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• INSPECT'ION NOTMB I
City of Tigard Building Department
13125 SR Ball Blvd. Tigard, .7regon 97223
Inspection Line (Rec-o-Phons)s 639-4175 Business Phone: 639-4171
Inspect-Long- .-
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk I
Pound. Plbg. Top Out Gas Line FINAL:
ti
�.- -
Post/Beam Struct. San. Sewer Framing -Bldg. ✓"`
Post/Beam Mech. Rain Drain l Insulation L -Plumb.
Plbg. Underfloor Water rLineyn/�} Gyp. Bd. D V -Mech. ,1
Date Requested: ( -3�/ / 7 T = �� �y
PM
Addreae:. �]� �� SG(l ,4 Permit
Builder: -scN 1'�ce-�;Z-e. � Gj rjZ(J.-(v��C� cl 1 -- C►( S'
TBE FOLLOWINI CORRECTIONS ARE REQUIRED: �� <
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Inspector: v 1.� , aq -(—
Date: J I —
/APPROVRD DISAPPROVRD APPROVED SIIR7RCT TO ABOVE
Call For Reinsp.
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NSPECTIOS NOT.[CE �� E
City of Tigard Building Department
1312S BN Half Bled_ Tigard, Oregon 97223 AJC
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections___________
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain ` Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
r�
Date Requested: _�JTimez __I'$,- AH PM
Address: —
�' it
Builder:
rte, . _- _� _ZZ __-- -
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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- — i
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Inspecto 'APPROVED
- -- ---- --
DISAPPROVED APPROVED SURJECT TO ABOVE
# Call For Reinnp
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INSPECTION NOTICE
City of Tigard Building Depe++mnt ��' 1
13125 SW Ball Blvd. Tigard, Oreqon 97223
Inspection Line (Rec--o-Phone): 639-4175 Business Phone: 639-4171 `3 !
Inspection:
Y
Footing Plbg Indorslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. T-p Out Gas Line FINAL:
Post/Beam Struct. San. Sewer `Framing -Bldg.
Post/Beam Rech. Rain Drain Insulation _plumb,
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date A Aquested':7 _ Timet_)LAM PM i M
Address:—il '-I.fet-rmit It?—v���
i Builder:
r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector e Date:
,_
APPROvPD DISAPPROVED APPROVED SUBJECT TO ABOVE /
__Call For Reinap.
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...........
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_ INSPECTION NOTICE
City of Tigard Building Deparl.aent. ! .
13125 SW Ball Blvd. Tigard, Oregon 97223 /yam
�. Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection.,._ --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALr
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Request-e-dt -/1'/ _ Times ---AM PM
Address / / - �� .� a _L_!Z: Pbrmit I s�z//
Builder:THE FOLLOWING CORRECTIONS ARE REQUIRRD:
lnn(N�rtnr: Dates 1 �
i
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
fall Por Rei-nap.
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CITYOFTIGrARD CVY TMAD 8 Ll i L.1)'L P'L.RIM 1 1
CG%IMUNtTY DEVELOPMENT DEPARTMENT nramooN 1"'C=RM I T #• » • , • . . : F)UF 91 rad 1,arc
13126!W Hrl Blvd P.O.Box 23W,Tipod,Or"m,97223(600)639-4176
31 TE A>)i) 'G. . .. : 0791/4. �7W Mi-♦I?A CT
rUBL)IVISICIN. . ., , : MARP WOODS ZONINGI, R-7
8LOCK. „ ,. . LOT. . . . . . . . . .. . . . . I
REISSUE: i' !...Cli"?!� Ell?��e'� .,...__.. ...__ . ......._ EXTERIOR W0I_..1... C'ONSTRUf.:'# I0!9
(uLA'a5 Off. WORK. :ADD FIRST. . . . .- 120 s f N: f3: E.: W:
T YF)E: OF USE:. . . :SF :-3E'COND. . . : is f PRn T 1 CST
OF CONS T. :5N THIRD. . . . : s f N, S. E: Ws
OU(J)FANCY GRP'. c113 1'f)-1"F1L...__........_. 1.:='171 <;f ?{OF' PF-r
t.iL1. t-IANCY LOAD: BASEMENT. f AREA SEP,. RATED:
:iTOR. w I HT. 't I@ ft GARAGE. f Oc:c'!_1 Er". RA TF''' J s
SSM T": ME:Z Z": RE OD REOUI RE'D----____-----..____-
a
FLOOR LOAD. . . . . 40 p s f I._EH 1 s 012.1 ft; FIGHT:36 Ft !'-"IR F.r)KL: SMOK DE T. . -V
DWELLING UNITS: 1 F=RNT:00 ft RE44fiv 2 ft FIR ALF"<M; HNDICF' ACCO
BEDPMS:rlir' 0 r+(-?TH- 3.-Oofe IM('' !..1RFAr"E. F,P0 C()R11 Gf-?liI-(ING:
VWI..IjE1
Rema-k5 : of
-rte _.,.____._.._.....
DAVID RONNE type semol-ty>t: 1.iv date t-ecrp!
7934 SW MAFIA !�T F-'RMT $ Cir. `:i 0 uTL_H 07/16/91 -
PL_CK .316. 7:, Jt._H 07/0:3/91
TILZIARD OR 4'? r-°f �� ", 'r,1 i c'. Fla JL_H 07/1E,/9t
i Tione #» 5Qr3 -f� �g-776E3
S
hclnrr #; 1 96. 06 T01-01...
Regw
__...._.._ _..- RF:QU I Ri D I NF_3V'ECT T ON6
This permit is issued subfect to the regulatic.rs contained in the Foot /'fcr.rncl Tnato
Tigard Municioal Code, State of Dre. Specialtv Codes and all ether f-'ost/l:Pam In&iJ
vol icabie 1 aws. All work will be lore i n accoroance with f"r-a m i n EI I n p _ r
approved plans. This Permit will expire if work is not started In$r.11At ion. Insp
within 198 days of issuance, v if work is suspended for mar! f."/pr 140Ar•ci Ina(.1
than Ria.rr dr Airi In--,-,p
F I tl 41 I i a 4 F10 r"t i cr rt
Perm itt Pe r,! or,
Byt
Call for, insoc, tion - 634._4175
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CITY or Tr .����� ul2ssw11Aunwd. PLNCK/RECT #
PO Box 23797
z COMMUNITY DEVELOPMENT DEPARTMENT ML;NT Tigard,Oregon 9T1Zt PERMIT # u< — C,/) Z •_ 1 sfi
!
(503)639-4171DATE ISSUED � i
•2 I i ' �
hOB ADDRESS: '7 '�=> r_� t_. _ TAX MAP/LOT .7 LgD 0-3 0
5U6: LOT: LAND USE.
VALUATION:
WO NER / -. � SPECIAL NOTES ( r,
NAME: J,) 6k ki j R C1 ! -;-� +'-� rl r REISSUE OF.
,ADDRESS: /-' -3 LAST REISSUE:
FLOOD PAIN/ F
I PHONE. _fes _'1 � l/ SENSITIVE LAND:
)3 /
( !,ONTRACTO _._ �[ d &PPROVALS REQUIRED
_ l
NAME: ���}.1•( �_ \11 Y"Y'A ez, PLANNING: _
ADDRESS: ENGINEERING: _—
_ FIRE DEPT:
PHONE: _�� �� — OTHER:
CONTR. BOARD #: EXP DATE:
TTCMS REQUIRED
SUBCONTRACTORS: PLUMB: -- _ _ LIST/SUBCONTRACTORS: _
MECH: I L: t ,`:' Y BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ — _ TRUSS DETAILS: _.
ADDRESS: —_ �— _— — _ —_—_— OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: ----..�._- ------ - — — -
&P b S 176
_ -----.---- ---
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APPLICANT SIGNATURE
Received By,: Date Received:
r;h9F^Iti,WYiak �b"^Fr1:Yq}:k�:i,',7xNj�ryiJ�pebuwwwavaww,w+..e. _
Clr +'
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE .
s:
t, I-015110-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees --
;a
10-431 01 Mechanical Permit Fees — —
10-230 01 State Building Tax (59'0) y
3 — '� •
Building
t
Plumbing —
Mechanical
— '
10-433 00 Plans Check Fe,2
Building
Plumbing
Mechanical
10-230 06 Fire -- s
a
30-202 00 Sewer Connection _
30-444 00 Sewer Inspection —
25-448-02 Commercial TIF Fees -
25-448-04 Industrial TIF Fees — —
25-448-06 Institutional TIF Fees 1
25-448-03 Office TIF Fees
25-1.48-01 Residential Traffic Fees _
25-1148-05 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.WPF
^., +Mr" v •rr 9MR.P tPr'- '+�' �'°p:•'+xt�r ..'C'i i }p.. 'tP. .�,.i'{w off "ftf
h ,,<•�+n e '� � ,�, ,y ,>.��f gig. !�{ v.N
,.0
i x
.\ Permit No: _. w
' �� ■
Address:
rs ; O
0�. Z Issued by:-- _�--- - Date: I
OFFICE USE ONLY __.-.—_--_- X.
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES ■
Note: Oregon Law, ORS 701.055(4! squires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. 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 box 1 and either box 2A or 2B:
t. 1 own, reside in, or will reside in the completed structure.
2. A. My general contractor is _-- _-------_--________--
Contractor registration number
will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B. I will be my own general contractor.
If 1 h!re subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and do hire a general
contractor, I will contract 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 ri,ad and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form. i
(Signa ure P rn t A II arit� Dafe
9 pp Date
CONSTRUCTION CONTRACTORS BOARD
0244J 1180
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINil COPY TO APPLICANT
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INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Notice to Property Owners About Construction
Responsibilities was developed by the Construction Contractors Board in
accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as your own contractor to construct a new horTie or make a substantial improvement
to an existing structure, you can prevent many problems by being aware of the following responsibilities
and areas of concern.
EMPLOYER RESPONSIBIL!PIES:
If you hire persons not registered with the Construction Contractors Board to do labor In constructing
or assisting in the construction or improvement of a residential structure, you will, in most instances,
be ruled to be an "employer" and the people you hire will be "employees". As the employer, you must
comply with the following:
Ora on's Withholdin Tax Law: As an employer, you must withhold income taxes from employee wages
a t elm emp oyees are paid. You will be liable for the tax payments even if you don't actually withhold
the tax from your employees. For more information, call the Oregon Department of Revenue at 378.3390.
i
Unempla�ment Insurance Tax: As an employer, you are required to pay a tax for unemployment Insurance
purposes ont e wages-oTWemployees. For more information, call the Oregon Employment Division OHR
at 378.3224.
Workers' Com ensation Insurance: As an employer, you are subject to the Oregon Workers' Compensa-
tion Law, and must o taln workerscompensation insurance for your employees. If you fail to obtain workers'
compensation Insurance, you may be subject to penalties and will be liable for all claim costs if one of
your employees is injured on the job. For more information, call the Workers' Compensation Division DIF
at 373-7434.
U.S. Internal Revenue Service: As an employer, you must withhold federal Income tax from employees'
wages.You will 5e liable or the tax payment even If you didn't actually withhold the tax. For more informa-
tion, call the Internal Revenue Service at 2.21.3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance. As the permit holder for this project, you are responsible for resolving any failure
to melyt co o requirements that may be brought to your attention through inspections.
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate
insurance coverageo- acc dents ahc3amissIons such as falling toots, paint overspray, water damage
from pipe punctures, fire, or work that must be re-done.
Time to Supervise Employes: Make sr.rre you have sufficient time to supervise your employees.
Expertise- Make sure you have the expertise to act as yOUr own general contractor, to coordinate
t e wor of rough-in and finish trades, and to notify building officials at the appropriate times so
they can perform the required inspections.
I Ifyou have additional questions, write to:i Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
0244) 10124189
Phone 503.378.4621
3
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CITY or-, T I GARD — RELF'I PT OF PAYMl-NI RE(-',EE I PT NO. s �
.,I CHECK AMOUNT n 5`S• 33
";I tNf�ME, n RCINNE (INH! C;pSH AMOUNT 0. 00
s
P'AYME'NT ?DATE s 07/16/91 �
A1)1)REss s 7934 UW MARA ('T SUBDIVI TON t
TIGARD, OR
PURPOSE OF PAYMENT AMOUNT PA 11) V-LJW-'-OfyE OF' PAYMENT AMOUNT PAID 4
BUILDING r�EE2M_ _. .__._..."",6. 50 9,T. BUIL1:1�PER .~63
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59. 33
`f n,rAl_ AMOUNT PAID — — ~ ~-�
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INSPECTION NOTICE
City of Tigard Building Department '
P.O. Box 23397
Tigard, Oregon 97223 1
Phone: 639-4175
Type of Inspection --
Date Requested / � Time _ A.M. F.M.
L
Address 9 3e-1 / lr r cc n TimPermit L76-,-I
Owner Lot #
f
Builder �'C�� ��_C-� � ��j�i l 1i: � ,L� i
The following Building Code deficiencies are required to be corrected:
n�SvrGf 4 _ M Oce,
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xerl"4nv Ger 77% oo/*V yer CC`
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Presented to ❑ Approved
Inspector _ _ Disapproved
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Date Z !
CALL FOR REINSPECTION
QfJ YES ❑ NO
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CITY CSF TIGA RD
PF'.P11:l.'T' NO. BU11361.703
CIjTf�AttD L) 'T' : I!:iMJE D. 9/ 7/li)(:)COMMUNITY DEVELOPMENT °)EPARTMENT PRIM PMT •NC). 891.7013 �t
13125 S.W.Hall 91vd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 ?
l (aF) al)I:)I:: .�791 rw MAI:O.A cl.
1(1X MAI!/1-.,(:)'T 2!*5'I 1 Pr-.4D 37 'rl.lE): 1161:2Kl WOODS I_.T :H BK
r 1..AND IJSE::: R7
1-co !til:ll. -. : V61l (IA 1 1 ON: t6 '7 : , 7a(£) ti EJ TF)A(.KS p,
I::PON'T' : i.?0 NEAR:
WORK GLASS : NEW 1:)Wli 1. 1. IJN C Tti : 1. I_L-IF T' : £i) RIGHT : :31 I
USPS TYPE:: : S:1.NGI..Ei: F AM:r.L..Y NO IFIE 7R(:OM 5 : I 6::X'T" .WAL.L.. (:ON!5'T : •
(::ONS T' . TY1=111i: : VN Nil . PA l'F-IS : ;S N: !ii : IF. W
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F'i...(:OP LOAD . /IO GARA(:E: /1/I0 F J'PF-.' !'-MP(I...IV? ALARM
F-L(•JW((.',PM) DE:'T'EA'A"7 YES
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y F41:'.:l:S'3t.JE: OF NO .
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HOMI: I:N(:'. P1:::RMT11' 1111,361. as
O 77£30 5W 511ADY {_ANI PL..AN PE:V:1:E.W ¢
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S'TA'tr. 'TAX •'L1l , U,:i
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i :IME::'; :I:N(::-- rtiL)t:(S'1'(:)Rhl) $.P-1110 . 00 f
c� PAI•II...:r liiC:H IAOMI:::!:) :I M..:. SIJ(:t 15 T'PE:E:T) 41600 00
" 'i''78o !:iw ! I-IAr)Y L..ANE:: G>DC:tri ► ,��SO . as
T
I1 1.J.gi:tI•cI CII" 97c'.i:?3 PREPAID < $100 . 00>
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T .9—PAI I(R4 NO -V20 67 TO'T'AL.: *:I.
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r1ECE3:P'r NO. .5 74,
This permit is issued subject to the regulations contained in Title 14 R1-QtJ:1:RM'II !NSPr.C I'J:(:)NS
of the TMC, State of Oregon Specialty Codes,zoning regulations F O(:)'T':I:NG 'iEWF*P
1 and all other applicable codes and ordinances, and It is hereby I Ol1NDA'T'G(:)N 1 WAL.1... PAIN DRAINS
agreed that the work will be done In accordanc•q with the plans and
specifications and in compliance with all applicable codes end P(:)�,'i' >y Ii3Ei:Al1 W01 F:42 L.:LNE:
1 ordinances The Issuance of this permit does not waive restrictive I"`L13 UNDEPtil_.AF3 (:;T'T'Y Al:)PPC:H/SW
covenants. Contractor and subcontractors shall have current city SI AB r: INAl
business tax permits. This permit will expire and become null and PL B T'(71'C)lJ'i'
void if work is riot started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has F14AMINC3
commenced. It shall be the responsibility of the permittee to assure F J:RE1*1L.ACE
all required inspections are requested and approved. (:IAS L. TNL•i:
j T.N!5IJL..A'T'l:()N
a
c:YP . EX)ARD
j Permittee Signatu•e
/•Q1J O,i'�I I 1 011e 1,NC.I.It-,I,I 10 N ,',:.i`i' /11 l'.''i
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
L f
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f MECHANICAL PERMIT
�
CITYOF
T11FARD
I�I:::F1M:C'r N(]. M1=E3t39.74]. ,
s'
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cm RD DA'T'E: ,l',�IJF:I): 9/ 7/138
COMMUNITY DEVELOPMENT DEPARTMENT °n°°" r)P,,LM. r)M r.N(7 . BC41 703
13125 B.W.Holl Blvd.,P.O.Box 23397,Tigard.Oregon 91223,(503)839.4175
RIF
TAX MAP/1-01' 251 J.PBL) 37 SUB: MAPA WOOW1 i L T :8 BK:
I.AND USE: R 7
I.ATT S T.ZE:
NU : NO:
WORK CLASS : NI:;:W F•URNAC:F: <1.00K :I. AIR HANDL.A <10
1 USE 'T'YPE: S]:NC;I..Ii_ 1;`AM11...Y 1=•I.ILTNACI' tOOK+• AIP HANOLA 10K �
4 ".'UNS T .1'YPLE : VN FL..C.0P I:I.JPNf1("E EVAP . L"DOL.ER
GAP. P3 IiG:r4'1'I N VENT FAN 3
VE::N'r VENT . SYSTEM
81...P/(::0Mr' C;5FIre HOOD 1
NO. STORTE6.S : 2 DI-P/C:(:1MP :3 :L"51IP INCINE'PATUR(I)(:1111
DWF:-I...L..E.1NI'1''�.i : 1. BL-P/(::(:1Mf) 1.C5•-- 301.44 IN:::�N�:F7A'T OP(C:L71'I �
L'UL:1... TYPE GAS DL..F2/COMI-r ;30--,50111 PE:PA.IP UNITS
MAX. INPUT BI—P/(::(:1MP "10+•1-11-" O T•HErl
GAS P1P1NC.:, OU•TL.E.A'S 1
1-Ow PRESS?
a 1.41":11APKS :
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PAI+1-1L—j(::MI Ii[:IMI:S ]:N(: PF:r2M3, T 11110 . 00
W 9700 SW SHADY L..ANI. PLAN r+E::V]:E::W fl11.0 1.3
N ti cJ ul`d rtr F 1:XTUPES 111:30 . 510
?iil•r'1'1'Ei: *1'AX $2 0:3
o'n- :.n
C MA i'T S(:1N-I Il.11x[IL:!S
O MAT T'!i(:)N--+41A.„H1ii:Ci H'TNG .
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T pct B17X 'ri'4.1.
R entgile c::re!etk ctr 970PR
A I:4-10NE (50:3) 637-3.522
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T AF-.G1S'T'ITA'T*T(:)N NO. 41699P 'T(1T'AL. : 113;513. 6"1
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PFCF-;JPT NO.
!� This permit is issued subject to the regulations contained in Title 14 F'dF:GL1.1:C r1E:r) :L'N5l*'.:(-T•1.ONS
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it Is hereby
agreed that the work will be done in acrordance with the plans and F .15 T F* F)KAM
speclficetions and in compliance with all applicable codes and f1Lll.1(:;I-I- ]:N
ordinances The issuance of this permit does not waive restrictive r' 'I:Nol.
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
J void it work is not started within 180 days,or if work is suspenrted or
1 abandoned for a period of 180 days any tirne after work has
Icommenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
3
Permittee Signature
l (::AL_L. F014 TNSP1:7(::T'104%J1 6:319. X11.7r5
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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PLUMBING PERMIT
PE:RM.I:T NO. : PL.8131740
CITYOFTIGARD 'IIrb
cmr w DATE: ISSUED: 9/ 1/88
COMMUNITY DEVELOPMENT DEPARTMENT Ofteom F 111M. PMT .NO. (3(31'703 ' s
13125 S.W.Mall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)539.4175
'T'AX MAP/I..OT 1'51. 1,2813 37 SUB. MAI A WOODS L.T :CI BK : fti
I...AND USE::: 147
L.OT SIZE:: f
ITEM: NO: NO:
WORK CLASS : NIiW WATE—Js' CLOSET 3 TRAP
LI!•rw 'TYPE:: S.'I:N(,1...1= FAMILY I.IRINAL. BKF1._OW PRVN'T 1.1 �
CONST .TYPE : VN LAVORATORY 3 TRAP PRIME A �y
OC:C UP .(:Rp. R:5 TLIB 5HOWE:R r (:;fTl:Atli rRAPS
DISHWASHER 1.
CAPPA(A;: DISPOSAL. I.
NO. STORIES : i? WASI-ITN(:; MACHINE 1.
DWELL—UNI TS ; 1 L.AI.INDRY TRAY P31...DO. DRAIN (1)1A
FI...011J 2 DRAIN
SINK 1 SEME::1-1 (F:"11
WAI 1 11 HF::A 1111.1 1 STORM/RAIN l 1;'r 1
O T HEi:F1
PE'MARK S : --
3
a
IDAI••II...ISC: 4 1 OM1;;'S IN(': l Y : f�E_I)M:f.'T III i':+IP 3q
W 9'7(30 !:iW !SHADY I...ANE: y
i N t.i.gar-d ur• T'']:XT1.1PE:S
1 R S r01 E:: TA $6 . 63
6
D 14•11:44 j
3
C POPE
0 DPID(:,E.VJFW PL.I.IMFUNCa
N E20-7 r•'IPW(:OD DPI:VE:.
T
R wet)ftit 1.i.rin lir 970esR
C PIAONE. (503) 65/.....eI22,-..) �
T PEX'415TRATI:ON NO. 45983 TOTAL.
0
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_......._........ ......-- .�.._..__.. ;
This Permit Is issued subject to the regulations contained in Title 14
( P I 9 1"tE:a;f
of the TMC. State of Oregon Specialty Codes, zoning regulations 1-'F..D LINDL.rt!iLAE;
q and all other applicable codes and ordinances, and it is herehy
agreed that the work will be done in accordance with the plans and t'O!a 1' & Ii E AM
specifications and in compliance with all applicable codes and Wr1l h:R L..INF:
G
ordinances. The Issuance of this permit does not waive restrictive I:11 Ft T01-101.1 I'
covenants. Contractor and subcontractors chall have current city PAIN i)NAIN!:i
I
business tax permits This permit will expire and become null and 1:71 NAI .
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced, It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
i
)
Permittee Signature
CAI I- Ff)R 7,N"ipE:C:'TIC)N E+:39—•41.75
I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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SEWER Pr�.Prcr,T
CITYOFT167ARD n F�r:::ItMT T' N!) 1511;-M.11.7-14p.
cm4moD W-01-1. 9/ Y/Be
COMMUNITY DEVELOPMENT DEPARTMENT 011104" PPTM. PM"r .NCI. OR1703
13126 B.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(503)639-4175
sJIJH F55 : Sw MAPIA-C"T* USA NUMBER : 0364411.9
'TAX MAF'/I_C)'T c'!i1. :I.i'G)la :37 StAH: MAI-'7A WOODS I_.T .(:) E9K
"
LANE) USE : 1:774
1._01,
'V'):(:)N: 12 'T'Wrl: His PN(:�: Tw
WOPK CLASS : NEA
L15Ei: 'ryPE: S rN(al..la: F'AMIA...Y
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Thcil fit.f:)p).:hcclit r1t. lil 11-141S+alit t(a V.,.mM1a) W I tt1 lit :1 11.1.1e14 91 •IC.I 1- S1u,i.ilk 1,1CIitIII r.14' t1-1e LJrI:L41ic)cl
!i(twvl^In�at As�(n(1!^y T'Iif±± I:aark"Itt t, rr.X0,1•tr,rs l;r'.t) r14WIn fi"01111 tl•sc•+ cim.•te. 'rvie ttaraki .
aemrrurst. F1ta.:L41 w:f.'1 :1. Vie Tc)I•410J.tt•.1c1 J.•F 6110", i.>r±r m 1. 1, a.?Xi:)J l,F±sii FI1sa i•11;)"rlC:y rlrlea9► 111:11. 1JLINW
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alitaece thex1c�c l�ralr:`y (:I-I` 61.1ae lta(,n►t.:Llar1 1:1-Pt.hlra 911(1wi isl��.wcar, :1.19.telln.:L14 . 1:4' tl.le i9s1we�:r• int
r)►at 1•r)r,91tN-%rl lit I, t.11W (nr,1+tit.It;1.114o- Inr1e11It, P:iveII , t 11Iw :I.I1III•t,M1 :1.eaI •ll hiIi1.:1 :1. 1;1r1:19sF)ruc-t :'S •Fta"ur1, 1 r
is I. (Ji relc:±ti.un9s 4ir•la(n till c:i 11;tilklic'e Siva;±1.1 . TF I(at, (9(a :1.(a(:!9s.t.(ocl , t,IIe 1.1-11" t.(a.:L1eI• 911'1m.:1I
1.)LI C.1)lit th0 1(L "rlllf. X11 ';:LcltFa !ijr±wkitr" 1:)eI-it):I 1, alr1(.1 1. en A5J*Nrlca9 w:l.:1 1 :i,11 n" t.111.1..1. M. Tlit t.lid r R1 1
r• TKI L)FaII'r.: L.)NT'T'S : !G:Nr1N 1 1 MI'T1(:1t11..MIc N'1
DWE::I..LANGt t.1N:T. 1'!:i : 1.
NO OF DI...r)GS .
PA141...:1,S011.4 I-IOMF S TNG ^ F EJIM:1: T. q AIv) ()f7
W 9780 SW SHADY L ANE: U..1NNITC-r:lON C:HAMA:: to 1. ; 1.()0 . JO
N t:l (7atr'LiL11' I...TIN T'nl•' 1N5►rAl...l... .
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Cl 101 AL $ 1. , 13:5. 00
0
PLEC:E-A.'PT NO. /00-S)74.
......_.. ...._........._...._._.._....... .._ _... ..
" This permit is Issued subject to the regulations contained in Title 14r. (•.
r�EwL.�:r.r•�EI:r) :r. ..1NFyi'r.t.".'1'xCJN.:1
of the TMC, State of Oregon Specialty Codes,zoning regulations FZCIUL,F4 :I:N
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable cc Iles and
{ ordinances. The issuance of this permit does not waive restrictive
Y covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibilih•of the permittee to assure
all required Inspections are requested and approved
• i
n
Permittee Signature
GAL I . r(1F7 INSr•1EX TION 6:31;► 441 TM
Issued By: ---
I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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'•ti�.MgMrwM,�... .., :..•u►. _ _:........... .......,.._.. .. .ti,,:^.,,.ti,,,,..,.. .u+-:yaw.oal�crMrstm^.�u/kNSml4.+Mrr.�.•..,.u:m+rwaom.•:nn.. ..... ,.„a..G.. ,.'r'
f
CITY OF TIG �`�-
A� � ti' '' PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT cnyOF11�ARD ��'`'? PLAN CHECK N
13126SWHABW P.O.em,nW.T 0"00" PERMIT N
'a ° �600�63°,�M DATE ISSUED
JOB ADDRESS. _Zp?y S w- M nv Gf TAX MAP/LOT -5 I-/� �
SUB: M"M LOT: 8 LAND USE: _
VALUATION: ' 7. jf,ati
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE:
SENSITIVE LAND:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME- Ah L"sem ti N << I, �/ 7�G�"7 ENGINEERING: }
ADDRESS: 7 8 c' S.,.r. y,� I 1„, FIRE DEPT
T;gAnl-
OTHER:
PHONE: (, qS 3 ITEMS REQUIRED I
ss
ARCH/ENGINEER
LIST/SUBCONTRACTORS:
BUS TAX:
NAME: L u rr Ea�t CALCULATIONS: _
ADDRESS: Z 7 d o N.w, I R s t" s; ,f, z t b'2 TRUSS DETAILS:
y 7 Z 1v PARKING PLAN:
PHONE: �y Si_ p Z o LANDSCAPE PLAN: —
OTHER: ,
i
COMMENTS: P/,6
l
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
yam' 10-431 00 Plumbing Permit Fees z ,
Z 3Z ,�v
lkLi-LLI10-431 01 Mechanical Permit Fees
10-230 01 Stat,? Building Tax (5X) 7L�
Building !�y.c
Plumbing
Mech
10-433 00 Plans Check Feel '7� ;�� .� �L) i V,1, I gy
Building ��� ,.&S —
Plumbing
Mech ;'c..�, :3
30-202 00 Sewer Connection /� J--
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) « v
52-449 01 Parks t System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC) Sci .S u
31-450 00 Storm Drainage Syst Dev Chry (SSDC) S-u
10-230 09 TRFD
10-230 06 Washington County Fire N1 (95X)
10-220 00 Amart/Wedgewood I
TOTAL O, I �'. ^ C:
REC N
APPLICANT SIGNATURE
Received By:
-
ht/3587P/18P Date Received:
lY
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4 I Wc
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b .�.ad.,J'J..Fw.LrN'ilw'�YllktlVM. M•n..+..¢.w yW. I
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f't ry
I
.. Y OF TIGARD 639.4171
6224
BUILDING PERMIT DATE
_8 Nara ldoods
TAX MAP LOT NO. __SUBDIVISION
OWNER_ J. Gernbart JOB ADDRESS 7934 Si4 1 Axa Ct.
Gernhart Industries,11243 SW Springwood oi:.,','I --�—
BUILDER 2
_ STATE REG.NO. 426 EXP.DATE U-14-'L t86 _
BUILDER'S PHONE l�
ARCHITECT Jahn Cllu - - —� PHONE ----OTHER ,
STRUCTURE Ij NEW ❑ REMODEL 11 ADDITION I 1 REPAIR C i MOVE [.-I OTHER 11 DEMOLITION
I RESIDENCE 1-1 COMM F I EDUCATION C 1 IND [_1 RELIGIOUS C] ACCESSORY 11 GARAGE I 1 OTHER IJ FENCE
OCCUPANCY _LAND USE ZONE BLDG.TYPE _,!:). FIRE ZONE ELAN ?HECK BY t I, HEAT
---('.vraf•rrrnh cing]ur] +- 1141 1 ir.ro I I i n w"llat t nrl•nri *'rrlalj,o,r
'>uI,ject to 85 Code review. T
SEWERPERMITM 29685 (KILL) ; l!a(.l), 1U traps gar area 462
OCC.LOAD FLOOR LOAD 4() HEIGHT 20 NO STORJE�f 1 AREA I" "+ NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT , REAR , - „ LEFT SIDE f RIGHT SIDE
Permit T :,l•t)U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
11�•tap REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
-- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.Uu (, 25U.00
Total 600.00 - - - ------- -
'— PDCN APPLICANT OR AGENT a
Prepd. r.1 150.00
8Receipt No. ADDRESS -PHONE
_a1.�_D, _ -ue 494.88 Issued By Approved By --
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} PLAN CHECK NO. ?-IS- /2-
for inspections call 639-4175
CITY OF TIGARD 699.1171 _ BERM I T NO. G 3
BUILDING PERMIT C 'E / to
P.O. Box 23397, Tigard OR 97223mak"'
TAX MAP LOT NO. _LL—SUBDIVISION r-j�� c,
OWNEa , ��1('�:'I, _ JOB ADDRESS
BUILDER _ Gr, f 1jV D. .1/VC STATE PEG.NO. ExP.GATE •i
BUILDER'SPHONE7. 3v
ARCHITECT�Xa k,, Gk c PHONE -6qL �Uc'3 OTHER
STRUCTURE EW ❑ REMODEL O ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ OEMOLITI
R RESIDENCE O COMM ❑ EDUCATION ❑ IND O RELIGIOUS, O•ACCESSORY O GARAGE THER ❑ FEN ;,
OCCIIPANCY LAND USE ZONE BLDG.TYPE �FIRE ZONE_._PLAN CHECK 8Y iMs FIEAT
_Construct single family dwelling w/attachEd da, agP a11 no ,j , _ _
' r —
rep 7 ,
SEWERPERMITr Zf i td" ''(ldu) baths. -? traps
X4r�� qal as a Z 2 y3 Z
OCC.LOAD FLOOR LOAD o
_ _ � yQ HEIGHT tNO.STORIES �.• AREA 1(QSyNO BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT 2,3 REAR ,;S �`,~ LEFT SIDE {• RIGH r SIDE 2 1
Permll +s'Z _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COGS„ ZONII .�
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT TI ;+
P1eAChock t 2 WOhK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN+
WIT" ALL APPLICABLE CL ES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI
PI.Ck Fln "�"'�"�'� RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE
p TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATIND.
State Tax yi� p
Total Pp SDS
APPLICANT OR AGENT
too �2ff
Recelpl No ADDRESS -
Bel.Due
r. y
Issued By__----.. _—Approved By.__-�__,
SDC
RECEIPT N sSOS,r °
PDC - � /,SLj
DATE PD. 7-1t_4-L
SEUER CONNECTION S 9'A07 AMOUNT PD /Vp •a
1 SEUER INSPECTION $
5EWER 5UFCNARGE S
y
—400fw— 44;-~40�1
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K 4 +��. f1�. V �• J
r. ?i'.;- �,�:.� µ9 n,.; r �,. :,. ,. ".,. },;:.- ,. ,r,:,.. ,,. ,.,,-. ",wr„t rpW..,c"^',' ter,a, } r `•AY+",,,,.xr,. y1n ytr .",�,ygvw r+. ::e:. .^a�.n rIW" ry+^ar"A{A
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CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK N0. :
PLAN CHECK APPLICATION DATE RECEIVED:2 r
a
P.O. Box 23397, Ti§ard OR 97223 P/C DEPOSIT PAID: �D
This is to certify that the attached 2--" sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edition.
� s
PROPERTY OWNER:-- L 1:��?Cc�7 OWNER'S ADDRESS: 11,2
$ CONTRACTOR: �,C 7-y�,L_ TELEPHONE: 42 -L/ 7 j Y
JOB ADDRESS: t �� �'"�'`'►�� LOT NO. MAP: _� �J�j� u')
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DESCRIPTION OF WORK:
S
Approvals Required SPECIAL NOTES
Planning Dept.
0 Reissue i
a
Engineering Dept.
O O Flood Plain/Sensitive Lands f
O Fire District O Sewer Availability
OOther Other
t
LL=
s Required
Ost of subcontractors
B�lsiness Tax
Calculations
OTruss Details
O Parking Plan
0 Landscape Plan \
OOther
COMMENTS:
{
City Tigard Building Department
lu: + ---