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ACTIVE CASE: Grp Smry Edit Pr.cl Name Actn Cond Log-note F'ec: Doc Tag Misc Xit a
gist related cases in project group 6708
6AMASTER PERMITSSA�SuSSaSSASS�SSSSSSSSSSSSSSSSSSASSSSSSSSASSSSSSSSAAASSSSaAAS�
° :MST95-0170: PROJECT:AMART SUMMERLAKE STATUS:F : UPD: 08/23/95: :GES: °
• PERMITTEE:PAUL DRAKE PRIM . :MST95-0170: °
° SITE ADDRESS: 12625 SW SNOW BUSH CT JUR. . . :TIG:
i UDESCRIPTION OF' PROJECT (i)SSSSASASA�SSSSSSSSSSSSSuSSSSASSSSSSSSaaaSSSSSSSSSa�
0
° ADDITION 481 SQ FT PAfH I
0
USAAAAAAAAA53iAAA AAA AAAA AAAAAAuA1iSSASASSAASAAAAASASSS6 Sa6.6A %,-
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REISSUE; DWELLING UN'.T5: 1: REQUIRED SETBACKS----------
° CLASS OF W0RK. :AOD: BEDRMS: 0: BATHS: 0: LEFT. . : O:ft :2IGHT , : 10:ft °
° T.'FE OF USE. . . :SF FLOOR AREAS---------- FRONT'. : 0: f t REAR. . :24:ft °
TiPE OF CONST. : 5N FIRST. . . . . 195:sf REQUIRED-- -------'------- °
° OCCUPANCY GRP. :R3 SECOND. . . : 286:st' SMOKE DETECTORS. :Y: °
° STORIES. . . . . . . :2: THIRD. . . . : O:sf PARKING SPACES. . : O: °
• HEIGHT. . . . . . . . :20:ft TOTAL------: 481:sf °
°
° FLOOR LOAD. . . : 40:psf BASEMENT. : 0:
• VALUE—$: 31101: GARAGE. . . : 0: °
QSNOTES (3) aSaAASaSASaASSSSSu55565SSSAASd55�
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ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log-note Fee Doc Tag Misc Xit
List related rases in project groan # 6708
6AMASTER PERMITSSSSSSSSSSSSSASSSSSSAAASSSSS�.SSSSSSSSSSSSAaSSSSaSSASSAASSSaSSSSc;
° :MST95-0170: PROJECT:AMART SUMMERLAKE STATUS: F : UPD:OB/7.3/95: :GES:
PERMITTEE:PAUL DRAKE PRIM. . :MST95-0.170: 0
° SITE ADDRESS: 12625 SW SNOW BUSH CT JUR. . . :TIG: °
QADESCRIPTION OF PROJECT (1) SSSSSSSSSSSSASA555555555555ASSSSSSSSSSdAASSSSASSSA�
° ADDITION 481 SQ FT PATH I o
0
0
UaAAAAA&AAAAAAAAASAAAA55AASASA AAA AAA AAAAA ASAAASAAAAAASAAA66AAA SAAAAASAAA SAAA'aaq
° REISSUE: DWELLING UNITS: 1: REQUIRED SETBACKS---------- °
° CLASS OF WORK. :ADU: BEDRMS: 0: BATHS: 0: LEFT. . : O: ft RIGHT. : 10: ft °
° TYPE OF USE. . . :SF FLOOR AREAS---------- FRONT'. : O: ft REAR. . : 24:ft °
° TYPE OF CONST. : 5N FIRST. . . : 195:sf REQUIRED-------------------- °
° OCCUPANCY GRP. :R3 SECOND. . . : 286;:sf SMOKE: DETECTORS. :Y: °
° ST0PIES. . . . . . . :2 : THIRD. . . . : O:sf PARKING SPACES. . :O: °
° HEI.aHT. . . . . . . . : 20: ft TOTAL------: 481:sf °
° FLUOR LOAD. . . . . 40:psf BASEMENT. : 0: °
VALUE. . $: 31101: GARAGE. . . : 0: °
QANOTES (3) AAASS.AAA AAAAAAA3ASAAAAAAaa�
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1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone):639-4175 Business Phone: S5u 171
Inspection: -(,G ���-�
Footing Susp. Ceiling Sprink. Rough-ir Appr/Sdwlk
Foundation Plbg. Underslab Much. Rough-In Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: "r
Post/Beam Mech, San. Sewer Gan Line9.
�� w -
Plbg. Underfloor Rain Drain Framing -Plumb. '
Alarm Water Line Insulation 17. -Mach.
Underflr. Ins-fl. Sheer Wall Gyp. B(i. -Elect.
Date Requested: (S,/:) 3/5 Time._)�AM PM
Address:_ f c� � a S
Bui,der. -Cys�{— �(o Permit 0 /70
THE FOLLOWING CORRECTIONS ARE F.EOUIRED:
t
Inspector:_ z Date: e'" Z—
LAPPROVED _DISAPPROVFD _APPROVED SUBJECT TO ABOVE
Call For Aeinsp. _
ay
1.
1'N'Y/ y..;i{.1 t`.". 'rC9;`k......r ,.r . .ry4e.T2 vala.'Yta'.7•n,•..�M'Wrtg �
W aTtCOUNTY
Oepttment of Land Use & TransportationELECTRICAL P E R O P"T
Ele+:North
inspection Section APPLICATION
155 North First Avenue, 8350-12
Hillsboro, Oregon 97124
information: (503)640-3470 Fax: (503) 693-4412 Permit, [� � QQ��_LLL)
' Number _=�.._(_ (��(� Date
( �15�1
Olease complete r 4. Complete Fee Schedule below i
Number of r..epecilons per permit allowed
1. Location of Installation ---
Address ML/!_ ��� Service included: Items Cost(ea.) Sum
a
A
Ruildinq A. Residential- per unit
; A
City j-I r , /) 7� /'/�. Suite t,0•-- --
toxo sq.n.or loss ^_. $11000 4_
Tenant Name Each additional 500 sq ft
(if cummerci&l! _ or portion thereof $25.00 —
1� 3. G�.L� --Tax Lct �-� Limited Energy $25.00 1
Map No. — Each Manuf'd Homo or Modular )
Dwelling Service or Feeder -- $6800 — 2
Thomas Map Book: Page: r�' Section:
Directions—< r, r•`L �Fr '-�'�r'' ' �'-rJ � B. Services9 or Feeders
1=D Installation,alteralicns or relocation
200 amps or loss $60.0( -- 2
Commercial❑ Residential 201 amps to 400 amps _ $80.01. 2
401 amps to 600 amps $120,00 2
2a. Contractor installation only: a 601 amps l 1000 amps $180.00 -- 2
y Over 1000 amps or volts $340.00 2
Electrical Contractor _ _ Reconnect only $50.00 ---- 2
Address 6
City — State ZIP C. Temporary Services or Feeders
Date. Job Number _ Installation,alteration or relocation
Property Owner 200 amps or less $5000 2
Contractor's License No. _ 201 amps to 400 amps _ $,75.00 2
Contractor's Board Reg. No. _ 401 amps to 600 amps $I al 00 2 I
g ---- Over 600 amps to 1000 volts see W above 1
Signature of Supr. Elec'n _ _ D. Branch Circuits
License No. Phone No. New,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner Installations: purchase or service or feeder fee.
T"04 L/ L_ r Z I Each branch circuit $5.00 _.___ 2 `
b) The fee:or branch circuits without
Print Owner s Name one o. purchase of service or feetier fee.
-- - First branch circuit _ $35.00 _ — 2 I
teams /�/ct �12 } Each add'nl branch circuit--P— $5.00 —_.__ 2
city �eIp - E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle_—, $40.00 2
The installation is being made on propef4,y I own Each sign or outline lighting __ $40.00 2
which is not inten0di ffor sale leTe or ant. Signal circui(a)or a limited
/' energy pane.,altera!lon
Owner's Signature _, LLCL__c__ G �—_ or extension $40.00 2
F. Each additional inspection over the allowable
-- --a---------^- in any of the above
3. Plan Rev`3w section cif required) Per inspection _ $35.00
Pcr hour �_ $55.00
Please check appropriate Item and enter fee In se0on 5B. In Plunt �_ $55.00 _
4 or more residential units in one structure
Service and feeder, 800 amps or more 5' Fees DO
--System over 600 volts nominr' A. Enter total of above fees y5' _
_._.__Classified area or structure c mtaining special 5% Surcharge (.05 X total fees) $ 2-�2-5
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with applic.-fion where any out the Plan Review if required (Section 3) $
above apply. Not required for temporo: c;,nsiruction Subtotal $
services. ❑ Trust Account $
Balance Due $ ..�Z
For Inspections call This permit becomes null and void ft'he work outhorized by the permh Is not commenood
640-3561 oi, 69Z 4415 within 180 days from date of issuance of eueh permit w I the work authorized Is
suspended w abandoned at any time after work is commenced for a period of 1/0 days.
24-hour recorder, one working day in advance of need Electrical Permits are nonrefundable and non-transferable.
8194
_ ,;
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1
CITY OF Tl%,7P%RD
D
COMMUNITY DEVELOPMENT DEPARTMENT h
13125 SW Hall Blvd.Tlyard,Oregon 97223*6199 (503)639-4171 MASTER PERMIT
PERMIT 0. . . . . . . . M:;-, 95
DATE ISSUED: 04/21/95
rARCEL: 1""133DA•-al'Y`.'012!
,TE A►iDRE')5. . . : 1261"5 SW SNOW BU01I.1 CT 4 �
;.SDIVISION. . . . : AMART SUMMERLAKE: ND, c7! ZONING: R-7
. . . . . . LOT. . . . . . . . . . . . . . 145
BUILDING
I50UEt DWC'LLIPJG UNITE: i BASEMENT. . . . 0 sf a
__ASS OF WORK. :ADD REARMS:0 BATHS.0 GARAGE. . . . . . . . . . :0 s f
YPE or Usk:.. . . :sF FLOOR ARCA;.__._ _.- . . -- _ RCOUIVIED sETBAC.KS-
TYPE; OF CONST. :SN FIRST. . . . : 195 sf LEFT. . :0 ft RIGHT., - 10 ft
r2C:CUPANCY GPr. :R3 SECOND. . . .286 f 1`RONT. :0 ft r,EAR. . :$21 If f't
C:R I ES. . . . . . . :G FI NSSMENT:O s f REQU I RE:D-- _____
!'TIGHT. . . . . . . . :;20 ft TOTAL_ . . .--- .4n, 5F SMOKE DCTCCT ORO. :Y
OCR LOAD. . . . :40 psf VALUE.. . . . . E : 31101 PARKING 03PACE:.c3. . t0
,:marks . ODDITION 431 sO f T PATH 1
_ ____ _.___..•.._.__._._.....__.. ._._..._.._..._.___._ PLUMBING
hi{{"i_ . . . . . . . . :0 FLOOR DRAIN;i. . . . : ; BACKFLOW PRUNTRS— :0
-1:'ATORIES. . . . . :0 WATER HEATERS. :0 TF?APS. . . . . . . . . . . . . . :0
1El/5HOWERS. . . . :0 LAUNDRY T•RAYS. . '0 CATCH DnsINS. . . . . . . :0
WATER CLOSETS—:0 SEWER LINE (ft ) . :O GREASE TRAMS. . . . . . . :0
DI'v3HWn5J4U-P G. . . . :0 WATER. L-114E (ft ) . :0 OTHrR 1~I XTURU]). . . . . :0
GARBAGE DISE'. . . .0 TRAIN DRAIN !ft ) . :0
WAt3H T NO MAM 1. . . :0 rr PAIN D RA 11,;'". , 4'
__..._._..._.. __.._..._. _ MECHANICAL _....___._.__...__.... __. . _. __._ ._ __._.._ _... FEES -._ _._. ._.._.__._...__..._.,_...
UE:1_ TYPES .. ._ . _ _._ UNIT IITRO. . :0 type amot.rnt 1jY ciat:e r•eCpt
VENT:.'1 . . , . . 10 BrtRT f 202. 00 JD 04/21/95 95-2645t5 >,
MAX INPUT:0 UTU VENT rnr•:S. . :C DPL.0 t 1'31. '0 0-ON 04/12/97) 95--.2642,14
-URN ( 100K . . :0 HOODr). . . . . . .0 BFJPL $ 10. 10 .JD 04/21/15 9 2F 451«
JRN i =1001< . . :0 1400VGTQ,I7S. r0
FLOUR FURN. . . . :0 CL.O DPVER^. :
17,OIL/CMF' ( 311PAO OTIiCR UNI Tr:O
GAS OUTLCT.";0
�)UL. DRAKE
"625 SW SNOW BRUSl i CT
TGARD OR `.)72;24
Jntr-act n► .--
'WNER
bane #:
t 34-7. 412� .;OTAL_
_'pis persit is is--0d subject to ttv regulations contained in tre - -- - REQUIRED INSPECTIONS
:pard kunicipal Ude, State of Elle, Specialty Lodes and all other Fac+tiny Insp Su i l d i n q Final
applicable laws. All work will be done in accordance with approved roi.lndat ion .Insp Erosion control
plans. ThiF persit will expire if wcr'a is not started within 1814 F=
f
Residential Building_ Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 972.23
(503) 639-4171 �•�,.F, �**_ ,,.r..!
I ? 5 w s how d�us N CT'
Jobsite Address:
'�L c Office Use On!
Subdivision: A mARr 5wmir_g zAKr Lot #
Contact Date / / initials
Valuation: --ter-! ` Result
Planck/Rec
New Construction Only: (Square Footage) Permit # m ttf -42170
House: M_ Garage: Reissue of _
Map & Tk # 1 —7_.
Zone _{_� _ —
Plat . -
Corner Lot? Y Flag Lot? Y
Approvals Required
Owner !(., �RAk:E: --�
Planning Setbacks OK Solar
Address: jz( 25 Stt,) 6WjuJ A-,�41sN CT, Engineering _ _
�- Other
Phone:
(5 o 3 ) S 2 4, 2_ l y` Items Re wired
�� �R X �'- Subcontractors
Contractor: �� A rruss Details
Other
Address: '� A IY1 fc
-- -
Notes t `�tOUt -t vr�(1 cUl �'S
ru tE
Phone:
Contractor's License # _ f7 h t G wAd6 1a. M
(attach copy of current Oregon li^ense)
Contact Name: �'A k /a L�1 ,9 ►-� _ ,vi
Contact Phone: ( ��' 3 ) �. _/ S' ' <'2 1 S
Subcontractors: Arch itect/Engineet-.
Plumbing: )l/�i4 Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone: ( —
JOB DESC TION: A-DZ-,._. 17 i R s 7 :�>&'CoA)D FC DoA Rata vr-i f
Applical Signat re / Applicant Phone number
Received by: �� Date Received:
N ^C'^AI4w0D
..MSM
9 ,, .}p.
........... .... •;=-i:-r.:. wyr.hp 7•.'771t!4;t1^.IvT:YOFIFN1Mp��.�P�..ww....
Permit Account Description Amount Amt. Pd. Bal. Due=
'� Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) r _
Mech. Permit (MECH)
State Tax (TAX)
Bldg: y
Plumb:
Mech:
I
Plan Check (PLANCK)
Bldg: 3 -3c'
Plumb:
Much:
Sewer Connection (SIMUSA)
j
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (1'F-R) ^_
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
j Industrial TIF ;TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-C)
Water Quality (WQUAL) _
Water Quantity (W^UAN'T)
Fire Life Safety (FLS)
Erosion Cntrl Permit (E^pRMT)
Erosion Plane!(/USA (ERPLAN)
Erosion Planck/COT (EROSM)
TOTALS:
..
___
11.
Page No. 1 CASE HISTORY FOR CASE NO.: MST95-0170
PAUL DRAKE
12625 sw SNOW BUSH CT
05/04/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update UPI
Code Sent Done Done Date By
/ ------- -----------•------------ ----- -------- -------- -------- -------I------------- ---------------. - ---
NSTA007 Appli:ation received / / / / 04/13/95 PASS BON 04/18/95 BLT
NSTA010 Plan check deposit paid / / / / 04/13/95 PASS BON 04/18/95 BLT
MS7AO20 Plan check by 04/18/95 1 ! 04/18/95 PASS RT 04/18/95 BLT
NSTA030 Check for prcl. restrict. / / 04/18195 04/13!95 PASS BON 04/18/95 BLT
MSTA092 (F) issue combination permit / / ! ! 04/Z1/95 JSD 04/21/95 JO
MSTA092 (F) Issue combination permit / / / / 04/21/95 JSD 04/21/95 JD
MSU TV toting Insp / / / J 05/08/95 M-1- monolithic '-y/fdn APP KS 05!09/95 KBS
MSTA710 Post/Benin Structural / / / / 05/12'95 APP GS 05/05/95 GES
MSTA711 Post/Been Mechanics( / / / / 05/05/95 APP GS 05/05/95 GES
MSTA713 Crawl Drain / / / / 05/12/95 APP GS 05/05/95 GES
14STAT25 Framing Insp ! / / / 06/21/95 N-1- see inspedtion notes DIS KS 06/21/95 KBS
143TA726 Frami,v 4EINSP� / / / / U!76/95 APP KS 06/26/95 KBS
MG)A740 Insulation Insp / / / 06/W95 APP KS 06/26/95 KBS '
04STA745 Gvp Board Insp / 1 / ,' 16/3'�1915 PASS RB 06/30r95 RB
MSTA755 Rain drain Insp / / / / 05/12/95 APP GS 05/05/95 GES
;;aTA770 !fisc. Inspection / / / / 08/15/95
EFA MJ9 08/15/95 11JR
MSiAT99 9uilding Final / / / i 08/23/95 APP GS 08/23/95 t,Ee
MSTA970 Case Finaled / / / / 08/23/95 APP GS "9/23/95 GES i
a .??)eawfriF41�!1�'Lrw.vw+aa.w�^M'!cr�Csyri�!w�1!",� Y�r .
Solar BalanL:e Worksheet t
s ?��� "SV\o
AddresFf ---
Box A calculations : North-South dimension for the l-)t . Box A7
This dimension is determined by finding the midpoint of the
North lot line and drawing an intersecting line perpendicular
to that point . Measure the distance from the midpoint of the •
North lot line to the South lot line along the describer line.
ft
Fox D calculations : Shade point height from your structure. Box B-
1 . Determine whether measurements will be based on Cie peak
or eave of your structure. The orientation of the ridge
is also important . Which
la: If the roof line runs Forth-South, measurements will be describes
based on the peak of the roof . your lot?
lb: If the roof :Line runs East-West and the roof pitch is less (Circle one)
than 5/12, measurements will be based on the eave .
l.c : If the roof line runs East-West and the � �of pitch is 5/12 1� lb lc)
or steeper, measurements will be based on the peak.
2 . Measure change e in elevation from front property line to
finished floor elevation. _ ft
3 . Measure distance from finished floor elevation to the
offecteu peak/eave . {-U. l` tt
4 . If the roof line runs North-South, deduct three feet . j
If the roof line runs East-West, deduct nothing.
- � ft
5 . Subtract one foot for each foot of difference in elevation
from the front property line to the rear property line, if
the lot slopes up from the front to the rear. If the 1_ot
has no slope or slopes up from the rear to the front ,
deduct nothing.
6 . Total figure for box B : l)
L 2� ft
Box C. Distance `o the shade reduction line . Box C:
1 . Measure the distance from the North property line to the -�� (
foundaticn. _�- f t
2 . Measure tt_ � distance from the foundation to the affected + ft
peak or eave .
3 . Total figure for box C: ----------�
5 ft
��, � c)K
rermit# ��7-
Address•
Issued Date: 1
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), req,4ires residential construction permit appli-
cants who are not re,istered r ith the construction Contractors Board to sign the
following statement before a building r.ermit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applican`s, exempt from registration under ORS .701.010(7),
need not submit this statement. i bis statement will be filed with the permit.
Pill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 3B:
i,
1. I own, reside ►i,or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completio
(� 3A. My general contractor is ————--
1�1 (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Constructioi Contractors Board.
OR
vl
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
registered with the .,CB and 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 do understand the Information
Notice to Property Owners ab t Construction Responsibit ities on the. reverse side of this form.
-- -- ��01
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
' pink copy to applicant)
N.
{
--
016 46
information Notice to Property Owners
Abou± Construction Responsibilities
4:.
r Note; This Information Notice to Pruherty Owners about G+nstr-rction Respon;4bilities
was developed by the Construction Contractors Ebur)in accordance v•'th ORS 701,055(5).
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being aware of the following responxi bi I i ties and areas of concern. �' t►
a EMPLOYER RESPONSIBILITIES:
if you hire persons not registered with the Construction Contra,--tors, Board to do tabor in constructing or assisting in the
construction or improvement of +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:
Oregon's withholding tax law: As an employer,you must withhold income taxes from employee wages at the,time employees i
are paid, You will he liable for the tax payments even if you don't actually withhold the tax from your enrpl.)yees. For more
information,call the Orego-t Dept.of Revenue at 945-8091,
Unemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the
wages of all employees. For more information,call the Oregon Employment Division at the Department of Human Resources
at 378-3524.
Workers'compensation insurance: Asan employer,you are subject to the Oregon Workers'Compensation Law,and must
obtain workers'compensation ins,.irance for your emple,►yces. If you fail to obtain workers'compensation insurance,you may
be subject to penalties and will lr,:liable for all claim costs if one of your employees is injured on the job. For more infonnation,
call the Workers'Compensation Division at the Department of Consumer and Business Services at 945-7888.
U.S.Internal Revenue Service: As an employer,you must withhold federal income.tax from employees'wages. You will be 9C='
liable for the tax payment even if you didn't actually N ii hhold the tax. For more information,call the internal Revenue Service
at 1-800-829-1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this project,you are responsible for resolvint!any failure.to meet code requirements
that may tie brought to your attention through inspections.
n.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as failing tools,paint overspray,water uarnage from pipe punctures,fire,or work that must be
re-done.
'rime to supervise employees: Make sure you have sufficient time to supervise your employees,
Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough-in and finish
trades,and to notify building officials at the appropriate times so they can perform the required inspections.
If you have addition.:!questions, write or call the Conshr-�tion Contractors Board(PO box 14140,Salem,OR 97309-5052,
503/378-4621). The Board is located at 700 iummer"t. NE Suite 3(X), in Salem.
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