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9475 SW COMMERCIAL STREET ADDRESS: 4y� commeraind i:Vecord,%microWtargetstuilding.doc M CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:j/kA/l�- __t� Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk Foundation Fibg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Tup Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -BI Plbg. Underfloor main`' Framing QTumb. Alarm Water Line Insulation L �Mech.� Underilr. Insu.. Shear Wall Gyp. Bd. ;(. -Elect. Date Requested:`- %�� Tim'a M _PM Address:— Builder Permit ST C-'4/ -�•3�e THE FOLLOWING CORRECTIONS ARE REQUIRED: z.o- CG tr i ,AI _ L l �. In pectora^_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. InsfzeTlon NOTICa � Citi of Tigard Building Department 13125 BW Hall Blvd. Tigard, piygnn 97423 II Inspection Line (Rec-O-Phone�j 639-1175 Business Phones 6427'1 IInspection: rooting Plbg. Underslab Mach. Rough-in APP r/Sdwlk round. Plbg. Top Out Can Line FINAL: Post/Beam Struct. San. Sewer framing -Bldg. Post/SGAU, Mach. Rain Drain Insulation -Plumb. 4-9. Underfloor Nater Line .> �-"�� -Mach. Date Requested: /a 9 _Tiara: AM PN Address:_ rm : Builders--Le,7 ')p THE 7--!-U XNO CORRECTIONS ARE REQUIRED: --- Inspector APPROVED Date: - DI,SArpROVED --- APPROVED SUB.TECT TD AAOVR Call For Reinep. INSPECTION NOTA Cit? of Tigard Building Department 13125 Bw Ball Bled. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)s 639-1175 Business Phon : 63 1 Inspections Ii Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk 1 Found. Plbg. Top out Gas Line FINAL: 111 Post/Beam Struct. Ran. Bower Framing -Bldg. Post/Beam Vech. Rain Drain ��-�� �ue81iL1RII-� -Plumb. Plbp. Underfloor Nater Line Gyp. ad. -Het.l. Date Requested: S /f ��= AH PM Address e Builder. THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors �._- Date -n,&PROVED _4 DISAPPROVED APPROVED 811R"CT TO A :�� ` _Call For Reinap. jNSPEL'YION NOTICE City of Tigard Building Departaeet 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Hu' .kness Phone: 6 vi lnspectiont T«.ting Plbg. UnderalabMac Rough-+n Appr/Sdwlk Tovnd. Plbg. Top Out Cas Line PINALt r Pr/t/Beam Struct. Sen. Sewer Eamin -Bldg. Post/Ream Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach Date Requestedt � _n Timet AM - PM Addreast � �u� Permit THE FOLL0WINC CORRECTIONS ARE REQUTREfJt i Inspectors 19 L_ __,.�^___�_.�_ uatetIrl _APPROVED _^ — DISAePRO'JED APPROVED SGBJECT TO ABOVE i For Reinap. INSPRCTION NOTIQi City of Tigard BUllding Department 1312S SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rwc-O-Phone)c 639-4175 Bum iness Phone: 639-4171 Inspoctions Footing lbg. Undorslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Post:/Beam Struct. Ban. Bower Framing -Bldg. + ' Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. ad. -Hoch. Date Requestod: PH Addreas: 613'7.-;L- Builders ?Pr,rmit 1t�_� '7 Builder: ti — TNR FOLLOWING CORRECTIONS ARE REQUIRED: I d i Inspector /--/ Date \� _APPWATD --- DISAPPROVED APPROVED BURJEC4 TO ABOVE —_Call For Reinap. CITY OF TIGARD 4 COMMUNITY DEVELOPMENT DEPARTWAT MASTER PERM11- 1Z125 3W Hall Blvd.Tigard,Oregon 97223.8199 (503)820 4171 PERMIT #. . . . . . . : MST94-0392 DATE ISSUED: 10/13/94 PARCEL: ."_S 102AB-00209 Sl ADDRESS. . . : 09475 SW COMMERCIAL ST SU )ISION. . . . : MARIELL ZONING: R-4. 5 BLL_K. . . . . . . . . . . LOT. . . . . . . . . . . . . ..9 --.----___.______________.-_-_------ BUILDING -------------------------------------- - REISSUE: ----------______.__---__-______________REISSUE: DWELLING UNI'TS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. .-ALT BEDRMS:O BATHS:O GARAGE. . . . . . . . . . :0 sf TYPE OF USE. . . :SF FLOOR AREAS--- --------- REQUIRED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . :0 s LEFT. . s0 ft RIGHT. :O ft OCCUPANCY GRP. :R3 SF-COND. . . :O sf FRONT. :O ft REAR. . :O ft STORIES. . . . . . . :0 FINBSMENT:O sf HE I GHT. . . . . . . . : 0 ft 'TOTAL------- --a 0 sf SMOKE DETECTORS. : FLOUR LOAD. . . . :40 psf VALUE. . . . . t ! 4500 PARKING SPACES. . :O Remmrksa REMODLE --------------------------------- PLUMBING --_---..--__-_-_---,__________--____---- !3INKS. . . . . . . . . . ..0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . 10 LAVATORIES. . . . . : 1 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . : 1 LAUNDRY TRNYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS— al SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . sO DISHWASHERS. . . . :0 WATER LINE. (ft ) . :0 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . :O ----------------- MECHANICAL _____.._._-.....__.-_.__.. __....__-.._.---.•---_.__.____.__ FEES FUEL TYPES------•-------- UNIT HTRS. . -0 type amount by date rce-pt /ELE/ / / VENTS , . . . :0 BPRT f 50. 50 KS 10/13/94 -- MAX INPUT:O BILI VENT FANS. . : 1 8PLC $ 32. 63 KS 10/12/94 94--257753 FURN ( 100K . . :0 HOODS. . . . . . :0 BSPC $ 2. 53 KS 10/13/94 - FURN ) =100K . . a0 WOODSTOVES. :O MPRT $ 25. 00 KS 10/13/94 - FLOOR FURN. . . . s O CLO DRYER. : 1 MSPC $ 1. 25 KS 10/13/94 - BOIL./CMP ( 3HP:0 OTHER UNI fS:O PPRT $ 45. 00 KS 10 '13/94 - GAS OUTLETS:O PSPC f 2. 25 KS 10/13/9•+ Owner: --_-__---__.____-------------------_.-- DENNIS TROUTMAN 9475 SW COMMERICAL ST T I GARD OR 97223 Phone #: 664-2324 Contractor: -__.____________--_----___.__-•_-- OWNER Phone #: Re-9 $ 159. 36 TOTAL This perait is issued subject to the regul&tions cent. -ned in the -- - -- REOUIRED INSPECTIONS -----_ Tigard Municipal Code, State of Ore. Specialty Codes a;1d all oth�.r PLM/Underfloor Plumb Final applicable laws. All Mork will be done in accordance rith approved Mechanical Insp Building Final plans. This perait will expire if work is not started ~.'thin 188 Plumb Top Out days of issuance, or if work is susd# for sore than 188 days. Framing Insp _ Insulation Insp Permittee Signature : ; Gyp Board Insp F?ain drain Insp IssL1ed By Mechanical Final CAll for- e ion - 639-.4175 (,A& Al • Residential BuilcLIgq Permit Ap Vcation x`7`3 City of Tiganl 13125 SW Hall Blvd. Tigard, OR 917223 (503) 639-,4171 k4 Jobsite Address: C40/1.1 )'�;Or/P // Lot# 4fce tIse Only Subdivision: � � SFU Planck/Rec# 1S✓r r_— Valuation: � � .�_ _ ----- Permit# Corner Lot? v IN Reissue of Flag Lot? Y N Map & TL# -;45 / 42A � 'j Owner: � (��1�S � ►��1 uAWprova:s Requfra*J Address: � ._I.GJ'YLY��R P'anning -- --- -11 �_ Engineering Phone: �!=L � _ (� Other Contractor: Item3 Regglred Address — — Subcontractors _ --_---^_—`-- --_—__ Truss Details Phone: ——--- - --- ---— Other Contractor's License # (affeco copy of current Oregon license) Contact Name & Phone: Subcontractors: ArchEtect/Englneer: Plumbing: �__-- --___--- Address: Mechanical: _-- (attach copy of cunent OR Contractor's License) Phone: JOB DESCRIPTION: Applicant Signature & Phonnenumbe- Received bye `-uQ — Date Received: POWOPMC OMDE JIBE 9APF Permit* Account Description Amount Amt. Pd. Bal. Due ht sfr(q-o 3 f Z,, Bldg. Permit (BUILD) Plumb. Permit (PLUMB) � � Mach. Permit (MFc l) ✓- State Tax (TAX) o 3 Bldg: ? s ✓ Plumb: oZ•Z Mach: I t + Plan Check (PLANCK) '— Bldg: 2,b'3 Plumb: Mach: i Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parka Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) _ Residential TIF (TIF-R) Mass Transit. TIF (TIF-MT) Commercial TiF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Nater duality (WOUAL) Water Quantity (WQUANT) _ Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) Erosion Planck/LISA (ERFLAN) Erosion Planck/COT (EROSN) TOIALS: - 5' 3 -32,L3 ClILS ,� PLAN CHECK FEES LIST - PLAN CHEXX PERMIT #/Y1 5 y o J Z. DATR JOBAADRESS SUBDIVISION /'j v ,-(/ IAT # !7 LAND USE VALUALATION i 0,' SETBRACT-7yi O-NTREAR LEFT RIGHT OIORK CLASS U r HEIGHT TOTAL AREA USE TYPE F FLOOR LOAD 1ST CONST TYPE S )`I HEAT TYPE 4 .P 2ND OCLUP GROUP - DWELL/UNITS� 3RD OCCUP/Lpo # BED ROOMS BASEMENT # STORIES # BATHS GARAGE ' Ir' LNTT # DESCRIPTION AMOUNT ,AMOUNT PD BAL T)UB BUILD PERMIT FEW S PLUMB PERMIT FEES �- NECK PERMIT FESS � STATE BUILD. TAX(5%) — BUILDING •> 3 PLUMBING z MECHIANICAL__j 5 PLAN CHECr; FEES 3z i .; BUILDIN4 PLUMB ING_� MECHINICAL� _ SEWER CONNECTION SEWER INSPECTION STREET SYSTEM DEV —�— STORM DRAINAGE SYS PARKS SYSTEM DEV EROSION PERMIT EROSION PLAN USA ERSOION PLAN COT — TOTAL 1'3 _IaS. 53 City Of Tigard PlaricWRec. # 13125 SW Hail Blvd. Tiaard. OR 512.23 k. PLUMBING PERMIT APPLICATION MECHANICAL PERMIT MINIMI JP $25.00 PERMIT FEE+ST. SURCHARGE APPLICATION Nate►SMeale FartelF� Ressidetecef OnM Table 3A Mecpesreical Cods OTY PRICE AMT �- ---- ❑ 1 BATH HOUSE$140.00 ❑ 2 BASH HOUSF$195.00 1) Permit Fes -0- -0- 10.00 ❑ 3 BATH HOUSE!S225.00 - Fee hvJu les sr pM+nbkyi foftres in the dweWM and the hat 100 text 2) SLpplernentaf Pwm# 3.00 _ of water service, sanRsewer and sewand stome sewer. See fees bebw. - -- - FU(lUr65 OTY PRiC1E AWr 1) Intl.deny R vents 6.00 Sink _- Y 900 soca + Lavatory 9.00 2) iscL ducts A wrek --- - 750 --- Tub or Tub/Shower Comb. ' 9.00 �wnef Shower Only 9.00 - 3) ked.ve W 6.00 - - 9.00 WSW Cbast 4) or icor moue d heater 6.00 Dishwasher _ 9.00 I m Gamey Disposal 9.00 5) Psi - 3.00_ was" mwhine / 4.00 riTrep:- Floor Drain 9.00 4) a v&q•absorpdore unit 600 ---_- --orWOON camp. f P•aer - Wsw Flealar _�- 9.00 _ 7) in 3 HP she rp unit to LOOK BTU 6.00 --- LaursU y Room TrayWailer or 9.00 < - -�� 9.00 �eP. pump,-x udrwt , - ®) 3-15 HP absorp uric to 500K BTU - 11.00 --- Outer =ie M (Spew 9.00 -- sr rx aneeep, pump.air Co. 9.00 9) 15'0 HP absarp unit.'S 1 mi BTU 1500 _ 9.00 or camp. Pump•ie.�- r ----- 10) 30-50 HP abcorp unit 1-1 75 mi BTU 22-50 - 9.00 - `"--1001W oro mp.ar oor�- - Sewer let 100' 3U.00 11) :PAS HP a 11 unit 1.75 mm BTU 37.50 Sewer-as.Addle 100• - 28.00 Air heiv&V 12) 10.000 CFM 4.50. Water service let 100 - 3U.00 -xr-Nkkkt Una WAK Service as Addk. 200• 25.00 13) 10.000 CTM• 7-M Storm 3 Rain Drain tet 100• - 30.00 14) ffmevaportems ts ax>fer 4.50 Stam 6 Pdn"gain AddIL 100' 23.00 Vero ton B5KRZIR 300 ti}' ° Mobi+ Homs Space 25.00 15) to a shale dud - eer► sys�eii ink- Back Flow Prevention I 16) keckdd In apple"hermit 4.50 Device a Mti PoOutlom Device - - 9.00 '-by Any Trap or Wasts Mot 17) mecfwdcri*Amst 4.50 Connedeed to a FkWm - 9.00 J Corrinvari a v s C" Basks 9.00 16) type inc6nerabr 30.00 heap. of E�dst PkRnbUV 40.00ft -- es. .waterS/sdsly Requested InsPec6orq 40.Oikhr 19) heater.salt,eidfras eiryers,etc 4.50 '�. ' U Rain Drain. skVM fsmNy dweikq 3-1.00 20) Cees pipkq oma b four outlets 2.00 Res"en1W bw*fbw prevention -- devices 1 i.n10 21) Mons then 4-par ou6M. '(Except reslda ir"bee Mfaw I binknum Vies$2,&00 SUBTOTAL -5 'Mrtkeeean Fee SM00 SUBTOTAL l 5%SURCHARGE T ? 7 - - PLAN REVIEW 25%OF SUBTOTAL 576 SURCHARt3E- TOTAL PLAN REVIEW 25%OF SUBTOTAL TOTAL Spw*J Conditions Dale Issued_ by _ 1 24' ----- - ---�{ _ E � � My E � T G Cal i � 0 K o r M � j I � S ` G h 3 --- FAU \. w � 1 7 F� f,! J Q C �LT A d ui CJ O O 'G r•_ ftJ J J .N C 1 �- �a s z J � Z n � 3 c :r lip CATY OF '11GARD Rk*.GkI1JT OF PAYMEN1 REUkIPT NU. %94-257i8b CHECK AMUUNI z 126. 61-K� NAME t T'ROU rMAN, VENNIS LASH AMOUNT t 0. 00 ADDRF-F,S s 9475 SW COMMERCIAL, PAYMENT DATE t 10/ 1 :3/94 SUBDIVISION -rmARD, OREUON 9-1223- oURFIGiE 0i; PAYMtW1 AMOUNT PAID PURPOSE OF PAYMENI AMOUNT PA 11) OUILDING PERM .0. &li PLUMS I NQ flft 45. 00 NECHANICAL PE 25. 00 ST. AUILD PER 6. 03 AMOUNT PAII; 126. 53 Permit#: Address: Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS;01.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under DRS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 3B: M1. I own, reside in, or will reside in the completed structure. L__.I 2. I understand that I must register as a construction cor_tractor if the structure is sold or offercd for sale u before or upon completion. a3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. 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 hire a general contractor, I will contract with a contractor wiw is registered with the CCB and 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 1 have read and do under-land the Information Notice to Propert Owners about Construction Responsibilities on the reverse side,-if this form. (Signature of permit applicant) (Date) (White copy to issuing agency pernUr•ile, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities Nott.: This Information Notice to Property Owners about Construction Re:sponsibi,ities u is deveiaped by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own c.ntractor to construct a new home or make a substantial improvement to ar existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EV OLOYER RESPONSIBIL�TIES: If you hire persons not registered with the Construction Cont-actors Board to do labor in constructing or assisting in the construction or improvement of a*esidential structure,you will,in most instances,be rut a to be an employer and the people you hire will be employees As the employer,you must comply with the following: Oregon's witl holding tr x law: As an employer,yeti must withhold income taxes from employee wages at the time employees are paid. You pill be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information,call the Oregon Dept.of Revenue at 945-8091. Unemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information,call the Oregon Employment Division at the Department of Human Resources at 378-3524. Workers'compensation Insurance: As an employer,you are subject to the Oregon Werkers'Compensation Law,and'nitrkt obtain workers'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 at the Department of Consumer and Business Services at 945-7888. U.S.internal Revenue Service: As an emp• • er,you must withhold federal income tax from employees'wages. You will be liablo for the tax payment even if you didn't actually withhold the tax. For more information,call the Internal Revenue Service at 1.800-829-1040. O TITER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit 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 damage Insurances 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 punctures,fire,or work that must he re-done. 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,tbcoordinate the work of rough-ih and finish trades,and to notify building officials at the appropriate times so they can perform the required inspections. If you havef additional questions,write or call the Construction.Contractors Board(PO Box 14140,Salem,OR 97309-50.52, 503/378-46-1 1). The Board is located at 700 Summer St.NE Suite 300, in Salem. prop-own.pm4 1194 WlY OF HPA."LIPT" OF' PAYPILM [* CFJPI NO. 19-w i.t,)l 71.5." (MELK MOUNT a 83 MML. a TROUTMAN9 DENNIG CASH AMC)UN 1 3 00 947"S SW COMMI-'R(*.,IAI. AVE PAYMFNT DAI F. a f 0/ 1 k,,V94 SUBU I V I ION TIOARD, 97283— ''URPOSE, (IF PAYMEN1, "M(fliAl HAI[) 1JURPOSE OF PQYMENT AMOL041 PAIL) 'CK FE 32. 83 I 'IN 83