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7585 SW CRESTVIEW STREET-1 ADDRESS: i.\records\micrcflm\targets\huiIding.doc CITY OF TIGARD BUILDING INSPECTION NC;ICE Inspection Line (Rgc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection, _ Footing Susp, Ceiling Sprink. Rough-in AppriSdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL. Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. IJnderfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. In,�Ljl Shear Wall Gyp. Bd. -Elect. Date Requemed: __Time: AM PM AA Aduress:r L, _ � �4�-�L �• p Builder. Permit N:M J�J G 49 O THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspec _M DPW ( ' X;PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE C� Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec O-Phone): 639-4175 Business Phone: 67v- Footing Inspection: Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: y. Post/Beam Mech. San. Sewer Gas Line 1� 4' Plhn. Underfloor Rain Drain Framing rum--D. 'r ! Alarm Water Line Insulation a-Elect. Underflr. Insul. Shear Wall Gyp. Bd. Date Requested:_ C' CTS Time: AM JJ!� Address: i Builder:_ _ (c 1� "� Permit 0: < C VT THE FOLLOWING CORRECTIONS AHE REQUIRED: �7C S yv 3 9 -2 VAPPROVED tor: Date::_DISAPPRO ED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. l (3 CITY OF TIGARD OREGON RE: BUILDING PERMIT # (y) S T g IInspection (s) have been conducted on this project . However, we have no record of any :subsequent or final inspections within the past 180 days . Pleise note that permits become void if there has not been an inspection pe firmed for over 180 days . In that case, the Building Division may z _ iuire a new application and fees to continue work. A notice of non-compliance against the property may also be recorded by the City. Please advise the Building Division, IN WRITING, within 15 days of this letter, the status of this project . You may request additional time to complete the project . Respond IN WRITING to ! Building Division, 13125 SW Hall Blvd. , Tigard OR 97223 . Be sure to include the following information: 1 . Building Permit: #. 2 . Address of property. 3 . Your name . 4 . Your phone number 8 :00 a.m. - 4 : 00 p .m. If you are ready to schedule your next inspection, please call our 24-hour Inspection Recorder at 639-4175 . ?cq,n\add ns;4rticne 13125 SW Hell Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — -- -- SM$PIlULOAL N.7�M �v s Cit? Of Tigard Build:-,4 Departaent 1.3125 SA Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rea-4-Phone): 639-4175 Business Phone: 639-4171 InspectionsSIL-k Footing Plbg. Underslab Mach. Rough-in Appy/Sdwlk Found. Plbg. Top out Lias Line FTNALs Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain InBulatLon -Plumb. Plbg. Uncfirlloor WatterQLLM Opp. Bd. -Noah. Data Requesteds /L-�II`n( l Addressr 7 �� Pd�LMit MS(�3-V1LXJ Buildersf�Qlf Id TBB FOLLONING CDRR=cTIons AR= RZWIREDr Inspectors r '�- _ Datae _ _,_ APPROVED DISAPpROM APpROV1D S"BJRCP To ABOYB Call For Reinsp. w j PECTION NOTI91 y 4..t7 of Tigard BuildiAg Department 12325 !41 Hall Blvd. Tigard, Oregon 9732 .! Lnapection LLM (ROO.O-Phone)f 6�39-�41�75 Business P e 63 71 Inspect.ionfL(U_ t� Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line' FINALE Flpst/Deem Street. San. Sores Framing / -Bldg. Post/Beam Hoch. Rain Drain Insula ion -plumb. Plbg. Underfloor Water Una Gyp. Bd. -Nech. Date Requaeltedl I ��10 1 _-- ---Timet ----1►M �/ Addressf /_>II GJ CNC J�V�`� Permit #s"6-C7�� Builders r�9Yjy (ON I TRE FOLIAMING CDRRECTIONS ARM REQUIRRDf o Inspectors / Datef Z � 7 OV —�I[PPROV[D MSAPPROVRD APPROVND SUBJECT TO ABR'"T —Galt For Reinep. saaaaa7 city of Tigard guildiioq Doperymmt 13125 XX sail Blvd. Tigard, Oregon 97223 Inspectian Line (Rec­:j-Phone)t 639-4175 Business Phoney 639-4171 Inspection Footing Plbg. Undersiab Hoch. r..,ugh-in APp r/Sdwlk Found. Plbg. rop out Gan Line FINALS Post/Ream Struct. San. Sewer Framing -Bldg. Pont/Beam Neigh. Rain Drain Insulation -Plumb. Plbg. Underfloor ftter Line Gyp. Bd. -Mech. Date Requestedt 1� 1 Tiamee AM Address �()Z'3 e5ky(ew �� QPer/mit ft �"`c�� 1 '�q�1 Builders _--�. l� I /X lAlf -(pI( /�7 THE FOLLOWING CoRRECTIOVS ARE MUIMMI Inepec for L'` —_ APPROVED --- DISAPPROVED APPROVED S98JECT To %goVR ,Call For Asinap. CITY OF TIGARD MW:"TER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERM I'T it. . . . . . . : MST')--', -04i DA' 13125 SW Hall Blvd.Tigard,Oregon 2722398199 (503)839-4171 1'L P0PCJ:7L: ZSIZIDB­0050�� STI'L PUUW:Az5' . 0.1585 SW CA�Lt)TVIEW E3 T Z(_)NInor ,, rt U)"I . . . . . .I SILD LD I NG I RE] DWE'l_1_1NC UNITS:0 . . . . . . .. . :O s f .--ASS CF- WORK. .-ADD SEDRMS:O HATHS:O GARAGE. . . . . , . . . . :0 '."PF 01__ 'JSL. ,. . :!3F FLOU'R AREA-0)- --- -REQUIRLD YOE OF CONGT. :5N F: .1 RS'T. . . . : 144 s LEF f. . -0 f t R J GHT. 0 OUCUPANILv URP, :R_2 SECOND. -.0 s FRONT, -,0 ft REAR. . -.0 91 OR I L'S. . . . . . . . . TH T RL). , - _Otj I RLD-­ J .0 S f RF IL I GHT.. . . . . . . . . 121 ft T0T()L_­--- 144 Sf r:MOI-',E TURF, FLOOR LOAD. . . . :60 p9f V()1..LJE. . 6624 VARKING SPACES— :0 RemarI4,z : ADDITION 144 30 1:"T KIT. AND DR. At-so i}v o so r7 DECK PLUMPING SINKS. . .. . . . . . . . : i FLUOR DRAIW3. . . . -0 BACKFLOW P1RCVN)_R5. 0 LAVOTOP I ES. . . . . .0 WPTEF� HEATERS. . . $0 TRAPS. . . . . . . . . . . . :0 rLJ13/SHOW1'RS-. , . .. :0 LAUNDRY TRAYS. . . '0 LATCH ki_k AS I N5 b, . . , - - -.0 W Al ER C L 0,13 E T 1�3. 0 SEWER LINE ( ft) . :0 GREASE' "(RAPS. . . . . . VISHWPSHEkS. . . . : 1 WATER LINE (ft ) . -0 OTHER F IXTJRe:S. . G(4Ri)AGF DISP. . 1 RAIN DRAIN (ft ) . :0 WASHING MACH. tO GF PAIN DRPINS. . : 1 MECHANICAL rUE.L. TYPV_.S'--- UNIT HTR';. , :0 type M L),-(n t b d at i:� i,ef::f)t /GAS/ VENT!: . . . . . ..0 PPRI $ 62. 50 JH 09/10/93 - MAX I INPU 7 9 0 9% VENT r7ANG. . -0 UPLC t 40. 63 .JUN 09/01/93 9,:3,;=.'4 r-LJRN ( 100K . . tO HooDs. . . . . . .. i B511"c 3. 13 JH 1219/10/93 -- r-UPN r-UPN ) -111.710K _0 WUODSTOVES. :0 Mr-,RT t 25. G)0 JH Ql 9,1 10/93 FLnOR FURN. . . . -O CLO DRYERS. : 0 M5PC $ 1. 25 JH 09/10/93 PJIL/Cmp 3firl-.0 OTHCR U1141TS-.0 P P 13 T $ 37. 50 JH 09/10 GAS OUTLETS.0 P FJ C4 U1 . E3A Jai 09/ L0/93 t- DAVID RUVER 7")85 SW CRE.SIVIEW rfr�r-iRl) UR 9-7:23 P1 G u n t r a c,t o ir- (.IWNEP I=�Flone it: $ 17t. 89 TOTAL This permit is issued subject to the rrj :dfions contained in the REQUIRED INSPECTIONS Municipal Code, State of Ore. Specialty Codes ;id all other Foot/fot.tnd Ins;r Gvp Bear-d insp applic&blk laws. All work will be dobe in acco--danci, with approved Post"Bp'�.m Strur.l. Rain cl.r^ain Ins plans. This permit will expire if work is not started within 180 Pcst/Bv_Am Meehan Mechanic!zkl Fina.1 days of issuance, or if m�r4 is suspends `o)• 101'r (ha) 16111 days. PLM/Unb1f.-v-f`1oui- Plumb Final leclianic-,P.1 Insl, Building Finol I UM b 1 0 P) 0 U t Erasion Gantrn) Insr) lssli0fJ S y z Inst_tlatian Jns,p Ca I I for i Ti i,Fie ct i nri 639-4175 CITY OF TICARD RECEIPT OF PAYMENT RECE.IPT NO. p 93-244094 CHECK AMOUNT : 131. 26 NAME c ROYER. DAVID CASH AMOUNT 0. 00 ADDRESS 7585 SW CRESTVIEW PAYMENT DATE 09/1.0/93 SUBDIVISION TIGARD, OR 9-7223— PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 62. 50 PLUMBING PERM 37. 50 MECHANICAL PE 25. 00 ST. BUILD PER 6. 26 TOTAL AMOUNT PAID 1."S t 6 TT13125 SWIfW91wt PLNCK/RECT #CITY OF TIGARD ]RD ����9n1� PERMIT W A�_�� COMMUNITY DF-WELOPMENT DEPARTMENT — (503)639,4171 DATE ISSUED JOB ADDRESS: iJ ��h V G'ui __ TAX MAP/1.OT �G'� � `pUSO.s SUB: _ __ LOTT:: I-AND USF: VALUAl I ON: -_ .� a q OWNER SPECIAL NOTES NAME: ��J� '1�_,� �- -__-. -_�^ REISSUE Oi ADDRESS: IAST REISSUE: _-----_-_--- ___ FLOOD PLAIN/ PHONE: ;ya 3 `f`!�/I -�-- SENSITIVE LAND: _ CONTRACTOR APPROVALS RE UIRED NAPA'' _ C-)y PLANNING: Q � ADDRESS: _-_ ENGINEERING: FIRE DEPT: - PHONE: - -� !_ OTHER: -- CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: LU- =' tLIST/SUBCONTRACTORS: MECH: `_ BUS TAX: _- ARCH/ENGINEER CALCULATIONS: NAME: ---- -- ----- _ TRUSS DETAILS: _ -ADDRESS: -_ ____._ OTHER: -__�--- — - PHONE: PROPOSED BLDG. USE: COMMENTS: APPLICANT SIGNATURE Received By- — `�_�_ _��_.--------��__ _ Date Received: PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. QUr_ 10-432 00 Building Permit Fees �Z )Z__ _ 67-•Sd 10 121 CO Plumbing Permit Fees _.. _. 10-431 01 Mechanical Permit Fees ?•`'' ___ _ e2S.s.. 10-230 01 State Building Tax (5%) _�ZG.r' zG Building 3./ 3 Plumbing Mechanical I. Z- 10-433 10-433 00 Plans Check Fee O 6,3— Building _Building a Ut 3 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 1IF Fees 25-448-01 Residential Traffic Fees 2.5-448-05 Hass Transit TIF Fees 52-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg (SShC) - �� 445-01 Water Quality (Fee in lieu of) ".-I 'i45-02 Water Quantity (Fee in lieu of) TOTAL nm/3597P.WPF yl F Permit No: . � \ Address: ---._----_ __w_� _---- 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 conGtruction permit applicants who are not registered with the Construction Contru;;to;:; Board to sign the following statement before the building permit can be Issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt frorn registration under ORS 701.010(7), need not Submit this statement. This statement will be filed with the permit. Fill in the gpplicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1 . C ] 1 own, reside in, or will reside in the completed structure. 2. C ._ _ ] 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.C__ 7 My general contractor is.--.. 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. B.[ .`,._''`-"ill be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, 1 will contract with a contractor who is registered with the Construction Contractors Board and I 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 understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. l _ Signature of Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8191 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWf RS ABOUT CONSTRUCTION RESPONSIBILITIES ll NOTE: This Information Notice to Property Owners About Construction Responsibilities Lwas developed by the Construction Contro.ctors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. 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 responsibilities and areas of concern, r EMPI OYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvernent of a residential structure, you will, in most instances, be ruied to be an ',employer'' and the people you hire will be "employees". As the employer, you must comply with the following: Ore on s Withholding_Tax Law. As an employer, you must withhold income taxes from employee 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. Urem to ment Insurance Tax: As an employer, you are required to pay a tax for imemplorrment insurance pu-poses 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 Lai and must obtain workers' compensation insurance for your employees. If you fail to obtain wcrkers compensation insurance, you may be subject to penalties and will be liable for all claim costs it one of your employees is injured on the job. For more information, call the Workers' Compensation Divisir.m DIF at 3?3-7434. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. 1rou-will be payment even if iteu didn't actually withhold the tax. For more information, call the Internal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code Cornpliance: As the pernrit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property DAmege Insurance_ Contact your insurance agent to see if you have adequate insurance ov cerage for accldents and omissions such as falling tools, paint overspray, water damage from pipe puna tures, fire, or work that must be re-done. Time to Supervise Ern plo�►ess: Make sure you have suffrclent 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 additional questions, write to: Construction Contractors Board 700 Summer St NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244) 10/24/89 CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. u93-243781 C�HEMAMOUNT e 41A. 63 NOMF i ROYER, DAVID CA;.H AMOUNT 0. 00 ADDrJ'ss a PAYMFNT DATE : 09/01 /q7. SUBDIVISION t PURPnSE ()F PAYMENT AMOUNT PqID PURPOSE OF PAYMENT AMOUNT PAID 40. 63 7585 SW CRFSI'VIFW TDIAL_ AMOUNT RA 117 40. 63