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9055 SW EDGEWOOD STREET ADDRESS: 9 i \records\microflm\targets\building.doc CITY OF TIGARD BUILDING INSPECTION NOTICE , Inspection Lire: 639-4175 Business Phone' 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd Bld�i San. Sewer Gas Line Appr/Sdwlkns. Other: — Date. A. P.M.. Entry: _ r-. Address: Tenant: --- —— — S — MST: D y3 / BUR Con/ vnA_ 4-tt OZU�C)c,�� MEC: PLM: ELC: _THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: InspectorDate:�� ___APPROVED ___DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,\ Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. / -Elect. Date Requested; / Time: AM'— PM Address: fj 4j t:L 1 Duilder: — -. L Permit #: J FlTHE FOLL NGCORQUI D: ~-r<• r� Inspector: \ ` Date � xAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinsp. -? G Com' CITY OF TIGAR UILDING INSPECTION NOVICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ c Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Bearn Struct. Plbg. Tno Out Elec. Rough-in �� FINAL: Post/Beam Mech. ;an. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Undertlr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested. �1 Time:!_AM 2,' Li'M G Address: Builder. `J Permit # '57 Oe2 THE FOLLOWING CORRECTIONS ARE REQUIRED: i iJ� l i�S v L it ns� AV) Inspector:. Date:__ _APPROVED `T"APPROVED _APPROVED SUBJECT TO ABOVE _1417all For Reinsp. "77Z:4 r.-arz.- c c/1 t-„ r r7Z" plc-crN c. February 1, 1996 CITY OF TIGARD OREGON OTT, GARETH S ANNE 9055 SW EDGEWOOD TIGAR.D,OR 97223 Re: PERMIT#MST93-0432 at 09055 SW EDGEWOOD ST Inspection(s)have been conducted on this project. However, we have no record of any subsequent or final inspections within the past 180 days. Please note that permits become void if there has not been an inspection performed for over 180 days. In that case,the Building Division may require a new application and fees to continue work. The City may also pursue civil enforcement if work has proceeded without inspections or if an unfinished project is outstanding. Please advise the Building Division, IN WRITING, within 15 days, regarding 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. Permit#. 2. Address of property. 3. Your name. 4. Your day time phone number. If you are ready to schedule your next inspection please call our 24-hour Inspection Recorder at 639-4175. Please call the Building Division at 639-4171 for information regarding the next inspection you require. 13125 SW Hall Blvd., Tigard, OP 97223 (503) 639-4171 TDD (503) 684-2772 LN-.5 CTION NO ICE City of Tigard Building Department 13125 SII Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALi Pcet/Beam Struct. ,an. Server Frmming -Bldg. Poet:/Beam Mech. Rain Drain Insulation _plumb. Plbg. Underfloor Nater Une gyp: Bd.' -Mech. Date Requested: ����/ o Tlmef AM PN Address:_ C�l/� [wwLYl w 17f�rJl Permit tt11L '73 Aud iMr f v TT TNR FOLLOWING OOMNCTIONS ARE REQUIRED: ---------------------------- Inspector: - ---- Dates ROVED __— DISAPPROVED -- APPROVED SUBJECT TO ABOVE Cail For Reinsp. INSPECTION NOTICE City or Tigard Building Department 13125 St Hall Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)z 639-4175 Business Phone: 639-4171 Inspection: -- --._---- _--- -- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Inlftil6fiya Plumb. Plbg. Underfloor Nater L sW Gyp. Bd. -Me Date Requested: Time: AM PH Addreae: Permit #: Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors 4-N Date:_ _ l r APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. U-tv e W— ------------ --I INS ECP ON NOTICE lav City of Tigard Building DepsrtwnDnt 13125 8% Ball Blvd. Tigard, ciregon 97223 Inspection Line (Rec-O-Phone 639-4 175 Businesrt Phxne: 639•-4171 Inspecticnr_ �� C� —- _ -- Footing Plbg. Underalab ^Hoch.ugh-in Appr/Sdwlk Pound. Plbg. Top out � .s Line FINAL: — t San. Sewer raming 1 -Bldg. Post/Beam Hach. Rai.. Drain Insulation -Plumb. Pibg. Underfloor Ns�ter Line Gyp. Rd. -Hoch. Date Requested. 06/ Tlms� AN PN Address. Builder: -+- TRE FOLLOWING cTIOHS ARE REQUIRED: C1 Inspecto V-/—APPPDM DISAPPROVED APPROVED SUBJECT TO ABOVE _--_Call For Reinap. Igo PECTTION NOTICE City of Tigard Building Departws&t 13125 SM Ball Byrd. Tigard, Oregon 97223 InspectionLine (Rec-tO-Phnone)t 639-4175 Business Phone: 639-4171 Inspection, -- Footing Plbg. Undernlab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. R1. -Much. To C y^ Date Requested: j — 1 �� Tom: 71M -PN Y �Jy� At'.1resa: �Q �� J �-�IP Permit bs Vq Builder:__ --- THE FOLLOWING OORRECTIONS ARE REQUIRED: Inspectors _ `✓' V Date: —cl 4 APPROVED DTSAPPROV6D APPROVED SUBJECT TO ABOVE Y _call For Reinsp. 11P-- 2-312S Cit7 Of Tigard Building Dopa ` 13125 Bw nail Blvd. Tigard, Oregoe 9 C" Inapec-tion Lino (Rec-o-Phone): 639_4175 Buaineas Phone: 639-4.171 Impact ion: Footing Plbg. Onderelab Mech. Rough-in ApP r/Sdwlk Found. Plbg. Tcp out Gas Line FINAL: Post/Beam Atsru �7 San. Sower Framing -Bldg. Post Beam ueoh. Rain Drain Insulation -Plumb. Mg. Underfloor Nater Lina Gyp. Rd. -Mach. Date Requestedt —c.,4 U Tim$ AM pK r 1 1pp � Q Address n')�) �- ! .s lr-:i,nl f -3 � . Po1 1 Builder4_ L \OCo Zo Z (0 }fyh TUX FOLLUHIW� ODRRaCTiONS ARs RBoIRsot l��*CI a�{ ✓ `� (,�k Inspectors _ --------�r— ,.� Date: PROVED �� DISAPPROVED 4_ APp.,k("D SUWSCT To ABOVE Call For Rainep. City of Tigard Building Department k3135 80 Hall Blvd. Tigard, Orman 97 inspection Line (Rer_-O-Phone)1 639-4175 Busines■ h 639-4171 Inspection$ �ftoPlbg. Underslab Mech. Rough--in Appr/Sdwlk OU . Plbq. Top Out. Gas Line 11MALt Post/Beam Struct. San. Sewer Framing -Bldg. ?coat/Baum Mech. Rain Drain InsulitLon -Plumb. Plbq. Underfloor water I.i.ne Gyp. Bd. -Mach. Date Recpiestedt J 1 `� Tisiet AK pK Addceaat 166.. �� Vomit 0I MS1- �?3 0-f 3?-- THE FOLLOWING CORREC"10148 WU RVQ1YIRED, Inspector: —��_— Dates /L� _ --1_ — APPROVED DISAPPRnVRn APPROVED SUBi1tCI TO AHlri/R Call For Reinsp. 1NSP c�t�OAo, U city of Tigard Building Departarsnt ]3125 s11 Ball Elvd. Tigard, Oregon 97223 inspection Line (Rec-O-Phones )"9 175 Business Phones 639-4171 Inspections Tooting PIbg. Underslab Mach. Rough-in a Appr/Sdwlk FounR. Plbg. Top Out Gas Line FINAL% Post/Steam Struct. San. Sower Framing -Bldg. Post/Beam Much. Rain Drain Insulation -Plumb. Plbg. OrArrfloor Nater Line Oyp. Bd. -Mach. i Date Requesteds_ �____TisaeI t..� Addrssss Permit is 0 /32' c < guilders NcyrLe THE FOLLOWING CORRECTIONS ARZ REQOIREDs /„/O �_ � q3 Z1.1-4107 _401 Inspectors) . s _ _ Dates APPROVED nISAPPROVEn APPP.OVED SDBJZCT TO ABOVR' Call For Reinmp. r� CITY' OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SYi Hall Blvd,Tigard,Oregon 97223.8199 (503)039-4171 ,i Wmit it tssuea 5ugf.: t;, tfli ,e-d Awicipa Cede, Stitt of Ure. .iirdhle lal's hit hark will be date :n arCordArcr 4ith appltwea Pott/Beam bI ct, Nui ].r; , r am. Ins pet-oll wil: expire la "04 i5 hat :tarter Aithin let Pva Idb*&14 mp":hiq ti Ero51 oy- vs of issuanck, or it iscro is tuspr ir,,p f;r-a'•J 1 at I "t LA CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. 4, P,41-511 6 CHECK AMOUNT i.::ST. 613 NAME OTT CASH AMOUNT 111. 00 ADDRESS a 9055 SW EDGEWOOOD PAYMENT DATE 08/10/93 TIGARD, OR SUBDIVISION 97223— ,URPOSF. OF PAYMENT AMOUNT PWD PURPOSE OF PAYMENT AMOUNT PAID UILDING PERM MST93--0432 233. F,15 MEFH6NiCAL- PE 25. 00 'T. BUILD PER 12. C)3 PLAN CHECK FE 16. 25 OTAL AMOUNT PAID 287. 68 144 i CITY G TIG"D 13123 SWN.b°'V& PLNCI(/RECT N PERMIT 0 �ff 3.- Gc(31--- COMMUNITY DEVELOPMENT DEPARTMENT � oi (5W�)630�•"71" DATE ISSUED JOB ADDRESS: -04V J .`�". �L)�0� TAX MAP/LOT 5/O Z DG OS 9 SUB: F�QL A LOT: /2- LAND UFE: VALUATION: 7✓��- OWNER h �CIIAL NOTES NAME: � 13—�E-T�1 �° 01 ) REISSUE OF: ADDRESS: LAST REISSUE: _j �, � � ��,� - '� RS172, FLOOD PLAIN/ PHONE: Z U+'� �` SENSITIVE LAND: CONIRACTOR APPROVALS REOUIREO NAME: (_.¢ p/LJ PLANNING: _ ADDRESS: ENGINECRINC: _ FIRE DEPT: PHONE: OTHER: CONTR. BOARD 0: EXP DATE: IT S REQUIRED SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: , + .{ 170 o' Q Z XY Z A CAN SIGNATURE PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE M5f 3og3z. 10-432 00 Cuilding Permit Fees C>7-77r-V c9 33. i-V 10-431 00 Plumbing Permit Fees _ I0-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5x) Building Plumbing Mechanical 10-433 00 Plans Check Fee / 03 BO 'S Building / Plumbing Mechanical �!C� 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 1 (F Fees 25-448-LI 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) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Slater Quantity (Fee in lieu of) TOTAL l nm/3587P.WPF Permit No: Address: I zl 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 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 required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1 . I own, reside in, or will reside in the completed structure. 2. 1 1 understand that I rnust register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A. 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.( , `I I will be my own general contractor. !f 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. I 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 ani- anderstand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form_. Sign Aure4-0111"ermit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244) 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES fNOTE: This Information Notice to Property Owners About Construction Responsibiflties was developed by the Construction Contractors 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. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or 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 must comply with the following: Oregon'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 info•mation, call the Oregon Department of Ravenue at 378-3390. 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 DHR at 378-3224. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must 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 DIF at 373-7434. U.S_ Internal Revenue Service. As an employer, you must withhold federal income tax from employees'wager. 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 RESPONSIBILITIES AND AREAS OF CONCERN: Code Compliance: As the permit holder for this project, you are responsible for re6olving any failure to meet code requirements that may be brought to your attention through inspections. Liability and PropeDamage 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-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, 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 503-376-4621 0244J 10124M CITY OF TIGARD RECEIPT OF PAYMENT RECEir-r NO. :93-242866 t (CHECK, AMOUNT 151. 78 Ame a OTT, GARETH S CASH AMOUNT 0. 00 I)DRESS 9055 SW EDGEWOOD PAYMENT DATE c 08/03/93 TIGARD, OR SUBDIVISION URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT CAMOUNT P01 1) LAN CHECK . 76 AMOUNT PAID 151. 78