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InitiallyGood ADDRESS: i\records\microFlm\targets\building.doc �l�.�P��lon Noxrc�g City of Tigard Building repurtment ( 1(r 13125 an Ball Blued. Tiger:', Oregon 47213 Inspection Line (Aec--O-Phone)t 639-+175 Business Phor.e: 639-4171 Inspections__ [ V � ( C`•+_/� G�� �_�-- __ Footing Plbg. Underelao Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINALc Post/Beam Strut-t, Ban. Sewer Framing Bldg. Post/Beam Neck. Rain Drain Insulation PI-bg. Underfloor Ratef Line /� Gyp. Rd. Date Requested._ ' Z' ?O /a`�'► Time: ANPN / > > , o Addresss—��.t'�S A I �l L L Permit is I S 6 /( Builders_ TRE FOLLONINGa CORRECTIONS ARR MWIREDr r �7 �l ' Ineps dors —_ -- Dates ' 21/ h C-f AP NBD DISAPPROVED APPROVED StTRJECT TO ABOVL �j C Call For Re.lnnp. INSgPCIION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Orego:: 97223 Inspection Line (Rec-U-Phonon„: 639-4175 Busln?en Phonn: 539-4; 11 Inspection: c ' n = Footing Ptbg. Underslab Mach. Rough-in Appr/8•iwlk Pound. Dlbg. Top Ont Gas Line INAL h Post;llean Struct. stn. Sewer. Framing ldq• ` �-f�, Poet/beam Mach. Rain Drain Insulation -Plumb. Plbg. UnderfJoor Nater Line I/Gyp. ed. h Date Requested: Z�� _Timat AM pK Address: OPermit ft��/ �L Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: -- _ Date --APPROVED IMAPPROVED APPROVED SfJWRcT TO ASM e—, --- Call For Reinnp. INSPECTION NOTICE CltV of Tigard Nulldtnq Department. 131-2S BW Ball Blvd. Tigard, Oregon 772^.3 Innpection Line (Roc-O-Phone)s 0,39-4175 Business Phone: 639-4171 Inspect.iun^ Footing Ping. Underelab Hach. Rough-ine Appr/Sdwlk Found. Plbq. Top Out Cas Line jiM jyp Post/Beam 3truct. Sart. Sourer Framing Al Post/Beam Mach. Rain DraitI 1 I:isulation .ply, PlbV Underfloor Mater Line pyp, 8d• _Meoh. \ Date Requested: 7- a -C11�_ _Time: AN Address: Builder: a� /,� �n /1 —A ',•,�v(�k THE FOLLOWING CORRECTIONS ARE REQUIRED: �l .",,LA_ cam. w1�_ cj V_v%A, - c�- h� 2 Inepectorr_ L"_4(- y APPROVFD `Y DISAPPROVED -- APPROVRD SUBJECT TO AgM V Cal l For Reinsp. 1 INS Ka LOA RT-1cI City of Tigard Building Department 13125 SN Nall Blvd. Tigard, Oregon 97223 Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspectl.on:__ Foot 1.rig Plbg. Underalab Merh. Rough-in Appr/Bdwlk Found. Plbg,. Top Out Gas Line P?M11L Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain insulation -Plumb. P.lbg. Underfloor yy Water Line Gyp. Bd. -Meoh. Date Requestedr 17 /-7 L Timet A�M Address: T�(�\ " I1 Perm-it it Builder:_�7 THE FOLLOWING CORRECTIONS ARE REQUIREUr Inspector.: f� �` �— --- Date: / APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE —Call Fnr Reinsp. _� I INSPECTION NOTICE City of Tigard Buildiny Dept.-tment 13125 Sq Ball Blvd. Tigard, Oregon 97223 Inaractton Line (Rec-O-Phone): 639-4175 Businesa Phone: 63c,-4171 l.rspection.- ___ Fo..ting 1bg. Cnderelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: Post/beam Struct. San. Sewer. Framing -Bldg. Poet/Beam Meeh. Rain Drain Insulation -Plumb. Plbq. Underrloor Watery Lino Gyp. Bd. -Me ch. Data Requestedt__ //—7 _Time+: _ PH a. �oa� ` /_ RLI Permit 4V .)LI.OWINr, CORkECTIONS ARE REQUIRED: Inspectors- Date: t{ AP��WOVSD DISAPPROVED _Z �PPROVRD SUBJECT TO ABOVR __—Call For Reinep. ��P=CTION KOTICE City c.f Tigard Building Department 13125 BO Ball. Jlvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 lootin7 Plbg. Underelab Mach. ftugh-in Appr/Sdwlk Found. Plbg. Top Out Cas Lina FINAL: Post/Beam Struct. San. Sewer Fr:ueing -9ldg Post/Beam Mach. Rain Drain Insulation -Plumb. Pll:y. Underfloor Vater Lina GYP. ed. -Mach. Dite Requasted: a Timet AN PM Address:._G o Permit 1: Buildor: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_----► ---- Deter_ APPROVED DISAPPROVED APPRovan SUBJECT To ABM Call For :Reinnp. INSPECTTCN NOTICE city of Tigard Building Dc �artwnnt 13125 SW Ball Blvd. Tigard, 0-egon 97223 Inspection Line (Rec-,O••Phcne): 639-4175 Business Phone: 639--4171 Inspections - -- —--- -- Footing Plbg. Underulah Hech. Rough-in Appr/Sdwlk Found. Plbg. Top 'wut Gas Llne FINALS r—• Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain � -Plumb. Plbg. Underfloor Nater Line ;yp. Bd. -Hoch. Date Rncpiearte,.is ( Times AAM PM Address: I�U �S �� c��W� _ Permit `tM'T /2_-0� Pullder: uq - /S1 (� TEE FOLLOVII40 CORRECTIONS ARE REQUIREDs Inapector �. _�� Date: _APPROVED DISAPPROVED APPROVED SUBJECT TO AFOVR Call For Reinep. N�. SPECTION NOTICE city of Tigard Building Departaent ' 125 SW Ball Blvd_ Tigard, -regon 97223 Innpec+' . :.ine (Rrac-O-?hone: 634-4175 Business Phone: 639-4171 ]nepectior,: Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out. Gas Line FINALS Poet/Beam Struct. San. Sewer (^ ng -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. 6d. -=Nech. (J - � - ,� Dale Reguestod: Time: AN PN Address, i1 Builders TBE FOLLOWING CORRECTIONS ARE REQUIRED: cz 01 ti r Inspector: Date: - L r — _ ___APPROVED �OIBAPPROVED APPRO--AD SUBJECT TO ABOV! Call For Reinep. ION NOTICE City of Tigard Nuildinq Department 13725 OW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 634-4175 Business Phone: 634-4171 Inspection:_ Footing Plbg. Underalab Mech. Rough-in Aopr/Sdw.lk Foand. Plbg. Top Out Gan Line FINAT - Post/Beam etru`i•.t.�� San. .Sewer Framing -Bldg. Post/Beam Mach. Rain Drain insulation .Plumb. Plbg. Underfloor Nater Lina Gyp. Bd. -Mech. Date Requested: Timet =AM rPH Addresses Bul.lder: TRX FOLLOWING COAARCTIONS APE REQUIRED: Inspector Ow / --- ` —.. APPROVED DISAPPROVED APPROVP.D SUBJECT TO ABOVE __Call For Rainap. IMSP_F,_CfIQ NOTIrA C' City of Tigard Ihoildi g Department 13125 SN Hall Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspections footing J) Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp Bd. -Mech. Date Requeated:_ — TiM& { PM Address: 67 a5�� Builder& L) 7 7'7 / THB FOLLOWING CORRECTIONS APE REQUIRED: OQ r Inspect ?, 9Z oc: .���- nate&_"- ✓ e "rW DD _ DISAPPROVED APPROVED SUBJECT TO AB(W? Call For Reinsp. CITY"OFTIOARD CIIYOFTWARD MASTER ER FERMI r- �- T 0 COMMUi49TY DEVELOPMENT DEPARTMENT 06�0 / P RMI I #. . . . . . . : M5'19c'-161411 L13125 SW Hall 13W. P.O.&w 23397,Tigard.OnVon 97223(1b03)63441 75 � -- —J DATE ISSUED: 07/ES/92 C I TE ADDREGS. . . : 0660" SW ALFRED GT PARCEL- 19125DA-1�ri��r'. SUBDIVISICIN. . . . : KINGS VIEW ZONING: R-4. 5 BLOCK. . . . . . . . . . . LCT. . . . . . . . . . . . . . 4 BUILDING -------------------------------------- RL ------_-__________-.______________.-.RL I S5UE: DWELA. I NG UNITS:0 BASFMF N'r. . . . . . . . :1b 131, CLASS OF WLlRK. :A1)1) BEDRMS t 1 BATHS: 1 GARAGE. . . . . . . . . . :0 s F TYPE OF USE. . . t SF FLOOR AREAS-­­­­ REQUIRED TYPE OF' CONST. :5N F1 REST. . . . :408 s;f LEFT. . : 1 1 ft R I GHT. :0 f t OCCUPANCY GRP. :R3 SECOND. . . :0 s f FRONT. :e, ft REAR. . :,-0 1•t STORIE . . . . . . . : 1 THIRD. . . . :0 sf REQUIRED-----_____._______ HE I GH1 . . . . . . . . .. 11. f r TQTA".-_.- ..----:4.08 S•F ]MOKE DETECTORS. :Y F'!UOR LOAD. . . 14O psf VALUE. . . . . $: 18768 PARKING SPACES. . :0 Remarks: ADD 41213 SCJ FT TO EXISTING HOUSE_ ------ PLUMBING SINKS. . . . . . . . . . ..0 FLOOR DRAINS, . . . :0 BACKFLOW PREVINITRS. . ' 0 LAVATORIES. . . . . 41 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUE/S)HOWERS. . . . : 1. LAI)NDR'Y TRAYS. . . :0 CATCH BASINS. . . . . . 0 WATER CLOSETS. . : 1 SEWER LINE (ft) . s 0 GREASE: TRAPS. . . . . . . :0 DTSHWA5HERS. . . . .0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . .0 GORBAC-3E DISP. . . :0 RAIN DRAIN (ft ) . tO WNSH T NG MAOI-1. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL .______ ____..__.___ ______.__________-- FEES r-1-0- TYr-'ES•_.____._..__.__..___ UNIT HTRS. :0 type amol.tr,t by date r or.pt VENTS . . . . . 30 APRT $ 134. 50 BCR 07/28/92 - MAX INPUT.0 BTU VENT FANS. . : 1 Br'LC $ 87. 43 JI_.H 07/15/92 952 FURN ( 100K _-0:0 HOODS. . . . . . :0 BSDC $ 6. 73 BCR 07/28/92 - FURN ) =100K . . :Ir WOODfiI OVE 1. :16 MpHT t i?,5. V)0 BCR Q17/28/92 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 MPLC $ 6. E5 PCR 07/ 'fl/92 - 11011_./CMF ( 31.1PCO OTHER UNI TS: 1 M5pc; $ 1.. 25 B G R 01/28/9c GAS OUTLETStO PPRT $ 52. 50 ACR 07/cE8/92 - Owner: -_______ ._-___--_._____.__.__.---.. _._______- P5PC $ P. 63 BCR 07/28/92 LARRY AND SUE: L0REN7EN 660.5 SW ALPPED ST TI GARD OR 97223 r thane 4t C4-� 941£1 Cont ract or. OWNER PI-rone #: Reg *1.. . . 0000O S 316. 29 TOTAL This permit is issued subjoct to the regulations contained in the ------- REWUIRED INSPEC1101\15 --- -- T;;ard Municipal Code, State of Orr Spec-salty Codes ,rd all other Font/f oLtnd Insp Rain drain Insp j applicable laws. All pev4 will be dent in accordance with aoproved Post/Beao. StrLtct Appr/Sclwl4( Insp plans. This permit will expire if work is r,t started within 14 P1 M/Underfloor Mechanical Final days of issuance. or if work is susperda for are than 188 nays, Mechanical 1 n s p R 1 t.tm b Final Pllstab Top Or-rt BijAlding Final f-'e> m! ttee Sigtna+tl_1re - fit' Framing Insp Eyesiorl t;nrrLrul Iris!tlatirin Insp Crawl Drain Iss1.(et B ryp Snarri Insp Ca1l for inspectinn - 639-4175 Permit No: `1`n_e – bid P w' Address;: – ,.� Issued by:---- :d"='�- Date: • L —.FOR OFFICE USE ONLY-- STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is requited for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under OFFS 701.010(7), need not subrn t this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial bores 1 and 2, and either box 3A or 3B: 1 . I own, reside in, or will reside in the completed structure. 2. E - I I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A. _7 My general contractor Contractor registration number I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. BI will be my own general contractor. If I hire Subcontractors, I will hire only si ocontractors r'gistered with the Construc- tion Contractors Beard. If I change my ,nind ,nd do hi,e a general contractor, I will contract with a contractor who �s renistE 'ed with .ale Constriction Contractors Board and I will immediately notify th- -:five issuing phis building permit of the name of the contractor. t +ouaehy certify that the Pbove Information erect and that I have read and understand the Information Notice to Property 0w,!zrrs a.),ut Constr.-ction Responsibilities on the revetse side of this form. I nature o e it plicant J Di CONSTRUCTIC"J .^NTRACTORS BOARD 0244,1 8191 WHtTE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners About Construction Responsibilities I was developed ,y the Constnrcticr,Contra&)rs Board i,i accordance with QRS 701.055(5), passed by the 1989 Oregon Legislature. ---------- It ------If you are acting as your own contractor to construct a new home or make a substantial improvement io an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: It you hire persons not registered with the Construction Contractors Board to do labor in constructing o,assisting in the construction or improvement of a 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 roust comply with the following: Oregon's Withholding Tax Law_ As an employer, you must withhold income taxes from emp,ayee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unempinyment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR at 378-3224. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation � must obtain workArs' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 221-3960. OTHER RESPONSiB UTIES AND AREAS OF CONCERN: Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet I i code regUil ments that may be brought to your attention through inspections. Liability and Property Damage-Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc- tures, fire. or work that must be re-dorie. Time 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 re4uired inspectioris. If you have additional questions, write to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244J 10124/89 11{ ` 1 f CITY OF T I GARD — RFCE I PT OF. PAYMENT RECEIPT NO. e 92 w'< 99`r,4 CHECK AMOUNT o 17,00. 26 NAME t LORENZEN, MERRIANN S. CASH AMOUNT a 0. 00 i ADDRESS t 6605 5W ALFRED PAYMENT DATE. a f TIGARD, OR SUBDIVISION a 97t?P3-- PURPOSE OF POYMEN-r AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PAID BU I i_D I NG PERM 134. 50 PLUMBING PERM _ 52. :50 � MUCHANICAL PE 25. 00 PLAN CHECK FE --22. 35 ` ST. BUILD PER 10. 61 i I 1 : 92-0 1 413 T ! ! AL. AMOUNT PA 1 D -- - — ) P00. c.'6 i i CITY OF T I GARD RECEIPT OF PAYMENT RFf;E I AT NO. a 9E—2;'.9526 CHECK AMOUNT a 116. 03 NAME a I._ORENZEIN, MERRIANt �;. CAtiN AMOUNT a 0. 00 ADDRESS a L(')RF-NZEN, LARRY L. PAYMENT DATE a 07/ 15/9;? I 6605 SW Al.F RED '3UHDI V I:�T nN T I GARD OR 9 7c'c'.3 - PURPOSE. OF F'(aYMFNT AMOUNT PAID PURPOSE: OF PAYMENT AMOUNT PA I D PLAN CHECK FF 1 16. 03 i i I IRESIDENTIAL ADDITION PLAN CHECK #ti7--26R IT'UTAL AMOUNT V'A I D - > 116. 03 13175 SWIlanoNd. PLNCK/RECT CITY or TIGA RD MBox vJ97 PERMIT a ih54 Z— OLIIy COMMUNITYDfyEL91'MI:NT I)EI'ARTMENT 7igarQOregon 97123 J�--- (503)6194171 DATE ISSUED JOB ADDRESS. � ` ._SLt�� �� ��-} �� �� TAX MAP/LOT 151-25"D4 SUB: LOT: —_ LAND USE: VALUATION: OWNER ` SPECIAL NOTES NAME: C L-OC �l2 ✓�/ REISSUE OF: _ ADDRESS: Q��__—n� � Lf LAST REISSUE: -]Z l — FLOOD PLAIN/ PHONE: —_. ` � �� ___ SENSITIVE LAND: CONTRACTOR `\ APPROVALS W UIP.ED NAME: _ �.� AQ EInc- %A-- �lb PLANNING: r7L� y'G ADDRESS: �7�,Q lh _ `�C-- `�� E L� __ ENGINEERING: FIRE DEPT. _-- -- PHONE: v_—_- ' —`� `I 1 -- _ OTHER: ,�,JD CONTR. BOARD : _— � EXP DATE: 7- �� ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LA _ `�0 , 1�. LIST/SUBCONTRACTORS: — MECH: _ BUS TAX: _ ARCH/ENGINEER CALCULATIONS: NAME: _— TRUSS DETAILS: ADDRESS: _ OTHER: PHONF: PROPOSED BLDG. USE: `��D COMMENTS: CL AP ,LI AN SIGNA Received By: _ — ^ _ Date Received: PERM'T # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE: ,I L. I to I'f2-014 10-432 00 Building Permit Fees /3 . .So 10-431 00 Plumbing Permit Fees `� SZ,So S �, I 10-431 01 Mechanical Permit Fees :k f,0" y: 10-230 01 :,tate Building Tax (5%) Building _ 7� ' Plumbing Z U- Mechanical 10-433 00 Plans Check Fee3k Building 7, y� Plumbing Mechanical 10-21^, 06 Fire 30-202 00 Sewer Connection 30--444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25--.448-04 Industria'. 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 Dr,I � ,age Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (; a in lieu of) TOTAL a7�/ �O fLG� :i. nm/3587P.WPF