Permit , ' - ,,_-
CITYOFTIQARD (4
•
CRYCIFTIOMD BUILDING PERMIT
• COMMUNITY DEVELOPMENT DEPARTMENT \ / PERMIT # • BUP92-0294
13126 SW HMI Bhd P.O. Box 23397. Tigard, Oregon 97223 (603)639 -4175 \
63+3 -4171 DATE ISSUED: 10/02/92
SITE ADDRESS...: 09435 SW 69TH AVE PARCEL: 1S125DA -07400
SUBDIVISION • KINGS VIEW ZONING: R -4.5
BLOCK • LOT •60
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK.:NEW FIRST • sf N: S: E: W:
TYPE OF USE...:SF SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST.:5N THIRD • sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR.: HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET..:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE.$: 4500
Remarks: REPLACING BASEMENT WALLS SUBJECT TO INSPECTOR APPROVAL
Owner: -- -- - - - --
------------------- - - - - -- FEES
WILLIAM BAUMGARTNER type amount by date recpt
9435 SW 69TH AVE PRMT $ 50.50 JLH 10/01/92 232274
PLCK $ 32.83 JLH 10/01/92 232274
TIGARD OR 97227 5PCT $ 2.53 JLH 10/01/92 232274
Phone #: 452 -7136
Contractor:
CONTRACTOR NOT ON FILE
•
Phone #: $ 85.86 TOTAL
Reg #...
REQU IRED INSPECTIONS
This perait is issued subject to the regulations contained in the Foot /found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature:
.?;--
i
I ssued By: -- Y-ta-- 4 ---
•
Call for inspection — 639 -4175
. 4
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C ITY 01? TIGARD rOBo�397 n PERMIT # ,13up Z- v,Z cl
COMMUNITY DEVELOPMENT DEPARTMENT Tigard Oregon 91223
(503) 639 -4171 DATE ISSUED
2s o — o7tio0
JOB ADDRESS:
?
T AX MAP / L OT SI �
SUB: A I , N ys Vie(A) LOT: v LAND USE:
i VALUATION: (50 D
OWNE // �YI SPECIAL NOTES
NAME: /)ica» g cE,, j � r 6 / „. REISSUE OF:
`� ADDRESS : Cf Y S 35 �&) 6 LAST REISSUE:
` -,( q 122 7 FLOOD PLAIN/
PHONE: 75a - 7/36 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: (5 W n PLANNING:
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: _.
PROPOSED BLDG. USE: en vy /'eSdGrc ' — .___-/�� zap, ,rL ,1.( zaf)
COMMENTS:
- 2/ 7 lik /.
APPLICANT SIGNATUR
Received By: Date Received: A/i2
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
SO
&&P9Z 10 -432 00 Building Permit Fees 56
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) 2
Building 2
Plumbing
Mechanical
10 -433 00 Plans Check Fee
3Z.'7 3
Building 3Z, 83
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)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC)
4
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL gSC �S .
nm/3587P.WPF
F rib'e
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �1- �.2 -(17 AM PM BLD
Location 9 L f3S ° f � Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Access:
Foundation `� „1 , �y�� O FPS
,
Ftg Drain `�"� W "J � 41C r,
SGN
Crawl Drain Inspection Notes:
Slab tit) R , 4)/0 e°q
SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation C. B-rv4-6 -1
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm J Susp'd Ceiling / »'vi
Roof
Misc:
Final
PASS PART FAIL d 1rA_..! �. • 2 AA /
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required 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 Line
ADA �j
Approach /Sidewalk Date V/ 2_ / 2 5 Inspector E
Other / Ext ��
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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CITY OF TIGA9D - RECEIPT OF PAYMENT RECEIPT ND. :92-232274
CHECK AMOUNT : 85./16
NAhE : BAUMGARTNER, WILLIAM CASH AMOUNT : 0.00
)ADDRESS : 3636 SW COMUS PAYMENT DATE : 10/01/92
SU8DIUISlON
PORTLAND, OR 97219-
\
PURPOCE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMQUMT PAID
_ _
BUlLDING PERM 50.50 PLAN CHECK FE 32.83
ST. BUILD PER 2.53
9435 SW 69TH
AMOUNT PqID - - - -> 85.86
VIPa
CITY OF TIGARD
STOP WORK ORDER
BUILDING DIVISION
13125 SW HALL BLVD:, TIGARD, OR 97223
639 -4171
JOB ADDRESS: 9 c/ C _S (7-; PERMIT #:
- OWNER: CONTRACTOR: -
YOU ARE IN VIOLATION OF THE FOLLOWING:
I
AND HEREBY NOTIFIED THIS 3 ? DAY OF A i , I , 19 AT /2 - %
THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN 5
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT RE OVE THIS NOTICE—
� � �� AA /• A _
BUILDfNG INSPECTOR
•
CITY OF TIGARD
STOP WORK ORDER
B,IJILDING DIVISION
13125 SW HALL BLVD., TIGARD, OR 97223
639 -4171
JOB ADDRESS: I = I >,`, /'% PERMIT #:
OWNER: CONTRACTOR:
.
YOU ARE IN VIOLATION OF THE FOLLOWING:
r ` (
AND HEREBY NOTIFIED THIS .! DAY OF -, - 1 , 19' /- 0, AT / , ? M,
THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE "VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT REMOVE THIS NOTICE- •
•
BUILDING INSPECTOR
)NSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec - O - Pho ))s 639 - 4175 ueineaa Phone: 63 - 4171
Inapection t <-- /r U � .rt, - �%� d
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Poat /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ` -Mech.
Date Requested: �/ "o 9 Time: �C AM PM
g5 S, -5-e ( ' g(aP 9 0 .29,/
Address: Pe rmit #:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ..4YCf Date: /! _ / ,
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: _
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor / '7 Water Line Gyp. Bd. - Mech
Date Requested:/40 - ! /a — 2 T - - Z / �/�e i "' /l PM
�
Address: 9 .3� o ! F6rmi�i:`7� - v 2 -9 4 7
Builder: �/L� % S 2 — 7/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: /C -/v / J'
'APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.