10630 SW PARK STREET-1 ADDRESS:
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i:\records\microtlm\targets\building.doc
INSPECTION NOTL^.E
City of Tigard Building Dalartment
13125 SW 11.11 Blvd_ Tigard, Oregon 137223
Inspection Line (Res-O-Phone): 639-4175 Busineos Phone: r-39-4171
Inspection:
Footing Plbg. Underal.ab Mach. Rough-la Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer framing -Bldg.
Post/Beam Mach. Rain Dr-in Insulation -Plvmb.
Plhg. underfloor Wates/LL.:e Gyp. Bd. Much.
Date Requ-isYed:_� ` Time= _AM / PM
Address: i,Lt �� - --` Permit: is '� ( / .
Builders
ME FOLLOWING CORRECTION:' ARE REUUIRIID:
n
ON
Inspector: - ----.�-_--- -- _ Date:
/
[/ APPROVED DISAPPROVRD APF!")VRD SUBJECT TO ABOVE
___Call For Reinsp.
IMSPECfIOM NOTICE
city cr Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ro<:-0-Ph`one):G�639-4175 Bueineas Rhone: 639-4171
Inspectton: 1. V l r i Of �/\ -( % i , „k`� .
J
Footing Plbg. Underslsb Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line F7:MALs
P,3st/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Cyp. Bd. -Mech.
Date Requested: P f� - ) !Time: _ Z. _AM —pM
I10'3� 1�T k MrC_ X17 I
Addreass t 1 j Permit #s
Builder: /� `� T�f,AA'fy A
THE FOt.I.OWIMC CORRECTIONS ARE REQUIRED:
—LZ....._ l J ,,
s
Inspector: % �"'� _ Date: v I 4�-I 3
— —APPR:IED DIS�A/PIROVSD 1/ APPROVED SUBJECT TO ABOVE^(` C " call For Reinnp. ----L �-� ( 1_) •�-*�
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Mall Blvd.Tlgr.rd,Oregon 97223.8199 (503)839-4171
7/
I y N If-'1 NO. pit 1 14
K (41,101AN 1
NIAME e All,W4 hFATINH '.,+41.0 AMOUNT' s 0. 00
A 1)D R Fli'b p PAYMEN) JWJV 10 oa.,,9,,5
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Mf C ANfFii.. Prl 00 PE.14
10630 BW PARK
40MI. (AMCIUNT ("fill)
r�
INSPECTION NOTICE
City of Tigard Building Departaent
1.3125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect!_on:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plby. Top Out Can Line ,, ✓ FINAL:
Post/Beam Struct. San. Sewer Framing
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor :later Line Gyp. Bd. -Hoch.
Data Requested: _ �yT,una:T_,,._AH PN
Addresss U&'77� y Pe it is �ZZ�j
Builder:
TBE FOLLOWING 0OPRECTION9 ARE REQUIRED:
Inepector:- ✓ Date: 3 " Z 3' 9-9
G/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
INSPECTION NjTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb
Plbg. Underfloor Wnter Line Gyp. Bd.
Date Requested: Times _AM ✓_—PA
Address:- L/ Per`Jmit #: !1 —> —0L2z
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
OF
1/01
Irepectort/+_� — -- D a t e z & ;E_—
!/ "PROVED DISAPPPROVED APPROVED SUBJECT TO ABOVE
7tall For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departetent
17 -s SN Mall Blvd. Tig<.rd, Oregon 97223 W
Inspection Line (Ree-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor 2 Water Line Gyp. Bd -Koch.
Date Requesteds ✓ _� / Times
/ AN
Address: /J IPU �L��� ��it is "/
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Dates—
APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Underslab Mech. Rouqh-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
Post/Beam Struct. San. Sswer Framing -Bldg.
Post/Beam M&ch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. '-[Much.
Date Requested: f/ c? Z Time= L=AM
Addrese: =—y`�"'�G.r /n-Peflnft 1.61
Builderr
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector• Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABO'JE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Depas-t—t
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections —
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain naulation -Plumb.
Plbg. Underfloor Water�Line Gyp. Bd. -Meeh.
Date Requested: O Z -Times
�S PH
Address: s/ (O� - 'pe�it #:�L C� 2- �P
BuildersA �.3-�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Dates
L�
APPROVED DISAPPROVBD APPROIiRD SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building D--partment 7
13125 Sit Hall Blvd. Tigard, Oregon 9722
Inspection Line (Roc-O-Phone): 539-4175 Business Phone: 639-4171
inspe^tion•`
Footing p1bg ._ erslab Mech. Rough--in Appr/Sdwlk
Found. C' Plbg. TDgf Gas Line FINAL: I
Poet/Beam Struct. San. Sewer < Framirg -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plum*.-.
Plbg. Underfloor Water Line Gyp. Bd. (( -Meth.
Date Requested: f U� r�47 Timel��✓!l'" PH
Address: Q / c.._- 'Arm fit_ /w—
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect rs_ Data:
�1 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 6639-4175 Business Phone: 639-4171
Inspection: �5
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Port/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Unulerfloor Water
Line Gyp. Bd. -Nech.
Date Requested: I L1 ' 1_ISI �� Timer: AN _PM
Address /l ax- 7'o 1 F- Permit #s�T-1 -622-(o
Builder: l l'zV — 7553,
3,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Date.
y APPROVED DISAPPROVED APPROVED SUBJECT To AEOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 9uBinean Phone: 639-4171.
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out GaB Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Seem Mech. Rain Drain Insulation -Plumb.
Plbg. Underfluor Nater Line Gyp. Bd. -Mach.
Date Requestrr��ed: r�— ( ~�7 —Time: �AM PM
Addreas: 1 V�3yD - 1 L — Permit #t fAST'I
Builders U'2e_ _15.55
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Date:_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinep.
MASTER PERMIT
CITYOFTHFARD
WYOP TWARD PERMIT #. . . . . . . : iNST92-0225
COMMUNRY DEVELOPMENT DEPAAgT1l#P' / D14TE ISSUED: 10/07/92
1312L SW Hell Blvd. P.R.Brix M- 97,Tigard,Oregon 97223(503)8364175
3o6,,W PARCEL: 2S103Df1-04400
SUBDIVISION. . . . : FANTASY HILL ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .3
----------------------------------- BUILDING; --------------- ----------------- ----
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :2 sf
CLASS OF WORK. :ADD BEDRMS:O BATHS: 1 GARAGE. . . . . . . . . . :0 sf
TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS-------------
TYPE OF CONST. :5N FIRST. . . . :23'2. sf LEFT. . :25 Ft R I GHT. :0 ft
OCCUPANCY GRP. :R3 SECOND— :@ s f FRONT. :@ ft REAR. . :84 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED---------------------
HEIGHT. . . . . . . . .. 14
EQUIRED---------------------
HETGHT. . . . . . . . .. 14 ft TOTAL------:23 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 10672 PARKING 5PACES. . : 1
Remarks: PATH 2
---------------------------------- PLUMBING ---- -- ___------_- --------------____
SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . : 1 WATER HEATLRS. . . :0 TRAPS. . . . . . . . . . . . . . :0
-iU$/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . : ! SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WATER LINE (ft) . :0 OTHER FIXTURES. . . . . .-0
GARBAGE DISP. . . :O RAIN DRAIN tft) . :0
WASHING MACH. . . :0 SF RAIN DRAINS. . :O
--------------- MECHANICAL ----- _ __ _-__ ---------------- FEES - ------ - __ -_
FUEL TYPES-------------- UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :2 BPRT t 86. 50 JH 10/07/92 -
MAX iNPUT:O BTU VENT FANS. . : 1 BPLC f 56. 23 JL_H 09/23/92 231961
FURN ( 100K . . :@ HOODS. . . . . . :0 B5PC $ 4. 33 JH 10/07/92 -
FURN ) =100K . . :0 WOODSTOVES. :0 MPRT f 25. 00 JH 10/07/92 -
FLOOR FURN. . . . :0 CLO DRYERS. : 0 MPLC $ 6.25 JH 10/07/92 -
BOIL/CMP ( 3HP:0 OTHEC; UNITS:O A5PC f 1. 25 JH 10/07/92 -
G,iS OUTLETS:O PPRT f 25.00 JH 10/07/92 -
Owner: - -- ---_._.__.__..--------------------._-- P5PC f 1. 25 JH 10/07/92 -
DAVID AND MARGART NOLES
10630 SW PARK 97
TIGARD OR 97223
Phone #: 620-7553
Contractor: ------------------------------
OWNE R
Phone #:
Reg #. . : (40000 -------__-------------------
f 205. 131 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIUNS -------
Tigard Municipal End@, State of Ore. Specialty Codes and all other Foot/found Insp 7r,sulat ion Insp
applicable laws, il)1 work will be done in accordance with approved Post/Beam Str•u^t Gyp Board Insp
pians. This permit will expire if work is not started within IBd Post/Beam Mechan Rain drain Insp
days of issuance, or if work is suspen cd for mor than 186 days. PLM/Underfloor Mechanical Final
ei) % ) Mechanical Insp Plumb Final
permittee Signature: Il -�' /0/7,d-Plumb Top Out Building Final
Framing Insp Erosion Control
Issued By: � Gas Line Insp Crawl Drain
Cal ' -ir inspection - 639-4175
CITY
13125 Sw Ilall Blvd. PLNCK/RF_CT # ^�'712 OF TIGA,RD 1K ik-23J`17 PERMIT # 2-
COMMUNITY DEVELOPMEN"C DEPARTMENT Tiprd,Oregon 97223
(503)639.4171 DATE ISSUED
JOB ADDRESS: �� /Z_�S(.c� r�r%�. _ ._. TAX MAP/LOT 5 13 �p-G yy�
7
SUB: t LOT. .li LAND USE:
VALeATION: :. 3� �� 7�
OWNER SPECIAI. NOTES
NAME: Y � No ISS REISSUE OF:
AODRESS: lti IMA& LAST REISSUE:
1file — FLOOD PLAIN/
PHONE: D - 7c J3 _ SENSITIVE LAND: _
CONTRACTOR_ y� I. APPROVALS REQUIRED
NAME: �'I I tU'�If _ PLANNING:"
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: r/L—�G
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: .. c Z. LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCII ENGINEER CALCULATIONS:
NAME: ober r TRUSS DETAILS:
ADDRESS: Xlamdatr 'kd4 OTHER:
oAd and DrG q v�
PHONE:
PROPOSED BLDG. USE: C° /� clz tl?O"
COMMENTS:
TAP ANT GNATURE
Received By: — _ Date Received:
PERMIT it ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
N15 c v24)� 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees Vii ' .;2i-,v°'_
10-431 01 Mechanical Permit Fees �>. S•��_
10-230 01 State Building Tax (5%) 6,Y3
Building �"33 -/
Plumbing / z �
Mechanical 1 ZS�
10-433 00 Plans Check Fee C'Z VY
Building 56. Z.3 /
Plumbing
Mechanical x,25
10-230 O6 Fire _
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
2.5-448-02 Commercial TIF Fc-es
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential 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
nm/3587P.W?F
— Permit No:
Address:
�u�►�'; ' 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 construction permit
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 statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 anc' 2, at either box 3A or 3B:
1 . 11iiA I own, reside in, or will reside in the completed structure.
2. '1 .�1� J 1 understand that I must registe,' as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A.L----- -i My general contractor is _. -- ----- -,
Contractor registrati(m 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. B.a�_ I 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 a general contractor, I will
contrF,ct 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.
ed V _
Signature of Permit Applicant Date
CONSTRUCTION CONTRACTORS BOARD
0244) 8191
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
ciTy OF TIGARD RECEIPT OF POYMCNT RECEIPT 40. c 92-2.,i2466
CHECK AMOUNT r 149. 58
NAME e AOLEG, DAV I D R. CASH AMOUNT 0. 00
L)L)R t-�S,S 1.0630 SW PARK PAYMENT DATE a 10/07/92
TIGARD, OR 6080 1 v I S,I Oil
PURPOSE OF PAYMENT AMOUNT PAID OF PAYMV:NT AMOUNT PAID
BUILDING PERM 86. 50 V'LUMSING PERM .215. 00
MECHANICAL PE 85. 00 s*r. BUILD PER
P[J)N CHUCK FE 6. 25
TOTAL AMOUNT PAID 14"1. 5A
CITY OF "rmnpri OF PnYMENT RECEIPT NO. x92-2. 31961
CHECK AMOUN F g 'A. c:?3
1,401-ES, MARGARr-'T C A'33H A M 0 1 J N 1 r 0. LAO
5 10(,39-A SW PORK PAYWN'T DATE"'
5UPDIVISION i
OR
-uF?v,09E CIF' PAYMENT AMC)LINJ V-474111 VILIPPOiU OF PAYMENT Atrit)UNT PnTD
PLAN CHECK FF °56. 2
1't7T(-11nMOUNI PAIL) 56. ;?3