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._ 9475 SW LEPMANN STREET
CITY OF`'IGARD BUILDING : .PECTION NOTICE
Inspection I ine639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service -INAL:
Foundation Water Line Ceiling -Plijmh.
Post/Beam Mech. Shear/Sheath Framing 4.1ech.
Plbg.Und/Fir/Slab Plbg, Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bri -Bldg.
. �ew ' Gas Line Appr/Sdwlk Heins
Other: — _— ��-��- ----- __
Date:
Address:
-
Tenant _ --_ —__. Step__._ MST:
BUP:
Gon/Own: --------- ---- — - -- -- MEC:
PLM:
ELC:
THE FOLLOWiNG CORRECTIONS ARE REQUIRED ELR: —�
C./1��� ✓Q_.P�t�../-{-tom.. ���Z�Cf Q ` -
_
Inspector: Date:
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARDBUILDING PERMIT
ID I"R M I T #. . . . . . . : OUP96...0/j 5,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/06/96
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171
PARCEL:
[TE VYJ4/5 SW LEHMANN ST
,jUBDIVISION. . . . LEHMANN ACRE TRACT ZON I NG:R-- 12
1ALOC'R. . . . . . . . . . L01.. . . . . . . . . . . . .
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. DEM FIRST. 0 s N: S. E W:
T YPE 01: UGE. . . -51-. SECOND...: 0 s f PROrECT OPEN I NGS?--------
IYPE OF CONST. :5N . . . s 0 s Ni S: E: W:
OCCUIDANCY GRP. :R,"-;' TOTAL----------,: 0 s f ROOF CONST: FIRE RET? :
ULC UPANCY LOAD: 171 BASEMENT. : 0 s f AREA SEP,, RATED:
STOP. : 0 HT: 0 ft GARAGE. . . : 0 "f OCCU SEP. RATED:
BSM'r? : ME.Z z?: REDD SETBACKS—---- REQUIRED
FLOOP lZI p s f LEFT: 0 -Ft RGH1 . 0 ft FIR SPKL: SMOK DET. .
DWLLLINS UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
VEDRMS; 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE::. s: 0
Remarks : DE1',101-ITION of existing t-esiJential dwelling, detached garage & shed.
Sewer- is to Ue capped and insper.ted. Debt-is to be r-emoved UNE lot on
new subdivision to be granted the following credits : I Sewer-, DUI $10171 Wal. et-
01.4aoqty, Parks $1050, 10 TIF trip cr-edits.
Owner- : ES
HONS HENDUEN type amol-int date r-ec-pt
15241"1 NE COUNTRYSIDE WR PRMT $ 25. 00 JbA 06/12716/c6 96-28256't
11
5PCT $ 1 . 25 JDA 11181061')6 1)C, 2 4
AURORA OR 07001:2.
Phone #: 503-.678-22811
Co n t t-act or-
TALLON CONS)"TRUCTION
PO BOC 696
MOLPLI-A OR 97038
Phone #.- $ 26. 25 TOTAL
Req 115119
REQUIRED INSPECTIONS -----
This permit is issued subject to tne regulations contained in the Cap sewer, line
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
appicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 1W days of issuance, or if work is suspended for more
!.tii 180 days.
lev-m i t t e ""?i 11at Urle
s t..t e d B y • ......... .......
Ca I I for inspection 639--4175
T1 �7 (5evifV
Plan Check#
ITY OF TIGARD Residential Building Permit Application Rec'd By _
1125 SW HALL BLVD. New Construction Additions or Alterations Date Recd_
,GARD, OR 97223 Single Family Detached or Attached Date to P E
'03) 639•-4171 Date to DST
Print or Type Permit# 43
Incomplete or illegible application-3 will not be accepted Called _
Name of Subdivision Lot# Name— — --�
Job _
Address Site Address Architect Mailing Address
Name
Cdy/State Zip Phone
v
Owner Mailing Address Name(� c rl�MAAIA)C)
/�l �.l:3
A't-- (hcrl-)t?Y.-ir1X
Engineer Malting Address
ty/State ZipPhone g 11 �/0 "M'r, J r 3 3
—! Name Gtv/State Zip Phone
General TflL-L91/�! (..(A).5TI7_<IC7 /V/J Describe work nea .dditiun 0 alteration 0 repair 0
Contractor MaRing Add�ss to be done !%,( r . -X44_^(/1(()/j0 'a)r / 1-17` Additional Desc iption of Work:
C t /State Zip Phone
A c ,,6f it C'k 1p17c--,;s /<r;/t.!C�✓t ��l ir,t c-� r ��.rte}t)
Oregon Const Cont.Board Lic.# Exp. Date
Attach Copy of l r, l e7 7-/! •'17 Protect —�
Current CCT Business Tax or Metro# Exp Date Valuation
Licenses .f�C -- ------ --
----- --- Name - NEW CONSTRUCTION ONLY:
Mechanical Sq Ft House Sq.Ft.Garage:
Sub- Mailing Address _ _
Contractor Corner Lot Yes - No — Flag Lott �Yes No
City/State 'ip F`hune (check one) check one)
Restricted Audio/Str.eo Burglar
Oregon Const. Cant Board Lic.#+Exp.Date Energy System Alarm —I
Attach Copy of F
Current GOT Rosiness Tax or Metro# Exp. Date Installation ara ga Door F VAC
Licenses i I Opener Systems
Name _ (check all that Other:
Plumbing _ apply)—__L__
Sub- Ma!iiny Address _ - Will the eie--trical subcontract.),-wire for all Yes No
Contractor restricted energy installations?
l-- Has the Subdivision Plat iecorn�d? N/A Yes No
City/State Zip Phone
Oregon Const Cont Board Lic.# Exp Date ' Reissue of MS1 P Solar Compliance
Attach Copy of � I _ (Calculation Attached) _
Current Plumbing Lic.# Exp Date —� I hereby acknowledge that I have read this application, that the
Licenses information given Is correct, that I,�m the owner or authorized agent,:f
COT Business Tax or MetroT# Exp. Date the ower, and that plans submitted are in co-phance with Oregon
— Name Slqrliaoire of Oyliner/AgentD-
Electrical i i - i+ I > ti� -I- -_ T4.
Sub- Mailing Address _ '----�- Contact Person Name Phone
",ontractor FOR OFFICE USE ONLY:
City/State Z;p Phone Plat# Map/TL#
Oregon Const. Cont. Board L!c# Exp Date
Attach Copy of Setbacks _ ?_one. Solar
Current Electrical Lic.# Exp. Date
Licenses
COT Business To or Matro# Exp Date Engineering Approval Planning Approvali� TIF
s\mstapp doc
P.eun # A r count Descrlptio_ro Amour Amt. Pd.
MST Permit (BUILD)
Plumb. Perm1' (PLUMB)
Mech. Permit (MECH)
ELCIELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
Plumb:
Mech:
ELC/ELR:
Plan Check
MST (BUPPLN)
Plumb: (PLMPLN)
Mech: (MEC'LN)
CDC Review (LANDUS)
Sewer ConnectI011 (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSD(,)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-M-r)
Water Quality (WQUAL)
Water Quantity (111QUANT)
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS:
dsts,mstaop doc
Rev 7,96
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hoer Inspection Line: 639-4175 Business Line: 639-4171
�-7 sup
-� - __--Date Requested / —AM` PM - -- BLD
c- -
Loc�cion Suite/, MEG
�rL
Cortact Verson '�-r�--. Ph '? a�� 0� PLM —
Co'itractor — -_ Ph _ SWR __—
BUILDING — Tenant/OwnerELC ^_
Retaining Wall _ ELR
Footing
Foundation Access: f?�� .. �1 �7 i�C1��2fi- FPS
Ftg P :in SGN
Ciu,.vl Drain Inspection Notes: ��� —
Slab ��. =�-� SIT
Post& Beam -- "—
Ext Sheath/Shear -� /'=k���- ✓
Int Sheath/Shear
Flaming —
Insulation
Drywall Nailing ----_--
Firewall
-ire Sprinkler
Fire Alarm
Susp'd Ceiling -- ----- ---- --- - ---- -- --
Roof
Misc:
F inal
VAS� PART FAILPLUMBING
Post& Beam ---------- --- ---- ------ - -___...�_._
Under Slab
TopOut ------------- -- -__ ____ ---- - --------...._
Water Service
Sanitary Sewer —
Rain Drains
Final
PASS PART FAIL.
MECHANICAL —__--
Post& Beam
Rough
---- -- - -- - -
Rough In
Gas Line ---
Smoke Dampers
Final -— - - -- ------- ---------------------
PASS PART FAIL
ELECTRIC/1L _—_ -- - - - - ------- ---------------------
Service
-----------------------------
Rough In
UG/Slab
Low VoNage
Fire Alarm
-
Final - - - - ---
PASS PART FAIL _ ._--_-----------__-- __- _-_
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ) Reinspection fee of$ required before next inspection. Pay at City Hall, 13,125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE: _—_ , [ )Unable to inspect no access
ADA
Approach/Sidewalk ,ems
other Date 7� z�`9s Inspector_ �;/ -- --� _—_ Ext
e- �7
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.