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11341 SW IRONWOOD LOOP-1 ?r a, ,:,� e ta+M"rww'•hR+�n'WMPAMMt�d`RyMrMlkNwary�Aa..adM4�urrMWNu+luwrrwwM►"•d67w'si•FM_sow rN .k. 'i4 �!A „�, �!�A ;%' � a�• �',�''" bF a '>�p .�ay�,� s3 .t`?� �ti,:t '' W ,'I�:i�%� d{� Ai 1• •- y I 5 V, I •« i:\records\micro.im\targets\building.doc r �` v� �. .,.�•�I`y;.� M„'h.�M'�rw�ut e.w.,w� �,'�;�•ka wr�F^Ik+ww:.+w�&��:; '���I�'� ,"� �+d'�,wL+� «M-yT'F w.►m• '�"d1f.�t�ri ��;. :,YaO.F+riOa w,�'1�1r w��.;.�. - JUMMON NQ' ICE City of Tigard Building DepartAkat JL3125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (ROC-O-Phone)c 639-4175 Business Phone: 639-4171 I Inspections looting Plbg. Underalab Mach. Rough-in Appr/Sdwlk I Found. Plbg. Top Out Gas Line FINALS e ` Post/Bat+s Struct. San. Sewer Framing A -Bldg.,-,') Post/Beam Mach. Rain Drain Insulation -Plumb. ' ?' { Plbq. Under"loor Mater Line or. Rd. -Meeh, Data Requesteds_ �) / l _Times _��AM PIt • Address s ��^f L- L� 2 /! Permit 4 Builders TBI FOLLOWING COPRECTIONS ARE REQUIREDs V Z /*1 Inepactore Date: s-- APPROVED -APPROVED DISAPPROVEJ !`APPROVED SUBJECT TO ABOVE _Call For ReLnep. INSPECTION NOTICE City of Tigard Building Department 13125 NW Hill Blvd. Tigard, Or"70n 97223 Inspection Line (Re- ---Phone): 6.39-4175 Business Phone: 639-4171 Inspection:_ . Tooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing `C -Bldg. Post/Beam !tach. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp, ad. -Hoch. , Date -5 -��/ 1, Requested: Tlmst AN PN Address:! �' UiT71 .i( Permit #// Builder: TBE FOLLOWING OORRECTIONS ARL REQUIRED, e Inspector: �� •r 3 gate: APPROVED DISAPPROVED APPROVED SUBJRCT TO ABONB Call For Relnsp. i IN 11�a wW:•.nwenswbawx..no...nw.x».....:su„uvsnuss.�wwrXMwwro.�..w.w,wwnw,wwrww..,�fw!I�Ilwl�. t' IMS-i��- �} Y F7 , INSPECTION NOTICE City of Tigard Bu.tlding Departsranst 13125 SR Hall Blvd. Tigard, Oregon 47223 Inspection Line (Rev-O-Phone)s 639-4175 Buniness Phones 639-4171 n } Inspections _� r looting Plbg. Underslab Mach. 'tough-in Appr/Sdwlk u Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. l Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Meeh. Dats Requested:_ �r��c �I -� _Times AM PM • Address: `f"� ?�L�2 [lP CkPermit 1 t_ (5�L' _ Builders ■ TBE FOLLOWING CORRECTIONS ARE REQUIRED: li t i Inspectors._L // Dates X APPROVED DISAPPROVED APPROVE!, anijiECT To ABOVE __Call For Roinmp. ._. ..,< - I INSPECTION NOTICE City of, Tigard Building Department last7..5 BR Ball Blvd. Tigard, Oregon 97223 Ins+,vection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 Inspection: looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk round. Plbg. Top Out Gns Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Misch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Lina O` yp. !d. 1 -Misch. • Dnte Requested: imes ., A M PH Permit Permit1:AddresesI _ 6 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: ■ Inspectors ---L -- ---`-- Dates 2-G — PROVED DISAPPROVE'.) APPROVED SUBJECT TO AROVE —_Call For Reinsp. 1 i n i' INSPE4T30N NOTIcE /- City of Tigard Building Department 13125 OX Ball Blvd. Tigard, Oregon 9722�� Inspection Line (Roc-4-Phone)t 639-4175 Husinesi Phon&s 39-4171 Inspect.on: �- Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk found. Plbq. Top Out Gas Line FINAL: Post/Beam s.ruct. San. Sewer framing -Bldg. Post/Beam Moch. Rain DrainC Insu- a�tiop -Plumb. Plbg. Underfloor Nater Line Oyp. 1d. _Koch. . Dato Requested s q12 l� Time: pN Address ' < < Permit Is Builders_ �� (�' 'Z/ ■ TBE FOLLOWING CORRECTIONS ARE REQUIRED: 6z/ Inspector. �.. -------- Dates APPROVED DISAPPROVED �> APPROVED S"BJECT TO ABOVE _Call For Reinap. f INSPECTION NOTICE city of Tigard eailding Departaent 13125 SR Hall. Blvd. Tigard, Oregon 97223 Insptotion Line (Rec-O-Phone)t 639-5175 Business Phones 639-4171 Inspections ,"_ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sower ciam�ng.+ -Bldg. Post/Beam Merh. Rain Drain insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Hoch. Date Requested$ - Timet AM PH Address: Permit #t e--) / ' I Builders THE FOLLOWING COMECTIONS ARE REQUIRED: Ll ea Inspector• ,�_ _ � Date, zz-9 3 APPROVED - DISAPPROVND APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Iuepecti.on Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171 Inspection:_ --- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Foun�� Plbg. Top Out Gas Line FINAL: Poet/Ream Strur_t. San. Sewer. Framing -Bldg. • Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Wate Line Gyp. Bd. -Hach. Date Requested: �_�____. Tirce: AM PM Address:_/ Sic — Perm THE ■ -- THE FOLLOWING CORRECTIONS ARE REQUIRED: yF- i Inspector: _ Date: k' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE I Call For Rei.nsp. r i 1 CITY OF T IG_ AR . . COMMUNITY DEVELOPMENT DEPARTMENT r-. 13126 SW He JIB".Tigard,Oregon 97223.8199 (503)839-4171 s.• M13 SI`E: r _ _ •f• DRM'w;0 1j11 H",:): V1 Gf►F1NG£.. . . . . . . . . Ill I Lr�ra�i•� UF 41L7F�k. � ._._- Ec: r - TYPE`, 0. �. jE.,r . . t L_(_)C k PRLO'1] f YPi:: Lire i..t:llV':a i-. t,ra F T t2'� I. . . . f LEFT. .0 f t F1I Vt-i i'. :8 Jt:C:UPFTtvc_', Lal�i.r `r,,; i_t tJ;,! J. . , �[� i F f�(]i�l i . :►i1 r:t (tri . : 13 bTUR 1E:.Ei. . . . , . . itt.r. t.: _ _. t 1.GF G . ., . . „ . , . :1•'i t t: i CA 1y1_ 1-LCIUR L UAD. . . . :A0 Ids t Vf-11„LIE_. f ARK:NC;PLU*eILAINI Fi�m�1►r'ks ,: �'h�T'rI T • _. L UUP &Rl-;a N1.. . . . 10 HFIL tSl t.[Ibu i'l�t�V1VT I�:�. . ;u� LAVA1 URiE5. . . . . :0 WA'l Eli IAL.�i i w RG. . . .0 . . . . . . . . . . . . . V WAIL R L;I_C EiE r5. :0 5 WWLR L a NL {ft� . ;0 URLASL. l'F'A �3 . . • „ . , :14 0TSHWf=ttit•1E:Ri. . , . -0 WFl f-_Ft LIHC-. :'f L 1 . ,:0 0TI•IER F I X'TURE'3. . . . . :IZI GARLaAGE 1)1`zP. . , $0 RAIN DRAIN ( Ft) 121 WH TII ;ti f�IfiGt�. . :0 !:yl RA11,i jRA1NIB. . r V1 FLES a0 I:yt,ty amn).AI” c,y datc r-eac;i VE'.IV-i a . . . . . C0 LtPRT S ::aE+. 50 JN 03/31 /9;:, A 11�Ir-'irr .1 ,1; Vi:lir; l ri�l ;. . :�� 1�E i.t: a 3L,. /3,, ,�L+l �h;:�,� 1i) 93 ���. � ..,trlV i .100K . . arC i••IC7LiDS. ,. . . . . :0 ;.5Pc 'i• 4:1. 83 JH'1 1 ;3/.:;1 i`�" TURN ) z-100K . . t0 0 I�"'LUCIR F'URP11- . d+ CLO DRYERG� : 0 U'r t iL R UIQ I F':.;Ott GAG UU I'LL T Lj s Vj FRANK CIANE F-A TIGARD CII 97.. CIW)dL:T; *ac ..._,. .eu,)ect to tht regulations cantained in tt',a �._.._.._....- RLUUIRLD il�f3rIC=C"1 1CIRiLry Tigard Munictoal Code, State 0 Ore, 'grcialt y Lmes and all ether Fact;/f a t,lncf I ri L;E: l:ra w l Di y i n dpplicabie iaws. flli Wor;: will dt dol? in accaroance Nilh apor'evet Post/beam EAv.uct plans. p *,,Ii a v A Aar'ted with - r°��minu I.n"P daysof ih uance{ or if wc: ,:: : ac' c f v .0"At: 1 Un lc,y Pc"r",�19, - l} RAW 5"iCr�`•1 1 .;4: r.' S_! !_,CiP"i � i.7i I. 1 PLNCK/RECT # CITY'OF TIG.A RD 13125SWHs � —= rye,orcn�972u PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT (S03)63"171 DATE ISSUED JOB ADDRESS: -7:2 ��� . 1. ("c n�v�c D 0_ _ TAX MAP/LOT �(ay SUB: C-h���v& LOT: � LAND USE: VALUATION: ��� � -- OWNCR SPECIAL NOTES NAME: —��.�-��-.�-- �I\J �, R- REISSUE Of: i ADDRESS: r wc vAJ 1.0000 L �- LAST REISSUL: _ � ___ Co -7 ZLOOD PLAIN/ PHONE: �2;� -- _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED UQ_IRE NAME: _`J(��C-- _. PLANNING: ENGINEERING: FIRE DEPT: — PHONE: OTHER: /VO 7r/F CONTR. BOARD #: — _ EXP DATE: ITFMS REQUIRED SUBCONTRACTORS: PLUMB: _- ------ L, T/SUBCONTRACFORS: BUS TAX: _ ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: A-1 ADDRESS: — ___._____ —_ HERS ' PHONE: _ I f PROPOSED BLDG. USE: COMMENTS: i APP ICANT SIG ATURF Received By: __ __________ Date Received: :.. :,,.......,.;.rvnw:e...aenMx�.,..:.n:.wati4aw...•rnr..w—......,..:....,«..biiJ:urra:ad..w.w..�1.in,...... PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE Uri(" 10-432 00 Building Permit Fees ��6.SL 10-431 00 Plumbing Permit Fees — 10-431 01 Mechanical Permit Fees — 10-230 Ol State Building Tax (5%) Building . Y,3 Plumbing Mechanical _ 10-433 00 Plans Check fee 3& Building 36, 73 r 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 Institut:ional 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 Drainage Syst Dev Chrg (SSDC) ----- -- 24-445-01 Water Quality (Fee in lieu of) -- 24-445-02 Water Quantity (Fee in lieu of) TOTAL nm/35871).WPf L� 1• i1 CITY LIF' TTGARD - RE CE I Pl OF V,AYPlFl\11' RFCE I PT NO. a 93••23843 5 �. CHECK AMOUNT a 1.61• 97 !� NAME F'AL'.'J.F'IC NW CON CASH AMOUNT a � ADDRESS a 1!365 S W IRONWOOD LR PAYMF NT DATE 1Z+31/'��� 1'1GARD, OR SUBI)TV'ISION I! PURPC OF PAYMENT AMOUNT M'F1I Li PURPOSE OF PAYMENT AMOUNI' PAID i BUILDING PERM 56. ..;0 ,T, 1ilJ.EL_D PER t?'. S.� b NIJ t L_D I Nf� PERM 1 1 r3. ";�7i MF.G IAN I CAL_ PE 25. 00 � ST. >1UIL_U PER I. 17 PLAN r_;FJF'F1; FF -.48. 0,; u a i k ; i i' 11341 SW IRONWOOD LOOP 11365 SW IRONWOOD LOOP T©TAI_ r mouN1- PAID - -) 161 . 97 C T'1 Y OF T I BARD RF LF-I F'T OF P,PYllFNT' REGE:'I PT NO. 093-r,38016 CHECK AMOUNT a 03 NAME I1ONTY, MICI.40f L CASH AMOUNTt 4'x. 00 �. AD1')RF'C3S a F'r1YMENT DATE 03!19/9,3 �,IJAF7I V'i G I ON a M 6 PURPOSE OF Pr-)YML14T AMf,JUrd'1 PA T T7 PURPOSE OF F''AYMF:N T rlivIOUNT PA 10 +' FLAN rHE CK FF 13 1. 3,0 PLAN CHECK FF. 36. 73 r k � t t.. 1 1:341 SW IRONWOOD I.._CIOP 11365 SW IRONWOOD LOOP TnTAI_ AMOUNT PAID _ _ _.., 168. 03 7M • I - - i i Permit No: Address: � �`L� -LIC�vhw dal N z Issued by:_— Date: FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS d 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 -:Umbing 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 313: 1 . C ,.I 1 own, reside in, or will reside in the completed structure. 2. f_ -__i 1 understand that I must regi,,;ter as a construction contractor if the structure is sold or offered for sale before or up-i completion. 3. A.L_ 7 My general contractor is Contractor registration number- _. . . 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. f '- -1 I will be my own general contractor. I 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, 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 and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 13 Signat u of Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244) 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT Iii ;I k i if INFORMATION NOTICE TO PROPERTY OWNERS CONSTRUCTION UCTION RESPONSIBILITIES ........_- NOTE: This Information Notice to Property Owners About Construction Responsibilities 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: r�. If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting ri 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: Cre on's WithholdingTax 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. Unemployment Insurance Tax: As an employer, ycu are required to pay a tax for unernployrnent 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 obtai-- workers' compensation insurance for your employees If you fail to obtain workers' compensation insura.,1cP, you may be subject to penalties and will be liable for all claim costs if one of your A employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434. i U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. ` You wilt be liable for the tax payment even if you didn't actually withhold the tax. For,more information, call the Internal Rev6nue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: a Code Compliance_ As the permit holder for this project, you are responsible fo, resolving any failure to meet code requirements that may be brought to your attention through inspections. Liabili!y and Property Damage Insurance: Contact your insurance agent to see If you have adequate insurance M 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. ! 1, � i 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 j Salem, OR 97310-0151 Phone 503-378-4621 0244J 10/24/89 i ,r"i t 4fS�k A ;x v3 4 ( � i n`, woo O U 5,ce ST P ( • I �M 1 i I i 1 l; y } n 1