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CITY OF TIGARD •
OREGON
No:-ember 16, 1992
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Mike Shopmeyer
13445 SW Laurmont Court
Tiqard, OR
Res 13445 SW Laurmont Court Permit # BUP 92-0088
Dear Siri
The last inspection conducted on t•he above project was a
footing inspection on 6/4/92 . The next required inspection will be
a post and beam inspection.
Please advise the Building Division of the status of this project
as soon as possible so the file may be kept current.
Please note that any permit without activity for over 180 days
becomes void. If you need additional time to complete the project,
please contact this department so that an extension can be
discus- ed.
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Sincerely,
Brad Roast
Building official
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Notice.A
13125 SW Hall Blvd„ i Igard, OR 97223 (503) 639-4171 TLD (503) 684-2772 ---- ---- '
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INSPECTION NOTICE
City of Tigard Building Department
13125 BM Ball Blvd. Tigard, C�:-Wn 97223 '
Inspection Line (Rec-O-Phone)s 639-4175 Buoioeae Phone: 639-4171
MMv Inspection:
Footing Plbg. Undereldb Mech. Rough-in Appr/Sdwlk
found` Plbg. Top Out Cao Line FINAL:
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Post/Beam Struct. San. Sewer Framing -Bldg. .
Poet/Roam Mech. Rain Drain Inaulation -Plumb.
01y,0 Plbg. Underfloor Water Line Gyp. Bd. -Mech. ■
Datt' Requeo ted: / Time: AM _PM
Address:
B:molder:
THE YOLLOWINO CORRECTIONS ARE REQUIRED:
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Inspectorf — Date: �-
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APPROVED -- DISAPPROVED APPROVED SUBJECT TO ABOVP
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Department
{ 13125 SW Ball Blvd. Tigard, Oregnn 97223
Inspection Line (Rec-O-Phone): 639-4175 9us,ness Phone: 639-4171
Inspe'c�tiioon:
oot( my Plbg. Underelab Mech. Rough-in Appr/Sdwlk ,
�onpd,� Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg., d'
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line GyI. Bd. -Mech.
Date Requested: / _ Timet AM _ PN ■
Address: 3 "7 L -1112.._ hermit 1:ZL L1tJk
Bu i ldeJ
TBE FOLLOWING CORRECTIONS REQUIRED:
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Inspectors _ Date:
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APPROVED DISAPPROVED APPROVED SUBJFCT TO ABOVE
Call For Reinsp.
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CI1 OFT!GA RD cn , l E._
E.t_ Il_.DINU PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT onoc� �_I;:; M 1. 'i' #. . . . . . . , E1t.11='9w 00E]F1
13126 SW FWI Blvd. PA.Box 23347,Timed,Oregon 47223(603)634417E
t) a_FE: ISSUED: 1714/27/92
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SITE. ADDRESS. . . . 1.3445 SW Lr,UfiMCJ!`,Ir CT PARCI L: iSl?,3Dr-1150vi {
GUBDI�JISION. . . . : ARI CAREEN ZONING: R--12 ■
111.(1( K. . . . . . . . . . .
�________.______..._ .LUI.. .. . . . . . . . . . . .
___.__.___ _
------------------------------------------------.
RFI`.",_ 1E, FLOOR ARTA;___.__._._._._.__ EXTERIOR WALT_ CONGTRULTION_.
CL.148S OF WORK. :ADD FIRST. . . . : Sf N: S: E: W: �
TYPE OF USE;.. . . :5F yF'C0ND. . . :5 50 f PROTECT
TYPE= OF CONST. :5N TH I RD. . . . : s f N: S. E: W:
OCCUPANCY CRP. :R3 TOTAL•_----------: 550 f ROOF CONST : FIRE RET? :
OC UUPANCY LOAD° BASEMENT. : s f AREA SEF'. RATED:
5TOR. :12 I-IT. : ft I:,ARAGE. . . : f OCC;U aFP. RATED:
LaSM1 7 s IEZ Z" : RE DD SETBACKS---------- RFQUI
F-'1_.00R LOAD. . . . :40 ps f L.E:1=1" : ft RGH T: f L- F I R SPKI_: SMOK DE-T•. ,
DWELLING UNITS: 1 F'RNT: ft REAR: ft F= IR ALRM: HNDICP ACC -
BEDRMS: LAATI-IIS: I Ih'IE1 SURFACE: PRO CORR. PARK I NO:
VALUE. $ : 25 300
Remarks : F'ATH I
Owner: -----__________________----___.._... .____._. _._._.__ .__—________..- FE=ES
IIIKE 5HOPME"YE:R type amount by date rec,p`
J.3445 SW LAURMONT CT PRMT 4 75. 00 .7LH 04/27/92 — i
PL(:K $ 113. •7'.5 .11._1.1 04/10/'-)2 225688
TIGARI') OR 97J_'i2.3 5PCT $ 8. 75 .7LH 04/27/92 —
PPione #: 524--5644
i-:ant ra�ct or:
OWNER
Phone #: $ 297. 50 TOTAL
Rep #. . : 00000
--- — -- REQUIRED I NL3PECT IONSThis permit is issued subject to the regulations contained in the Foot/found Insp _„___._..___.._._ __._.__ .•,_ _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/Beam Insp
applicable laws, All worm will be done in accordance with Framing Insp
approved plans. This pewit will expire if work is not started Insulation Insp' __-
within i(ia days of issuance, or if work ,s suspended for more Byp Board Insp
than 180 days. Rain drain Insp
Final, Tn4pect ion
permittee E,irin.1t1.1re :
T s s II a d, N y :
J Call. for inspection — 639-417 .;
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Permit No: Ajlio 6
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�:• ;\� Address: �l -2 �'�
,1 N 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 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 A,chitect
and Engineer applicants, exempt from registration under ORS 701.010,7), need
not submit this statement. This statement will be filed with the perm t.
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Fill in the applicable blanks, and initial box 1 and either box 2A or 213:
1. i own, reside in, or will reside in the completed structure.
2. A. J My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Constructior. Contractors Board.
OR ,
B. 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 do hire a general
contractor, I will contract with a contractor who is registered with the r
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the narne 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...
Signature of Permit Applicant Date
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CONSTRLCTION CONTRACTORS BO NRD
0244J ;190 $
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT I
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_Y OWNERS
INFORMATION NOrCE TO PROPEPT
ABOUT CONs,rRUCTlON RESPONSIBILITIES
NOTE: This Information Notice to Property Owners About Constructiun
Responsibilities was developed by the Construction Contractors Board in
1989 Oregon Legislature.
accordance with ORS 701.055(5), passed by the
home or make a substantial improvement
If you are acting as your own contractor to construct a new bilities
to an existing structure, you can prevent many prob�ems by being aware of the following responsi
and areas of concern.
EMPLOYER RESPONSIBILITIES:
It you hire persons riot registered with the Construction Contractors Board to do labo, in constructing
a residential structure, You Will, in most instances,
0,- assisting in the constrUCtion or improvement of , I
be ruled to be an ,Pmployer" and the people you hire will be "employees". As the employer, you must
comply with the following:
Law As an employer, yc,! rnust withhold income tax6s from employee wages
n if you don't actually withhold
at the time employees are_�ala. You will be liable for the tax payments eve
the tax from your employees. For more information, call the Oregon Department oi Revenue 378-3390.
nce Tax: As an employer, you are required to pay a tax for uneinplo�ment insurance
Une!p2Loyr�ent Insura W—a Fiernoloyees. For more information, call the Oregon Employment Division DHR
purposes on t iwagii 0
at 378-3224.
Workers' Compensation Insurance: As an employer, You are subject to the Oregon Workers' Compensa.
tion Law, and must obtain woWeFsT compensation insurance for your employees. if you fall to obtain Aorkers'
compensation insurance, you may be subject to penalties and will be �Iable for all claim costs it one of
Compensation Division DIF
your employees is injured on the job. For r.iore informstion, call the Workers
at 373-7434.
U.S. Interne; Revenue Service: As an employer, you must wltnhold federal Income tax from employees'
r more informa-
wages. Youw1TfT)`eTl a-b—leTo—rthe tax payment even if you didn't actually withhold the tax. Fo
A lion, call tl�.e Internal Revenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
,ode Compliance: As the permit holder for this project, you are responsible for resolving any failure
tc,, meet code requirements that may be brought to your attention through inspections.
Liat.)1lity and ProLqrty DamL�;�p Insurance: Contact your insurance agent to see if you have adequate
F-n Iss Ions Such as falling tools, point overspray, waterdamage
lnF.urancp coverag
f,om pipe punctures. fire, or work that must be re-done—
Time to Supervise Employees: Make sure you have sufficient time to supervise your employees.
ral contractor, to coordinate
Expertise: Make sure you have the expertise to act as your own gene t the appropriate times so
the woTrot rOLigh-In and finish trades, and to notify building officials a
they can perform the required inspections.
It you have additional questions, wr1te to: Consiruction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
0244J 10/24/89
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1175 SW flail[Stud.• F'1-NCK/RECT # Z
CITY OIC Z I GARLD roc 'u197 PERMIT # B Ut
C01iMUNITI'1)f:yELO[',titENT DEPARTMENT Twird,O,agon971Z1
(501)619-4171 DATE ISSUED
JOB ADDRESS: _ � _ t. t'`J �.G�.lhor;T CJT TAX MAP/LOT LS! -.:3�,��
SUB: ��'�/ 6�'- v _ LOT: ---- LANG USE: _
VALUATION:
OWN[- _
SPECIAL NOTES
NAME: /��= ` T� _. REISSUE OF: _
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ADDRESS: Y� . 5� �J .�iGu.�!/�"� �', cJ LAST REISSUE:
FLOOD PLAIN/
PHONE: Y - �l `� _ SENSITIVE LAND:
APPROVALS R.�UIRED
CONTRACTOR
NAME:
PLANNING: )
_ ��=G% 1
ENGINEERING:
ADDRESS: -- `
!. FIRE DEPT: if
PHOS E: OTHER:
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CONTR. BOARD #: —_ — EXP DATE. i
L_ ITEMS REQUIRED
SUBCONTRACTORS: PLUMB:. L t� • —_ LIST/ !JBCONTRACTORS:
MECH: _._� BUS TAX: _—
A.P.CH/ENGINEER CALCUI_A1 IONS:
NAME: TRUSS DETAILS: _
ADDRESS: �_ OTHER:
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PHONE:
PROPOSED BLDG. JSE: L -- --
COMMENTS:
APPLICANT SIGNATURE
Received By: Date Received: At
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PERMIT r ACCT # DESCRIPTION AMOUNT iY.MOUNT PD. BAL. NE
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,Qu�P9d.=vo8Y i0-432 00 Building Permit Fees �o ----
/ 5 0
10-431 00 Plumbing Permit Fees _ 4
10-431 01 Mechanical Permit Fees ---
10-230 01 State Building Tax (5%) — -Building S
Plumbing _
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Mechanical — 1�
10-433 00 Plans Check Fee
Building %�-j �•$
Plumbing
Mechanical
10-230 06 Fire � —
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
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) __ I
?1-450 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 2 7. 1 �3 75
nm/3587P.WPF
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( CIT'Y OF' "r.I GARD RECEIPT OF PAYMENT T R CE.I PT ( J. :9;'''..2;:"660P
CHECK C--MOUNT a 183. 705 I
NAME `-i1�t1F'MC YE:R, P!1{',C.: CASH AMOUN T' 0. 00
AD0RE 8St . PAYMFNT DATE" r, 1714/F18 92SUBD VISION
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P"JFtPOESEi nF' PAYME NI' AMOUNT PAID PURPOSE-,. Of"' r.'CaYMl :Nl' AMOUNT PP I U
BUT1_E)ING PERM
1,75. 100 61. F;UIf.C) CrrR
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13445 SW I-PU 2MON T CT
T'rl"r Fll_. AMl':}I.JFJ'1" ran I Ii -. - -, -? 183. '75
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CITY Or-' T I LAW) R%:r:F T I''T L)r' F-OYMF:NT RrC';Ei.I PT NO. 032-"C-12"`AAAS
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:.,IA0PMEc;YriR, M If.°11C�C`I , CASI l AMOUN T ti 0. 0111
A0DRt~ 3445 SW r PAYMENT 00'ff. r 04,,'1,01W'
9UTIDI1I INION
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INSPECTION NOTICE i
City of Tigard Building Department
P.O. Box 23397 l
Tigard, Oregon 97223
i� Phone: 639-4175
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Type of Inspection
.----
.'; ,1fyF Date Requested Time ----. A. ._._ -P.
Al .
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Addres Permit # _�
! Owner—- T- �'3� 3 � - Lot #
Builder -- -- —_-- --____-.
The following Building Code deficiencies are required to be corrected:
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Prescnted to _ pprov(3
;nspector �.n---- Disapproved
v
Date
CALL FOR REINSPF,CTION
❑ YES O NO
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