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9195 SW 70TH AVENUE
CITYOF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES DATEEIS ISSUED: 8/1/03P2003-00469
/Ll 030D3 00469
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 09195 SW 7GTH AVE PARCEL: 1S125DB-00800
SUBDIVISION: SHADY DELL. ZONING: R-4.5
��— BLOCK: LOT: 008 JURISDICTION: TIG
REISSUE: FLOOR AREAS __ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK:-AL-f'r� FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS:'
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: .f OCCU SEP. RATED:
BSMT?: MEZZ?: READ SETBACKS _ REQUIRED _
FLOOR LOAD: psf LEFT. ft RGHT: ft FIR SPKL: SMOK DET.
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,009.00
Remarks: Construct 603 sf decking.
Owner: Contractor:
JOHNSTON, CAROL ANN CASCADE CONTRACTING
9195 SW 70TH ST 9644 SW 48TH AVE.
TIGARD, OR 97223 PORTLAND, OR 97219
Phone:
Phone: 503-244-7294
Reg #: LIC 146324
FEES _ REQUIRED INSPECTIONS _
Description Date Amount
[13111,ll] Permit Fee 8/1/03 T $149.90 Final Inspection
(TAXI 80/o~tate Tar 8/1/03 $11.91
1Itl PPLNJ Pln Rv 3/1/03 $96.79
Total $257.60
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the nregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By: --
Permittee y
Signature: h�
Call 63 .4175 by 7 p.m. for an inspection the next business day
I
Building Permit Application
City of Tigard Date received�/ Permit no.:?u
City of Tigard
Address; 1312 SW hall Blvd,Tigard,OR 97223 Project/appl. no.: Expire date:
Phone: (503) 639-4171 Date issued: B� Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: - 1&2 family: airnple Complex:
WI &2 family dwelling or accessory Q Commercial/industrial J Multi-family ❑New construction 0 Demolition
❑Addition/alteration/replacement ❑Tenant improvement J fire•sprinkler/alarm 7 Other:
JOB SITE INFORNINUIONr
Job address: 9/q p ..�, Cl�'-t , �_ Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map/tax lot/account no.:
Project name: _ - _ ---
Description and location of work on premises/special conditions:
Name: AAU �jyt (Flotidplain,septic capacili. ,,.ohr,etc.)
Mailingaddress: Cj 1 SA,�3 I &2 family dwelling:
City: State: zip:9-_��3 Valuation of work ......................................... $
Phone:So'j l 11 Fax: I E-mail:c•• 1- ® No.of bedrooms/baths..................................
Owner's representative: `e c Total number of floors ..................................
Phone: Fax: E-mail: New dwelling area(sq,ft.)............................
Garage/carport area(sq.ft.) .......................... _
Name: Covered porch area(sq.ft.) .......................... __---
Mailing address: q�9 r� p}_� Lr kDeck area(sq. ft.)......,..1.Wf tr, ..,. . ............ G
City: State:� ZIP:q h Other structure area(sq.I .) .......................... _
Phone: 5f t1 Fax d Email: Commcrclullindustri>tl/multi-family:
Valuation of work ...................................... _
Existing bldg.area(sq.ft.)............................ —�
Busir�e s Warne; f"�I,ac a� �r11d ,tt bldg.g.area(sq.ft.)
Address: 9(,cie,� � ^`rr' ................................. —
City__� State:�� ZIP: 4 Number of stories.......................................... —_—__-�--
Type of construction .....................................
E-mail: �0 —
CCB no.; G3,� Occupancy gmup(s): Existing: _
New: _
City/metro lic.no.: Notice-All contractors and subcontractors are required to be —
licenst d with the Oregon Construction Contractors Ruanl under
Name: provisions of ORS 701 and may be required to be licinsed in the
Address: jurisdiction where work is being perforrned.If the applie..a-t is
City: State: 'ZIP: exempt from li:ensing,the following reason applies:
Contact person: Plan no.: _.__..---------------___- __ --- _- — _ a
Phone: I Fax; I E-mail: - -- ----
_Name. Contact person: Fees due upon application................ ..... ......$ — —
Address: Date received:
City: I State: ZIP: —�_ Amount received................... ....... $ _—__---
Phone: _ Fax: -mail: -- Please refer to The schedule.
I hereby certify I have read and examined this application and the Not all Jurlsdlctlom accept credit ends,please call jargdlrtlon for more Itdnnomiun
attached checklist. All provisions of laws and ordinances governing this ❑visa U MasterCard
work will he complied wth,whether sp •ifjed herein or n�t credo curd Hamner
�lC N Date: 1�� Name of con er as a own nn credit card
Authorized signature: (:04 --
Print name: v N C'nrdhnldcr Opnotom _ Amrnmi
Notice: This pennit application expires if a permit is not obtained within I 9 days aRetit has been accept d as eftmplcte. 440.4611 uravt�oM)
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CITY OFTIGARD • SITS PLAN REVIEW
nFropm. 4a-U—
DPERMIT'NO.:
DIVISION: � y
9 t cks: Approved ❑ Not 4ppruved
Street Side: ..t o
Garage: ..d10 Rear:
Visual Clearance: ,'Approved ❑ Not Approved
Maximum Building Height- Z—) feet
CWS Service Provider tetter Required: ❑ YcS No
❑ Rcceivcd
H mite: -1 -0 3
GN(iINE . IN<f'�DEPAR I MEN 1': Not Approved
Actuul Slopr:.Lli...% [J App►oved 13 �,►uved
Site Plan: ❑ Apprtned [3 Not A
fav: Date:
!Vulva:
CITY OF TIGARD 24-Hour
BUILL)ING Inspection Line:ev639-4175
INSPECTION DIVISION Business Line: W4171
BUP 3 -DO
Received —_— Date Requested_ g�ZQ— AM__��`�_ PM— BUP
Location -_-- !S" 19 S 74 A-(J�-75- Suite._ _ -. Ii -_— -_
Contact Person - — _ Ph(_ ) __- _--_ PLM -
Contractor Ph( ) _-___-.- _ SWR
'JILDING'
Tenant/Owner _ �— __-- ELC
-oo in l
Foundation Access: �� D - 3�L k) / ELC
Fig Drain ELR
Crawl Drain --
Slab Inspection Notes:- O v' SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear \\--
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler )'�1 -. cJ - �. G � C!/vim ✓1� c�_iv�
Fire Alarm - — -
Susp'd Ceiling L-- ------- _._�_ ---
Roof -
Other:_ - -�------+-- - _ -
�&,,/PART FAIL - --- -"---- ------------- —
BING
Post&Beem--__ __ _.__-------.- ---- -
UnderSlab - -__------_._._ �_--- ----.----- -----_-_-.-
Hough-In
Water Service
Sanitary Sewer -
Rain Drains ------------------�._. . -- ____ _ __
Catch Basin/Manhole
Storm Drain ------ ------- ----- — ---
Shower Pan
Other: _.. ----- - --- -
Final ----_-- -
PASS PART FAIL ---� - — -- --
MECHANICAL _
Post&Beam
Rough-In -
Gas Line
Smoke Dampers -- ---- - ---------- - - _�
Final
PASS PART FAIL - -- -- -- - --- ,- -_
ELECTRICAL
Service - -- --- — - ----- -- -
Rough-In
UG/Slab _-� ------ ----- - --- - -
Low Voltage
Fire Alarm -
Final Reinspection fee of$—_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
__ Please call for reinspection RE:_-a-_ -w— U Unable to inspect-no access
Fire Supply Lin 3 _
ADA
Approach/Sidewalk Date - � /0 Inspector ��""� `�--
Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
SEE 35MM
RO ' L # 21
FOS
OVERSIZED
DOCUMENT