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N $ a 0 t z c ° u .a O a iv E 0 w LL c a `oa .p v S "a_ u0 8 Cr.m C ► 0) LL CP F C 01 W a u n C c E E E > E EE E °�cp L 'a U L° a CLU_tL a m LL d- w `a U M O O O N M O N N N Q1 001 tJ N N N Orl 01 f) `CO O O .) f` t` f._ f` L` f` n O f` r- N h 0) w to Ln 0 to (A fn N N co 0 0 0 0 N Ln (n ) M ) 3 ) 2 \ m£ ° § \ co ) a a _Z )\ C) co o / [ g CD a « ƒ � a) C13 � § j ) Cf) 2 §/ t @ r 2 � \ U to § f O 2 2 \ 2 § $ @ � 2 > o v ci � 2 w m . � � k 2 7 § § . 3 c 2 / t { \ f LL CLt } $ 0. f ƒ \ 2 ) o $ E ) � © f \ / § ° § ) CO � \ \ \ CITY OF TIGARD BUILDING INSPECTION NOTICE 11 Insp.)ction Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINA Foundation Water Line Ceiling umb. Post/Beam Mach. Shear/Sheath Framing -Mach. (V Plbg.Und/Flr/Slab Plbg. Top Out insulation -EI ce t. Post/Beam Struct. Mech. Rough-in Gyp. Bd. 81d San. Sewer Gas Line kppr/Sdwlk ns.. Other: Date: '/jQ — A.M. _P.M.__ Entry: Address: Tenant: Ste: MST�S -c7G BLIP: pp Con/Own: MEC: y Z 3G b ✓ ELC: THE FOLLOWING /C�ORRECTIONSARE RI.OUIRED: ELR: I 1p1 ector: Date: PPROVED D _DISAPPROVED/CALL FOR REINSP. CF CO CITY OF T IGARD MASTER PERMIT �-,Emya i S` . . ` ` : COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: IZIE?/09/95 13125 SW Hall Blvd.Tigard,Orugon 97223o8199 (503)639-4171 IDPIRCEL: 1S1a5DA-00800 SIf 09�18.'f -' W 66TH nVl-- ,jijk- .L VISION. . . . : ZCJNiNG. R--.Llr. "i i-ALOCK. . . . . . . . . . .. . . . . . . . . . . . . BUILDING REISSUE: DWELLING UN176: 1 BASEMENT'. . . . . . . . :0 Sf t,LlPbb OF WORK. :ADD BEDRMS:O BATHS: 1 GARAGE. . . . . . . . . . :0 Sf PePL Ot- USaE. . . .:3F r-;,.-OUR REQUIRED lYf-lu- OF LONSI . :5N FIRST. . . . : 192 s LEF7. . :25 t:t R I G HT. :0 Ft A'Util-f�NLY GRP. .R SLLUND. kb -F FRUNT'. :0 f t RLAR. . t 15 f t , S I UH I L- 1�. . . . . . . : I FINBSMENT:0 S f REGIU I RE-" - iEIGHT. . . . . . . . : 1r_' ft -: 19;2 st, 5MO1'C- DETI-;;CTORS. FLOOR LOAD. . . . .40 pSf VALUE". . . . . $ s 12415 PARKING SPACES— :121 emat'ks : HUD INI-i br-[H ROOM AND UTILITY ROOM PATH .8 PLUMBING .31 NKS. . . . . . . . . . .0 FLUOR DRAIM3. . . . :111 LAACKILOW PRE VN1 Rb. . LOVA-f OR I E6. . . . . .E WATER HEATLRB. . . : 1 1 RAPb. . . . . . . . . . . . . . :v, I'LIJ/51 1OWL R- S. . . . ; I LAUNDRY 1 RAYS. . . :0 CAT'CF1 bH'bJ.Nb. . . . . . .. .!-,, 401 LR CLOSETS. . : 1 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER F I XTU H E-'�F). . . . . :0 SA RBAGE: D I SP. :0 RAIN DRAIN (ft) . :0 WAGHINC: 11AGH. 1 G'F RAIN DHOiNb. I MECHANICPL- FEES i-:UEL U140' HTIR:3. . %lb type amount by date Y- LvHb/ VEN'Tt:, R 1 $ 943. bo Kb Oma:/01.3 9:'; MMX INP( Y-111 B1 U V'--'N V FONb. it) LIPLIL $ 64. 03 JF 01L ":,URN ( 100K . . 10 140ODS. . . . . . .0 T45PIC $ 4. 93 KS 02/09/95 :URN WOODSTOVES. aO 11PRT 1; .-.5. 00 KS 0.-''/09/9.5 -LUUR FUHN. . . . :14) CLO DRYLRS. -. 1 115PL,-,, 41 1. ;:'5 1AS &L'/09/95 Lifl ,31JIL/ P P.0 3HU1HLR UNIT15:0 P F,R 1 1. 712-1. 00 1-1\5 021/09/95 lbi4b UU1 LE-1-5:0 P5PL 3. 610 KF3 0i: 0./9 ts Jwnei,: i"Ulyi ROGERS -`0 BOX DRIL(miND OR 9 / 30 :,liong #, JAC11, CLQMAN PLUMBING, IN(- -.0140 SE LEAK GRIEVE FkL.VD OR 1':7267 -'hone bt)9- /Y/9 -69. 31 .acslt is issued subject to the regulations contained in the RLOU I RLD I Nbf-'L L I I I 1'\JL.) I .igvd Nunicill Code, State of Ire. Srecialty Codes and all other Footing Insp Framing Insp ?pplicabif laws. All work will 1": Anne in accordance with approved Fol.mclation Insp InrLilation lritp .:sans. !his pe,sit will mire if work s not started Aithin 180 Post /Beam L:tt-,.tct Gyp bclai,d Insp :ays of issuance, or if work it susioendn splr. •e th Plost/Seam "Iec,-han Rain drain Ims.i. C;�-Plwl Drain W,--Atel- GPr-Vic:e In mid Wv(,tianical F'inal Mechanical Iv,sp Plumb Final rued Y Pll.tmb T(,)p ULit V,.kilding Final pect i on 639-4175 l^I' • r ' I V Residential Building—Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 972.23 (503) 639-4171 Jobsite Address: c M N1, �-�r I Lot# Cfflce Use Ory Subdivision: r Plancl'JRec # 1 Valuation: .� _� Permit # ha/- r Corner Lot? Y Lly/ Flag Lot? Y (N--) Reissue of Map & TL# 2. 9"O ; Owner: �o'M 1�-y Approvals Required Address: Planning Engineering Phone: ���'- '� _.. Other Contractor: ���.✓� t-- �� - Items Required Address: `�ANNE Pr'`-� S.:bcontra7.tors Truss Details Phone. _— Oti,er Contractor's License (attach copy of current Oregon license) e- Contact Name & Phone' Subcontractors: Architect/Engineer: j Plumbing: �AC- C Gi�.'��AtV �j .�� .�I'�-�C Address. Mechanical: —' (attach conv of current OR Contractor's License) Phone: JOB DESCRIPTION: LsM �/_�l�l ?=g2n Applicant Signature—& Mone nuffber Received by: _ Date Received: N\W0RD1C0MDEVIRESAPP ✓ ,�---to T Fi t.r oN Ya" F/ov sHZ•G H �1 l NSu1.PrT1oN -- �— Px4 VENT' �.� ti^ l3'rocK I t.ye- ST-,A F- E F,6Y PATt4 �-% c.wc 5'-�T6 LSP F►NISH ��roR ON ry ��u�'''TIcN ZX(, pT SILL. �I�Zv o�1 2xb T�G C E.c Mc t rJ G P t_A7-'E '1X 3 IEnw1 y x ti Pa-,r K /Gat y � l Y rt CA L i o � c � I i � t Lo Cr N ►5i �c -Y • � 1 p lTt.k!• 1 LAP rlEv�/ A�c�Tlo� y SGL ELE\/FNTkONJ y .,lr .trams v r. t ;• sje ,r- r mom 41 D Z r _ z _ L M �sr"—y Coot Ma ✓ , �. _ r r• Y `= w-Y �j(ISYIN� Kc51l�NGE' � � PLA - IJcvJ RDS TI o ►�1 com ':.rl N(V ELEVATION I VetTs }�C P•f f "K 44+7 07,4/ t�tlr W& OA&-,f I 1 11A A Pon, I t 3 rn�.r� �•.� pHA I /MIS J 01 . V",/�i�- �xtSTiNv ��u�� Fow.ICAT�c�J FouNt>o\T�oQ PL�N ty-A ��/ Permit#: Address: Issued hy: -- — Date: Statement: Information Notice to Property Owners About Construction responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construe`ion 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. L;censed 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 appropriate blanks and initial boxes; 1 and 2, and either box 3A or 3B: n 1. I own, reside in,or will reside in the completed structure. L�J 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale �=J before or upon completior,. 3A. My general contractor is (Name) Contractor regis. # I wilt instruct my general cc.ntractor that all st:bcontractors who work on the structure must be registered with the Cunstraction Contractors Board. OR 1 313. 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 genc;ral contractor, I will contract with a contractor who 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 understand the Information Notice to Property U ers about Construction RespontAlvilities(in the reverse side of this form. 51 A-5- (Signature ofipfunit applicant) f ate) (White copy to issuing agency permit file, pink copy to applicant) CITY OF TIGARD '''' COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)619-4171 r-1 E R M I*-I PERMIT #. . . . . . . : GWR95-0180 C-130--41-1 DATE 15SUED: O'J/03/9S f:,ARC,EL. 1612517in-1210300 ADDRESS. . . : 0'31':5 SW 66TH AVE JBDIVISION. . . . ZONING: R-4. 5 .00, LOT. . . . . . . . . . . . . . Nr -)ME. . . . . :70M RD(-jFRr3 . . . . . . . . . . FIXTURE UNITS. . . -1=;7 3,F WORK. . . :ALT DWELL*ING UN I T5. 'P-1 Or USc... . . . . :SF 1\10. OF SUILDINGS". 1 '7)T(i Ll- TYIPE. . . . :SUSWR impLi7,v surzrAcr— Ccnnecting sewer,. ML%St pLirnp, fill, :-nd tiave septic tarfl: I r E.L S iM ROGERS type amount by day LL c- 6015i: isRMT I 2'.-A10. 00 r, 013/4'r !"31 INSP 3 35. 00 P 03/03/9S -IRTI-riND OR 452-0,72S `N'T�%')CTOR NOT ON FILE T i e t 22235. 04:1 TOTPL 14ttY REWIRED I N!!r I-C T T.0 W3 hppl icant agrees to comply with all the ieri rules and rqula,ions Sew � Tspecticit) the U-ified Sewage Agercy. The permit expires 180 days from Sept i TE011i Fil i . .4 da'IF issued. Th;e total amcvt paid kill be f:rfeited if the ...... ......... 401-&it jXpi,4es, TI-q Agency doEi not guarantee the accuricy of t?e side sEwer laterals. If the sewer is nit located at the I-85111-41ent given, 'I!-,e i^stall= shall prospect 3 feet to all directions fro I the distance giver. If not sc located, the installer shall purchait "T4 and Sidt Sewer" Permit and the Agenc , I i-I 411 a 'Lateral. Lt-� till, ej!f _Residential Building Permit Application City of Tigard 53125 SP1/Hall Blvd. Tir:jrd, OR 97223 (°iO3) 639-4171 Jobsite Address: Ave1tL-,� �' Subdivision: Lot# '� Office Use Only Valuation: Planck/Rec #. Corner Lot? Y Permit # Flag Lot? Y Reissue of Map & TL# N Z`,-V e Owner: h� 4wiG — !Approvals Required Address: A l q Planning O oo �xJ / 7 � Engineering Phone: e"7 S Other Contractor: _ /J Items Required Address: Subcontractors — Truss Details Phone: /- Other Contractors License (attach copy of current Oregon license) Contact Name & Phone: Subcontractors: Architect/Engineer: Plumbing _ Address Mechanical: (attach copy of current OR Contractor's License) Phone J JO R DESCRIPTION Z O /e Applicant Signal ul 8 Phone nu Received by: Date Received: ��' i r Permit# Account Description Amount Amt. Pd. Bat. Due. Bldg, Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: _ Plumb: Mech: i Plan Check (PLANCK) II Bldg: Plumb: Mech: Sewer Connndon>(SWUSA) Sewer Inspectlon (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-t) Institutional TIF (TIF-IS) _ Office TIF (TIF-O) Water Quality (WQUAL) _ a Water Quantity (WQUANT) Ln Fire Life Safety (FLS) ti Erosion Cntrl Permit (ERPRMT) m Erosloi Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: