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10630 SW PARK STREET-1 ADDRESS: � - i:\records\microtlm\targets\building.doc INSPECTION NOTL^.E City of Tigard Building Dalartment 13125 SW 11.11 Blvd_ Tigard, Oregon 137223 Inspection Line (Res-O-Phone): 639-4175 Busineos Phone: r-39-4171 Inspection: Footing Plbg. Underal.ab Mach. Rough-la Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer framing -Bldg. Post/Beam Mach. Rain Dr-in Insulation -Plvmb. Plhg. underfloor Wates/LL.:e Gyp. Bd. Much. Date Requ-isYed:_� ` Time= _AM / PM Address: i,Lt �� - --` Permit: is '� ( / . Builders ME FOLLOWING CORRECTION:' ARE REUUIRIID: n ON Inspector: - ----.�-_--- -- _ Date: / [/ APPROVED DISAPPROVRD APF!")VRD SUBJECT TO ABOVE ___Call For Reinsp. IMSPECfIOM NOTICE city cr Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ro<:-0-Ph`one):G�639-4175 Bueineas Rhone: 639-4171 Inspectton: 1. V l r i Of �/\ -( % i , „k`� . J Footing Plbg. Underslsb Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line F7:MALs P,3st/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Cyp. Bd. -Mech. Date Requested: P f� - ) !Time: _ Z. _AM —pM I10'3� 1�T k MrC_ X17 I Addreass t 1 j Permit #s Builder: /� `� T�f,AA'fy A THE FOt.I.OWIMC CORRECTIONS ARE REQUIRED: —LZ....._ l J ,, s Inspector: % �"'� _ Date: v I 4�-I 3 — —APPR:IED DIS�A/PIROVSD 1/ APPROVED SUBJECT TO ABOVE^(` C " call For Reinnp. ----L �-� ( 1_) •�-*� CITY CSF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Mall Blvd.Tlgr.rd,Oregon 97223.8199 (503)839-4171 7/ I y N If-'1 NO. pit 1 14 K (41,101AN 1 NIAME e All,W4 hFATINH '.,+41.0 AMOUNT' s 0. 00 A 1)D R Fli'b p PAYMEN) JWJV 10 oa.,,9,,5 SO 8 D I V I`-i(0114 OF P'lOYMEN1 WN IN 10 P U R P 0 SE. OF' PAYMRN I AM0014 U [ Il If) PIAHr' -309E Mf C ANfFii.. Prl 00 PE.14 10630 BW PARK 40MI. (AMCIUNT ("fill) r� INSPECTION NOTICE City of Tigard Building Departaent 1.3125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspect!_on: Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plby. Top Out Can Line ,, ✓ FINAL: Post/Beam Struct. San. Sewer Framing Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor :later Line Gyp. Bd. -Hoch. Data Requested: _ �yT,una:T_,,._AH PN Addresss U&'77� y Pe it is �ZZ�j Builder: TBE FOLLOWING 0OPRECTION9 ARE REQUIRED: Inepector:- ✓ Date: 3 " Z 3' 9-9 G/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinsp. INSPECTION NjTICE City of Tigard Building Department 13125 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb Plbg. Underfloor Wnter Line Gyp. Bd. Date Requested: Times _AM ✓_—PA Address:- L/ Per`Jmit #: !1 —> —0L2z Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: OF 1/01 Irepectort/+_� — -- D a t e z & ;E_— !/ "PROVED DISAPPPROVED APPROVED SUBJECT TO ABOVE 7tall For Reinsp. INSPECTION NOTICE City of Tigard Building Departetent 17 -s SN Mall Blvd. Tig<.rd, Oregon 97223 W Inspection Line (Ree-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: -- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor 2 Water Line Gyp. Bd -Koch. Date Requesteds ✓ _� / Times / AN Address: /J IPU �L��� ��it is "/ Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector Dates— APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: — Footing Plbg. Underslab Mech. Rouqh-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINALS Post/Beam Struct. San. Sswer Framing -Bldg. Post/Beam M&ch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. '-[Much. Date Requested: f/ c? Z Time= L=AM Addrese: =—y`�"'�G.r /n-Peflnft 1.61 Builderr THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector• Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABO'JE Call For Reinap. INSPECTION NOTICE City of Tigard Building Depas-t—t 13125 SO Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspections — Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain naulation -Plumb. Plbg. Underfloor Water�Line Gyp. Bd. -Meeh. Date Requested: O Z -Times �S PH Address: s/ (O� - 'pe�it #:�L C� 2- �P BuildersA �.3-� THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ Dates L� APPROVED DISAPPROVBD APPROIiRD SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building D--partment 7 13125 Sit Hall Blvd. Tigard, Oregon 9722 Inspection Line (Roc-O-Phone): 539-4175 Business Phone: 639-4171 inspe^tion•` Footing p1bg ._ erslab Mech. Rough--in Appr/Sdwlk Found. C' Plbg. TDgf Gas Line FINAL: I Poet/Beam Struct. San. Sewer < Framirg -Bldg. Post/Beam Mech. Rain Drain Insulation -Plum*.-. Plbg. Underfloor Water Line Gyp. Bd. (( -Meth. Date Requested: f U� r�47 Timel��✓!l'" PH Address: Q / c.._- 'Arm fit_ /w— Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspect rs_ Data: �1 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departaent 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 6639-4175 Business Phone: 639-4171 Inspection: �5 Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Port/Beam Nech. Rain Drain Insulation -Plumb. Plbg. Unulerfloor Water Line Gyp. Bd. -Nech. Date Requested: I L1 ' 1_ISI �� Timer: AN _PM Address /l ax- 7'o 1 F- Permit #s�T-1 -622-(o Builder: l l'zV — 7553, 3, THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ Date. y APPROVED DISAPPROVED APPROVED SUBJECT To AEOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 9uBinean Phone: 639-4171. Inspections Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out GaB Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Seem Mech. Rain Drain Insulation -Plumb. Plbg. Underfluor Nater Line Gyp. Bd. -Mach. Date Requestrr��ed: r�— ( ~�7 —Time: �AM PM Addreas: 1 V�3yD - 1 L — Permit #t fAST'I Builders U'2e_ _15.55 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors Date:_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinep. MASTER PERMIT CITYOFTHFARD WYOP TWARD PERMIT #. . . . . . . : iNST92-0225 COMMUNRY DEVELOPMENT DEPAAgT1l#P' / D14TE ISSUED: 10/07/92 1312L SW Hell Blvd. P.R.Brix M- 97,Tigard,Oregon 97223(503)8364175 3o6,,W PARCEL: 2S103Df1-04400 SUBDIVISION. . . . : FANTASY HILL ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .3 ----------------------------------- BUILDING; --------------- ----------------- ---- REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :2 sf CLASS OF WORK. :ADD BEDRMS:O BATHS: 1 GARAGE. . . . . . . . . . :0 sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS------------- TYPE OF CONST. :5N FIRST. . . . :23'2. sf LEFT. . :25 Ft R I GHT. :0 ft OCCUPANCY GRP. :R3 SECOND— :@ s f FRONT. :@ ft REAR. . :84 ft STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED--------------------- HEIGHT. . . . . . . . .. 14 EQUIRED--------------------- HETGHT. . . . . . . . .. 14 ft TOTAL------:23 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 10672 PARKING 5PACES. . : 1 Remarks: PATH 2 ---------------------------------- PLUMBING ---- -- ___------_- --------------____ SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . : 1 WATER HEATLRS. . . :0 TRAPS. . . . . . . . . . . . . . :0 -iU$/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . : ! SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE (ft) . :0 OTHER FIXTURES. . . . . .-0 GARBAGE DISP. . . :O RAIN DRAIN tft) . :0 WASHING MACH. . . :0 SF RAIN DRAINS. . :O --------------- MECHANICAL ----- _ __ _-__ ---------------- FEES - ------ - __ -_ FUEL TYPES-------------- UNIT HTRS. . :0 type amount by date recpt /GAS/ / / VENTS . . . . . :2 BPRT t 86. 50 JH 10/07/92 - MAX iNPUT:O BTU VENT FANS. . : 1 BPLC f 56. 23 JL_H 09/23/92 231961 FURN ( 100K . . :@ HOODS. . . . . . :0 B5PC $ 4. 33 JH 10/07/92 - FURN ) =100K . . :0 WOODSTOVES. :0 MPRT f 25. 00 JH 10/07/92 - FLOOR FURN. . . . :0 CLO DRYERS. : 0 MPLC $ 6.25 JH 10/07/92 - BOIL/CMP ( 3HP:0 OTHEC; UNITS:O A5PC f 1. 25 JH 10/07/92 - G,iS OUTLETS:O PPRT f 25.00 JH 10/07/92 - Owner: - -- ---_._.__.__..--------------------._-- P5PC f 1. 25 JH 10/07/92 - DAVID AND MARGART NOLES 10630 SW PARK 97 TIGARD OR 97223 Phone #: 620-7553 Contractor: ------------------------------ OWNE R Phone #: Reg #. . : (40000 -------__------------------- f 205. 131 TOTAL This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIUNS ------- Tigard Municipal End@, State of Ore. Specialty Codes and all other Foot/found Insp 7r,sulat ion Insp applicable laws, il)1 work will be done in accordance with approved Post/Beam Str•u^t Gyp Board Insp pians. This permit will expire if work is not started within IBd Post/Beam Mechan Rain drain Insp days of issuance, or if work is suspen cd for mor than 186 days. PLM/Underfloor Mechanical Final ei) % ) Mechanical Insp Plumb Final permittee Signature: Il -�' /0/7,d-Plumb Top Out Building Final Framing Insp Erosion Control Issued By: � Gas Line Insp Crawl Drain Cal ' -ir inspection - 639-4175 CITY 13125 Sw Ilall Blvd. PLNCK/RF_CT # ^�'712 OF TIGA,RD 1K ik-23J`17 PERMIT # 2- COMMUNITY DEVELOPMEN"C DEPARTMENT Tiprd,Oregon 97223 (503)639.4171 DATE ISSUED JOB ADDRESS: �� /Z_�S(.c� r�r%�. _ ._. TAX MAP/LOT 5 13 �p-G yy� 7 SUB: t LOT. .li LAND USE: VALeATION: :. 3� �� 7� OWNER SPECIAI. NOTES NAME: Y � No ISS REISSUE OF: AODRESS: lti IMA& LAST REISSUE: 1file — FLOOD PLAIN/ PHONE: D - 7c J3 _ SENSITIVE LAND: _ CONTRACTOR_ y� I. APPROVALS REQUIRED NAME: �'I I tU'�If _ PLANNING:" ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: r/L—�G CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: .. c Z. LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCII ENGINEER CALCULATIONS: NAME: ober r TRUSS DETAILS: ADDRESS: Xlamdatr 'kd4 OTHER: oAd and DrG q v� PHONE: PROPOSED BLDG. USE: C° /� clz tl?O" COMMENTS: TAP ANT GNATURE Received By: — _ Date Received: PERMIT it ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE N15 c v24)� 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees Vii ' .;2i-,v°'_ 10-431 01 Mechanical Permit Fees �>. S•��_ 10-230 01 State Building Tax (5%) 6,Y3 Building �"33 -/ Plumbing / z � Mechanical 1 ZS� 10-433 00 Plans Check Fee C'Z VY Building 56. Z.3 / Plumbing Mechanical x,25 10-230 O6 Fire _ 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 2.5-448-02 Commercial TIF Fc-es 25-448-04 Industrial TIF Fees 25-448-06 Institutional 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/3587P.W?F — Permit No: Address: �u�►�'; ' z 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 anc' 2, at either box 3A or 3B: 1 . 11iiA I own, reside in, or will reside in the completed structure. 2. '1 .�1� J 1 understand that I must registe,' as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.L----- -i My general contractor is _. -- ----- -, Contractor registrati(m 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.a�_ 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 contrF,ct 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. ed V _ Signature of Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244) 8191 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT ciTy OF TIGARD RECEIPT OF POYMCNT RECEIPT 40. c 92-2.,i2466 CHECK AMOUNT r 149. 58 NAME e AOLEG, DAV I D R. CASH AMOUNT 0. 00 L)L)R t-�S,S 1.0630 SW PARK PAYMENT DATE a 10/07/92 TIGARD, OR 6080 1 v I S,I Oil PURPOSE OF PAYMENT AMOUNT PAID OF PAYMV:NT AMOUNT PAID BUILDING PERM 86. 50 V'LUMSING PERM .215. 00 MECHANICAL PE 85. 00 s*r. BUILD PER P[J)N CHUCK FE 6. 25 TOTAL AMOUNT PAID 14"1. 5A CITY OF "rmnpri OF PnYMENT RECEIPT NO. x92-2. 31961 CHECK AMOUN F g 'A. c:?3 1,401-ES, MARGARr-'T C A'33H A M 0 1 J N 1 r 0. LAO 5 10(,39-A SW PORK PAYWN'T DATE"' 5UPDIVISION i OR -uF?v,09E CIF' PAYMENT AMC)LINJ V-474111 VILIPPOiU OF PAYMENT Atrit)UNT PnTD PLAN CHECK FF °56. 2 1't7T(-11nMOUNI PAIL) 56. ;?3