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11200 SW GREENBURG ROAD N O O rn G7 H m m p G H 00 �U a � A u Q. II 11200 SW CREENBURG ROAD ad Xff MR IN I O TI FARD :1TYOFTW40 BUILDING PERMIT COMMUNrrY DEVELOPMENT DEPARTMENT OREGON PERMIT #. . . . . . . : BUP.,9 I 121 13123&N HWI Blvd. P.O.Boos 23397,TOW,Oregon 97223(5031637-417E --DRTE--7 SEMED: 17137_Y�j�- S SITE ADDRESS. . . : 11.200 SW GPEENB(JP)3 RD PARCEL: IS1135CA-08600 SUIAD I V 1 131 T ON. . . . : GREENBURG ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1 REISGIJE- FLOOR AREAS­­­­­ EXTERIOR WALL CONSTRUCTION-- CLASS ONSTRUCTION—CLASS OF WORK. :ALT FIRS r. . . . : s N: S: E: W: TYPE OF USE. . . :MF SECOND. . . : s f PROTECT OPENINGS?-------­ ------ iYPE OF CONST. :5N THIRD. . . . : s N: S. E- W: OCCUPANCY GRP. : R 1. iz, s ROOF CONST : F-:I RF: RE T? r. 0(','C'UPANCY LOAD: BASEMENT. , sf AREA SEP,. RATED: SJOR. :2 HT. Ft GARAGE. . . : s OCCU SEP. RATED: BSM'f'?:N MEZZ?:N RECID SETBACKS---------- REQUIRED--._._.__.___..__._....__._.__._. FLOOR EQUIRED--- FLOOR LOAD. . . . :`50 ps I' LEFT: ft RGHT- ft FIR SPKL: SMOK DET. . :Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM.- HNDICP ACC: BEDRMSBATHS: IMP, SURFACE. PIPO CORR: OARK I NG. VALUE. $ : 7200 Remarks : RernnStr'ACt apartment decks, add storage Ot'm er : FEES L Vt.. INVESTMENTS type aMOUnt by dat& recpt PRI IT $ 68. 50 JLH 08/15/91 -- PLG'K $ 44. 53 JLH 05/-?9/91 213698 FIRE $ 27. 40 JI-11 05/29/91 213698 5PCT $ 3. 43 JLH 0B/15/91 — Contractor: BY OWNER Phone $ 143. A6 TOTAL Reg REQUIRED INSPECTIONS This pervit is issued subject to the requIations contained in the Framing Irisp Tigard Municipal Code, State of Ore. 5;.e Malty Codes and all other Final Ins per.tif.)ri applicable laws. All work will be dont i., accordance with Post/Beam Insp approved Mans. This persit will expire if work is not started within IPA days of imance, or if work is suspended for sort than 160 days. i ,ermittee SignatUrey , ___ __ __ _____. ____ __._ ________ C4 idle—J Isso-led Bye Call for inspection 639-4175 11LARLALMOLKAM PljU§LAqLMLAlKMLAlq 40 CITY OFTICARD — RECEIPT OF PAYMENT PECEIPT NO. t9l-216364 CHU"AJ, AMOUNT n 0. 00 NAME" : LVL INVESTMENTS CASH AMOUNT 71. 93 ADDRESIF5. : 11200 SW URErNBURG PAYMENT DATE* 08/15/91 SUBDIVISION TIGARD, OR 9720-4-- $:)URPOSE OF r,AYMFrN'r AMOUNT PA 1 D PURPOSE OF PAYMENT AMOUNT PAZ D BOILDING PERM FIA. 50 ST. BUILD PER 3. 43 TOTAL AMS IJNT PAID 71. '43 1NSP�crSON NOTzc1 Clty of T.igarc9 Building Department 13125 Mw Ball Blvd, Tigard, Oregon 97223 *nepectir,n Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspections_ Pouting Plbg. Underelab Mach. Rough- cn Appr/Sdwlk Pound. P,:.;:. Top Out Can Line FINAL: Poet/B,am St-ruct. San. Sewer Prn of nq -Bldg, - Poet/Beam Mech. Rain Drain innuleLion -Plumb. Plbg. underfloor Water Limo Gyp. Be. --Meth. Date Requoetede r' Timet _.AM _PM Addreeer �� � r%]G_i1LGL,f Permit #t - Bu 11 der: el.71_t - !t -- - THLr rOLLOWINC CORRECTIONS ARE RBQUIREDi 6� .�-- Inepecrtor: _ Dater APPROVI'.D DISAPPROVED A 'PROVED SUBJECT TO ABOVE Call for Rei.nep. .mss CITY OF TIGARD OREGON June 7, 1991 Gordon Klein Autumn Oakq Apartments 11200 SW Greenbura Roau Tigard, OR 972.2.3 Project: Deck Repair, BUP91-0121 11200 SW Greenburg Road Dear Mr. Klein: Thn plans for this project were reviewed for conformity with applicable codes and are approved. If any changes to the general construction cf the deck areas are to be made, ple:ae submit plane showing changes. You may gnat the building permit for the project at your convenience.If you have questions, or if we may be of assistance, please contact us. Sincerely, Jim JAqu Plans Examiner FAX (503)604-729'? 13125 SW Hall Blvd.,P.O.Box 2.3307,Tigard,Oregon 97223 L S I Y PI c TUALATIN YAUEY FIRE MARSHA! orFICE APPROVED . b� OVALLY APPROVED . . . . . . . LJ PPROVA.I. OF PLANS IS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS, ACPLo�i_!� SIE N, -Hr--'D LETTER. , Cl t15r1Ntf -- lO/N wl.%,N. EX.4 LH DA C I.AP .S 1 DI nJ fi o vd� - M N. ilril�"P[Y wDoo `� �i�1M.t2RMLt36_V..�G�L�ti - 2 "2c Y�P.T• Q�c� A,x15TiNGiDc+ y — _ -40 /�X4 GUK►1�R t3�5 +"; ."t:,.„r^�e1,i ,lnrre,t•r-.t _ . o' oyq47 �EXI3TIN(a catic. SOAR SIDE VIEW y__v�.txx� DECK 05�K>d-C _ R4 rs 411 x O 17 i I I I i TDi2A , R M, FRAM/t4 Li „-- l STS RJAM_N a_ .A"x4" r-'r, BAsE��T6 Sq x_tiu=�'�LA1'NP1SfS� ---- �i1NAt�_g�R X0gr� v;.C_, ON 906n R �c1 ,Cyr Me- HIII ALI 1416H FaW RF/XR Effi,l)C "A 4' AP2 57bRAGE-RU-11'n rl g"A 4 1-1 F,'D -4 g- g"Xly, Slw(a"r rmo ri.xrO TOP-VIEW - 5 C-A r- e i i CITY OF T I C1ARD RECEIPT OF PAYMENT RE UX I PT NO. :91-213698 CHECK AM01.9%lT z 71. 9,S NAME: z I_VI... INVESTMENTS CASH AMOUNT 0. 00 ADDRESS s PAYMENT DATE SUBDIVI".BION i PURPOSE OF P'AYME`NT AMOUNT PAID PURPOSE OF PAYMi-;hT AMOUNT FSA.0 r PLAN CHECK FE 9-46C 44. 53-1 TUALAT I N VAI_1. c".'7. 40 i i I i 11200 1'W GRE:E=NE3URG i T o*rPL.. AMOUNT PAID — — 71. 93 �NS�!ggTLON Nn7ICE City of Tigard Building Department 13125 M Hall Blvd. rjgard. ()reyon 97223 O-Phoneys 639-4175 Businean Phn oe: Inspection Line )Rec G19- '17l Inspect Iona__ _---� Uli slab Nech. Rough-in Appr/Sdwlk loot i ny p 1�' Found. Plbq. Top Out Gas Line FINAL: ` -Bldg. po.r�t/BAam St.n'ct, Snn. Ser ) etion�\ -Plumb. Post/Beam Mech. Rain Drain Plbg. Underfloor Hater Line Gyp. ad. -Neck. Times AM PM Date Requested' ` L _ Permit f U Address: 1 � Ru i 1.1e r' THB Iol.LA)WING CORRIMIONS ARE RBQDIRBD' Date:__c? - - Inepeotore_`_--...---_----- _ APPROVED DISAPPROVED APPROVED SUBJECT TO E AROV Cell For Reinsp. C17Y®F TIGARD ICITYOFII�rn0 BU1LDIN1y PERM:("( COMMUNITY DEVELOPMENT DEPARTMENT PERMT, r it. . . . . . . : BUpqy i 13125 SW Hm11 Blvd. P.O.Box 23397,Tqmd,(X"m 97223(603)830.1176 ADDRESS. I I 00 SW GREENDURG RD IS135CA 06601/ F,UFkDIVlc3lON. . . . GREENSURG ZONING: 0 1-0 C;J.. . . . . . . . . . .. L nT RLISSUF : F*XTEPIOR WALL CONSTRUCT 10- CLASS OF WORK. -AI)L) F I RE3T. . . . :380 s f N: CS 3 Es W. TYPE OrUSE. . . c SF SECOND. . . : Sf PROTECT OPENINGS?— TYPE OF CONST. :5N THIRD. . . . . Sf N- 1-11 E: W: !A-'CUPIANCY UPP. -R3 'TOTAL-.__- 11 -*-: L80 S ROOF CONST - F-IRE PETI : (..1L1,,UP14NLY LOAD: BASEMENT. - sf OREA SEP. R(4TED: I (JF?, HT. : 10 ft GARA(7E. . . 5f 0(,CU 1:30EP. RATEI)v MEZZ?c REGI) SETROCKS--------- L.0 R L.C 0 D. . . . .40 o,, LEFT ft RGHT: Ft F I R 0-FIKI-- SMOK DET . [)WELLING UNITS: FRNT- ft REAR., ft F*IR ALRM.- HNDICP ACC: P ED RMS BATHS: PRO CORP: PARKING: VALUE. 2OL710 F?empr,ks : addition of storage shed and re—doing dPcP L. INVESTMENTS type amount by date recut PPMT $ 1.,2. -50 JLH X15/06i 9 1 PLCK $ 21- 13 JLH 05/08/91 5PCT 1 1 . 63 JLH 05/08/91 -,3,41 5557 cintractor, 1*�y OWNER. # HE_OUIRFL) INSP-.0-T IONS This Dergit is issued subject to the regulations cintaineo in the Fclnt/fottrid Insp Tigard Municipal Code. State Of Ore. Specialty Cedes and all other F"r",R m j ri q I ri s p applicable laws. All work will 'F oone in accordance with lnsm.iati (m frisp ........ aoroved alars. This oervit will expire if work is not started GY0 Board Irlsp within IFO days of issuence. Or if work is suspended for tore R,--iin drain Ins than IN days. r-Mittee Sigilat.-Ir,e : 4 C:ct:l tar irespect ion i i CITY OF 71C41191) - R(=C:E I P,T OF P'AYME'NT RCC:E I PT NO. a 91 -P L 09 9 4 1 NAME I_�'�_ INVESTMENTS CHECK AMOUNT 0. 00 ADDRESrs ; ir_'4A�'I 5W CyRfENF�URI- CASH AMOUNT 0). 26 PAYMENT DATE oS/08/91 T'IGARD, C1 Ft hUBDTVI CC)N i PURPOSE OF PAYMENT AMOUNT PA 11) PURPOSE OF t`r)YMFNT , AMf iLIN7 C•A I D ESU I l i)1 NO PE RM _-8UP q 1 009GLwgN CHF CK FE —� ST. BUILD PER I i i I I AUTUMN OAKS i I TOTAL AMOUN•I PAID &157.. (XyG, IOWA I .Q h Apr. Bc DG 5. 1 �u 01 66� L � S,W. GRFE�ICiURfa RD.)i ►,;;, .r her rn. Al ,TLIM_N PA,KS APTS. / 112,00 S-W- GREZLKBuRG I GrA b OR. 97223 �/19��� 'RQ�►- d)-CA I 1 Q�n c r4 I n� 'E' � 3,- �s�9� •^, c�(i�/�s r �r�tSlt._EGc�K -- 5y5t� . sca M 3t�33,3Y� ._SIDE EL,C_V. -5CA F tel . _bPPOS/T& .51,W Z4MNT/GAL ro RAGE BUILDING - �s • ooh_, H-TLI ; TT discrepancys which may c,. U'(Fc kc; Rr Fou _NL)r-.,-r,oN PE rA I- ,EY 1.5 r, Fl J. Sr&WIM W IP M APROA- Bp 7 =fb) �i—> 0 JVAYwooe I, Pe).s-r Crye -7- T17P. K— AVVY6 lir_-P/ex E.'& v P.) jet*j-41, 1 A/ M L4 ,.'e a 0 FUUNDATt --Ckl_sr-_,Aj-fmA)tz ON NAN ScACE A It/ -WALL5'-f /-77 Z T t PO roMO— LU TxrD, IT WAL MEC'DI-WN Z-- 7- Fie s "HAAL-9 Ail 0 F7 tT �2 3 17 it 'Pov -W, mw e ATE: - _�'flrro DYENrNUS�����c--S- ung r3"FRcri Vic$.. /� ` IRPER ExlSr. . I �Sr. Q�MP.-SP a �. �JSTACC I ti — ZQ Surity &FX - 1 I� wAccs � GYF gp. 11 �6luH� g�"ryPr x GyPCjD, _�'RD �;zEp O�FCC� moo'-x rc x xta -_ d� _5112 lo I BOOR/ ELEC. PLAN '691 T, 7.'irio` -y�� I�"-'�_- - --• .YC. u1.L�2• �'X:� L '- l�;Y,1tf WNu. 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" c Ne Oi cl " lg C Ip O UOr- C qr u u p O 'tJ d Ubu in U vA p d g u ro .'uOO HAdm 1° .0°W. oa F"N n IWn•�ORn"oI d or. a �•tCN~�i nu ua•y.+r ,Q4 x�tSi uEd 4°u °Kuy.roC oc •-e6•row�kt°0i ,!obn� aM q °s k Is • C & ti UVJ ° Ij p ° nCG u O •1 V k ou N A O Od O C •ti ya ur qq WWW C U y d C roM N d MOO "b UU Nm7 '.N 'pu•" " Eo A O N d v U O O Oti n K �xu O Oy.ai u0 0 � ; I 0 A : , a sat : A PZ 'T -IVA t42JLW17V JLC Y+Id9z : E: a Te az bU �IIM. INSPECTION NOTICE City of Tigard Building Department P O Box 23397 Tigard. Oregon 91223 Phone 639-4175 Type of Inspection Q� Date Requested—_ -�" Time -._— A.M.___.P.M. Address ._L1_ZZ _ S` — Permi• S - Owner_--� -- -��-- Lot - Builder__ --- --�-,-_ - ----------- _. _ The following Building Code deficiencies are required to be corrected: presented to __— _. _ Approved Inspector _______ ____T?-- I_ I Disapproved Date -- -. - ---- --- - - ------ CALL FOR REINSPECTION D YES ❑ NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W. M- Tigard,Orego Phone: 639-41, 17 Type of Inspection Date Requested Tim A.M. P.M. Address Permit Owner-----,,, Lot Builder The following Buildi-.g Code deficiencies are required to be corrected: C!k ---_ 1 r,, -__ - 01 Presented to pproved Inspector Disapproved Date ' )I? I? INSPEY"TION Y l NO 3 r cp 1 U+-z ul • d n � \ 10 VAj I i d COO z Q o I hal I u. V z < w I I , 0 C3 tr. Lt `n w II a II j c o c w I :♦ i ° 9 d 3 I V N �• up -z a rel et Q 4. Lu a •J X de ce I m A I � I I � I , � i . � Q► S { 1� 1 Ilet � �' d � 3 W rte► �► t � I i I � i [k 6-4uA ADM _ r CAS WitTM +--'�_1 A4 .3-- Id10 6 Wos; X AWIDAY A60 M S-CO kk&F TAN KS T ANC,Rol1 FRONT AnrO RVAL LEGJ /NTa ¢X/Z BEAMS P NAY �pck►t��b�'R 1 O U 17 4 p .h ip -43 IA � Uu iY ._- a lUFIIIUII V. LUIJCJ / Applied Conservation Technologies t ( oUr I"IA p\ Na trip-2-% Wgoof Ik1Jrn��1� 6Q Sv.l ��Q—�e1� . Sev�lww�i�P c---- - block, tt dovOp Nv,, e,J - LAG �N ,DASF - 71 q-- tit —SILOo �ANt�}_ p .."_ i'rom (lob C�1 �J .� ,fix �►►e.�_s��t���_t a Su pl`( l�A F_ I-r SIraC!!,j1-ze , 06T NOW 44-000 0 Applied Conservation Technologies N a trip_k. 2:kL t4 1.1 hoof Itlas�tc C 'R-Gart1'a,LL _6 f- T,_J�WSealwit QF ccn,r"s3�J,� bel dovb a #ju1 ec� - LA6 e DANE �— - _7o ` IhNt it • FhMeIS'i� . leksVn( -1-a-o Su Ply IT oil --— I,o�F_ ,,L c Qr S ze s r t6r inspections ,;. CITY OF TIGARD 639.4171 Uece:A)er 21 86 5739 BUILDING PERMIT DATE T. _. TAX __LOTNO. _—SUBDIVISION — OWNER Aaron Lan�zfus 112W SW Greenburg Rd. (Autumn Oaks -- -- JOB ADDRESS _ BUILDER APplied Comervation Technologies __ STATE REG.NO. EXPDATE_� P s•___-. BUILDER'S PHONE - 2S2-7133 85- SE Stark, kartland 97216 . ARCHITECT PHONE OTHER bIRUCTURE l NEW !-I REMODEL S ADDITION ( i REPAIR MOVE OTHER DEMOLITION RESIDENCE � �:', r�{ EDUCATION 11 IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE _A OCCUPANCY — - LAND USE.ZONE - BLDG.TYPE �'i _FIRE ZONE_ -PLAN CHECK RY ____ HEAT Install a 10--panel soloar systea all v+r apl)roved :laps -__..-- Pluuibin� kerwit 14423 -- - SEWER PERMIT N OCC LOAD FLOOR LOAD HEIGHT A— NO STORIES AREA NO,BEDROOMS VALUEl I'mo BUILDING DEPARTMENT -- --' --- - ---- --- SET BACKS FRONT REAR LEFT SIDE RIGHT 910E Permit 17.50 THIS PERMIT IS ISSUED SUBJECT TO THE. REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE. CCGDES AND ORDINANCES. AND IT 15 HEREBY AGREED THAT THE Plan Check 11.38 WORK WILI. BE DONE IN ACCORDANCE WITH THE PLPNS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE i.^,SUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire _— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tex TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,FILLMBING AND HEATING. .7U ' SDC Total — _ 29.58 I PDCM APPLIC R Ek....- •—'L7� -- Prepd. _1l- Bal.Dus 29,58 Receipt No. D R 98------- --- - -- HON -- —�--- Issued By __Approved By i DATE INSP. TYPE INSPECTION REMARKS —_ — PLUMBING — DATE G�j t -- - ---- ontraclor L� 'ermit No. �---- j � Hough In Final _ ---- HEATING ------- -- ----- -- Contractor — -----—- --------------------- --- Permit No. -- — Gas or OII ---- — ------- --- _—� Roughin -- —� Final —� — --------� -- SEWER --- Final — —-- DRIVEWAY �-- Final -- v —^ Slorm Drainage — — (Hain Drain)Final Sidewalk —� — Curb&Street Final — Approach BLDG.DEPT.FINAL CERTFITEMPORARY OCCUPANCY CERTIFICATE OCCUPANCY Final — Landscaping Zoning Final + u 4 I CITY OF TIFA IM WASHINGTON COUNTY,OREGON June I , 1984 Ms. Glynn McAlone-n L.V. and L. Investment 11867 SE 26th Avenue Milwaukie, Oregon 97222 Dear Md. McAlonen: On May r, 1984, you were notified (please see attached letteri of a problem with water accumulating under an apartment building under your control. As of this date there is no evidence of any action taken to eliminate the problem. You are hereby notified to provide and maintain a permanent drainage system .for the bui.lding. Compliance required within ten ( 10) days . Sincerely, Brad Roast Building Inspector BR:ch Enc: 12755 S.W. ASH P.0 BOX 23397 TIGARD, OREGON 97223 PH 639-4171 1 / ' /f,- May 7, 1984 CITfC* 1111 RD WASHINGTON COUNTY,OREGON Ms. Glynn McAlonen L.V. and L. Investments 11867 SE 26th Avenue Milwaukie, Oregon 97222 RE: Water Problem, Autum Oaks Apts, 1120U SW Greenburg Rd. Dear Ms. McAlonen: It has come to the attention of this department there is a severe water build up under the building at the above referenced address. Water within the crawl space area of a building is not only an unsanitary condition for the occupants, but it can cause serious structural da►sage. It will therefore be necessary to provide a permanent drain system for the b-jilding. In our telephone conversation of May 1, 1984, we discissed the problem of storm water runoff in the area. One problem is the storm drain ditch along S.W. North Dakota St. , which requires cleaning to provide a proper channel (Please note the City Public Works Dept. has been notified of the problem). Because it appears the ground water level is above the footing level of the building, the only solution will be to install a permanent "sump pump" under the building. As for the discharge of the "sump", another problem arises. There is no record of storm drain location in the ,area, there is a "catch basin" located on the south at corner of your property. It appears the discharge would have to be properly piped to that drain. Your prompt attention to this matter will be required. If you have any questions please call 639-417 . Sincerely, Brad rioast Building Inspector 3R:r_h (0433P) 12756 S.'.V ASH P.O. BOX 23397 TIGARD, OREGON 97223 PH:639-4171 -.-� ra �rMKK alycx TI'ARD WASHINGTON COUNTY,OREGON April 4, 1984 Mrs. DeFord 112.00 SW Greenburg Rd. Tigard, Oregon 97223 Dear Mrs. DeFord: Per your request of March 23, 1984, I conducted an inspection of your residence. Excessive dampness within your apartment is believed to be caused for two re�.sons: I . Water accumulating under the building within the crawl space ar ,a. 2. Fire damage to unit above yours, allowing rain water to infiltrate structure. T. was shown to the east end of your building where I observed a "MdKe-shift" sump pumped had been installed, there is an obvious problem with water under the bui.ldirg. This could most certainly be a cause for moisture within your building. It will not only create an unsanitary condition for occupants, but can have a serious affect upon the underfioor structure. As :or item number two, the building has been made weather tight, but it is pos4.ible the structure had become saturated from water infiltration during its exposure. fhe moisture within the building is now being drawn out by heat From the units. This will take some time for the building structure to dry. 1 feel the most serious problem I observed was water under the building. This department will be taking action to have a proper drain provided for the building. If you have any further questions please call 639-4171 . Sincerely, Brad Roast Building I :spector BR:ch — 12755 S W ASH P.O. BOX 23397 TIGARD, OREGON 97223 PH 639-4171 - Permit No: - _f, r. Address: - — _._.. --------------- H : O Issued by:----.- _-__--__-- Date: --__--- � t� r.__- -------- - -F'OR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 70,1.010(7), need iIot SObmit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 213, 1, L� I own, reside in, or will reside in the completed structure. 2. A. IMy general contractor is ---- -_-_- ----_--------_� _.-_-- _. , Contractor registration number - I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B I will be my own general contractor. If I hire subcuitractors, I will hire only subcontractors registered with the Construction Contractors Board. If I charge 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 ci the name c,i 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 ,..a reverse side of this form. gnatur9 of Permlt Appl cant Date CONSTRUCTION CONTRACTORS BOARD 0244J 1190 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT T� I CITYOFTIGARD ® PIAN CHECK APPLICATION COMMUNRY DEVELOPMENT DEPARTMENT CIiYOF i1GARDcoon PLAN CHECK E 13125:WHdB/d P.O.ea:xa7,nga OnVon 07A(603)6*4176 PERMIT / - -. _ - DATE ISSUED JOB ADnQ FSS. __ _ _ _ TAX MAP&OT S ff oy SUB: C��rr�„ «rti� LOT: / LAND USE: VALUATION: ;? ���- �> Y SETBACKS: FRONT: REAR: LEFT: RIGHT: WORK CLASSST t' HEIGHT: TOTAL AREA: USE TYPE: _$ FLOOR LOAD: IST: CONSTR TY, 5 A/ HEAT TYPE: 2ND: OCCUP GROUP: _ 3 DWELL/UNITS: 3RD: OCCUP LOAD: -- _ NO BEDROOMS: BASEMENT: NO STORIES: _ NO BATHS: GARAGE: INP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS UIRED PLANNING: REISSUE OF: LIST/SUBCONTRACTORS: ENGINEERING: LAST REISSUE: BUS TAX: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: OTHER: SEN IND.: TRUSS DETAILS: _ PARKING PLAN: LANDSCAPE PLAN: _ PLAN 4IESCK BY: Pry-ilT vvXT N DESCP.IPTION PD. RAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5X) Building _ �4 Plumbing Mech 10 433 00 Plans Check Fee Building _..;R L1, Plumbing Mech 30---202 00 Sewer Cannectior. — 30-444 00 Sewer Inspection 51-448 00 Street System Jew Charge (S(1(:) _-- 52-449 00 Parks System Dew Charge (PD(,) 31-450 00 Storm Drainage Syst Dow Chrg ("'SOC) 10-2 30 09 TRFD - 10-230 06 Washington County fire 01 (9'j%) 10-220 00 smart/Wedgewood REC b APPLICANT SIGNnTURF (received By: Oat e Received: cn/3587P/18P