11000 SW 74TH AVENUE A
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CITY OF TIGARD
June 1, 1995 0111GON
RE: BUILDING PERMIT # q 4'
We issued a permit for this project, however we have no record of
any inspection being completed.
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 commence or continue work. A notice
of non-compliance against the property may also be recorded by the
City.
Please advise the Building Division, IN WRITING, within 15 days of
thio letter, the status of this prcject . You may request
additional time to complete the project .
Respond IN WRITING to : Building Division, !3125 SW Hall Blvd. ,
Tigard OR 97223 . Be sure to include the fallowing information:
1 . Building Permit # .
2 . Address of property.
3 . Your name .
4 . Your phone number 3 : 110 a.m. - 4 : 00 p .m.
If you are ready to s,7hedule an inspection, please call our 24-hour
Inspection Recorder at 639-4175 .
!og�n\no inspe-
13125 SV/ 1-101 Blvd., Tigard, OR 974223 (503) 639-4171 TDD (503) 684-2772
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PIERMI-r
13125 SW Hall Blvd.Titmd,Oregon 97223.8199 (503)639-4171 F--,ERMTT #. . . . . . . : MSTOA, -0356
639-4171, DATE ISSUED. 09/,-.-'6/94
PARCEL:
SITE:' ADDRES'.:i.. I100121 SW 74TH AVE
SUBDIVISION. .. . . : ZONING: R-4. 5
111-OCK. . . . . . . . . . L01. . . . . . . . . . . . .
BUILDING
REISSUE: DWELLING UhITTS:O BASEMENT. . . . . . —0
CLASS 10' WORK. :ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . :400 Sf
TY[--1E OF USE. . . '.A C S F!LJOR 13EQUIRE=D SE*I'BACKS----------------
-r'YV'E OF CONST. -5N F1 RST. 0 S f LEFT. . :`7 ft RIGHT. :5 ft
OCCUPANCY GRP. :M1 SECOND. . . :0 s FRONT. .,0 ft REAR. . .-5 ft
;STORIES. . . . . . . : 1 FINBSMENT:O sf REOUIREE)------------
HE I GHT. . . . . . . . : 12'. ft 0 S f SMOKE DETECTORS. -
FLOUR LOAD. . . . .40 psf VALUE. . . . . $ : 6508 PARKING SPACES. . :0
l3f3inar,k(i : Arc,essov-y Gtt-IACtt.tt^e. Dimensions .- 201 X LO' :v 400 sqi.(ar-e fee—
PLUMBING
SINKS. . . . . . . . . . :01 FLOOR DROING. . . . :0 DACRFLOW PREVN7RS. . :0
LAVATORIES. . . . . .0 WATER HEATERS. . . :0 TRAM'S. . . . . . . . . . . .. . . :0
TUD/SHOWERS., . . . :1A LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . .111
WATER CLOSETS— :0 SEWER LINE (ft ) . :o GREASE: TRAPS. . . . . . . :0
D I SHWASHF-7RF-3. . . . :0 WATER LINE (f t ) . :0 OTHER FIXTURES. . . . . ..0
GARBAGE DISP. . . -O RAIN DRAIN (ft ) . :O
WASHING MACH. . . :0 SF RA I N DRA I NS. 0
MECHANICAL FEES
FUEL UNIT HTRS. . :0 type amol-mt by date reept
VENTS . . . . . :0 BPRT $ 62. 51271 JF 09/26/94 --
MAX INPUT:lA BTU VENT FANS. . ,0 HPLC $ 40. 63 JF Or)/1;='/94 94-1-156 ,;=
FURN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 3. 13 JF 09/26/94 -
FURN ) =I.00K . . -0 WOODSTOVES. :O
FLUOR FURN. , . :0 CLO DRYERS. : 0
8OIL/C1y1P < 3HP:0 OTHER UNITS:0
GAS OUTLETS:0
GARY BAMBUSCH
1 [000 Sw 714171A
TIGARD OR 97223
Phone #:
Cont r-actor~
OWNER
Phone
Cm Req
4
$ 106. 26 TOTAL
This permit is issued subject to the regulations contained in the REWIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Spicialty Codes and all other Foot/foi-tnd Insp
applicable laws. All work will be done in accordance with approved Ft-Aminq Insp
plans. This permit will expire if work is not started within IN Rain drain Insp
day,, of issuance. at- if work is suspended for more than 180 days, BLtildinq Final
-7 Erosion Control
Permittee Si.gnat lm-e -NaA ..
.ted By
Call for inspect inn 637-4175
Residential Building Permit Application
Ci�y Of Tigard
•13125 SW Ball Blvd
Tigard OR 97223
(503) 639-4171
Jobsite Address: 10 UO
Subdivision: Loot# Office Use Only
f J> v Planck/Rec # ,j Y 1 .2-gI
Valuation: i ��> � � � _ _
_ Permit # 51 eZ V- o3,56
Corner Lot? Y N
Reissue of
Flag Lot? Y N
Map & TL# /.5 .36 005- 0 2>— : (i
Owner: /�A /1-4,02 j� GC. 5 f A gp�rovals Required
Address: / t:'C' G' 5 Gv. ) `' Planning
li r_
( l A
v t_L ,��_ Engineering _
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Phone: [:� �� - J�(�- Other
Contractor: - - Items Required
Address: -_� —.--_ Subcontractors
--- -- Truss Details
Phone: _ _ - Other
Contractor's License #
(attach copy of current Oregon licsnse)
Contact Name & Phone:
a
Subcontractors: Architect/Er,gineer:
NPlumbing: _ Address: -
i- Mechanical:
(attach copy of current OR Contractor's License) _
m P�one:
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JOB DESCRIPTION: ,� U X. ,� 1�!A LQA 0 t
r '
APpliicaq,g ignature & Phone number
Received by: 1 __ Date Received: 1.2
/z ! �
N IWORMCOMDE"ESOP
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
_ Plumb. Permit (PLUMB)
Mech. Permit (MECH) /
State Tax (I AX) �• _3. /,? �/
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) .c �� Le i �-
Bldg:
Plumb:
Mech:
_ Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
` 'orm Dra;nage 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) _
Water Quality (WQUAL)
Water Quantity (WOUANT)
J
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (FRPLAN)
Erosion Planck/CJT (EROSN)
TOTALS: U t! �• ( �J��o j
Permit No: — — —
,� Address: ----
Q.
H Issued b D�te:
u►I t Y — ----- -- --
\I •.••'' t/ .__-FOR OFFICE USE ONLY------]
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
apl licants 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 70'.010(7), need not submit this statement. This statement will be
Wed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, -,nd either box 3A or 3B:
1 . I own, reside in. or will reside in the completed structure.
2. 7 1 understand that I must register as a construction contractor if the structu P is sold
or offered for sale before or upon completion.
3. A. My My general contractor is - ---
Contractor registration number
I will instruct my general contractor that all subcontractors who work or, the struc-
ture must be registered with the Cnnstruction Contractors Board.
OR
3. B.[ -1 i will be my own general contractor.
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 perm I. 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
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reverse side of this form.
SS g tur, of ermit App it cant Date
CONST RUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
INK COPY TO APPLICANT
CITY OF TIGARD
September 13 , 1994
OREGON
Gary Bambusch : �)
11000 SP? 74th Avenue
Tigard, 012 97223
Re : MIS 94-0023 , Accessory Structure Application
Dear Mr. Bambusch;
This letter is in response to your request to con4truct an
accessory structure . The Planning Division has reviewed this
request and found that the structure complies with the height,
setbacks and square footage requirements for accessory structures .
Due to its design and location the accessory structure would not be
expected to encroach upon or interfere with tl.ie use of an adjoining
properly or public right-of-way including streets, alleys and
public or private easements. The structure would also not be
expected to alter the residential character of the principal
structure .
Therefore the Director' s designee has determined that the proposed
accessory structure will not be detrimental or injurious to
surrounding properties provided that development which occurs after
this decision complies with applicable local state and federal
laws .
This request has been approved subject to the following conditions :
1 . A building permit shall }�,e obtained from the Building
Department .
P1 ---.se feel free to contact me concerning this information.
Sincerely,
W 1 D'Andrea
Assistant Planner
-J
C: Bob Thompson
13125 SW Hall Blvd„ 11gard, OR 97223 (503) 639-4171 TDD (503) 684-2TI2 _
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