Contact Person Ph ' r ` �%,
_t� _
Contractor PI, SWR U
BUILDING Tenant/C► t q _ ELC
Retaining Wall ELR
Foun9
dation /�CceSS: (,L7 ��1 FPS
Ftg Drain SGN
Crawl Drain Inspection Nous:
Slab
Post&Beam ��-- SIT
Ext Sheath/Shear
Int Sheath/Shear l I
Framing ?_C --� — r-T W 1�ti�- ti2 c
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / J c-
Susp'd Ceiling -
Roof
Misc: _
rna. —
ASS PART FAIL;
PLUMBING
Post&Beam -
Under Slab
Top Out - -------
Water Service
Sanitary Sewer _
Rain Drains _
Final ^—
PASS PART FAIL
MECHANICAL
Post& Bearn ---- --------
Rough In
Gas Line -
Smoke Dampers
ma -- -- - - -------- --- - - ----
ASS PART FAIL
E TRICAL - -
Service
Rough In -------- --_
a UG/Slab
Low Voltage
v Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading -
,LD Sanitary Sewer
-� Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE:_ [ J Unable to Inspect-no access
ADA
OOtheaachlSidewalk Date Inspector W", _ EXt0__L
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
FIL E
SPY cInr OF TIGARD
February 25, 1999 OREGON
Vasiliki Liavaris
9230 SW 69th Ave.
Tigard, OR 97223
Re: Permit MST96-0338 issued for storm repair and aedition to dwelling at 9230
SW 69th Ave.
Dear Vasiliki Liavaris:
Our records indicate that the required inspections for the permit MST96-0338 have not
been completed and approved as required by Section 113 of the State of Oregon One and
Two Family Dwelling Specialty Code.
Please call within 30 days and schedule an inspection of the work for which permit
MST96-0338 was issued. You can leave a message requestink,an inspection on our 24-
hour inspection request line at 639-4175. If you prefer you can call me directly at 639-
4'71 extension 414. 1 am often away from my desk so please leave a detailed message
and I will return your call at soon as possible.
Sincerely,
Warren Jackson
Building Inspec',)r
J
W
L7
Ub
-J
13125 SW Hall Blvd„ Tigard, OR 97223(503)63 -4171 TDD(603)684-2772
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection !.ine. 639.4173 Business Phone: 639-4171
Date Requested: f G/ A.M. t/ P.M. MST:C71 A
,
Location: `f1—� __)L� 4-- BUP:
Tenant: Suite: Bldg: NEC:
Contractor:__ Phone: PLM:
Avner f �� Phone: -� SELC:
ELR:
_
SIT:
BUILDING BLDG(con't) C.- PLUI„1�$QLG- MECHANICAL ELECTRICAL SITE
Site Post/Beam PosUB Post/Beam mover-75ervice Sewer/Storm
Footuig R n USIg Rough-In WOE-
' * Water Line
Slab �'' Top Out Gas Line UG Sprinkler
Foundation Insulation Sewer Hood/Duct Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Crawl/Found Dr Heat Pump Low Volt
ovec� Approved ,provcct Approved
Appr/Sdwlk Not Approved . Not Approv'_,d Nod pproved Not Approved
FINAL FINAL FINAL FINAL FINAL
C1'
H _ _
J
Co
CI Call for ret D Reinspection fee of$ required before next inspection O Unable to inspect
Inspector: Date:_�[� /j/ _ Page _of
FCITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 6:l9-4175 Business Phone: 639-4171
(&0 D9 Rain Drain Cover/Service FINAL:
ounda' Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
PIbg.Und/Flr/Slab Plbg.lop Out Insulation -Elect.
Post/Beam Struct. Mech, Rouqh-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: 0 /04 /
Date: / 9 4' _. A.t . c,P�.MM. Entry:
Address: C ct-3 Y--k
Tenant: Ste: MST:
�i _
Con/Own:__ O ' 7 BUP:MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
A
Inect Date:
_
_APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD PERMIT #GP,ERMIT'
. . . . . . . MST96033
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED-. l"18/02/96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 ID A R(_-E L: I S I_"'25 D Pi--0-,L 0 Q,
;ITF, 094;"''30 SW 69 L
Ti-i AV
'U13
DIVISION. . . . : i-,INGS VIF'W ZONING: R-4. 5
. . . . . . . . . . I-01.. . . . . . . . . . . . . : 7
.
-,emarks: ADDITION TO HOUSE APPRuA ZE3 SO FT TO HOJFE AND 330 SO FT DECK WITH REDOING KITCHEN SINK N AND CABINETS
--------------------------------------------------------------- BUILDING ----------------------------------------------------------------
aEISSUE; STORIES.......: 2 FLOOR AREAS---------- BASEMENT_: 0 sf REQUIRED SETBACKS---- REQUIRED------------
�LASS OF WORK.:ADD HEIGHT,.......: "31 FIRST,...: 165 sf GARAGE.....: 0 sf LEST..........: 0 SMOKE DETECTRS:
TYPE YPE or, USE...:sr FLOOR LOAD....: 40 SECOND...: 198 sf FRONT.........: 0 r*'ARKING SPALES: 6
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 0
_CCUPANCY GRP.:R3 BDRM: @ BATH: 0 TOTAL-----: 363 sf VALUE.$; 281?7 REAR........... 0
------------------------------------------------—--—---------- ELL)MBING -----------------------------------------------------------------
ANKS.........: I WATER CLOSETS.: 0 WASHING MACH.. I LAUNDRI TRAYS.: I RAIN DRAIN t: 0 TRAPS.........: 0
AVATORIESI....: 0 DISHWASHERS... i FLOOR DRAINS.. 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS,.: 0
SUB/SHOWERS...: 0 GARBAGE DIS;..: I WATER HEATERS. 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS_: 0
OTHER FIXTURES:
--------------------------------------------------------------- MECHANICAL --------------------------------------------------------- -
_UEL TYPES----------- FURN ( INK 0 BOIL/CMP ( 3HP; 0 VENT FANS__, I CLOTHES DRYERS: I
GAS/ / i FURN )--INK 0 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 0
1AX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.......... I W09DSTOVES..... 0 GAS OUTLETS...: 0
--------------------------- --------------------------------- ELECTRICAL --------------------------------------------------------------
.-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
:000
NSPECTIONS—:N@ sr OR LESS: 0 @ - e0Y1 alp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 1 PUMP/IRRIGATION: 0 PER INSPECTION: 0
_A ADDIL 5NSF.- 1 2,'' - 400 asp..: 0 201 - 400 asp..: 0 1s' W/O SVC/FDR: I SIGN/OUT LIN LT: @ PER HOUR......: 0
I IMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 81.0.. : 0 EA AIII.L BR CIP: 0 SIGNAL/PANEL... : 0 IN PLANT......: 0
IANF HM/SVC/FDR: 0 601 - IM alp.: 0 601+a1ps-1000 v: 0 MINOR LABEL -10; 0
1000+ asp/dolt.: 0 ---------------------------------- PLAN REVIEW SECTION --------r------------------------
Reconnect only.i 0 )=4 RES UNITS..: SVC/FDR)-225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------
i. SF RESIDENTIAL--------------------------- E. COMMERCIAL-----------------------------------------------------------------
r4010 & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....: INTERCOM/PAGING; OUTDOOR LNDSC LT:
4URGLAR ALARM..: 0TH: BOILER.........: HVAC...........' LANDSC4'E/IRRIGi PROTECTIVE SIGNL:
I ARAGE OPENER_: CLOCK..........: INSTPRIENTATIONt MEDICAL........: OTHR:
iVprL............
DATA/TELE COMM.: NURSE CALLS....i TOTAL # SYSTEMS: 0
Aner: ---------- ----.-----.---------------Contractor: ------------------------------ TOTAL FEES:1 467.46
_.•CPLIX MUKVIS ARISTAN SHEET METAL CO, INC
230 SW 69TH AVE PO BOX 125pc
IGARD OR 91223 PORTLAND OR 9721112
.-none #: 244-776c Phone #:
Reg C.- 058805
:his permit is issued subject to the regulaiic,;s contained in the Tigara Municipal Coale, State of Ore. Specialty Codes and all other
--iopiicabie laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN
jays of issuance, or if work is suspended for more than 180 days.
------------------------------------------------------------ RECKERED INSPECTIONS ---------------------------------------------------
goting Insp PLM/Underfloor Framing Insp Electrical Final
oundatior Insp Mechanical Insp Low Voltage Mechanical Final
ost/Beas Struct Plumb Top Out Insulation Insp Plumb Final
ost"Peam Mechan Electrical Eer'v: Gyp Board Insp 1�uilding Finei
-awl brain Electrical Rough Rai rain Ins:, sion Control
ei-mittee i i Lit 1-i i't-, S, :-. -red B
LA i L itS, k,C L L 1 0 T) 639--4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: " ,O Saw • 4yc
Subdivision: Lot# Office Use Only ,
Valuation: —7 G Contact Date9 Initials- T:15
Result c, r
New Construction Only: (Squ Footage)
Planck/Rec#
House .___. Garage: _ Permit# In s 7k_,01_
�1
Reissue of
Corner Lot? Y N Flag Lot? Y N Map&TL#
Zone - '
Owner: Plat# `� t
Address: <��_ , Lc.l ll d�'• ARprovaN_Rest ly red
t,�I
Planning Setbacks Solar _
Engineering
Phone: (C 1 A � �� � Other
Contractor: __ LLe�1R�quired
Address: Subcontractors Cori it,G e-
n r
Truss Details
Other
Phone: ( ) l�ot�� _
Contractor's License#
(aach copy of current Oregon license)
Contact Name: I-Y el _
Contact Phone >_ ) L 1
Subcontractors: Architect/Engineer:
Plumbing. Address:
e�k- Mechanical f �p �Q 15 I V N C '-1 w►Gi7�� Ga
(attacn copy of current OR Contractor's License)
Electrical: IN " f Phone: L 1
JOB DESCRIPTION: irL11 t1&"i.N��, ,may ('c (5� 1 �' �Z31�
Applicant Signat:ire / MMI QQ41VI'!'�s Applicant Phone number
Received by _ -- '� bate Received _ I
mq,04tteMaco
Permit Account Description Amount Amt Pd. 'Bal. Obe
�l)
ii- 6 ' e" Bldg. Permit (BUILD) b', v
Plumb. Permit (PLUMB)
Mech. Permit (MECH) _
Stau—*111 (TAX)
Bldg: l <r" 1 . ! ' )G, U
Plumb:
Mech:
n
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)
Office TIF (TIF-0)
Water Quality (WQUAL)
`Nater Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRM T)
Erosion Planck/ULA ;ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
Permit#:
Address: (� S l,() 6 l M
Issued by: _ __(, KCA Date:
t -
., X859
Statement: Information Notice to Property owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt.front registration under OILS 701.010(7),
need not submit 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 313:
1. I own, reside in, or will reside in the completed structure.
2. 1 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 *re-4 S td-?'j S M C�� S$ 19 V 5—
(Name)
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
L
113. 1 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 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 tha the above information is correct and that 1 have read and do understand the i nformatioll
Notice to Property tners.abs t Construction Resp sibilities on the reverse side of this form.
(Signature of Date)
(White coP), to issuing agency permit file,
pink copy to applirant)
� I 1 � �i t � ��)�'.'�t I!{ [. I. .)� ' � i 11 {'I ; ,+l�11 t.l! � � M f f � ' I III.i„ ., •"E� �i��:�"�",
1 t 1i i I oli 1r It i I 1
;AI+f t # s i f ,6 o 11 1111 a t, 1 1
{t�tfk k,t f ,
k�ild' _ il,la; fG�
I,�y iltl-`C.I�•.ii'- I.IF�� ��=fV't+if ' i t 1 r �� r. 11 - 1 I I w f + 1( t i : I r 9 ��, ,t � i f ,�, •. i . ,
ti
c✓
C
11 1 if f if
A I il I I
at is f I I f i 1 1,14 11
A i
1,40
CL 1<I
tit
cc
I .
CD
Lo
1
Permit #:
OF-
0�� Address: 9;z 3 Q
a ... o
:z
Issued by:
1859
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before 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 ORS 701.010(7),
need not submit 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 313:
X
1. I own, reside in, or will reside in the completed structure.
X ?. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
C T
A. My general contractor —
(Name) Contractor regis. #
I will instruct my general contractor that all subcontract.rs who work on the structure must be
registered with the Construction Contractors Board.
OR
X F-1 3B. 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 hire a general contractor, I will contract with a contractor who is
n. registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I herehi'certify that the al ve information is correct and that I have read and do understand the Int'ornr.►tion
�= Notice to Property ( s about Construction Responsibilities on the rvNerse side of this form.
Y,��.6
(Signature of permit ayylicant)
(White cope to issuing agency permitfile,
pink copy to applicant)
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Li (Rec O Phone): 639-4175 Business Phone: 639-4171
Inspection: G' ��� �� -1/►1 _
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 -Mech.
Underflr. Insul. Shar W II Gyp. Bd. -Elect.
t
Date Requested:_ ` I 1 _�i Time:—UAM PM
Address: \
Builder: Permit #:_
THF FOLLOWING CORRECTIONS ARE REQUIRED:
•fir r1 V"( \Yft
Lj
Ck
n -
----- 'i`alp ����_�_��11•r�i�(c /
m
W
Inspector: Data:_ 1
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
City of Tigard, Oregon
Rapid Damage Assessment Form
BUILDING DESCRIPTION: OVERALL RATING: (Check one)
Name: INSPE�'TED(Green)
�/ Exterior only
Address: C! Z a Ca S uU t o — Exterior & Interior
LIMITED ENTRY (Yellow)
No. of Stories: v UNSAFE (Red) �7
Basement: Yes ❑ No ❑ Unknown ❑
INSPECTOF_ '
Primary Occupancy: Dwelling� Inspector ID
Affiliation
Other Residential ❑ Commercial ❑ Office ❑ _
Industrial ❑ Public Assembly ❑ School❑ INSPECTION DATE.
Government ❑ Emer.Serv. ❑ Hospital ❑ Mo/day/year
Other Time am pm
Instructions: Review structure for the conditions listed below. A "yes" answer to 1, Z 3, or 5 is grounds for.
posting entire stricture UNSAFE. If more review is needed, post LIIN= ENTRY. A "yes" answer to 4
requires posting AREA UNSAFE and/or barricading; around the hazard. Hazards such as a toxic spill or an
asbestos release are covered by 6 and are to be posted and/o:barricaded to indicate AREA UNS�NFE.
Condition Yes NO More Review
Needed
1. Collapse,partial collapse,or building off foundation , x ❑ ❑
2. Building or_,,;y noticeably leaning ❑ ❑
3. Severe rackin,, of wall, obvious severe damage and distress ❑ ❑
4. Chimney, parapet or other falling hazard ❑ C� ❑
5. Severe ground or slope movement present ❑ t� ❑
6. Other hazard present. ❑ ❑
Recommendations:
❑ No further action required
_ Detailed Evaluation required (circle one) S ctura'l Geotechnical Other
Barricades needed in the following areas:
F
Other.
Posted at this A&sessment: Occupants notified to Vacate Temp Housing Req.
❑ Yes C�_No X' ❑Yes �_No ❑Yes -No ❑ ?
Comments:
Estimated Damage ❑ 017o ❑ 25 9. ❑ 507c ❑ 100070 5
• `taw'`"`�J 3n ✓� �'� J OFFiCE USE ONLY
July 31, 1991 (!RD
Ms. Sophia Llararis
9230 SW 69th
Tigard, OR 97223
Dear Ms. Llararis,
I am writing in regards to a complaint I received about your storm
water drainage. I left a notice on your doorstep, but as of today,
I have not received a reply.
Presently, the water from the back side of your house is draining
onto your neighbor's yard at 6815 SW Walnut Terrace. This is a
violation of both the Uniform Plumbing Code and the CABO Code,
Chapter 14, Section 1-101, which states, "Storm water from roofs,
courtyards, paved areas, which are drained by the storm water
drainage piping, shall be conveyed to a proper means of disposal
which will not cause flooding to adjacent property, streets,
alleys, or walkways" .
This problem must be corrected within 30 days of today's date (July
31, 1991) . Failure to do so will result in a civil infraction and
possible fine. If you have any questions, please call me at 639-
41.71, ext. 312.
Sincerely,
Mike Sheehan
CC Plumbing Inspector
Y
rO SECOND NOTICE MAILED 8-20-91
c�
13125 SW Hall Blvd.P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 --