8116 SW MATTHEW PARK STREET-1 '1.S N�HZStIW MS 91T§-
8116
1T§8116 SW MATTHEW PARK ST
i
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
Date Requested AM o,'51 PM BLD
Location G' l S W /I? Fe �^�� s� Suite MEC `
Contact Person Ph _21/' d Z' PLM Q
Contractor Ph SWR A `�.
BUIL !N TenantlOwner ELC
staining Wall ELR _
Footing Access:
Foundation FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes:
SlabSIT
Post&Beam /fid Q _
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling ----
Roof
mi s _ --- -— — — - --
in�-
PAS PART FAIL -- - -- - - --- ---
ING_
Post 8 Beam --"-"-_-- ---- --- --- ___ _�--
Under Slab
Top Out - --------- —___ -- - - --
Water Service
Sanitary Sewer -----.- - �- -- - --- --
Rain Drains -----------
Final
PASS PART FAIL
MECHANICAL F �-
Post&Beam -- - - -- --- — — ---
Rough In
Gas Line -- --- - -- -— — _ ..
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL ----_- ------__—.—_____—_ _� -.-- ----
a Service - —
Rough In ------ --_.__ _
NUG/Slab - - _ -- -- -
C Law Voltage -- - --_ �- - ---
J Fire Alarm _ -
m Final
PASS PART FAIL _ -_ --- --
SITE _ --- —-- -- —
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ rr aulred before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: _--_— _ [ ]Unable to inspect-no access
Fire Supply LineADA -36
�/�
Approach/Sidewalk Date D —Inspector_ � L'� — Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD - BUILDING PERMIT
PERMIT#: BUP2000-00130
' DEVELOPMENT SERVICES DATE ISSUED: 04/24/2000
13125 SW Hall Blvd..Tloard.OR 97223 (503) 6394171 PARCEL: 2S1128C-10200
SITE ADDRESS: 08116 SW MATTHEW PARK ST
SUBDIVISION: MATTHEW PARK ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: L-\ i FIRS .: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? _
'TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 8 ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SP L: SMOK DET:
DWELLING UNITES: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,000.00
Remarks: Construction of a.20'x 26' patio roof for single family dwelling.
Owner: Contractor:
BINABESE, GEORGE/CHARLYNE K OWNER
8116 SW MATT''FW PARK ST
TIGARD, OR 91224
Phone: Phone:
Reg#:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PRMT SS 04/10/200C $50.00 00012.96 Framing Insp
5PCT SS 04/101200C $4.00 0001296 Final Inspection
PLCK SS O4/10/200C $32 50 0001296
Total $86.50 ORIGINAL
a This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
a and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
U) not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
--� 952-001-0010 through OAR 952 -01-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (501 246-1987. _
W
Pe nn it ee
Signature:
Issued By:
all 6394175 by 7 p.m. for an Inspection the next business day
Permit #: �Ufo,700D —OO/.3 D
Address:
Issued by:
Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
canis 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 sabrnit this statement. This statement will he filed with the permit.
I Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
tY 1. 1 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.
f ;A. My general contractor is
l—1 (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
3B. i will be my own general contractor.
4. 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
J name of the contractor.
ED_
a 1 hereby cer " at the above informatiorw is correct and that I have read and do understand the Information
Notice t fropertly Owner-about Construction Responsibilities on the reverse side of this form.
ignatureoi permit applicant)
e)
(White copy to issuing agency permit file,
pink copy to applicant)
OF TIGARD Residential Building Permit Application Plan Check# -'7
25 SW HALE BLVD. Additions or Alterations Recd By—KIM/
TIGARD,OR 97223 Single Family Detached or Attached (Duplex) Date Recd_4 "/Date to P.E 4-/7-0o
V 503-639-4171 (�,� Date to os -- / '-G�
F 503-684-7297 "9 Permit# ,1C o 0 • X130
Print or Type _ - Called - amu- c_
Incomplete or illegible applications will not be accepted
' Name of Project Name
.lob VNI1000�� �E�A�{�E� l4k —
Address Site Address Architect Malting Address
_—_ 0Nb ,W MA4tNE ��
Name Clty/stat9 zip Phone —'
Owner ailing Addres, Name r�M
itLAW A i�RtW p Engineer MailingAddressCi /�SQtaAte._� Zip Phone g
General
Name ' O� Ty 41 �.7 -0(ix CitylState� Zip Phone
Contractor haw k'7 N IJE{L Describe work New O Addition O Alteration O Repair O
Mailing Address to be done:
Prior to permit _ Additional Description of Work: n CPO r ;)
issuance,a copy City/State Zlp Phone 1 �0 �j0f e+`co
of all licenses �„aG
are required If Oregon Const Cont.Board Exp. Date �- PROJECT
expired in COT Lic#
database VALUATION
Mechanical Name - - _NEW CONSTRUCTION ONLY:
Sub- N A _ Sq Ft. House: Sq.Ft.Garage
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip--T Phone — subcontractor in the following areas _
of all licenses Restricted Audio/Stereo
aie required if Oregon Const.Cont.Board Exp.Date Energy System Alarms _
expired In COT Lic.# Installations vacuum Irrigation
database — __ System _ S stem
Plumbing Name (check all that Other:
Sub- N A
Contractor Mailing Address Comer Lot YES NO Flag Lot YES NV
check one ✓ check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State -ir Phone
issuance,a copy —_
of all licenses are Oregon Const.Cont.Board Exp.Date
required If Lic.# _
expired in COT I hearby acknowledge that I have read this application,that the
database Plumbing Llc # Exp.Date information given is correct,that I am the owner or authorized agent
of the owner,and that plans submitted are in complianre with
_ Ore State law
Name Si at re f Ow rlAgen�J �+ ate _
Electrical N _ 7N1,(! 0
~ SLtb- Mailing Address ContPellillod Name Phone
3 Contractor — b
City/State Zip Phone
Prior to permit
„t issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont.Board Exp.Date Plat#: Mapl1 L.#'
required if Lic.# a �1/
expired In COT 9 - �Si 7 1° T-2,//2 5'C -_ ADX X7.1
database Electrical Lic.# Exp.Date S ib�cXw� l4LLST Zone C Solar
Electrical Supervisor Lic.# Exp. Date Engineering Approval: Planning Approval: TIF:
0 1:ldstsVorm0rfaddatt.doc 11/20/901
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